DOCUMENTS Initial Application Data: 1 r-7 Appllatbn N I n J C C 1 3 T 3
CUe
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street.LIIIIngton,NC 27548 Phone:(910)8934525 ext:2 Fax:1810)8938703 www.hamettorglpermits
"A RECORDED SURVEY MMP.RECORDED DEED(OR OFFER TO PURCHASE)6 SITE PIAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: McKee Homes, LLC Marling Address: 109 Hay Street, Ste 301
City, Fayetteville stale..NC zip.28301 Contact No: 9104757100 Email: krivera®mckeehomesnc.com
APPLICANT':McKee Homes, LLC Mailing Address: 109 Hay Street, Ste 301
City: Fayetteville stab,NC Zip:28301 Contact No: 9104757100 Email: krivera®mckeehomesnc.com
'Porte fill out applicant informelion if different thin isneo ner
CONTACT NAME APPLYING IN OFFICE:Kelsey Rivera phones 9104757100,727
PROPERTY LOCATION:Subdivision: Anderson Creek Crossing Lot#:69 Lot Size' .22
sots Road#437 State Road Name: Timber Skip Drive
Mem aWkaPage'. 2015.258/
P aras 01053524 0100 35 PIN.. 0505-834207.000
Zoning'RA 20R Flood Zone: X Watershed: n Need Book 8 Page:3343 /0040 Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PR OSED USE:
SECT(Size34, x48' )k Bedrooms:4 #eama.3 B.eementfw/wo bath)'._Garepe: �Sck',_Crawl SpaanSlab labL
Its the bonus room finished? lyes no w/a closet? yes no(if yes add In with N bedrooms)
❑ Mod:(Size_x_)a Bedrooms_N Baths_Basement(w/o bath)_Garage:_Slte Built Deck:_ On Frame_Off Frame_
(Is the second Soot finished?(J yes (_)no Any other site built additions?(_J yes (—)no
U Manufactured Horne'._SW_DW_TW(Size x )1/Bedrooms:_Garage: (site built?_)Deck: (site built?_I
O Duplex'.(Size_x_)No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation'#Rooms: Use: Hours of Operation'. #Employees:
U AadlBonfAccessory'/Other(Size_x )Use: Closets In addition?(_)yes (_)rio
Water Supply X County _Existing Wel _New Well(a of dwellings using well )'Must haw operable water before final
Sewage Supply: New Septic Tank(Complete Checkfst) _Existing Septic Tank(Complete Checklist) X County Sewer
Dow owner of this tract of land,own land that contains a manufactured home within five hundred feet(5001)of tract listed above?(_)yes ( X)no
Does the property=lain
any
yeeasements wttether underground or overhead(_1 yes r=)no
Structures(existing c��roppsew+Single family dwellings:X Manufactured Homes: Other(spedp):
Required ResidentialPr ty Line Setbacks: Comments:
Front Minimum Actual�`1O
Rear
Cbsest Side ab 14
SMsttreeVcerner lot S
Nearest Building
on term lot
Residential Land Use Application Page I o12 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Nursery Road to Enterance
If permits are granted I agree to cation to all ordinances and Ian of the Stale of North Carolina regulating such work and the specifications of plane submitted.
I hereby stab that foregoing statements are accurate end correct to the best of my knowledge. Permit subject to revocation If false Information le provided.
Kelsey Rivera Date 201'70912r13:5850R6".oe 9/12/17
Signature of Owner or Owner's Agent Dab
"Mt is the owner/applicants responsibility to provide the county with any eppllable Information about the subject property,including but not limited
to:boundary Information,house location,underground or overhead eesemenb,etc.The county or Its employees are not responsible for any
incorrect or missing information that Is contained within thew applications.^
"Thle application expire B months from the Initial date N permits have not been issued"
Residential Land Use Application Page 2 of 2 03111
I
HOUSE PLAN: FINLEY - CRAFTSMAN W/COVERED PORCH - LH
R=150.00' /
L=48.68' /
_� 517'40'23"W
528' a' 38W 48.47'
7 �/
56' I i (6' 69
I o COVERED
I IPORCH
14.3'
I o
1774' s.35o f 99.75 7
1.44.3 re) 9.7
20.00• I 3 3 _
DRAINAGE a O I PROPOSED - N S
EASEMENT FINLEY - - 1 n
I n °. W/COVERED N m
I i I y PORCH Z
nrn4.3
9.T M4.3'
I
L ' —PROP. VW
'---40 SF
� I 6 a�N R=275.00'
0 0- L=89.25
II ix a p m S17'40'23"W
7 88.86'
S26 g' •µ, ■
_ TIMBER SKIP DRIVE
(50' VW) /
-
_ —
PLOT PLAN ,,c•SN., ?Ro/'•.
SNO .°fess/0 / ';
SURDIVIRIDN, Amnrocnni ramie nilro ?A
011/09/11 Application k
Hamel)County Cartel Permitting
Each mean Oslowbhr MO out PO Box U lalbngtm NC 27548
by ,,r Mdamins sok 510 0eJ 7eRil Fn ate asJ 7793 into lumenorypnmd4
Mal M can or Wood
s Mono Application for Residential Bwldma and Trades Permit
nematch
Owners Name McKee Homes, LLC Date 9/12/17
Site Address 437 Timber Skip Drive phone 91047571 00,727
Dlroclluns to lob site from Ldpngton Nursery Road to enterance
Subdivision Anderson Creek Crossing Lot 69
Desmphon of Proposed Wonk Sinole Family Home #of Bedrooms 4
Heated SF 2266 Unheated SF 671 Finished Bonus Room9_Crawl Space _Slab X
SigiaLfantisuabastaa
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*
abet Contractor Information
Description of Work single Family Home Service Sim zoo Amps T-Pole X Yea_No
J.M. Pope Electric 919-776-58144
Electrical Contractor s Company Name Telephone
409 Chatham Street,Sanford, NC 27330 jmpopeelectric@gmail.com
Address Email Address
21326-L
License B
jggyjy4VAC Contractor Information
Description of Work Single Family Home
Certified Heating and Air 910-858-0000
Mechanical Contractor a Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 certified heatair@embargmail.com
Address Emed Address
2012 H3-1
License*
plumbed Contractor Information
Description of Work Single Family Home N Baths 3
Dell Haire Plumbing 910-818-4863
Plumbing Contractors Company Name Telephone
7812 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License e
!Dictation Contractor Information
Cumberland Insulation 910-484-7118
Intuition Contractors Company Name&Address Telephone
NOTE General Contractor must fill out end sign the second page of this applrsation
I hereby certify that I have the authority to make necessary applcatlon that the application is correct
and that-the construction will conform to the regulations in the Building Electrical Plumbing end
Mechanical codes and the Hames County Zoning Ordinance I stats the information on the above
contractors a correct as known to me and that)v alanine below I have obtained ell subcontractors
permission to obtain these oarmlg and if lax changes occur including listed contractors site plan
number of bedrooms building and bade plans Environmental Health permit changes or proposed use
charges I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes
EXPIRED PERMIT FEES-S Months to 2 years permit re+ssue fee is$160 00 Ater 2 yews re-issue fee
is as per current fee schedule
Kelsey Rivera oa',:17,m"0tialzrKri%,"r 9/12/17
Signature of Owner/Contractor/Officer(s)of Corporation Date
Afhdavlt for Worker's Compensation N C G $ 87-14
The undersigned applicant being the
X General Contractor _Owner _Officer/Agent of the Contractor or Owner
Do hereby confirm under peahen of penury that the person(s) firm(s)or corporation(s)performing the work
set forth in the permit
_Has Ores(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
XHas one(1)or more subcontractors(s)who has thew own policy of workers compensation Insurance
covenng themselves
_Has no more than two(2)employees end no subcontractors
While working on the protect 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 pnor
to issuance of the permit and at any time dunng the permitted work from sny person firm or corporation
carrying out the work
Company or Name McKee Homes, LLC
Sign wase Kelsey Rivera o°A;r®„".tff Construction Coordinator Dale 9/12/17
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. I60A-417:
"(Effective AprIl 1,2013)No permit shall be issued pursuant to subdivision(I)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 I.ien Agent: Details -LiensNC Lien Sen ice Mips://apps.liensnc.com/,scr/appointment/details.htmfientryNumh..,
DO NOT REMOVE!
Details: Appointment of Lien Agent
Entry #: 718699 Filed on: 09/11/2017
Initially flied by: Jbuckwniter
Desi len Agent Project Property
Print a Post
First American Title Insurance Cotnpuny Anderson Creek Crossing Lot 69 Damen Counts al.,.7.Q
NC 1.139!
TrcTµ:1
AtlJrac 19µ'Hargett St.Suite 507 ReloNp,NC
22601
Property Type Contncton:
Phone:a118L90.71g4
Please post this notice on the Job Site.
r==l
913ie9-s231
?Family Dwelling Suppliers and Subcontnnon:
Scan this image with your sman phone to
view this filing You can then file a Nonce
to Lien Agent for this project.
Owner Information Date of First Furnishing
McKee Homes.LLC 091354017
109 Hay Street
Suite 301
Fayetteville. NC 28301
United States
mad.krtvetaamckeehomesnew,m
Phone 910-475-7100
view Comments 101
Technical Support Hotline:
lot I
9/I 1/17. 1:04 PM