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ti5q v_zc. -7 Initial Application Date: Lt'y// LS)))...... r f, ,,.APPlicabon* .i Ad Bh.GUN • COUNTY 0 AR�SIDENTIAL LAND USE APPUCATION Central Permitting 108 E.Front Street,Llllington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits "A RECORDED SURVEY MAP,RECORDED_ DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" aLANDOWNER:16 e,-4-11 $ �9w S K / Wog o g Mailing Address: / 2 coC Oi/1 / Cpl,)/ City: t V „At. (a/i/I k State:N C,Zip?7(o)CContact No: 'I I? •.5 $ (2 ! / Email: t t9 Lr n 1 7 7 # ; /'CD, r y v � APPLICANT•: f¢ /'y) Mailing Address: City: State: Zip: Contact No: Email: 'Pima 1111 out applicant infomatlon if different than landowner[�Cow Cf CONTACT NAME APPLYING IN OFFICE: I V/ 1 ��SV-I Phone IS PROPERTY LOCATION:Subdivision: 1 D Lot# Lot S ize; 7 G-C f C j State Road I� I State Road Name: W060 k L�Y Map Book&Pagep013 /'1 Parcel: gtC.DS COL't I PIN: ()CPU A-11 QQS • 6 0-0 Zoning ' Flood Zone: Watershed: '*".. Deed Book&Page )Sg /Ot 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:_#r Baths:_Basement(w/wo bath):_Garage: Deck Crawf Space:_Slab:_Slab:__ (Is the bonus room finished?U yes (J no w/a closet?(J yes (J no(If yes add in with*bedrooms) eaC 1x21 Cf3vitra R44. Mod:(Size 7(t x 30)*Bedrooms, *Baths a?Basement(w/wo bath)Garage:_Site Built Deck: y On Frame_Off Frame (Is the second floor finished?(J yes (X..)no Any other site built additions?(J yes (.6 no O Manufactured Home:_SW_DW_TW(Size x )if Bedrooms:,Garage: (site built?_)Deck_(site built?_) .O Duplex:(Size_�c_J No.Buildings: No.Bedrooms Per Unit: U Home Occupation:SiRooms: Use: HoursofratioL *Employees: --ic446‘;;D ` II Addition/Accessory/Other:(Size ,x )Use: v ^'c aCJ vrC L5 Y1 k4 ' Closets in addition?(J yes (_J 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 that contains a manufactured home within five hundred feet(500')of tract listed above?(J yes &)no Does the property contain any easements whether underground or overheadr(J yes (J no Structures(existing or proposed):Single family dwellings: l) tX Manufactured Homes: Other(specify .): /a Required Residential Property Line Setbacks: Comments: Front Minimum Actual a o,_ Rear _ /as t Closest Side t V Sidestreet/comer lot Nearest Building on same lot Residential Land Use Application Page 1 of 2 03/11 APPUCATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM UWNOTON: ID I r 6{1—4 112) (el I .fc-1 ( 1 s c �tic•c-i, ✓'C9 , 4-o cl1rts+/cn L,`y 41- rd 4-v,'/ rtrh f- 40 woad rick e (kr. 4- -,-,,) r71 , e -7(1 04- row J 61,-) I.e f If permits are granted I agree to conform to all ordinances and laws of th: -of North Carolina regulating such work and the specifications of pans submitted. I hereby state that foregoing;stat a -accurate and correct to the..."-of. of my knowledge. Permit subject to r vo on if false information is provided. nature of • •. •• •� Agent e �� "'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,etcThe 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 2 of 2 03/11 Harnett County GIS liL„, 11411.1 '',R--,,, .:,'•;:i .:,''.:11, '°4.. ".'1.7'.*V.. 9136 1. 0 -r IS r1, UI ' i, , 7G Ip0I ... ."'""" u - _J �i.sem• Ii Q .711111 O %•`. ii. \ i ok--t? ,, Oiltiii;.vf.••ir, +r 4 �,. � ' ' 6 iiiiii 1 v WOOD t..... % Z _ _ �/AKE•OR-- '_ 20 { k' - .. , '•, 120 o` 994 ' oiler' MEI , , __1 E G i_JLD N . Surrounding County(Mundane' Mdrees Numbers ..— NC Parcels W E Fadaal Property © Nryon US f t CopeFearRlve. LI _I CM Limits MajotRoads Roads u a a o.oi 0.01 O.Oa GIS/E-911 Addressing N.matt County Boundary — Interstate Railroad aaaa SMI. June 9,2027 1 inch=188 feet 7( )c'3 / du la{ au uu1 -e � SITE PLAN APPROVAL3kg) �,{-�u DISTRICT USE *BEDROOMS A A 1ir '-1 /. : -t6131 , ;,%, L,' Jennifer Brock From: Keith Sadowski <toolin1977@gmail.com> Sent: Thursday,August 31, 2017 4:01 PM To: Jennifer Brock Subject: Fwd: HOLDING TANK Forwarded message From: "Andrea Sadowski" <dreasadowskia,gmail.com> Date: Aug 31, 2017 9:42 AM Subject: Fwd: HOLDING TANK To: "Keith Sadowski" <toolin 1977(c�gmail.com> Cc: Forwarded message From: Forever Clean <adminAforeverclean.com> Date: Thu, Aug 31, 2017 at 9:09 AM Subject: Re: HOLDING TANK To: Andrea Sadowski <dreasadowski a,gmail.com> Andrea, As per our conversation on the phone, we will deliver a holding tank to you Wednesday 9/6/17. We will come and clean it weekly and auto-pay you monthly a total of$150 plus tax. Please let us know if we can be of further assistance. Thank you Katie Mae On Thu, Aug 31, 2017 at 8:07 AM, Andrea Sadowski <dreasadowskiagmail.com> wrote: No we don't. What a good number to call you at now to set it up? On Thu, Aug 31, 2017 at 7:58 AM Forever Clean <admin u,foreverclean.com> wrote: Andrea, We can get this set up for you. Do you already have an account with us? Katie Mae On Wed, Aug 30, 2017 at 6:06 PM, Andrea Sadowski <dreasadowskia,gmail.coin> wrote: Can I get one of these delivered next week? 1 On Thu, Jul 13, 2017 at 10:08 AM Forever Clean <admin(u foreverclean.com> wrote: Andrea, The picture below is similar to what our holding tank looks like. To rent one of these, it would be$150 a month. To rent a potty, it would be $65 with a $15 delivery fee. Please let us know if we can be of further assistance. Thank you Katie Mae • Administrative Staff Forever Clean 919-552-0200 2 Administrative Staff Forever Clean 919-552-0200 Administrative Staff Forever Clean 919-552-0200 • 3 Application# /c9/ Harnett County Central Permitting PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx: 910-893-2793 - www.harnett.org/permits Certification of Work Performed By Owner/Contractor (Individual Trade Application) Owner(s)of Structure: kei i/\ 3& c,Ic. Phone: I f l s g-g I) / `l Owner(s)Mailing Address: / // t,,1 o '-c9 ) 1c e cL r�iQve i-cJG ✓4 y Vc,—/Ad Land Owner Name(s): Phone: Construction or Site Address: PIN# Parcel# .� Job Cost: es sription 9f Work to be done l 0Q 'L. tz–v ck 03/\*- oltr- 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 Lillington: Subdivision: Lot#: I /C P€i-i So efte $/c:will provide theCV _ labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is zA. _.f"which entitles me to perform such work on the above structure legally. All work shall comply with the State Building Code and all other applicable State and local laws, ordinances and regulations. Contractor's Company Name Telephone Address Email Address License# �'/ �7 Structure Owner/Contractor Signature: / e/ — Date: �3 `3 / By signing this application you affirm th ou a obtained permissionfrom the above listed license holder to purchase permits on their behalf. If d ' g the ork 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 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 17-50042188 Date 8/31/17 Property Address 111 WOOD LAKE DR PARCEL NUMBER 08-0645- - -0041- - - Application type description CP TEMPORARY LAND USE Subdivision Name Property Zoning RES/AGRI DIST - RA-30 Owner Contractor SADOWSKI KEITH & ANDREA OWNER 16 ROCKY POINT COURT FUQUAY-VARINA NC 27526 Applicant SADOWSKI KEITH 16 ROCKY POINT CT FUQUAY-VARINA NC 27526 (919) 588-1219 --- Structure Information 000 000 TEMP LAND USE RV - MOD UNDER CONST 41594 Flood Zone FLOOD ZONE X Other struct info . . . . ## BEDROOMS 4 . 00 PROPOSED USE RV SEPTIC - EXISTING? NA WATER SUPPLY COUNTY Permit LAND USE PERMIT Additional desc . Phone Access Code 1207447 Issue Date . . . 8/31/17 Valuation . . . . 0 Expiration Date . 2/27/18 Permit TEMPORARY ELECTRICAL PERMIT Additional desc . T-POLE Phone Access Code 1207471 Issue Date . . . 8/31/17 Valuation . . . . 0 Expiration Date . 8/31/18 Special Notes and Comments T/S: 06/12/2017 09 :29 AM LBENNETT -- 401 NORTH - TURN LEFT ON RAWLS CHURCH RD TO CHRISTIAN LIGHT RD TURN RIGHT TO WOOD LAKE DR TURN RIGHT END OF ROAD ON THE LEFT 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 17-50042188 Date 8/31/17 Property Address 111 WOOD LAKE DR PARCEL NUMBER 08-0645- - -0041- - - Application description . . CP TEMPORARY LAND USE Subdivision Name Property Zoning RES/AGRI DIST - RA-30 Required Inspections Phone Insp Seq Insp# Code Description Initials Date Permit type . . . . LAND USE PERMIT 999 818 Z818 PZ*ZONING INSPECTION —/ / 999 820 Z820 PZ*ZONING/FINAL INSPECTION —/ / Permit type . . . . TEMPORARY ELECTRICAL PERMIT 999 207 E207 R*ELEC TEMP SERVICE POLE —/—/- 999 267 E267 C*ELEC TEMP SERVICE POLE —/ /