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DOCUMENTS Initial Application Date VI 7 I( / ^ 111 l Application# I sob 4-ac „1 COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU#_ (J� Central Permitti 108 E. Front eett, Lillllington,NC 27546 Phone: (910)893-7525 ext:2 Fax (910)893-2793 www.harnett.org/permits � � bRD�ARVEYMgp,RECORDED PEED OR OFFER ER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" yartaaw.:, , Mailing Address: SC M,C CiS beAtP It City State: �� Zip: " Contact No: 1 Email �ou\ IN o r r-i s 1757 Q t{ailea, //1� ,, — APPLICANT*: CA-Aor'laFR( �1) k-f'�iiGI"ra i gAddress: F. 0 • 13os '-"72`-/ City: t)to4K.1 State:P,1 C :2 g $92. • tf 3�f S 'Please fill out applicant information if different than landowner Zip 33SContact No Email CONTACT NAME APPLYING IN OFFICE: M l C Y4 h L 0{Z --3—DACNI Phone# 9i. 0 • a9 Z • (43`I PROPERTY LOCATION: Subdivision: -1-1-k L S2—E:5 EP-A)( \ 9 1 t� Lot# Lot Size: to 2. State Road# ( Li 113 State Road Name: I�OL�I-(► S Or(�k • �1 ®( O Q y 1J�o Map Book&Page�((p (o( Parcel 4 S-- 1 PIN: �`. l S� O 00 Zoning: RA'1OFlood Zone: •K Watershed: 1.11 E1 Deed Book&Page:033 Z 3/ Q.332-power Company`: DI..-t k--E— `New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PR OSED USE: //�pp 4 ve SFD: (Size —1 i? l�0 )#Bedrooms J *Baths:Z-I emer,t(w/wo bath): Garage:V Deck: /Monolithic � � Crawl Space: Slab:/Monolithic (Is the bonus room finished?(Y)yes ( ) no w/a closet? ( )yes (_)no(if yes add in with#bedrooms) u Mod: (Size x )4t Bedrooms #Baths _-- FSasemp,nt lw ANS bath) r^... ..., .-- ` �`. ,---�..,cye ,>;,a Bunt Deck. On Frame On F rame_ (Is the second floor finished?( )yes ( )no Any other site built additions? ( )yes ( )no O Manufactured Home: SW DW TW(Size x #Bedrooms: Garage: (site built? Deck: (site built? ) o Duplex.(Size x )No Buildings: No Bedrooms Per Unit O Home Occupation#Rooms: Use: Hours of Operation: *Employees: ❑ Addition/Accessory/Other: (Size x ) Use• / Closets in addition?( ) yes ( 1 no Water Supply: /County ExistingWell / 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 ( /no Does the property contain any easements whether underground or overhead( ) yes / )no Structures(existing proposed): . gle family dwellings: I Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: ^^ Comments: 3 `-'t Front Minimum S Actual 0 Rear 2 5- 14 31 I ' Closest Side 1 0 ' I ln3 i, Sidestreet/corner lot 2 0 N I n Nearest Building N I A I Pt on same lot Residential Land U s-App:cation APPLICATION CONTINUES ON BACK ;)", VAF SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 40 1 N 1F0 w A--(1—17 S Fq Q 4-Li Own.) C fit ST1 , J Li(rl-f i i2 v CO/o71 7-r) le 01.1./nls -tom`R- S." i s 01\) c 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 . d correct •th- best of my knowledge. Permit subject to revocation if false information is provided. ignature of Owner or Owner'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 if permits have not been issued** Residential Land Use Application Page 03/11 S 71' 33' 49.0000 S 713'44' 33®11000" E 6'-11 7/8" 15' STREETSCAPE SUFFER c Cr) 7 N O 0 0 W c 0 a ATO X 4 PIl in'TOTAL WOTH z ee'TOATAL O6R11 J,-31/ OE STCRT HOu.9E Fi / I v' Ire r-T p / COMO PM THE CAA 7r46ARABE w a � saEWAuc DINEWAY /.O SITE PLAN APPROVAL N 71 42' 53.0000" W 100'-6 5/8" DISTRICT ►'t USE � tiBE°R°°MS-��--� �- . TROPHY RIDGE ,c4 fir.. D;t� Zo ng A+ .tretor ff CUMBERLAND HOMES, DC, THE OAKLAND OOA 3RD CAR CAR GE LOT * 19 THE RESERVE SCALE: r4O, NAME: CWAit V C j7 1-V U E S 1 71.1(� APPLICATION#: *This application to be filled out when applying for a septic system inspection.* County Health Department Application for Improvement Permit and/or Authorization to Construct IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED,THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration depending upon documentation submitted. (complete site plan=60 months;complete plat=without expiration) /Environmental 910-893-7525 option 1 CONFIRMATION# Health New Septic System Code 8 00 • All property irons must be made v isible. Place"pink p roperty flags" o n each corner i ron of lot. All property lines must be clearly flagged approximately every 50 feet between corners. • Place"orange house corner flags" at each corner of the proposed structure. Also flag driveways, garages, decks, out buildings, swimming pools, etc. Place flags per site plan developed at/for Central Permitting. • Place orange Environmental Health card in location that is easily viewed from road to assist in locating property. • If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property. • All lots to be addressed within 10 business days after confirmation. $25.00 return trip fee may be incurred for failure to uncover outlet lid, mark house corners and property lines, etc. once lot confirmed ready. • After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code 800 (after selecting notification permit if multiple permits exist) for En vironmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. ❑ Environmental Health Existing Tank Inspections Cod e 800 • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over over outlet end as diagram indicates, and lift lid straight up(if possible) and then close back down. (Unless inspection is for a septic tank in a mobile home park) • After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit if multiple permits, then u se code 800 for Environmental Health ins pection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits. SEPTIC If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one. { } Accepted {_} Innovative {1Conventional { } Any {_} Alternative {_} Other The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer is"yes",applicant must attach supporting documentation. { }YES { NO Does the site contain any Jurisdictional Wetlands? {VNO Do you plan to have an irrigation ystem now or in the future? {_}YES { ✓rNO Does or will the building contain any drains?Please explain. _ { }YES { ✓rNO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? {_}YES {V(NO Is any wastewater going to be generated on the site other than domestic sewage? {_}YES {4- 0 Is the site subject to approval by any other Public Agency? {_}YES { }NO Are there any Easements or Right of Ways on this property? {_}YES { 1.110 NO Does the site contain any existing water,cable,phone or underground electric lines? If yes please call No Cuts at 800-632-4949 to locate the lines. This is a free service. 1 Have Read This Application And Certify That The Information Provided Herein Is True,Complete And Correct. Authorized County And State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The Site Accessible So That A Complete Site Eval tion Can Be Performed. PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DAT E-Health Checklist of 3 12/10 NORTH CAROLINA `� YET COUNTY CONTRACT TO PURCHASE T contract ade and entered into his day of ,, amp 1-"- by and between \ "J '_0 ..►�a. 'IS LER,and_', . --\a, Ctpwie_SN as BUYER. WITNESSETH THAT SELLER hereby contracts to sell and convey to BUYER,and BUYER hereby contracts to purchase from SELLER,the following described residential building lot/s, to wit: Being all of LOT/S kOt of Subdivision known as 'a p p_ •/e— A map of which is duly recorded in Book of Plats Map a 01(,i Page CoCounty Registry. Price is $ SU I ovv . oo ,payable as follows: Due Diligence made payable and delivered to Seller $ Initial Earnest Money deposit (To be held by Lynn Matthews Law Group) $ Balance due at closing $ 1. The LOT/S shall be conveyed by SELLER to buyer by a General Warranty Deed free of all encumbrances other than taxes for the current year; which shall be prorated as of closing.The Deed shall be subject to all Restrictive Covenants, Utility Easements and applicable zoning ordinances on record at the time of closing. 2. Buyer acknowledges inspecting the property and that no representations or inducements have been made by the SELLER, other than those set forth herein, and that the Contract contains the entire agreement between the parties. 3. Closing (Final �n 1Settlement) is to take place no later than �� �t� at the offices of ``!Ck`tC��.x11 t' SNL, Should BUYER fail to close, the SELLER, at option, may retain sum paae1 as a Down Payment upon the Purchase Price as Liquidated damages and declare this Contract null and void and may proceed to resell the LOT/S to a subsequent Buyer. 3. (a) Cumberland Homes has agreed to pay all of the sellers closing costs in regards to the settlement of this property. DocuSign Envelope ID:6DD6CE58-23F3-4531-8DB6-AF1C87168D4D OFFER TO PURCHASE AND CONTRACT—NEW CONSTRUCTION [Consult"Guidelines"(Form 800G)for guidance in completing this form] (This form is designed for use when licensed contractor is constructing or will construct a"spec"or custom single-family dwelling on land owned or to be owned by contractor and then convey improved land to buyer.It is not for use when: (1)the contractor is not Seller,(2)Buyer owns the land or(3)Buyer will provide financing for construction. For valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged, Buyer offers to purchase and Seller upon acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract---New Construction and any addendum or modification made in accordance with its terms(together the"Contract"). 1. TERMS AND DEFINITIONS: The terms listed below shall have the respective meaning given them as set forth adjacent to each term. (a)"Seller":Cumberland Homes Inc. NC contractor's license#:59493 classification:, limit:$500000, (b)`Buyer":Ronald E.Williams and Teresa j.Williams (c) "Real Estate": The Real Estate shall include all that certain lot or parcel of land described below together with all appurtenances thereto. Street Address:69 Trophy Ridge City:Fuquay-Varina County:Harnett Zip 27526 ,North Carolina (NOTE:Governmental authority over taxes,zoning,school districts,utilities and mail delivery may differ from address shown.) Legal Description:(Complete ALL applicable) Plat Reference: Lot 19 ,Block/Section ,Subdivision The Reserve ,as shown on Plat Book/Slide 216 at Page(s)161 The PIN/PID or other identification number of the Real Estate is:0645-46-8759.000 Other description Some or all of the Real Estate may be described in Deed Book 03323 at Page 0332 _ (d)"Purchase Price": $358,360 Paid in U.S. Dollars upon the following terms(to be adjusted by allowance and Change Orders as defined in Paragraph 3(b)(iii)): $0 BY INITIAL EARNEST MONEY DEPOSIT made payable and delivered to Escrow Agent named in Paragraph 1(f) by(]cash 0 personal check 0 official bank check 0 wire transfer, 0 electronic transfer, EITHER 0 with this offer OR 0 within five(5)days of the Effective Date of this Contract. $0 BY (ADDITIONAL) EARNEST MONEY DEPOSIT made payable and delivered to Escrow Agent named in Paragraph HO by cash or inunediately available funds such as official bank check, wire transfer or electronic transfer no later than , TIME BEING OF THE ESSENCE with regard to said date. $0 BY SELLER FINANCING in accordance with the attached Seller Financing Addendum. $10,749 BY BUILDING DEPOSIT made payable to Seller in accordance with the terms of subparagraph(1)below $347,611 BALANCE of the Purchase Price in cash at Settlement (some or all of which may be paid with the proceeds of a new loan) Whenever the final cost for allowances is more or less than the allowances set forth in this Contract or any addendum to this Contract and whenever there are Change Orders which change the cost for the Dwelling,the difference shall be adjusted between the parties either prior to Settlement or at Settlement. The Purchase Price shall be the complete cost for the Property. Page I of 14 This form jointly approved by: STANDARD FORM 800-T t' North Carolina Bar Association Revised 7/2016 North Carolina Association of REALTORS® rs o„o,.�,.�.. ©7/2016 REALTOR® �/ ocwu ROUSINGBuyer initials oA IIJ Usti Seller initial "' 9.1S�M EDT 9'.11�M EL1T *Each section below to be filled out Application # by whomever performing work. Harnett County Central Permitting Must be owner or licensed PO Box 65 Lillington,NC 27546 contractor. Address,company 910-893-7525 Fax 910-893-2793 www.harnett.org/permits name 8 phone must match //�� Application for Residential Building and Trades Permit (J Owner's Name: A,flh (D 44)AA4- S L Date: 8 4 (99 Tg -o P Ry R D&� P . 1 I I'7 Site Address: Phone:"1 �� Id n�j� • �,3�i� Directions to job site from Lillington: L� 14h,0.I 4o j N Ti) CH-245-r)A-0 l_((rf-t-T 12 1-1An ►J cokTlNu,e 1-D L' ot.LIU s 127 `fr-LR.-r.J sccG). oN _ Subdivision: E R-G-C Vt Lot: `1 Description of Proposed Work: N S „ #of Bedrooms: Heated SF:2,(o unheated SF: Finished Bonus Room? -YES Crawl Space: Slab: General Contractor Information Ca lm 6G12 t,1)Jb 4o s - c ii)J c i o • 86/2 . '13(15- Building Contractor's Company Name Telephone P . o . bow x727 pkNkJ , uG 2g-335 •Joey),narris I ?s7 € yat)oo. c•oM Address))rr fit, 51 'f q3 all Address License# Electrical Contractor Information Description of Work N ► S.F.. Service Size: Zoo Amps T-Pole: /(es_No LJ ES i et PA CC r -EQYLt c.._ 9 q • g`i 9 • c 3 S q Electrical Contractor's Company Name Telephone 6;4 (e L - $L E D Q. SA-N ForzD_�_ ►JL N( A Address _._.-... (2.001 - 14 Z g 33c� Email Address License# Mechanical/HVAC Contractor Information Description of Work 14 . S . F. 5 iE P tt -mso,J s Cr r1' h t -%N c- 11.? • 319 . oe86 Mechanical Contractor's Company Name Telephone 313 514 (Pwks ti• t' Cok,e,,,Erz u c N ( a Address 21 6-241 Email Address t �3ca44 License# N , Plumbing Contractor Information Description of Work , S S . F # Baths 2(� N2— 6 61- C -ruk c r 1,1_14&44) r u G- 9'i 9. 8(4• DgS9 Plumbing Contractor's Company Name Telephone 304 at-Of it, t,.c..stit.J Lm-y S A-tJFa 2-D, me i j`A Address 27332. Email Address � 31O License# Insulation Contractor Information N Aril Ns G— L 5902 FkYE ✓f LL.0 RD 919 . 7'72'":1000 Insulation Contractor's Company Name & Address a tzt6-44 (U L Telephone `NOTE: General Contractor must fill out and sign the second page of this application. Homeowners Applying to Build Their Own Home Please answer the following questions then see a Permit Technician to determine if you qualify for permit under Owners Exemption. Questionnaire per G.S. 87-14 Regulations as to Issue of Building Permits (Memo available upon request) 1. Do you own the land on which this building will be constructed? Yes No 2. Have you hired or intend to hire an individual to superintend and manage construction of the project? Yes No 3. Do you intend to directly control & supervise construction activities? Yes No 4. Do you intend to schedule, contract, or directly pay for all phases of construction work to be done? _Yes No 5. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction and do you understand that if you do not do so, it creates the presumption under law that you fraudulently secured the permit? _Yes No 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 I affirm that I have obtained all listed contractors permission to obtain these permits 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 - 6 Months to 2 years permit re-issue fee is $150.00. After 2 years re-issue fee is as per current'-e schedule.) I• Q (4 t--1 Signature of Owner/Contractor/Officer(s) of Corporation Date Affidavit for Worker's Compensation N.C.G.S. 87-14 Theun rsigned applicant being the: General Contractor Owner 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./ VHas 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 worker's compensation insurance prior 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: CAMM.150-4- -0 0 tioA.A,4;S IT-1.1 j C.-- Sign w/Title: 2_.C4 ---4 :-.44t-k, /0111,ie—i— Date: q !j I ,/,I