DOCUMENTS Initial Application Date: .51 Ini
� '' Application it I ri C -f'L R�(-.y
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CUN I
Central Permitting 108 E.Front Street,Lillinglon,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
"A RECORDED
ISURVEY
_RAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARREERREQUIREEED'WHEN
,S..UBMR TING A LAND USE APPLICATION**
LANDOWNERWNelartleungMLl(i YYlr, Uf. Mailing Address:555 ecai�7,(I! 5-. �, 100
City: ram es-H-u
't i(IIfr'' '' State. AA Zip:ZO(I Contact NNoo,.A6104 6t1•ZXT1 Email: 1
APPLICANT':I(j IJ11 LLC-- Mailing Address: 33t I'&44-itarct' _ic4 Ai(Q SW-Z C)
Qty.
Cru
A�YyaV7J Stat : 2ip:Z74 tOContact No: fZ�-3(/0� -Email:�leptk"/FJ(!)A'
l � (/L/� lCa
rr 8
*Please till out applicant information if different han landowner
CONTACT NAME APPLYING IN OFFICE: IT(.— 124.113i IZ- Phone OS a(Q•Q4€-S(Fjc./
PROPERTY LOCATION:Subdivision: Star
Lr�,k trt7 / ' A(.Pv)r Lot it: Uq. Lot Size ID
State Road k 1 State Road Name: rD-k-Q*o\ kJ Q- Map Book&Page: 2.015 / .rj
Parcel lei ( / J (jj35� ( /b� 7 PIN: (�'l •4l • 4or] L
Zoning:eL,- Flood Zone. )(•' Watershed: W1 %Deed Book&Page:2300 /'233 Power Company: PM(Arth'j Mini
'New structures with Progress Energy as service provider need to supplynu '1815113Progress
�1
premise num r from ProEnergy.
PROBOSED USE:] monbrh
/ y
Y/ -T.v SFD:(Sze xj )p Bedrodmsy 4 Baths2 aasement(wlwo bath): v Garage: Deck: Crawl Space:_Slab':_Shoo✓
(Is the bonus room finished?( J yes (Zito w/a closet?( )yes (_)no(if yes add in with It bedrooms)
J Mod.(Size_x_)N Bedrooms_a Baths Basement(wlwo bath) Garage._Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?( )yes (_)no Any other site built additions?(J yes (J no
J Manufactured Home:_SW_DW_TW(Size )#Bedrooms:_Garage. (site burlt? )Deck: (site built?_)
J Duplex:(Size )No.Buildings. No.Bedrooms Per Unit:
7 Home Occupation:tt Rooms: Use: Hours of Operation: NEmployees.
J Addition/Accessory/Other.(Size )Use. Closets in addition?( )yes ( )no
Water Supply. X County _Existing Well _New Well(Il ofdwellings using well ) Must have operable water before final
Sewage Supply._New Septic Tank(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 live hundred feet(500')of tract listed above?( )yes b(„)no
Does the property contain any easements whether underground or overhead(_)yes (X)no
Structures(existing or€oto)d).. Single family dwellings:_ t Manufactured Homes. Other(specify)-
Reg wired
speci/y):Required Residential Property Line Setbac/k:� Comments:
Front Minimum Actual rSW
Rear S�T�
d
Closest Side Q
Sidestreet/corner lot
Nearest Building
on same lot
r APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 1- /4d !f on LT, rao - --,
5 7 hd moi{-. Turn 24ehrh nn{ii (044n Sh. brvr niton t UY.nti[l til-•
COrl-hnUL aMo Pass 2P. Turn naab+ on+d Bunn /LI.%1 u"wih LP.
If permits are granted I agree to conform to all ordinances and laws of be State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing state ants are accurate a d correct to the best of my knowledge. Permit subject to revocation if false information is provided.
511-1111
Signature of Owner mar's Agent DateDate
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"
ALL DIMENSIONS LOCATIONS AND FEATURES SWORN ON
IITIIII
THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
a IMM
ARTISTS RENDITION, EXACT LOCATION OF ALL FEATURES
ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
-w- o XI
EXACTLY AS SHOWN ON FLANS AND/CN IN MODELS.
PLACEMENT Cf HOME, DRIVEWAY, SIDEWALKS AND
war EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
DEEMED NECESSARY BY FIELD PERSONNEL.
SR IVERRAN fa
BUNNLE`ia CUSTOMER DATE
C SITE 5 SF TRACKS' CUSTOMER DATE
Ln
Q FRONT - 35' WADE JURNEY REPRESENTATIVE DATE
SIDE - 10'
CORNER SIDE - 20'
REAR - 25' IMPERVIOUS SURFACE AREA
VICINITY MAP
Not To Scale DESCRIPTION AREA
HOUSE w/ PORCH 1,267 S.F.
Bk ?O DECK/PATIO/HVAC 18 S.F.
13 pC N v DRIVEWAY & WALKS 628 S.F.
315 BLACKBERRY'MANOR. LLC. TOTAL (PROPOSED)= 1,913 S.F.
18132300 Pc 233
- -FUTURE DEVELOPMENT-- LOT AREA = 10.000 S.F.
tle
/ Z IMPERVIOUS AREA =19.1%
520111'37"E
80.00'
10.000 S.F.
0.23 Ac.
25 REAR SETBACK
n �pe - - _I
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50 mN Hvac® o TWO-CAR N .
z TREV E77/25/2016RPLAN � f w
V4 I I ` oz-22I
- �
2 _ 200
-1 t 35' SETBACK
y
CP
0'
J
80.00' s' UTILITY EASEMENT
a
T j ! N N20'1 '37"W
Z n
et
KOTATA AVENUE
," 50' PUBLIC STREET & UTILITY R/W
I _ APPROVAL FOR STAKING I
TAKEDOWN PURCHASE AGREEMENT
BLACKBERRY MANOR,BUNNLEVEL,HARNETT COUNTY,NORTH CAROLINA
•
THIS AGREEMENT("Agreement") is made this 2I day of February, 2017 ("Effective
Date") by and between Will LIC, 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.
8. 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 ($20,000.00) ("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 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 limned 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 tioi Eider this Agreement. At the closing of the lots, the Buyer shall receive as a
WJH Initials I I Sellers Initials —r
EXHIBIT
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 _ .) Sellers Initials
k >,.
WADE BAND, OMES, IN ORPORATED Blackberry Manor, LLC
By BY:
Printed: Richard ay or Printed:Chris gr ping
Title: Director of Lot Acquisitions Title: Managin: • ember
WJH "Seller"
WJH Initials_ # n;^ i 15 Sellers Initials )'
09/09111 Application#
Harnett County Central Permitting
Each section below to be filled llad oPO Box 85 Lillington NC 27546
by whomever performing work 910 893 7525 Fax 910 e93 2793 www hamett orgrpertniR
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name 8 phone must match Q
Owners Name hr15Mainn( eta(noiIralMaAO(LL.0 Date SIytn-1
Site Address G)j Y -\-alct QUA.- Phone qI0•.C177*(71207
Directions to lob site from Lillington I4'/,a 6 An inn&Ua 1 F4/in VD•TP)LYAA-4_ PncS PO.
Txn I .LU-+ rM+o &cc-, . ron+,nut_ cwrf_Mu/ufISI Turn 1eon (,S i5E.
Tim I a LF nvl+a f=.Gran t<,r-
Subdivision _Bins 1C.bt rrt1 $AG anor Lot I-44
Description of Proposed Work of S G2 #of Bedrooms 1-1
Heated SF t82.Lis Unheated SF Finished Bonus Room' Al Crawl Space _Slab )�
General Contractor Information
I J iliUrn,u t 1-taunt'-jlC ZIC2• .104.40
Budding Contractors Company Name Telephone
Soo &4.ltc 5r'bund A uL5+QU3o (-Iray (0 TrcLlo;+7@ftsad/,.lurncyltrnes.cofv)
Address ,UC Z"7q10 Email Address
g24.12—
License#
El ctrical Contractor Information
Description of Work EXUA ir,tu 1 inSJal l Service Size JLV Amps T-Pole Tes No
az aih.113.631a
Electrical Contractors Company Name Telephone
Jag I1tdcltrtcruv Iid./JIIingwn,NC_Z-751-U .e AZattArtcehoir cuLGowl
Address Email Address
2y311 -L-
License#
Mechanical/HVAC Contractor Information
Description of Work t•1t1n_Iin9 t Air
L'UwtC-o(+-Air 391.144-k
Mechanical Contractors Company Name Telephone
QA Pvc 5Z) 0,1e,mIYmneD VC. ZlOIZ- ICle(etM,hrAQn>-I\r»1C.Gori
Address Email Address
t-121`6
License#
plumbing Contractor Information
Desch tion of Work Dumb in j <vis4ct\\ #Baths 2e 5
4 horknn. `Pluyv-oinq aLa• O•Litr33
Plumbing Contractors Company Name Telephone
•
;RIO A tiivlson RD. Clat +c�n UC. a-7570 �ierroyet,pun.b ncEttelocatent(-.
Address Email Address
21-16 �0 h••1License#
insulation Contractor Information
Insulation Contractor s Company ams8-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 Hamett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that pv lumina below I have obtained all subcontractors
permission to obtain these permit{ and if my 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-0 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per cu ent fee schedule
Cud -171A. `�1�1In
Signature of OwnerlContracto r(s)of Corporation Date
Affidavit for Workers Compensation N C G S 87-14
The undersigned applicant being the
General Contractor _Ownerl/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 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 Nam/me MJa4LJVrrtzt IaoWli-5 lC.C_
Sign wrTme/'&,lel.ea arm i+PiynLLvi„lar Date sltiln
DO NOT REMOVE!
Details: Appointment of Lien Agent
Entry #: 646477 Filed on: 05/03/2017
Initially filleeddby by:: wjh2013
Designated Lien Agent Project Property
Print & Post
Innztur.Tule hrmrmme CoiIQnv OHM 49
03Kowa Ase
online: ,ws'Bence:tom ❑' - ❑
Hunnteveo NC 371111 :547'
sddu' w A. .am
re .toHanley .Sort 507 Raleigh. Heary LF
Couutee>; rt
7r^y '4
Si 27801 ❑.1_x'0
Phare:ass-PW-7154
Property Type Contractors:Fes:"1:4.17-:1
Pleuse post this conic un the Jul)Site.
Emelt::unrrnelienenecnm .., _ .
1=Family Dwelling Suppliers and Subcontractors:
Scan this Image with your sawn phone to
iew Wm filing.YOU can Nen file a Notice
Owner Information tim Agent for this project
NIH,LLC
LOO flunlcg eund Ave Snits 130
Green:bolo, NC 1,410
U01ul S,Os
Hnutil-mmhf;Nwaly,1„e1 home;e.,m
Phone 910-945.5654
View C omnm,n 101
Technical Support Hotline:(Mgt 490--184
fr Up Date S) ?O -7
Plan Box# Job Name w 7 14
App# M i as
T Valuation )75,29‘ SQ Feet I g-Z-C
Garage 397
= 2223
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 Envir. 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 17-50041354 Date 5/23/17
Intersection
Property Address 51 KOTATA AVE
PARCEL NUMBER 12-0577- - -0035- -07-
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 #49
3300 BATTLEGROUND AVE
STE 230
GREENSBORO NC 27410
(336) 282-3606
--- Structure Information 000 000 36X39 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 . 1191022
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 #49- 51 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 17-50041354 Date 5/23/17
Property Address 51 KOTATA AVE
PARCEL NUMBER 12-0577- - -0035- -07-
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 1191022
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /_
10-999 309 P309 R*PLUMB UNDER SLAB _/_/
10 104 B104 R*FOUND & SETBACK VERIF SURVEY / /_
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /_
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 / /_