DOCUMENTS Imoal Application Date. 5I I V/ I / Application# I -1.506 Lf 135/
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street,Lillington,NC 27545 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamettorg/permits
^A RECORDED VSURVEY MAP,RECORDED�CDEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIREED-WHEN SUBMITTINGINA LAND USE APPLICATION'
LANDOWNER:ekC.1IQIJ -Lt MCI nor. LTC. Mailing Address:55t CJ1. iSL45+. J{yr. I0o
City: Ills State. AA. zip2B51,I Contact No:
A100�'�512-11•Lail' "EEmaaic Z.,
APPLICANT': L(/JH1L.LC Mailing Address: 35(:)2 6L,TYt.(�rca.>•r� A ii CJI-�.Z5C)
City: Girt/Ant.ho Z) state (4 zip:7.71-110Contact No:+ (L Zfr23GOfe .Em ai.1-01.Q;#7QL(Jr a014 I1^1YY$
'Please hit out applicant information d different than landowner �/ ��� I
CONTACT NAME APPLYING IN OFFICE:Li_ 0 erkl]1-.ffZ- Phone# a(Q•
LA
PROPERTY LOCATION:-dSubdivision: Oar ,hP).,--r t lfi(yJV)C Lot#. `"Y Lot Size: 0Z5.df
State Road# 41. State Road Name }G 4G AUL Map Book&Page: 20i 3 I 3LS
Parcel: la. 0S7 ? m3S D PIM. 051-1 - 4 ,4054
Zoning:EL.56 Flood Zone. X Watershetl Deed Book&PageL3W / Z3'3 Power Company': Eno-6,
' ''��JJ77 I� yy-T/� P Y: (�r��irLhS (�
'New structures with Progress Energy as service provider need to supply premisecurAt}er 01 LY'&J 14 from ProgressUEnergy. V
PROPO ED USE:
3Y/ lonabmty
SED:(Size 3Ax 1{3)#Betlrooms:I#BathsZ_5Basement(wlwo bath): Garage: Deck: Crawl Space: Slab. Slab.
(Is the bonus room finished?( >)yes ( )no wi a closet?L)yes (_)no(if yes add in with#bedrooms)
] Mad:(Size_x )#Bedrooms_((Baths Basement(w/wo bath) Garage:_Site Built Deck:_ On Frame_Off Frame
(Is the second floor finished?( 1 yes L.)no Any other site built additions?(i yes I )no
] Manufactured Home. SW DW TW(Size x_)0 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?(_)yes ( )no
Water Supply X County Existing Well New Well(d of dwellings rising well )`Must have operable water before final
Sewage Supply: New Septic Tann(Complete Checklist) Existing Septic Tank(Complete Checklist) x County Sewer
Does owner of this tract of land,own land tat contains a manufactured home within five hundred feet(500')of tract listed above?(_)yes b<_)no
Does the property contain any easements whether underground or overhead(_)yes (p,)no
Structures(existing or(ops)d):Single family dwellings: 4 Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum Actuallu'4^-�
Rear
Closest Side asc_
Sidestreet/carner lot
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: I-f/,lA r 01 1 G yai pir3f. —kt(, ,rd
S 9tc1 4, Turn 21strl 0046 (ok" 5f. Tun") L2G-on4n F knt[!51
C,Cn4nUL CGP4C Lass PP. Turn (I JCh+ on+t7 'Bunn ILott Ertotr EP.
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 sate''ants are accurate a correct to the best of my knowledge. Permit subject to revocation if false information is provides.
/L®. 6IL11l
Signature of Owner net'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 R permits have not been Issued'
ALI LOCATIONS AND FEATURES SHORN ON
THIS PLOT PLAN ARE APPROXIMATE AND ME 41LY AN
MEW
ARTISTS RENDITION. EXACT LOCATION OF ALL FEATURES
put ME SUBJECT TO CHANCE MID SAY NOT BE INSTALLED
- 0 P EXACTLY AS SHORN M PLANS AND/pt IN MODELS.
was PLACEMENT OF HOME. DRIVEWAY, SIDEWALKS AND
ea EXTERIOR FEATURES ARE SUBJECT TO MODIEICAIION AS
DEEMED NECESSARY BY FIELD PERSONNEL.
50.. MVERYPN Re.
9UNNLINa CUSTOMER DAIS
0
Z 5 CUSTOMER DATE
u1 SITE z0
Y WADE JJRNEY REPRESENTAOVE DATE
IMPERVIOUS SURFACE AREA
VICINITY MAP DESCRIPTION AREA
Not To Scale
HOUSE w/ PORCH 1,290 S.F.
DECK/PATIO/HVAC 18 S.F.
/ DRIVEWAY & WALKS 626 S.F.
\? BK TOTAL (PROPOSED)= 1.934 S.F.
2O1,p BLACKBERRY�MANOR, uc 3 LOT AREA = 10,000 S.F.
l Pr' 3j --FUTURE DFVELOPMEN I--
S % IMPERVIOUS AREA =19.38
SETBACKS'
N20111'37"W FRONT - 35'
80.00' SIDE - 10'
CORNER SIDE - 20'
4 10,000 S.F.
0.23 Ac. REAR - 25'
.0'
25' REAR SETBACK I
';'‘I u
El CONO E!
PAD
I 30.0
3 LU
n b 1 2104-A-LH o M
i o 0 TWO-CAR o m
p Di q PER PLAN ®HVAC N a
0
KEV, 7/25/2016 w •
Ot
U I 0
fi
10 Eo
Z5
35' SETBACK
-J CO
/l y'
0 1 1 '
a I
2 I
rl
Q 1 5' UTILITY EASEMENT
T .--1 .P 5201 '37"E 80.00'
s 1
I
`y KOTATA AVENUE
50' PUBLIC STREET & UTILITY R/w
IAPPROVAL FOR STARING:
THIS PLOT PLAN AS PREPARED BY RESIDENTIAL LAND SERVICES.
TAKEDOWN PURCHASE AGREEMENT
BLACKBERRY MANOR,BUNNLEVEL,HARNETT COUNTY,NORTH CAROLINA
THIS AGREEMENT("Agreement") is made this 24 day of February,2017("Effective
Date") by and between WJH LLC,a Delaware Limited Liability Company("WJH"), and Blackberry
Manor, LLC("Seller").
Recitals
A. Seller is the owner of certain real estate("Real Estate') located in Harnett County,
North Carolina known as Blackberry Manor.
6. WJH is engaged in the business of building and selling single-family homes in North
Carolina,South Carolina,Georgia and Florida among other places.
C. WJH desires to purchase and Seller desires to sell a total of seven (7) fully
developed, residential building lots (the "Lots") located In Harnett County, North Carolina
pursuant to the terms and conditions contained in this Agreement.
Agreements
In consideration of the promises, covenants and agreements contained herein, the
sufficiency of which are hereby acknowledged, the parties agree as follows:
1. Incorporation of Recitals. The foregoing recitals are hereby incorporated into and made
a part of this Agreement as though set forth verbatim.
2. Earnest Money Deposit. Upon execution of this Agreement, WJH shall deposit earnest
money in the sum of Twenty-Thousand Dollars ($20,00100) ("Earnest Money") and is
being released directly to the Seller as working capital and is to be used solely to facilitate
the clearing, padding and establishment of water connections for these lots.Seller agrees
that Buyers obligation to purchase these lots is expressly subject to the completion of the
above work. In consideration of the advancement of these funds and concurrently with
receipt of said funds, Seller shall execute a Deed of Trust in favor of Buyer against the
subject property in the amount equal to the amounts advanced.This contract shall serve
as evidence of the secured obligation and this paragraph shall survive any subsequent
default by Seller. In the event that the Seller fails to perform as stated herein oris unable
to close on these Lots pursuant, Buyer may pursue any and all remedies available,
including but not limited to those available pursuant to the terms of this contract or the
said Deed of Trust and shall have the right to seek Specific Performance of Seller's
oblige tio( , inner this Agreement. At the closing of the lots, the Buyer shall receive as a
WJH Initials _ I Sellers Initials
EXHIBIT A
Legal Description of the Real Estate
Blackberry Manor, Harnett County, Bunnlevel, NC 28323
Lot 1-26 Boysenberry Lane
Lot 2-44 Boysenberry Lane
Lot 3-24 Kotata Ave
Lot 4-42 Kotata Ave
Lot 5-56 Kotata Ave
Lot 48-51 Kotata Ave
Lot 49-63 Kotata Ave
WJH Initials _
k I !0 Sellers Initials �) ._
WADE HARNEY OMES, I ORPORATED Blackberry Manor,LLC
By:— _ —. By: ____
Printed: Richard ay or Printed:Chris gr ping
Title: Director of Lot Acquisitions Title: Managin: r ember
"WJH" "Seller"
WIH Initials ! ' Sellers Initiak _
08109111 Application#
Hamett County Central Permitting
Each section below to be filled out PC Box 95 4dinoton NC 27598
by whomever palomino work 910 893 ]525 Fax 910 893 2793 www hematt aro/permits
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name 8 phone must match
Owners Name rLt'1ris I14iJ-nn ln5 elR-L' tint Ma y\OCLu Date SILA
Site Address 92 1(r,-tri4r. Lv10 Phone Ql0•celi7ao7
Directions to job site from Lillington - 9 ea C as .a. '.10 _, a #.s r/,
itin U+ rxn+o COSS 2o. (on+t n✓L 4✓I G.mufti!) 51 7&rn 2 of La'1 'i •
Tim IPC4- nn+a fCarde-A
Subdivision Jilr.(\Cbwrt4 I\A&%nor- Lot H.
Description of Proposed Work Ut tU spa #of Bedrooms 3
Heated SF 2101-{Unheated SF 901-1 Finished Bonus Room/ A/ Crawl Space _Slab
general Contractor Information
UJavtt)urnhti 14-nvw5 LC_ 2131.e-ZS2 AA OLP
Building Contractor s Cdmpany Name Telephone
3c0 &Ga4Uts(bund AUL_SL73o ("nityy pc0 124 / I IUIntc bmt+S.cufV1
Address NLZ-7gfo Email Address
47-1-12-
License
7-1JIzLicense#
EIncctrical Contractor Information
Description of Work f.lafrli-\ur l flinS4a.l\ Service Size 7/13 Amps T-Pole /Yes_No
0-Z- alh•�93• l03lct
Electrical Contractor s Company Name Telephone
1(1U I1641_14 ivy 1 ta.[illtn9uhvl 14.1C_Z'751-11, AZ.e,tu1rica {pya Lcowj
Address Email Address
2c13 II -L
License#
htechanlcaIIHVAC Contractor Information
DescriptionLi/Al-ins of Work Li/A ns tE Air-
0,60.1 Cora-Air 39i.•141-1 •01'I30
Mechanical Contractors Company Name Telephone
Vn ft 52i OAP.urmmnnS . lJC L70le- 'CAA Atsltn(A@r7 1\e»Y_.Co IV)
Address Email Address
'-12-1`6
License#
plumbing Contractor Information
Description of Work numb my inS%n\\ #Baths Z.5
har-rpvl 'Plu vv.lo i n q a lQ• 550.41533
Plumbing Contractors Company Name Telephone
•
3llanA tJInsnn PA• Clai4tonuO Z"15?O �hor+ovtg(Jlumb'ri3EP,tt3Vro ma\L
Address Email Address CA 111
2.7150
License #
�y � r�A insulation Contractor Information
laD Ars nt-rs 1- Itxy,
l,:/in
In ula `r ion Contractors Company Name&Address Telephone
'NOTE General Contractor must fill out and sign the second page of this application
I hereby certrfy that I have the authonty 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 Hamett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that Dv wanlna below I have obtained all subcontractors
permission to obtain these oermrt;and if Day 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-a Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as perc9yrent fee schedule
/I cues. 2r a 5I4R-1
Signature of Owner/Contracto,egij =r(s)of Corporation Date
Affidavit for Worker's Compensation N C G $ 87-14
The undersigned applicant being the /
General Contractor _Owner V 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 workers compensation insurance to cover them
Has one(1)or more subcontractors(s)and has obtained 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 dunng the permitted work from any person firm or corporation
carrying out the work I
Company or Name un�o4,LJvrrl.u. I-IOWI.GE L�
Sign w/Tifle/If.UQ, Y.f-rmi-l-ei vz,LAl'ItY4C)r - Date 511-1111
DO NOT REMOVE!
Details: Appointment of Lien Agent
Entry M: 646474 Filed on: 2017
Initially filleedd by:by: wjh2013
Designated Lien Agent Project Property
Print & Post
Im'.alars Tale ltmlumee Compel], BBM 4
42KOFw Ace 0 — O
Online: ✓rw liensns coin Bunnlevel.NC 28323 ]]��t-
Y- Y
%dare.:L••W H¢aen S1 Suite 507 Raleigh
HamaCount)
NC Thee O'P�!.11-
Phone:Sein9u-;aa
Property
P Y TypeContractors:
Feu gliJbs,tel l Please pest This.mice un the lob Site
limit:Amnia,.livnem-.Bon - 1-2 Family Dwelling Suppllen and Subcontractors:
Scan this image with)our.nu:rt Plume m
ew this tiling.You can then file a Notice
Owner Information mL:en Agent thnnis protect
w1N,I IC
33011 Background Ave Suite 230
Greensboro. NC 29410
United Stades
Fink.d:Nhire l wJdclur:m)iwmcl ann
Phone.919-9,4SSMCi
View t ommeub 101
technical Suppon Hmyne:BINS)6402184
f Date S) 1. 0 ii a-7
Plan Box# 1': Job Name 14
App# 41 lc Valuation 2clgir`/ SQ Feet at Y
Garage 90 '1
= 2So9'
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 V Envlr. Health_ Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough In
Insulation_
Final
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 17-50041351 Date 5/23/17
Intersection
Property Address 42 KOTATA AVE
PARCEL NUMBER 12-0577- - -0035- -04-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name BLACKBERRY MANOR PH1 10LOTS
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
BLACKBERRY MANOR LLC WJH LLC
551 RAMSEY STREET 3300 BATTLEGROUND AVE
FAYETTEVILLE NC 28311 STE 230
GREENSBORO NC 27410
(336) 282-3606
Applicant
WJH LLC #4
3300 BATTLEGROUND AVE
STE 230
GREENSBORO NC 27410
(336) 282-3606
--- Structure Information 000 000 30X43 3BDR MONO W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 3000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1191014
Issue Date . . . 5/23/17 Valuation . . . . 0
Expiration Date . 5/23/18
Special Notes and Comments
T/S: 05/10/2017 02 : 57 PM JBROCK --- -
BLACKBERRY MANOR #4 - 42 KOTATA AVE
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC, MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
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 17-50041351 Date 5/23/17
Property Address 42 KOTATA AVE
PARCEL NUMBER . 12-0577- - -0035- -04-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name BLACKBERRY MANOR PH1 10LOTS
Property Zoning RES/AGRI DIST - RA-30
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1191014
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /_
10-999 309 P309 R*PLUMB UNDER SLAB / /_
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /_
20 104 B104 R*FOUND & SETBACK VERIF SURVEY / /_
30-50 129 I129 R*INSULATION INSPECTION / /_
30-60 425 R425 FOUR TRADE ROUGH IN / /_
30-60 125 R125 ONE TRADE ROUGH IN / /_
30-60 325 R325 THREE TRADE ROUGH IN / /_
30-60 225 R225 TWO TRADE ROUGH IN / /_
40-60 429 R429 FOUR TRADE FINAL _/_/_
40-60 131 R131 ONE TRADE FINAL _/_/_
40-60 329 R329 THREE TRADE FINAL / /_
40-60 229 R229 TWO TRADE FINAL _/_/_
40-60 209 E209 R*ELEC TEMP POWER CERT _/_/_