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DOCUMENTS Initial Application Date-S) 0 ' ' Application# I r / SW11-4 1 3 ca, CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street Lillington,NC 27546 Phone-(910)893-7525 ext:2 Fax:(910)893-2793 www.bamett.org/permits ^A RECORDED SURVEYRMAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^ LANDOWNER 1.9 kr rine in(M&nor. ill, Mailing Address:WI. err LTnSx r � 51-. 5-Le. City: C0-ccjta-Ik1l11 114 State: A A^. Zip:& 3L I Contact No:4.4.1100' 1611'Z.cV 1 Email:`' un Z APPLICANT': Li1x)11L_Lt- Mailing Address: 33r. a_44-ILaroufrLckAiii 5!i-Z=50 City: 67(0 l }v yn State zip:Z74itcontact No: C4_2S2-3U0412 _Emaiklrrlo t7 ry)d'rl rn/ hen Y5 'PleaseNI I out applicant information if cheerers than landowner eat;I I n !/v+ • CONTACT NAME APPLYING IN OFFICE: '�,6`L.11 o__V b;'!Z Phone#ti( Ly •Q45-506q �tNV PROPERTY LOCATION:Subdivision: star Cy/Q,1MI M(l, yV)r Lot 5 Lot Size-0.23/J2' State Road ')U State Road Name: Yb4OO 10 AUL Map Book&Page-7.oi/ / 3t5 Parcel:pia / -7 l]i�_ (] s PIN: h5YlLib • aq�� /7 ,,SLI,, Zoning:2A' Flood Zone. x Watershet Deed Book&Paag/g''ea�d`�'xOppp���?J ower Company': PM& J£P 1 /I 'New structures with Progress Energy as service provider need to supply premisQu r n from Progress Energy. `J't PROPOSED USE: mono:AL? J SEE?(Sizex -L )#Bedrooms:#Baths:BasemenEwlwo bath)' Garage: Deck:_Crawl Space:_Slab: Sian:V (Is the bonus room finished?( j yes (L)no w/a closet?( 1 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?(_J yes (_)no 3 Manufactured Home: SW_DW_TW(Size x_)k Bedrooms:_Garage: (site built? )Deck: (site owit? ) J Duplex:(Size x )No.Buildings- Na.Bedrooms Per Unit: ] Home Occupation:#Rooms: Use, Hours of Operation: #Employees: J Addition/Accessory/Other(Size x )Use: Closets in addition?( )yes ( )no Water Supply- X County _Existing Well _New Well(#of dwellings using well )`Must have operable water before final Sewage Supply._New Septic Tans(Complete Checklist) Existing Septic Tank(Complete Checklist) X 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 property contain any easements whether underground or overhead( )yes 4,4)no Structures(existing or Fo)d).Single family dwellings. Manufactured Homes: Other(specify): Required Residential Property Line Set'b]a/cks: Comments: Front Minimum Actual 'JSP Rear Closest Side c Sidestreet/corner lot Nearest Building on same lot APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 14Ma t'( on (J rreSO4-51-. -4-0 S 7.Iz1 431—, Crn t2gkrEnvriel !aMa5/-. T5rn LIC+-nrAk, F_ UY.wiiii5• 0.01+, 1111 fl -io Pas 2P. Turn "tgr`+ on+o Bunn 1/,ot,1 € Q)tcn 2P. 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 slate that foregoing state tanWt�sy-are accurate a d correct to the best of my knowledge. Permit subject to revocation If false information is provided. Signature of Owner net's Agent Date �I� mit 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 infomtation that is contained within these applications.*** "This application expires 6 months from the initial data if permits have not been issued^ ALL DIMENSIONS. LOCATORS AND FEATURES SHOWN ON TINS PLOT PLAN ME APPROXIMATE AND ME ONLY AN ARTSTS RENDRIIXI, EXACT LOCATION Of ALL FEATURES ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED -N- o M EXACTLY AS 91OWN ON PLANS AND/CP IN MODELS. IA PLACEMENT Of HOME, DRIVEWAY, SIDEWALKS ANO EXTERIOR FEATURES ARE SUBJECT TO MCOFICATCN AS DEEMED NECESSARY BY FIELD PERSONNEL SP. 107-2:014 RD. BUNNIENE CUSTOMER DATE lir n X 4 SFTRACKS CUSTOMER DATE on SITE FRONT - 35' WADE JLJNEY REPRESENTATIVE DATE o o SIDE - 10' CORNER SIDE - 20' REAR - 25' IMPERVIOUS SURFACE AREA VICINITY MAP DESCRIPTION AREA Not To Scale HOUSE w/ PORCH 1,292 S.F. / DECK/PATIO/HVAC 27 S.F. \? B/� N/F DRIVEWAY & WALKS 630 S.F. 207 j .315 BLACKBERRY MAry R , LLC. TOTAL (PROPOSED)= 1,949 S.F. G 3j5 233 --FUTURE DEVELOPMENT-- LOT AREA = 10,000 S.F. Z IMPERVIOUS AREA =19.57 N2011'37"W 60.00' 10,000 S.F. 0.23 Ac. 26' REAR SETBACK sL © C IiI 0' U' la ED CON C. PAD 3 n La to O 38.0 O N N/E 0 0 • BLACKBERRY MANOR, LLC. m Lr) z Tr CO D132300VA 2300 PG 233 •c CM 2045-A-LH ®HC N • --CUDEVELOPMENT-- mto - m 0 I P PLAN 2 `t o REV. 7/25/2016 n I 111 10.0 ) ‘4 f L _ — 20.0 --21)0.—,-- J 1 35' SETBACKy L J '0.1 UI ANS G. y. 36.0' ' I _ d ^I 5' UNLIT', A E NT J \1. S2011'37"E 80 00' ✓1 2 44 G U O KOTATA AVENUE,- Zu LU TV 50' PUBLIC STREET & UTILITY R/W _..- `-- APPROVAL FOR SMA UM I _ I TAKEDOWN PURCHASE AGREEMENT BLACKBERRY MANOR,BUNNLEVEL,HARNETT COUNTY,NORTH CAROUNA THIS AGREEMENT ("Agreement") is made this 2-I day of February, 2017("Effective Date") by and between W11-1 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. B. W111 is engaged in the business of building and selling single-family homes in North Carolina,South Carolina,Georgia and Florida among other places. C. Will 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 ($20,000.00) ("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 wort. 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 obliga tine 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, Bunnievel, NC 28323 Lot 1-26 Boysenberry Lane Lot 2-44 Boysenberry Lane tot 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 i i in Sellers Initials WADE HJRNEY OMES, I ORPORATED Blackberry Manor, LLC By:__ ___ By: Printed: Richard ay or Printed:Chris ar ning Title: Director of Lot Acquisitions Title: Managin: ' ember "WIN" "Seller" W111 Initials _ '/%' I I S Sellers Initiak + 09109/11 Application# Harnett County Central Permitting Each section below to be filled out PO Box 65 Lillingion NC 27598 by whomever performing work 910 593 ]525 Fax 910 893 2793 www hematt mg/permits Must be owner or licensed contractor Address company Application for Residential Building and Trades Permit name 8 phone must match " Owners Name ,hn5 Mannln3 [J1(.CY.ID,P{rg Main or,LLf Date 511.1W11 Site Address 5Ce tri-10 4-a •)ADf_ Phone Cl0•€77.7x7 Directions to lob site from Lillington - as g, ss a ' � .Ti a a�� .0 TUrn La+ nn+o Coss co. <,on-Hn✓C. 8,7GMcliti!) S! -Thrp 2o✓\ (j '-i5F . -film IPL+ nn+a f..Cravit<,l- . Subdivision __filar lLba.✓rli Ma Anp✓ Lot € Description of Proposed Work IMO SG2 #of Bedrooms Lk Heated SF 7nU'Unheated SF 345 Finished Bonus Room, A' Crawl Space _Slab General Contractor Information It)atitiurnAAA 14-nwute) Vit Z1T.•AA0ln Building Contractors Company Name Telephone 3t0 &4.-41a)ond AuL51-L730 l-i✓r,tnskair0 -rrrkbi 7&r&Ilfoil/Jurntylowits.ain/1 Address NL Z?gIU Email Address 42-LIZ-- License# Ele trical Contractor Information Description of Work f ltf ln } icanSJa,t\ Service Size Tao Amps T-Pole /Yes No fl'z• Qlh•193•193tCl — Electrical Contractors Company Name Telephone Joe lttdaun(Ain .Llllnsion PC-219-ice AZQIUAtac i-aina,Lcoly) Address Email Address 244311-L. License# Mechanical/HVAC Contractor Information Description of Work tl2ai-i n9 I. Air 0.0M dor+-,4 i r 391,•%14 •Q'13° Mechanical Contractors Company Name Telephone Ph &K 5zi CAQ.Immnn<D 1-1C. 7.1012- .16/tAinSltn(A€0)-\1noY .Cowl Address Email Address i-lZ1K License# plumbing Contractor Information Description of Work 9(Ornbinr� 'ry)5kfr.\\ #Baths_7.5 horkov\ (Plurnloinf. Gtct• 550•4`5?z3 Plumbing Contractors Company Name Telephone 31CanA tit riSnn P.o• Clat{aon uP 2"1570 rliwrron`lplumbl n5Eicett1bG17mat . Address Email Address J o- co 72.162- License# Insulation Contractor Information Z. y_)J, r 6. °m Insulation Contractors Company Name g Address 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 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 In waning below I have obtained all subcontractors permission to obtain these permits and if gay 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-B Months to 2 years permtt re-issue fee is$150 00 After 2 years re-issue fee is as per c ent fee schedule Cael-, 400 514-1I1n Signature of Owner/Contracto r(s)of Corporation Date Affidavit for Worker's Compensation N C G S 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 forththin 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 Mem 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 pnor 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 tJ&ft_JV rn.w l-IorvtzS LCL i Sign wind: ._i _•, a, �__ a s.. .1 a ., kr-- Date 6 14 I ( ) DO NOT REMOVE! Details: Appointment of Lien Agent Filed on: 05/03/e017 Entry it: 646475 Initially filed by: wjh2013 Designated Lien Agent Project Property Print & Post Iuvmten Title 1mwi nee Cowan; BED 5E Emma Ae O O Online:awn hang..cam Bunnlevel_NC 25323 J:'U.+!/E_Y \aare,u.I:N nnryen St Ile 507 Raleigh. Harnett County .AQP : NC 27601 0Tki o R Mune:tlXX- J- II4 Property Type Cann-enters: 41'-lfns231 Please pont this notice on Ne Job Site. Fu I aunoan.lim:nx oum .. .. 1-2 Family Dwelling Suppucn and Subcontretten: Scat this image ith your sown phone to ew Nis fling-'ion an then tile a Notice Owner Information to Lien Agent for Nis project. WIH.LIC 33110 Hanlegmund Ave Suite BO Greensboro. NC 27410 llniwl Slam Email:a'.ttrga n,nki ume h:amm.coin Limon:919-995-504 View('ammuns Inn lethnieI Suppon Hoihne:IMNS 1190- t4 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 17-50041352 Date 5/23/17 Intersection Property Address 56 KOTATA AVE PARCEL NUMBER 12-0577- - -0035- -05- Application type description CP NEW RESIDENTIAL (SFD) Subdivision Name BLACKBERRY MANOR PH1 'CLOTS 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 #5 3300 BATTLEGROUND AVE STE 230 GREENSBORO NC 27410 (336) 282-3606 -- - Structure Information 000 000 38X34 4BDR MONO W/ GARAGE Flood Zone FLOOD ZONE X Other struct info # BEDROOMS 4000000 . 00 PROPOSED USE SFD SEPTIC - EXISTING? SEWER WATER SUPPLY COUNTY Permit BLDG,MECH, ELEC, PLB, INSU PERMIT Additional desc . Phone Access Code 1191113 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 #5 - 56 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 17-50041352 Date 5/23/17 Property Address 56 KOTATA AVE PARCEL NUMBER . 12-0577- - -0035- -05- 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 1191113 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 3114 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 / /_