DOCUMENTS •
# I �S �� -+ a
Initial Application Deter Application CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street.LUUIington,NC 27646 Phone:(910)B93-7525 ext:2 Fax:(910)8412703 www.hamettorglpermita
'A RECORDED SURVEY MAP.RECORDED DEED(DR OFFER TO PURCHASE)I SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
McKee Homes, LLC Malting Address'109 Hay Street, Ste 301
LANDOWNER. krivera@mckeehomesnc.com
city Fayetteville stet.:NC zIv:28301 tonne Na: 9104757100 Email.,
McKee Homes, LLC MaiingAddress:109 Hay Street, Ste 301
APPLICANT': krivera@mckeehomesnacom
city. Fayetteville sun:NC Zip:28301 tonna No: 9104757100 Ercall:
'Pima fill out wait khrmation B differem than landowner
CONTACT NAME APPLYING IN OFFICE:
Kelsey Rivera phone#9104757100,727
Anderson Creek Lat#:38 Lot she .18
PROPERTY LOCATION:Subdivision: 2015/258
State Road M
35 State Road Name: Pinnacle Drive Mep Book&page: I
01053524 0100 26 PIN: 0505-83-1052.000
Parol. (� 3343 0040 : Duke
Zoning:RA-20R Flood Zona: X WatereMdt6 FT_Deed Book 6 Page. I PovrorCanoeny'.
emise number from Progress Energy.
'New structures with ProOreEnergy as service provider need to supply pr
PgOPOBEO UBE: la
'IR/_/�SFD:(Size 304"x41'6 )11 Bedrooms:3 aBathe3xmen wlwo bath):_Demos: _Crawl SpeceLiSlab l .
(Is the bonus room finished?l lyes no w/a closet? ✓ yes no(Ir yes add in with It bedrooms)
❑ Mod:(Size_x )#Bedrooms #Baths_Basement(wMo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?I 1 yes (_)no My other site built additions?Li yes (_J no
❑ Manufactured Home:_SW_DW_TW(Size x )#Bedrooms:_Garage:_(eke built?_)Deck: (site bullt?_)
❑ Duplex'.(Size x )No.Buildings: No.Bedrooms Per Unit:
O Home Occupation:p Rooms: Use:
Hours of Operation: *Employees:._
Closets In addition?(_)yes (_)no
❑ Addition/Accessory/Other(Size_x )Use:
Water Supply: X County —Existing Well New Well(#of dwellings asks;well_)'Musl hays operable water before lint
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 feel(500)of tract listed above?(_)yes ( X)no
D oes the property contain any easements whether underground or overhead(_J yes (X_)no
Structures(existing oted: Ingle family dwellings:
X Manufactured Homes; Other(specify):
Required RnidendA ProperlyLine Setbacks: Comments:Comments:
Front Minimum c) Actual -SVJ
Rear (((--- ak.ID q
Closest Side �,].0 1 LP
sideseebeeUconwr lot /\/l C\/\J
Nearest Building
on oma lot Page 1 of 2 03111
Residential Land Use Application
APPLICATION CONTINUES ON BACK
Nursery Road to Enterance
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
If ll
dinances and laws of the State of
rth
na
oallons
f
lans submeted.
I hereby granted I agree to conform to
foregoing statements areaaccurrate end correct to Me bestf my knowledge.)Permit regulating
to revocation if faleeInformationoIs prodded.
Digitally
scrod by Kelsey Rivera
Kelsey Rivera nate 20 11 14 4026 Laoo
Signature of Owner or Owner's Agent
Dab
"It tithe owndappllcenb responsibility to provide the county with any applicable Information about the subject property nchpdhWtebut
ut for nye
to:bsunds7lnlormatlen,hWe Inc Mn or mining I�rmavo n d uco MI d within these applications."`county or Its employees
are not"ThIs application expires months from the Initial date If permits have not been Issued"
Residential Land Use Application
Page 2 0l2 03111
i •
HOUSE PLAN: DANIELS - CRAFTSMAN - RH
(34� (�% /
1/4_/
9 N68140'26"E 69.44' O
38 .cc ii
PROP. N-
(37� H PORCH II `'
0
w .-
'
`y17.7' 012.7' .
mN No
in
r 0' I v
N
-:- 16.0 '
o PROPOSED . m
N HOUSE N
10.3' N
N r
• ff 20.0' 16.114-
PROP..
POR
V rn
PROP. S/W �vl bo
R=115.00' 55 SF a o m
_
LL= 5.06' 0°
N83'29'37"E /
-\7-----
5.06'
/ R=50.00'
L=37.25' N \
N5056'52"E
36.40' \
R=25.00'
L=24.06' \
557110'43"W
23.15'
PINNACLE DRIVE
(50' R/W)
PLOT PLAN ' N •cgRo'''
,;�0 0fE5510,y� ,/IA
.CIIROIVIRION: ANDERSON CREEK CLUB _ "'(
09/09111 Application N
Harnett County Central Permltbng
PO Box 88 Lilbnpbn NC 27548
EM eaaten Wow e W Aaatl out 9101197 7828 Fax 810 883 2797 www Mown aypmnN
by whanawr patterning was
Mal Ice crew IX lamed
nab Address canparo Application for Residential Budding and India Permit
Ams a phone must match
Owners Name McKee Homes, LLC Date 9111117
Site Address 35 Pinnacle Drive phone 9104757100,727
Directions to lob site from LAlington Nursery Road to enterance
Subdivision Anderson Creek Lot 38
Desanpbon of Proposed Work Sinale Family Home *of Bedrooms 3
Heated SF 1808 Unheated SF 598 Finished Bonus Room*_Crawl Space _Slab x
Omani Centnalor IMama 11
GML Development, Inc 910-475-7100,727
Building Contractor a Company Name Telephone
109 Hay Street, Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
63970
License B
giltaagankISFALSMOM
Description of Work Single Family Home Service Size 200 Amps T-Pole X Yes No
J.M. Pope Electric 919-776-58144
Electrical Contractor a Company Name Telephone
409 Chatham Street, Sanford, NC 27330 jmpopeelectric@gmail.com
Address Email Address
21326-L
License K
jpahamcal/HVAC Contractor Information
Description of Work Single Family Home
Certified Heating and Air 910-858-0000
Mechanical Contractors Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 certified heatair@embargmail.com
Address Email Address
2012 H3-1
License I pb�
mbina Gontnat. Infomdalgn
Description of work Single Family Home AI Bath 2.5
Dell Haire Plumbing 910-818-4863
Plumbing Contractor Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License I
Insulation Contractor Information
Cumberland Insulation 910-484-7118
Insulation Contractor Company Name&Address Telephone
'NOTE General Contractor must fill out end sign the second page of this application
I hereby certify that I have the authority to maks 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 Hames County Zoning Ordinance I stale the information on the above
contractors is correct as known to me and that av mon ma West ihMelIQ.OMIniaMI
gionemiteigawAbiammigi and iflDy charges occur including listed contractors site plan
roposed use
number
np s I certdy d is my rnof bedrooms pmniand trade
yeto plans notify the Hahatt County Central Pem,�itting s orDepartment of
any and all changes
EXPIRED PERMIT FEES-S Months to 2 years permit re-issue fee is 5150 00 After 2 years re-issue fee
a as per current fee schedule
9/11/17
Digitally signed by Kelsey Rivera
Kelsey Rivera cats xovost
Signature of Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C 0 S 87-14
The undersigned apples being the
X General Contractor _Owner ,__Of c r/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury trot 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 mare subcontractors(s)and has obtained workers compensation insurance to cover
them
X Has one(1)or more subcontractors(s)who has thew own policy of workers compensation Insurance
cowing 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 Pomading
tooiisssuance of thent e perthe mit and at anrmit y time durinuire g thees of coverage of pemn�from s yr person fimi orri Incorporation surance mor
carrying out the work
Company or Name McKee Homes, LLC
Kelsey Rivera o b o7;°,"t7tT.w PreConstruction Coordinator 9/11/17
Sign vada Dale
LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments are not allowed to issue any permit where the project cost
is $30,000 or more unless the application is for improvements to an existing
dwelling that the applicant uses as a residence OR the property owner has
designated a lien agent and provided the inspections office with the information
below:
Name of Lien Agent First American Title Insurance Company
Mailing address of Agent 19 W. Hargett St, Ste 507
Ralerigh, NC 27601
Physical address of Agent Same as above
Telephone 888-690-7384 Fax 913-489-5231
Email support@liensnc.com
The information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effective Aprll 1,2013)No permit shall be issued pursuant to subdivision(1)of subsection (a) of
this section where the cost of the work is thirty thousand dollars($30,000)or more, other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that
the applicant uses as a residence,unless the name,physical and mailing address,telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a) is conspicuously set forth in the permit or in an attachment thereto.The building
permit may contain the lien agent's electronic mail address. The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc.com
Appointment of Lien Agent: Details- I.icnsNC Lien Service Intps://apps.liensnc.com/scr/appointment/dctails.html?emryNumb...
DO NOT REMOVE!
Details: Appointment of Lien Agent Flied on: 09/1112017
Entry #: 718687 Initially flied by: jbuckwelter
Designated Lien Agent Project Propertg Print & Post
First American Title Insurance Company Anderson Creels Crossing Lot 38 Harnett County a...
Onlme w..»M1mmccorn ....,... NC
Address:t9µRouen S,SLAC snA Raleigh,FC
O"tv`
'mol Property Tgpe Contractors:
Pliant::889e9o-➢s4 Please post This notice on the lob Site.
For:0imans93I Suppliers and Subcontractors:
EmdL mnnonldllnunc mm.........a.._.,_, 12 Family Dwelling Scan NtsiWith your tiara phone to
Con this filing You can then file a Notice
m Lien Agent for this project
Owner informationDote of First Furnishing
09nsn0I7
McKee HomeslLC
100 Ilay Street
Suite ldl
States
Fayetteville, NC 28301
united
Entail:
timerehomesne cool
Phone:9'0.475-7100
Vines Comments 10)
1 ecbnical Support Hotline:088)690-7384
I of I 9/11/17, 1:03 PM