DOCUMENTS Initial Application Date: 12 - 5 - )61 -1 Application ii 1 SOID4 a- La.
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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.hamettorg/permits
^A RECORDED SURVEY MAP,RECORDED DEED OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^
LANDOWNER: ?ze+r, Ck ^.n° I?crnn +r.t 4)0/1e.r/ Mailing Address: V. d• 3ay 1109 Vc1s5
City: if 014 S State:UC Zip: 'frl 1LtN �
Contact No: q/0 - le39- 5455-Email:5455-Email: ('ter en �) as k4i pen.1.cam
APPLICANT*: +r.ck Nue n.r'♦- Mailing Address: r.0• " II 6'1
City VAS State:.[ Zip:374d•i m Contact No: Qid -J45-I"r9v Email. reS Pal v71cal 11,14410.teem
'Please HI out eppfeant information it different than landowner
CONTACT NAME APPLYING IN OFFICE: Rn 4r.r V A) k ka nt Phone# 10 - 3c - 5 # 51
PROPERTY LOCATION:Subdivision: �L / — I _ Lot#: l Lot Size:y' I o•03
State Road
# 3 e2ps 1 - State Road Name:: >L L --L A_A.__.)/��� r-a__ Map Book 8 Page:r -FIF/ I tD -t13
Parcel:C 1510(✓P dI 0-1 SAP PIN: "/f��.SL
° - 71 - L •06l0
Zoning (�'�Fbad Zone: Y Watershed: Deed Book 8 Page/Q-166/L6/! ' Power Company
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFD:(Size x )#Bedrooms: #Baths: Basement(w/wo bath): Garage: Deck: Crawl Space: Slab: Slab.
(Is the bonus room finished?(_)yes ( )no w/a closet?( )yes (_)no(if yes add in with#bedrooms)
❑ Mod:(Size x )4 Bedrooms #Baths Basement(w/wo bath) Garage'._Site Built Deck:_ On Frame Off Frame
(Is the second floor finished?( )yes (_)no My other site built additions?( )yes (_)no
❑ Manufactured Home:_SW DW_TW(Size x )4 Bedrooms: Garage: (site built?_)Deck: (site built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑/ Home Occupation:#Rooms: Use: Hours of Operation: I #Employees:
0 Addition/Accessory/Other:(Size 12 x (n0 )Use: S t M I v W.c/-. Las-) y5 Shs Closets in addition?(_)yes ( )no
Water Supply: County Existing Well 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 mat 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 or proposed):Single family dwellings: Manufactured Homes: I "f( 4) Other(speay): 1
Required Residential Property Line Setbacks: Comments: L'Iyzoi�
Front Minimum ZS_ ActualA C.N
Rear OS O
Closest Side I(� I• I
Sidestreetcorner lot . r
Nearest Building '- LD`{
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: .3 7 W Cs'4 7 U ; n a I\ o c' C'r
a f(4` v )1 I . n . �oaa L e �-far. 1 / 1I2c rJtaS Jan -; do-146n
an - r
; o-146n nn (A )AW tUnc g7 home an LeFf
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 ccurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
e jY/est-9 /1-S
Signature of owner or Owner's Agent Date
H 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 overffedd 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 It permits have not been issued"
•
Residemial Land Use Application Page 2 of 2 03/11
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NAME: -I g;c l_ ill e+0 4
APPLICATION B:
*Thu application to he filled out when applying for a septic system inspection.*
Count Health De.artment A. dication for Im.rovement 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)
910-893-7525 option I
Environmental Health New Se is S stemCode 800 CONFIRMATION p_—_
• All crooenv ire de visible. Place "pink property flags" on each corner iron 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 address-d within 10 business da s after confirmation. 25.00 return tri• fee ma be incurred
for t.li re to uncover ou le II. a house c•mer; and
• After preparing proposed site call the voice permitting system at 910-893-7525 option eo t Ito schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number given at end of recording for roof of
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
EnvironmentaIN ih Existing Tank in u
ns Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if
possible) and then put Ild beck In place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 8 select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
given at end of recordin for roof of reque t.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining g permits.
If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one.
{—1 Accepted {_} Innovative
I } Conventional (_} Any
1—I Al emotive {_] Other
The appcant slit to lily the local health dep. meet upon submittal . this application if any of the folio • apply to the pro.-rty in
questio . If the .nsw.r is"yes",applicant M ,'T ATTACH SUP'OR G DOCUMENTATION:
1—} ' S 1 ) NO Does the site cow:in any Jurisdictio•al Wetlands
1-1 ES -_1 NO Do you plan to ave m'
Hi4-.� - it now or i the future?
1 ,YES 1__} NO Does or will t,e hui ing contai anydrains?
Pleas explain.
I IYFS II NO Are there an existi4g wells,s..ins, waterlines or
{ 1y g astewater Syste• son this prop.ny?
LI NO Is any was water going to b:generated on the site Other than dont-..tic sewage?
{ 1 'S 1_1 NO Is the site object to approv.I by any other Public APency?
1 I ES (_) NO Are the any Easement• .r Right of Ways on this .,openy?
1 1 ES 1_1 NO 10- he site co ain- y existing water,cable,phon- . . derground electric lines?
If yes please call No Cuts at 800-632-4949 to locale the lines. This is a free service.
I 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 Accessib e So Thal A Complete Site Evaluation Can Re Performed.
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PROPERTY OWNERS OR NERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) _LL
� 7 2o /7
DATE
10/10
HARNETT COUNTY CASH RECEIPTS
OPer: IBROCHCUSTOMER RECEIPT ***
Date: 12/85/17 52 Type: CP Drawer: 1
Receipt no: 172588
Year Number
2017 50042842 Amount
225 OUTLAY LN
D4 FP
NC 28326
HP - ENO HEALTH FEES
EXT TAMS fJ00.e0
Tender detail
CP CREDIT CARD
Total tendered $180.00
Total payment 6100.00
$100.00
Trans date: 12/85/17 Time: 15:86:27
** MIAMI YOU FOR YOUR PAYMENT **
Application • a-0"t9•
Harnett County Central Permitting
PO Box 65 Lillinglon,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
�1
Owner(s)of Structure: Ic) r 1 r h- ri- nsvmary 10115P44- Phone: 9/6 - 94S -I `14 r
Owner(s)Mailing Address: 3.O. 92n< Hit"r
vcasS t110._ 2r63ga
Land Owner Name(s): ia"Ir:r lc °con-an. Aly.la Phone: /716 ` ay - lct9Cr
Construction or Site Address: 9.a S Out In w t I Of n $ v Cerne ye, n 9e 3,1r
PIN# Parcel#
Job Cost: Description of Work to be done
Mechanical: New Unit With Ductwork New Unit Without Ductwork Gas Piping_Other_
Electrical: 200 Amp_<200 Amp_Service Change_ Service Reconnect_ Other
*For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap_ Number of Baths Water Heater
Specific Directions to Job from Lillinglon:
1.4 a5t Oh 7 -I/ in r,
,1 ea ,melon A/ e ,F r ., ba t 35 M; Los
T,.!^ pp'r pn / : nr ,e6n„-( ; rte$ io 4+ Mornr,adez 41
en--
Subdivision: Lot#: aCI/et W
will provide the c k .1 • bor on this structure. n
(Contractors Name) • (Trade)
!0 t
I am the building owner or my NC state license number if.�}.1-h0 ` which entitles me to d yx
perform such work on the above structure legally. All work shall comply with the State Building Code and all / et
other applicable State and local laws, ordinances and regulations.
Contractors Company Name Telephone
Address Email Address
License# /n������_ /rn^� Y //
Structure Owner I Contractor Signature:
7 `"""7 V��7c-c 7/-r, Date: 3- G - /W
By signing this application you affirm that you have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you understand that you cannot rent,lease or sell
the listed property for 12 months after completion of the listed work.
*Company name, address, & phone must match information on license
N
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 17-50042042 Date 3/06/18
Property Address 225 OUTLAW LN
PARCEL NUMBER 09-9566- - -0109- -26-
Application type description CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
NUGENT PATRICK & ROSEMARY B OWNER
1695 N MAY STREET
SOUTHERN PINES NC 28387
Applicant
NUGENT PATRICK
--- Structure Information 000 000 12X60 SWMH TO BE USED AS SHOP W/ ELE
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE SHOP/STORAGE
SEPTIC - EXISTING? EXT
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1232487
Issue Date . . . 3/06/18 Valuation . . . . 0
Expiration Date . 3/06/19
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1204635
Issue Date . . . 8/11/17 Valuation . . . . 0
Expiration Date . 8/11/18
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1232511
Issue Date . . 3/06/18 Valuation . . . . 0
Expiration Date . 9/02/18
Permit TEMPORARY ELECTRICAL PERMIT
Additional desc . T-POLE
Phone Access Code 1232495
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 17-50042042 Date 3/06/18
Issue Date . . . . 3/06/18 Valuation . . . . 0
Expiration Date . . 3/06/19
Special Notes and Comments
T/S: 08/11/2017 01:49 PM BPETRICH --
225 OUTLAW LANE CAMERON 28326
T/S: 08/18/2017 04 : 53 PM BPETRICH --
PER SCOTT GUY THE OWNER WAS TRYING TO
SET UP A NEW SERVICE FOR A MANUFACTURED
HOME HE TURNED INTO STORAGE. HE WAS
ADVISED THAT WAS NOT PERMITTED
ACCORDING TO BUILDING CODE AND IS
CONSIDERED A ZONING VIOLATION. OWNER
WAS TOLD TO EITHER PROVIDE ENG LETTER
OR DEMO SINGLEWIDE AND PERMIT A NEW
STORAGE BUILDING IF HE WANTED TO
REPLACE THE TRAILER.
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 3
Application Number 17-50042042 Date 3/06/18
Property Address 225 OUTLAW LN
PARCEL NUMBER . 09-9566- - -0109- -26-
Application description . . CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL BUILDING PERMIT
999 103 B103 R*BLDG FOUND & TEMP SVC POLE / /
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /
999 229 R229 TWO TRADE FINAL / /
999 225 R225 TWO TRADE ROUGH IN / /
Permit type . . . . RESIDENTIAL ELECTRICAL PERMIT
999 217 E217 R*ELEC RECONNECT TSG DA 8/18/17
Permit type . . . . TEMPORARY ELECTRICAL PERMIT
999 207 E207 R*ELEC TEMP SERVICE POLE /
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Omer: SHOCK Type: CP Drawer: 1
Date: 3/@6/18 52 Receipt no: 277923
Year Number Amount
2817 58842842
225 OUTLAW LN
CAMERON, NC 28326
B1 DP - PERMIT FEES
STORAGE t2@S.@B
'.. REGENA NUGENT
Tender detail
CP CREDIT CARD $205.88
Total tendered $285.88
Total payment 4285.88
Trans date: 3/06/18 Time: 15:15:32
** THANK YOU FOR YOUR PAYMENT **