DOCUMENTS Initial Application Date-S)?ie' ( n Application# I 1 a Yf 4_I 5CW
COUNTY OF HARNETT DEMOLITION APPLICATION
108 E. Front Street, Lillington, NC 2754646/� Phone:(910)893-7525 I IFax:(910)893-2793 www.harnetLorglpermits
Land Owner ��S P\\ ' l-vt Cql Mailing Address: `1- -RUSS() 11 -DAO /l�, Ln(
City: C n4..1J1I Cn ""� SSttatte:NlZipp�KI jiome#:�VI J"n3 I /Co�nta1ctt,#: ���fL j-I 38
APPLICANT':IC / 1 )l_I�_X.11 I - Cox p OR1I4 Q{>17ailing Address:
1_105 ( a I VVI I It or YLOC
City: t lc,(,Ie YI Stateav Zip: /D1 CHome#: Contact#: ci,YYv✓
*Please fill out a cant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone#:
PROPERTY LOCATION: Subdivision: Lot Acreage: I ' fir C-•
StateRoad #: 1rL1 I State Road Name: ,�I ,/_4 gem`'`,\Lo.-v� �7,,
Parcel: CPI t I twaL4 PIN: I IA 14 D(JM -' GXY Zoning:R( C$Ilrood Zone:K
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
Structure(s)to be demolished 8 removed: Single family dwelling Manufactured Home v Other(specify)
Structures(existing and/or proposed): Single family dwellings Manufactured Homes mac(specify)
Water Supply: U County (_) Existing Well
Sewage Supply: ("Existing Septic Tank ( )County Sewer
•If a new structure is to be replaced on this lot, please ensure that existing septic system is not damaged.
* If an existing well is on site and is to be discontinued, please contact Harnett County Environmental Health for assistance.
`Upon the issuance of the Certificate of Compliance, the Harnett County Tax Department shall be notified of the removal to
ensure proper listing.
"The demolition contractor is responsible for submitting verification of proper disposal prior to the Final inspection.
**PLEASE NOTE"Failure to completely demolish, remove, and clear the premises will result in the withholding of the Certificate
of Compliance. Thus,future permits for the property will be denied, and fines may be imposed for failure to complete demolition/
removal.
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.
0,1\1610A Ca: 5-3o - 1 1
Signature of Owner or Owner ent Data
"This application expires 6 months from the Initial date If no permits have been Issued"
S:1Planning and Inspections FilesIFORMSICP Forms
•
Asbestos requirements are applicable if the occupancy use is or changes to Commercial (not residential),
or if multiple structures are being demolished & removed at one time.
•
•
•
An Asbestos Inspection Report prepared by an N.C. Accredited Asbestos Inspector must be provided with application to
demolish any building including residences demolished for commercial or industrial expansion or structures. It is the contractor's
responsibility to properly notify the Department of Health and Human Services Division of Public Health — Health Hazards
Control Unit at least ten (10) working days before the demolition is to begin whether or not the building is known to contain
asbestos.
I hereby certify that the information on this application is correct and that all work in connection with the above
referenced job will be performed under my supervision and that such work complies with the requirements of the NC
State Building Codes and applicable Harnett County Ordinances. Call for inspection at proper stage of work.
CONTRACTOR/APPLICANT DATE LICENSE NO.(If applicable)
Please contact the Department of Health and Human Services for their requirements and permit information.
http:llwww.epi.state.nc.uslepilasbestos/ahmp.html
S:'Planning and Inspections Files\FORMS\CP Forms
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 17-50041508 Date 5/30/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP DEMOLITION RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
EARP EDDIE O'BRIANT & C/O OWNER
RUSSELL T EARP
1905 CARL
RALEIGH NC 27610-000
(919) 295-5497
Applicant
EARP EDDIE O'BRIANT & C/O
RUSSELL T EARP
1905 CARL
RALEIGH NC 27610-000
(919) 295-5497
--- Structure Information 000 000 DEMO SWMH
Other struct info PROPOSED USE DEMO SWMH
Permit RESIDENTIAL DEMOLITION PERMIT
Additional desc .
Phone Access Code . 1193747
Issue Date . . . . 5/30/17 Valuation . . . . 0
Expiration Date . . 5/30/18
Special Notes and Comments
141 RUSSELL HOGAN LANE
T/S: 05/30/2017 10 : 27 AM JBROCK ----
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 17-50041508 Date 5/30/17
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP DEMOLITION RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL DEMOLITION PERMIT
Additional desc .
Phone Access Code 1193747
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 179 C179 C*BLDG FINAL /_/_
999 131 R131 ONE TRADE FINAL _/_/_
999 820 Z820 PZ*ZONING/FINAL INSPECTION / /_