DOCUMENTS Initial Application Date: 'l ]i I I Application I { WO -1 IC
CU it
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.hamettorglpermits
^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^
LANDOWNER. Odor/ Jurkt/t1 rAL6 Mailing Atltlreess: �� r.. . . /! /. .1 IL �a
City Gr1✓�/flf')ban, State'..Zip:2.T4P&ontact No:act an S&SU Email:-venbr-lz a t..h '1t.Jcintu'
names
yds r C �+ r+ 1 /
APPLICANT'. .
tan--' seQ Id* Mailing Address. �a(PS.- JLVI�.Q.�l uY pA7�t[Je(J / oil
city. �NIQNtrtOT+- State. N ' ZipZ1S4S'Contact No: $'444.0 Email: /
•Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: JJ.�,���� II�� Q. a x7�ry,s 1! Phone#
PROPERTY LOCATION:Subdivision: fiA.1.11AtXeJ a,.L1,, /oils l/LC1V Lot#: 143 Lot Asa
a•tIi/
State Road#tug 1U ry.,/7SSttate Road Name:j 4 t�fzxv • Q& ����js'C Map Book&Page.Artl f 114&14
Parcel'
�///I�.�r�of Ly}+5 -n PIN: CNrry025 51�5Z.
Zoningl\C'1�s91ood Zone: N Watershed:Deed Book&Page: 3535 l u rs Power Company: it,,,OLIZSUPLEVIC
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PR POSED USE:
.^firr II st` 99 1 Monolithic
[
SFD.(Size .'S x (!{)#Bedrooms- Bi'athsBasement(w/wo bath). N Garage A) Deck:A I Crawl Space:_Slab:_Slab&
(Is the bonus room finished?(_)yes (_)no w/a closet?( )yes (_)no(if yes add in with#bedrooms)
U Mod:(Size_x_)#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?(_)yes (_)no
❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms:_Garage:_(site built?_)Deck: (site built?_)
U Duplex (Size x )No.Buildings: No.Bedrooms Per Unit.
U Home Occupation:if Rooms: Use: Hours of Operation: #Employees:_
❑ Addition/Accessory/Other.(Size xi 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) L../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?(_)yes (_)no
Does the properly contain any easements whether underground or overhead(_)yes (_)no
)
Structures(existing or proposed Single family dwellings: V/ Manufactured Homes: Other(specify)'.
Required Residential Property Line Setbacks: Comments:
Front Minimum 15 Actual V
Rear Zy 2.5
Closest Side
SidestreeVcorner lot 70 r
Nearest Building
on same It •
APPLICATION CONTINUES ON BACK
St
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: teI'Ul/A LV on f,i t' 'LVt14xc& t j-.
Ta. IyS uZLS +e t.LSIit QGA/LII15 Cr.ACV
CnvLJ-fhv2 on t/51ftCh .+pSQ lt -l-OAnsna4f:
If permits are granted I agree to conformrrr��� 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 state ents are accurate
and correct to the best of my knowledge. Permit subject revocation if false information is provided.
AAA 4/1-10
of Owner or Agent Dater
""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,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"
NOTE
ALL DIMENSIONS, LLOCATONS AND FEATURES SHOWN ON
This PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARTISTS RENDITION. EXACT LOCATION OF ALL FEATURES
ARE SUSS EXACTLYJASTSHOWN ON PLANS AND/ORTO CHANGE AND MAYT INEMODELINSTASLEDO
PLACEMENT OF HOME, DRIVEWAY, 96EWµ%S AND
g TU EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
CU DEEMED NECESSARY BY FIELD PERSONNEL.
N
O
OJ
CUSTOMER DATE
TU
2oo CUSTOMER DATE
gQ J m
PL' _ ♦I _ WADE JURNET REPRESENTATIVE DATE
I I1 APPROVAL FOR STAKING:
THIS
BY
IS CORRECT AND AS
HEREBY EAPPROVED FOR FOR NG (TEE.
HE
VICINITY MAP DATE SHOWN BELOW.
Not To Scale
WADE JJRNEY HOMES REPRESENTATIVE DATE
5ETBACKS IMPERVIOUS SURFACE AREA
DESCRIPTION AREA
FRONT - 15' w/PARKING IN REAR HOUSE w/ PORCH 600 S.F.
FRONT - 55' w/PARKING IN FRONT pnno/HVAC/MISC.
REAR - 25'
NEAR SIDE - 0.5' MIN 5 MAX DRIVEWAY & WALKS 674 S.F.
OPEN SIDE - 10' ALLEY PAVEMENT 1.991 S.F.
WINDOW/DOOR - 6'
I TOTAL (PROPOSED)- 3,283 S.F.
LOT AREA = 7,190 S.F.
\ 0 ® / R IMPERVIOUS AREA =45.
CO / ..19
M1 4.411 978.517-
0. -:
/ • 2.' ORIVEW=Y EASE=ENi /pot L
Or,, PG I
Ca»
os
193 / V)
\ 7,190 SEI
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A., \1' oN0 ® CC
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5' MAINTENANCE
EASEMENT Cl
ALEAH COURT
50' PUBLIC R/W
09109111 Application#
Harnett County Central Permitting
PO Box 65 LAhnelon NC 27546
Each section below to be filled out 910 893 7525 Fax 910 893 2703 www hernett orgfpermits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name 8 phone must match �� • c /' JJ
Owners Name U-kte .tLbrISLA_.( �91yt( Date `LL7.7/e7
Site Address '1Q AUG-146&• l Phone C1lQ•QQSSLsSL./
Directions to lob site from Lillmglon l4lo4 tile ovl f-Crand SI- . -i-oh limas 1 S*51-.
'16.1c/ U S H7 t 5 . -to WAIL( (;r. vhf-)001/ ADL in VW as C(ttt'
(.rlf1.1'Irjyt Oh I/Slip G1rn?bill 40 Anna.SL.
Subdivision M Ar rinrd)S 44- (iutl5 Cr/!Y, Lot IQ3
Description of Proposed Work 5 r12— #of Bedrooms
Heated SF Wit Unheated SF Finished Bonus Room') Crawl Space Slab X
General Contractor Information
(J:1111L 33(4•.(2-?xioU
Building Contractors Company Name Telephone
4� ezniilJ 7YJw/At)tCIP7_3e) GIn,,ic ord -ra ,aza,liJ�i¢Jurnuliton6ati
A dress Z--Iti-IID Email Address
14N17--
License#
lect r ctor Information
Description of Work EI/6144(11 I. &15 � Service Size 7-CID Amps T-Pole✓ Yes_No
w.43 alli.55o•z 1
Electrical Contractors Company Name Telephone
otielsithin fo44(gA1,13iJLMrr'£%41
Address Email Malls
114221
License#
MchanicaUHVAC Contractor Information
Description of Work I.1LQ1um 4 Air
f.grand-A or 33(i.%x4.4`87)
Mechanical Contractors Company Name Telephone
Po sail 57_1 at.k-mmoiAS A1t7-7nv . YaurtylslirCetulIdaVLnwl
Address Email Address
utztfc
License#
n plumbing Contractor Information
Description of Work f(I1ri <106-111(tMOttei <106-111( #Baths
71 hrtrSrlln 2IthAnInf hr GP 556 '14823
Plumbing Contractors Compan$ Name Telephone
2,t(jp4vu\' fr1En. Na. /0f2-157D
Address
Taha mw
l
(
ZZ.1cZi
License
#
Insulation Contractor Information
•2)1)11 tlherui,Su(ad-lovl 1311.188 •Gkoy
Insulation Contractors Company Name&Address Telephone
*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 signing below I have obtained all subcontractors
permission to obtain these permits and if au 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 Harriett 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 cu ent fee ached�lg.
cue-,K°-L-l-Y1 41as►17
Signature of Owner/Contractor r(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The underc 1ned applicant being the /
_ _General Contractor _Owner V Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of pequry that the person(s) firm(s)or corporation(s)performing the work
set to in 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 prior
to issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work
Company or Name �UJ�G4L_1V r�n7 u.1 �Nome
Sign w/Title4 Pltnitft�l:rrr( Mt4Or- Date q(zs1/7
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 09/07/2017
Entry F: 717305 Initially filed by: wjh2013
Doignated Lien Agent Project Property
Print 8 Post
Investors Title Insurance Company MHC 193
76AImh CI DSR 'El
Online:www ycmne mm - - Lillington,NC 27546 4.&Thfl
addva w rew.Hargett swesul Raleigh.NC Hamrn County ti
ash° El s..
P6one aaS- )-734 Property Type Contractors:
hoc 9I+4 -52I Please post his notice on the lob Site.
fmne.unouN.ulen.n°`°ta 1-2 Family Dwelling Suppliers and Subcontractor:
Scan this image with your smart phone to
view this filing.You can then the a Notice
Owner Information to Lien Agent for thi.project
W.IH.LIC
3300round Ave Suite 230
Greensboro.
NC '_7410
United States
Email:trab919-995-5654 umdyhemescom
Phone:9L9-P 5-5654
View Comments Itll
Technical Support Hotline:iNSa1690-7384