DOCUMENTS Initial Application Date: I / S) j' / Application I " / 560�iYy C] ,/ (Th
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street.Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2193 www.hamettorg/pennits
^A RECORDED SURVEY MAP RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ri ARE REQUIRED-WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: uJaOL JUYVt/t,) �nA.0-7 Mailing Addressu 300 l-�Ojnvira .Orx� b'
City Gill/At)bon) slate. zip:z1gt& .L
ontactNoC042S• .SU Emait/�111b1L€ c24�QJV✓ry(�
APPLICANT" 1 .--eQ �T47 Mailing Address: ba(iLer Scl/wen a'Y' IArciltlw(J I Oil
City: -V11gy.Jr'p1.L State: IAC zipZlS4Sconwet No 54411, I Email:
'Please fill out a cant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: , l -� /i I Suits L /7��'�/ /l Phone#
PROPERTY LOCATION:TISubdivision: tiexa�7nyi - WSW LI UAL Lot#'.`CS_Lot
Siren.2.5-
State
ZS'
State Road1 # a�V1 /y State Road Name',-. AM.li�__�' CIAO
1 c (^ Map Book 8 Page: Zan / Nen
Parcel: fl�tAgfi��tt )1y. 1 PIN: LA¢�1' 1 ILA J LL,�,, C
Zoning:gsA )Flood Zone: N Watershed'._Deed Book 8 Page.3535- /0X177 Power Company :: "A'/( ) )Rl�`{
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROP ED USE:
1 s Monolithic
SFr):(Size 14 x24)#Bedrooms #Baths`.Basement(w/wo bath):PI Garage'./�Deck:.P Crawl Space:_Slab:_Slat
(Is the bonus room finished?( )yes ( )no w/a closet?(i yes (_)no(if yes add in with#bedrooms)
❑ Mod:(Size x )4 Bedrooms #Baths_Basement(w/wo 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 _)#Bedrooms:_Garage:_(site built?_)Deck- (site built?_)
❑ Duplex:(Size x )No.Buildings. No.Bedrooms Per Unit:
❑ Home Occupation.#Rooms: Use. Hours of Operation: #Employees:_
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?(_)yes (_)no
Water Supply: County Existing Well New Well(4 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?(_)yes (_)no
Does the properly contain any easements whether underground or overhead(_)yes ( )no
pro
Structures(existing or posed))ingle family dwellings: Sig) Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 15 Actual L5
Rear 2.✓ 2.5
Closest Side t 0
Sidestreet1corner lot Zd 1
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: (4 /U O✓1 f' I (DIMM
k+ 46P I
l
Tires u:S42IS +OLi-Silt c61 LLIAULiM Att(i5Cr/1C1
ernebi:Inva, on 1/51hL C.ln*10/A1 -I.0 Anane 4j-
If permits are granted I agree to conform}}} to all ordinances and laws of the Stale of North Carolina regulating such work and the spedfications of plans submitted.
I hereby state that foregoing state ents are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
AAA- 4A8
Signature of Owner is Agent Date
"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, LOCATIONS AND FEATURES SHOWN ON
THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARTISTS RENDITION, EXACT LOCATION Of ALL FEATURES
J ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
4' EXACTLY AS SHOWN ON PLANS AND/OR IN MODELS,
SITE ,p PLACEMENT OF HOME, DRIVEWAY. SIDEWALKS AND
EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
- DEEMED NECESSARY BY FIELD PERSONNEL.
t.
r44 CUSTOMER DATE
..-1,0j CUSTOMER DATE
°S
r�
WADE JANET REPRESENTATIVE DATE
1 APPROVAL FOR STARING:
Age
1111S PLOT PLAN AS PREPARED BY IY MAP B DATE SHOWNBELOW Zpp7 P" AND
HEREBY APPROVED OORTSiAKING ONRTHE
Not ES,
Not To Scale \ P
1 WADE JURNEY HOMES REPRESENTATIVE DATE
I \ / IMPERVIOUS SURFACE AREA
® DESCRIPTION AREA
HOUSE w PORCH 600 S.F.
/ PATO HVAC/MISC. 9 S.F.
N O .1 DRIVEWAY .9 WALKS 662 S.F.
fiE ALLEY PAVEMENT 3.418 S.F.
.49• TOTAL (PROPOSED)= 4689 S.F.
P.. \ LOT AREA = 10,827 S.F.
I \ 19 0qJA, \ % IMPERVIOUS AREA =43.3£
W9
V J \ \ 10,827 S.F. �'Fi,
W 0.25 AC 63.4 \ re \
0. - c
O \ \
CC `m \\ 2 \
CL C \=
3 O. /
0W. U `a a: WAS / \
L N ,0„ I \b, :FOUNDATION o / \
CA O s • 2A0 /
0.
SFTRACKS: _ \ /
/ u
FRONT — 15 w/PARKING IN REAR /
FRONT — 55 w/PARKING IN FRONT \ 61 6' /
REAR — 25
NEAR SIDE — 0.5 MIN 5 MAX \ /
OPEN SIDE — 10'
WINDOW/DOOR — 6' (ereACK (TYPTI
5' MAINTENANCE
EASEMENT
Cl
N
/ \\
ALEAH COURT
09109111 Application#
Harnett County Central Permitting
PO Box 85 Ldbngton NC 27548
Each section below to be filled out 910 893 7525 Fax 910 893 2793 www harnett mg/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Buddlna and Trades Permit
name&phone must match - c ,J
Owners Name/ uJaejCJvrn Date q v->I �
42
Site Address town &• Phone 4IQ•QQSSca5
Directions to Job site from Lillington 4144 r✓. on F.Grnn'4 SI- . .# h la re l St 51-•
TQ .IG P. IS (47 t 5 . -b US/a Ci vtkptDtI Auk in Aiwa Gra(
ClgklnW on wilco C nybol +o nhna.5}-
Subdivision M LrirlelWS ALP Sul/S Crew_ Lot la 5-
Description of Proposed Work St'R #of Bedrooms .5
Healed SF ti-00 Unheated SF Finished Bonus Room9 Crawl Space _Slab X
General Contractor Information
ttk L ILL& 33(4•�sZ-c) QO(a
Building Contractors Company Name Telephone
I3rt) &kllt�rrrr wl Au!Cie 7.'") 6Inr/ASK) 1-r �4Zrn1. tiOrnu.1lbm(s.Cpl
A dress Z-1 -i la Email Address
44?t,z,
License#
I c Con roc or nfo lotion
Description of Work EII(.6ril(At N5141 ft Service Size P. Amps T-Pole v/Yes_No
w-3 Gla.sxl'z -t1
Electrical Contractor s Company Name Telephone
CLuytor fJJil44lf il3PIjC.brleZAlrJ
Address Email Abdfeis
114721
License#
Id chanical/HVAC Contractor Information
Description of Work N�-I& Cj 4 Air
P.ornkhra-.A or 33(r744.41n
Mechanical Contractors Company Name Telephone
VOet77( 5?1 Cin tipy6 Au.7-7nv_ yeurWshvroullp (AM
Address Email Address
License#
Plumbing Contractor Information
Description of Work P(u.MOtvlq -"Clic-Ift(( #Baths
ivI hr>t-Jnrn ptUlyinlnlPll' GLQ %6 .4833
Plumbing� niAContractorrs,Commpant Mal
con 2 �jT Telephone f,.
3►tjU 4 l)ll\'i0V1 En. Mal Ion 1JCy! �Mriell spiny IF1/fa.ty mat:
Address Email Addrest (AV•t
Z
License #
Insulation Contractor Information
Fit l 1I dt #i�,SLitad-tool Alia•188 •Gtsoy
Insulation Contractor s Company Name S 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 pv stanlna 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-S Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per cu ent fee scheda—
0).6 algs(rl
Signature of Owner/Contractor r(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undkrkigned applicant being the
_ _General Contractor _Owner L/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
setfo 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� . II u, eIC
Company or Name U. aztlJOrn_-I t-brrtc i
Sign want- .�.1_./.e s A P' al4 a ./A r Date 41251(1
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 09/07/2017
Entry #: 717291 Initially filed by: wjh2013
Designated lbn Agent Project Property
Print & Post
Investors l IIIc Insurance Company MBC 195
92 Aleah Cl Er,- Q
onlint:www.limwesm Lillingum.NC 27540
elsOl
14 W.littera Si.. Suite Snt Ruloyh.Vl'
(land'County
11601 1:3•14;r°
Phone:axanaot7la4 Property Type Cantnutnrs:
Pa.:9'i-me-sill Please post this notice on the lob Site.
Emalluuahonl.4i[n.ncwm: 1-2 Family Dwelling Suppliers and Subcontractors:
Scan this Image with your smart phone to
stew this filing.You cum Wen file a Notice
to Lien Agent for this project.
Owner Information
N IH,LLC
3300 Battleground Ave Suite 230
(irewbnm. NC 274111
United Slate.
Email:!tabu/illµwadei umeyhoms.cnm
Phone.919-995-5054
View Comments 10)
Technical Support Hotline:(BRR)090-73x4