DOCUMENTS RRR Initial Application Date: to I L-{ I ) Application# 07-5001-8988 12.42%• I
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)853-7525 ext:2 Fax:(940)893-2793 www.harnett.org/permits
"A RECORDED SURVEY MAP,RECORDED DEEDEEY (OR OFFER TO PURCHASE)A SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER St iane.: Qu.Jders 1+TL. Mailing Address:466 Stencil Road
City: Angier State:NC Zip,27501 Contact No: 919-639-2073 Email: wentlytlorman�emhargmail.wln.
APPLICANT•:same as above Mailing Address
City State: Zip: Contact No; Email.
'Please fill out applicant information if deferent than landowner
CONTACT NAME APPLYING IN OFFICE:Wendy Dorman Phone#919-639-2073073
PROPERTY LOCATION:Subdivision: Hunters Point Lot#:39/i i Lot Size ' 9014
___
State Road#1565
State Road Name: Silas Hayes Road Map Book 8 Page: 461 ' i'Oa_
Parcel: 070691 002318 PIN, O6,91-57-3591. Ot90
Zoning; RA-30 Flood Zone: Watershed: Deed Book 8 Page:A3n / 14y Power Company: Duke Energy Progress
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
la SEC. Size x 49.'( Monolithic
( \9\ 1#Bedrooms:3 #Baths:2 Basement(w/wo bath): Garage: ✓ Deck: ✓ Crawl Space: / Slab:_Slab:_
(Is the bonus room finished?(__)yes ( 1 no w/a closet?( )yes ( 1 no(if yes add in with#bedrooms)
❑ Mod:(Size x 1*Bedrooms #Baths Basement(wlwo bath)_Garage: Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( )yes ( )no Any other site built additions?(_J yes ( )no
U Manufactured Home:_SW DW TW(Size x )#Bedrooms:_Garage: (site built? l Deck: (site built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: *Employees..
U Addition/Accessory/Other:(Size x )Use: 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 That contains a manufactured home within five hundred feet(5009 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:Proposed Manufactured Homes'.
Other(specifyj:
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 35
Rear 25 120
Closest Side 10 20
Sidestreeveorner lot 20
Nearest Building 10
on same lot
Residential Land Use,application ling.::1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Hwy 2710 Coals, left on Hwy 55 towards Angier, right on Silas Hayes ma
subdivision on right
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 and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
�. � y �z
nature of Owner or Owners Agent Date
"HI Is the ownerlapplicants responsibility to provide the county with any applicable Information about the subject properly,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 2 or 2 03/11
IMPERVIOUS CALCULATIONS
LOT = 40351 SF
PROPOSED HOUSE — 2131 SF
PROPOSED DRIVE — 915 SF
PROPOSED TOTAL — 3046 SF A 11\
IMPERVIOUS PERCENTAGE = 7.5%
CUSTOM HOME DESIGNS
\TANCIL BUILDERS,
102.95' 100.50'
60.00' -----
/
/
/
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San
168.44
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�f 35.85' 100.50'
` ) Lot 39/40 HUNTERS POINT
SITE PLAN APPROVAL 168 HIGH STANDARD LANE
C-rrl ANGIER, NC 27501
OIBTp107� +�•2 a.1��� Pin 0691-57-3587.000
Deed Book 3464 Page 809
P(7@DN00M8 - ef = Book of Maps 2017 Page 192
LOT 39/40 HUNTERS POINT
SCALE 1' - 40'-0"
NAME: S+41.IC. 1 DIG!PIk✓S Tnc APPLICATION#:151 5C:01(SA(VJW
*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)
910-893-7525 option I CONFIRMATION ri
U Environmental Health New Septic SvstemCode 800
• All property Irons must be made 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,
cut 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 Environmental 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.
U Environmental Health Existing Tank Inspections 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 lid back 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 & select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. 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 ystem type(s): can be ranked in order of preference,must choose one.
(_l Accepted {—} Innovative {_ Conventional {_j 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 {2cCi
/ tio INO Does the site contain any Jurisdictional Wetlands?
✓i
(_)YES { //NO Do you plan to have an ' i eanow or in the future?
(_)YES (✓l NO Does or will the building contain any thrills?Please explain.
LIVES I✓ NO Are there any existing wells,springs, waterlines or Wastewater Systems on this property?
{_}YES {✓NO 1s any wastewater going to be generated on the site other than domestic sewage?
(_}YE.S { 4 NO 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 () 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.
I Have Read This Application And Certify Thal'The Information Provided Herein Is True,Complete And Correct. Authorized County And
State(Uncials 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 ecessible So That A Complete Site Evaluation Can Be Performed.
.104!_v4911w -. ,9-;9-17
PROPERTY WNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
08109111 Application#
Harnett County Central Permitting I- cf)( �(QQ cto
ad,section below to be Idled out PC Box 65 Ullington NC 27548
910 893 7625 Fax 910 893 2783 www harnett org/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match
Owners Name " 5#aneil [Su,�CLz'/S S-"C• ,---29.47 _g
Date
Site Address llQ`(f fir, to Gn(. ;c-C1 1 (arp Q`�`)1 Pr Phone _Cl-�D. L. 5•
Directions to lob site from Lllhgton NW� raaTh ('ns IP - n-i tit Oy �{
kflu)0rd.. An3iCr r'. 14 On f,In5 140 n reThri,
ms rim rr, r .hl- p
Subdivision 1 -un- pre �O Lot 39
Description of Proposed Work #of Bedrooms 3
Heated SF 1315 r Unheated SF Finished Bonus Room? Crawl Space Slab
General Contractor Information
540nr14 e)u,\hecz c. qlq- cnACI cgrrn
Building Contractors Company Name Telephone
`-ha(o �Irnn I 'I�fl Area \X' S156f U n rmvrnO/thnq-noci •enn-1
Address Email Adtlress
34533
License#
Electrical Contractor Information„.
Description of Work 5 Service Size Amps T-Pole .des_No
nnle) €pec-h-,nr.l Pig- Ligl-l05a
Electrical Contractors Company Name Telephone
1q ccs IOC dl� !rkAry ,er NC- (17601
Address \. Email Address
1115 -
License#
q Mechanical/HVAC Contractor Information
S
Description of Work F
eIer ioen4 r, NPc.hIA,cI Tor . • • - _ - r .. .
Mechanical Contractors Compaly Name Telephone
�U ty;rc1L, wnD Ck Gnener fJCa1Sai
Address Email Address
1R19L-ILL
License#
�+
Plumbing Contractor Information
Description of Work 3c-O #Baths rQ
l-Rrj-ne5 '41un%- r --Inc • CO- (-kam- cgt,�3
Plumbing Contractors Compao, Name Telephone
ry'31Q Ml I\tan AI 11\ AiVr-Q1 cY)i
Address O Email Address
License#
Insulation Contractor Information
s. .. .. , , . . 1q- (12c2 -(5499
Insulation Contractors Company Name 8 Address e-,n ),!C Telephone
n 9'7c5
'NOTE General Contractor must fill out and sign the second page of this application
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 by sinning below I have obtained all subcontractors
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 fee schedule
Signature4)1/at
Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned 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,y 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
✓ Has 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 workers compensation insurance pnor
to issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work "c(
Company or Name `.J-t[ l 'c \ �}V; �(\PirS I 7--(Th--(Thc"
Sign wink" 4.4/ {424.47.4"— Date '94G/7
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 12/22/2016
Entry #: 578160 Initially filed by: StancIIBulidoslnc
Designated Lien Agent Project Property
Print & Post
Fidelity National Title Company,ILC Lot 39 Hunters Point Hook of Maps 2006 Page
1128 Deed Hook 3464 Page 809 0 0
onlloe:ww.lonsnccorn ..,....... 16g High Standard Lane
Address:19 W.Hargett Sr,Suite 507/Ralcig6, Angier,NC 27501
North Carolina County r` �r•'o
NC 27601 0 - —
Phone:Sxga4o-7134 Contrvotors:
F..:013489.5251 Property Type Please post this notice on the Job Site.
Fc ulluvownunkmncwnP..,..,,., Supplier end Subcontractors:
1-2 Family Dwelling Scan this image with your smart phone to
view this fling.You can then file a Notice
Owner information to Lien Agent for this project.
Date of First Furnishing
8tancil Builders Inc
466 Stencil Road 01/162017
Angier, NC 2]501
United States
FlreiL hgoldston(embargmail.eom
Phone:919-639-2073
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Technical Support Hotline:(888)690-7384