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DOCUMENTS if. r-frly' V)tle c t —4 i rte- VSV Initial Application Date: I\ 1 ` 1 ti Application# I n a3OLf_ ) IS 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)893-2793 www.hamett.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" �r�cl� illen tf f io S� 3quo ee 6 Sf' LANDO��V.NER: /�) �s•f 's Mailing Address:Qn / g ri 'r tate:' v e p:�I S .2ontact No: 7I9 7>'/5G Email: /V/I City: / APPLIC T . / // / / Mailing Address:7 "'eN//t S/o e WI City: 0 State: Zip: /W ontact No: f 7f/PG Email: 'Please fill out ap•scant information if different than landowner CONTACT NAME APPLYING IN OFFICE: Phone# PROPERTY LOCATION:Subdivision: Lot#: Lott Size:' '�, 15`�4 g bey Ca ✓ C,�/1 WW\ �0Oi MapBook&Page �'`-'IVt- / c` State Road# 1^ State Road Name: d Parcel: D-1I1�00 D212. Dl PIN: 1�Obt gO 520-00D Zoning:* 7O Flood Zone: X Watershed: Al 0 Deed Book&Page: V`6 I / I Power Company`: 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: Monolithic 1 SFD:(Size x )#Bedrooms:_#Baths:_Basement(w/wo bath):_Garage:_Deck:_Crawl Space:_Slab:_Slab:_ (Is the bonus room finished?( )yes (J no w/a closet?( )yes ( )no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_ (Is these nd floor finished?( )yes L. no Any other site built additions?( )yes (J no / e�j -S q V'1 '73 1° lJ Manufactured Home:_SW DW_TW(Size010 1413 )#Bedrooms Garage: (site built?_)Deck: (site built?_) 441.2 ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: Y r )j k4 — ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: ❑ Addition/Acces /Other:(Size x )Use: Closets in addition?(J yes (J no Water Supply: C my Existing Well New Well(#of dwellings using well_ )'Must have operable water before final Sewage Supply: New Septic Tank(Complete Checklist) Existing Septic nk(Complete Checklist) County Sewer Does owner of this tract of land,own land that contains a manufactured home withi five hundred feet(500)of tract listed above?( )yes ( no ,1liViie/ Does the property contain any easements whether underground or overhead( yes ( )no 00 Structures(existing or proposed):Single family dwellings: Manufactured Homes: her(specify): WMil S Required Residential Property Line Setbacks: Comments:tb Front Minimum 5 Actual ` Rear 25 g_s4 Closest Side (__D___ Sidestreet/corner lot W __ Nearest Building 10 1 S on same lot Residential Land Use Application Page 1 of 2 03111 APPLICATION CONTINUES ON BACK on-10 -fit � 1 SPECIFIC DIRECTIONS TO THE PROPERTY? FROM LILLINGTON: S , e /1/ Lii);� C�mint II fTY�- ' C'� q ,�� r.,-Y- TG��t �i� n -fix � �- � �s� ��-, L��1,--� rn 4.1 ( PAvt_ ' ,- � tin t-� /v C - a rl 3. 1 mil s rivp4A.417 AJ I ( L `1'k 4 = )g�5 e�x�t �Y (%�,u r��, �j (241 . 10 If permits are granted I agree to co• orm to all o dinances and I. s .f the Stat-of N• h Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoing sta - -nt are - r. _ -nd co' • e be-, f my • ledge. Permit subject to revocation if false information is provided. - , .441, " —77 Signatur- of Owner•7. n=r s •gent Date u C "'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" • • Residential Land Use Application Page 2 of 2 03/11 I NOT FOR LEGAL USE . G 7J m s p , 1 ,l 3 ~ )Q F-+ / t D - n= lii }\ m d c'Cu C 3 o� N a z� In 1 v5 -' �� pQ -,tr- , ,_ t II IN ' Ii ,� CD a a tI : ...,-. +' °l 7 m q + � ua 2 n FD- * , 7 ilik1 CO r agi . o ©I IJ \ t. ► CD AI sm D an m N o m r 01 -- 0 Q r *, rt CD a f _% • . ... 6) (/') - 4. 7J 7J c z s . Z-; -. ID CD o a -- - � ' S, o ''0 .__) o IIII 4 .. 1. 1- ilMC i 7 J s. __ , •il 111 lil I II I Pill I I I M I 10. - . t _0 Z A .:..,. +' PROCEDURES AND GUIDELINES FOR MANUFACTURED HOMES RA-30 Criteria Certification hrff'D LLP , "1- -ie S, landowner/agent of Parcel Identification Number 671606 d 12-d1 , located in an RA-30 Zoning District, do hereby certify the following: The multi-section manufactured home shall meet the following appearance standards, verified by zoning inspection approval, prior to the issuance of a Certificate of Occupancy: 1 . The structure must be a multi-section unit built to the HUD code for manufactured homes. 2. When located on the site, the longest axis of the unit must be parallel to the lot frontage. 3. The structure must have a pitched roof that is covered with material commonly used in standard residential roofing construction. Said material must be installed properly and be consistent in appearance. 4. The structure must have masonry underpinning that is continuous, permanent and unpierced except for ventilation and access. 5. The exterior siding must consist predominantly of vinyl, aluminum, wood, or hardboard; and must be comparable in composition, appearance, and durability to the exterior siding commonly used in standard residential construction. Said exterior siding shall be in good condition, complete, and not damaged or loose. 6. The minimum lot size must be one (1) acre excluding any street right-of-way and the minimum lot frontage must be 150 feet as measured at the right-of-way line or along an easement whichever applies. 7. The tongue or towing device must be removed. 8. The home must have been constructed after July 1' 1976. By signing this form, I acknowledge that I understand and agree to comply with each of the seven (7) appearance criteria listed above for the multi-section manufactured home I propose to place on the above referenced property. I further acknowledge that a Certificate of Occupancy (CO) entitling me to apply for electric service will not be issued until each appearance criteria has been met and approved. 140, 6 7/,? / , , ' *Signature of Landowner/Agent Dat *By signing this form the owner/agent is stating that they have read and understand the information on this form 7/10 NAME: APPLICATION#: *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 l CONFIRMATION# Environmental Health New Septic SystemCode 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, out buildings, swimming pools,etc. Place flags per site plan developed atlfor 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. $25.00 return trip fee may be incurred for failure to uncover outlet lid, mark house corners and property lines, etc. once lot confirmed ready. • After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code B00 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. Environmental Health Existing Tank Inspections Code 800 • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if possible) and then put lid back in place. (Unless inspection is for a septic tank in a mobile home park) • DO NOT LEAVE LIDS OFF OF SEPTIC TANK • After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to hear results.Once approved, proceed to Central Permitting for remaining permits. SEPTIC If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one. {_l Accepted {_} Innovative NConventional {_} Any (_) Alternative 1_} Other The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer is"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION: (_}YES {%,} NO Does the site contain any Jurisdictional Wetlands? {_}YES {"X} NO Do you plan to have an irrigation system now or in the future? {_}YES (Si,NO Does or will the building contain any drains?Please explain. {$,}YES (_)NO Are there any existing wells,springs, waterlines or Wastewater Systems on this property? (_}YES {..4.NO Is any wastewater going to be generated on the site other than domestic sewage? (_}YES ('NO Is the site subject to approval by any other Public Agency? (_}YES {X4•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 That The Information Provided Herein Is True,Complete And Correct. Authorized County And State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Understand That I Am Solely Responsible Fo The Proper Identification And Labeling Of All Property Lines And Corners And Making The Sit ccess/ a Th a Sit valuation Can Be Performed. '44/ //747 PR ERT' 1 N OR OW4 LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 • ri )1\, ,\7z7 . r , e s 1... .... -- \))- 11\ 0, t.., 10 p1111110 Y ; f g0 , • 9 6t - i 1 i t [I. , .; 4 ditAf ).i 1 �� /1.4 1 y . A I i Iiii 111 i 1r '' F. .;d. 346C. 141 1 I'.- ii ' '' 11.111....Iji%.11414114111113/4•4.1°64:%. P: iIi g l ; iir .. ii ' ir 1 %kV t iiii• II1 !. r iiiVVVJJJ T ill Ili` to i ' U Iii d a» .. orw,.. MCIP 113.85 I 4 Q .J I � i m s 1 1000111h:1 .' I. poi,: • ) A �A i i • gHn';' I f t It , hi; T k Ila �j11011 1•' . , 1 I i e ..,z •I,. Ni it III � & 'inn tun cisti ii Iiii r 0i,„ .1 1 hIltiv, N s o4 a w. g 0 —OA -n o < m m i1 I. D _ m� • 3Dml) IF S j S ?Torn111111 D t:r n�i n y I[ 10 :2oO 1rnZ < ii! w o uoEc iM boo, —w r 0 Q► m p 7 -k0.ti, It -0 t.b' if I 4 ate. -?' ',- ti ti r.•: �� U 1„rN5 Application# Harnett County Central Permitting nil 1�eA I1` PO Box 65 Lillington, NC 27546 Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits Application for Manufactured Home Set-Up Permit (Please fill out each part completely) Part I-Owner Information: Home Owner Informs ion (To be completedcetby owner of the manufactured home is Name/rtr/)4')fn CIho//I JIr Address:7°70 CIO/4 �(II L" iv City:Alf/09 - State/4 C Zip:271C52Daytime Phone:(M 7 f7— P65-7 Landowner Information(To be completed by landowner, it different than above) Name: Address: City: State: Zip: Daytime Phone: ( ) Part II-Contractor Information (To be completed by Contractors or Homeowner,if applicable. Name,address phone myst match intprrmation on licen e) r���L A. Set-Up Contractor Company Name: 05,E StY<r-{- MO-WAS y 1 I� - k2 5 00thin Phone:LRl9)' ?t 45 Address: W(� C wt 5�tcY City: Dunn �7$ . State: NC Zip: I o�/nR334- State Lic# Ws 3c Email: /,UPS 1NODfr-n SPC0 3,,,,i lr CDM B. Electrical Contractor Company Name: !Apclbr n f1(w C4-"A n(cal Phone:(9I ) cIN -U,5I Address: 1544 roto' nicc.A d)IVd \ ,, City: Gat ncr State: N G_ Zip: ‘370,9 W State Lic# ? ' iaI Email:IF gic1 iceriA/J (. t.alobCR /n CCI-f+ H VAS � .C C. Mechanical Contractor Company Name: F1..) Elliott/ L(�` Lnit-yr+'11 W r.#S Phone: gtgZ2q I -n61t57 Address: '7 O () ',Sip/2-2- MR ei City: ?42ip- State:- /�( ) C ' Zip: 'MO o3 •. State Lic# /VI Tr Email: od 3�p` P ..drywci I r CDM kW n. D. Plumbing Contractor Company Name: lCYflrnvl - J (t9IQ.l , Phone:(qi )315-SI LA Address: (c.a7a, C-it§i jlcar u7 ctt F? J City: / vI va y V&r'i no-- State: N 8, C Zip: 175?-(o State LicfY 1 011139 Email: Tc13..ckl^oC Q Gyne I r CO vn Part III-Manufactured Home Information,, X 1 '' �Y" v(< Model Year201 B Sizer Complete&ioll5v4oning criteria sheet Park Name: Lot Number: - I hereby certify that I have the authority to apply f0} this permit, that the application is correct including the contractor information and have obtained their permission to purchase these permits on their behalf, and tha)lhsponstruction or installation will conform to the applicable manufactured home set-up requirements, and the Ha County Zoning Ordinance. I understand that if any item is incorrect or false information has been provided that this perm could be revoked. // 777I Si naf�e �e Owns rt6r Agent Date - 'Effective July 1,2004, a County Tax Department Moving Permit must be provided before a Set Up Permit wilt be issued. Itis:; purchased from the tax office of the county that the home is moved from, I/the home is from a dealer, we need proof of year on the Form 500 and if available,the serial number. List of inspections and Egress requirements available upon request. Progress Energy customers must provide Premise Number. SETUP 04/11 V HEAVENLY HOMES 4629 US HWY 70 W PRINCETON. NC 27569 (919)735-4400 - FM (919)735-4494 I . buyheavenlyhemescom 0 ni1atr.SIYER(S)r / \ PHONE_ )q ' 9) 065-7 DATE a-6 SALESPERSON EOe Sln � hkvI A ier5h 4 - 2-703 gob ;Fe DEIY_ DREG IOS "", S behdWr (4. Rd. Coo,45 NC 225—al MANE&MODEL YEAR BEDROOMS FLOOR SIZE HITCH SIZE STOCK NUMOER GI[BAR SOMA;} .3o1r 3 LCIS' w27 f 5 lw Sir SER41 NUMBER COLOR PROPOSED DELIVERY DATE HEY NUMBERS. o-/2Z Lc NEW O USED t' H\ c 3o do s LOCATION R-VALUE THICKNESS. TYPE OF INSULATION _B fl ASE PRICE OF UNIT $' 3$000 °D CEILING __ OPTIONAL EQUIPMENT EXTERIOR ' E00 FLOORS _. SUBTOTAL $ THIS INSULATION INFORMATION WAS FURNISHED BY THE MANUFACTURER /S DISCLOSED IN COMPLIANCE WITH THE FEDERAL TRADE COMMISSION RULE SALES TAX 903 16CFR SECTION 460.13. OPTIONAL EQUIPMENT,LABORAND ACCESSORIES NON-TAXABLE ITEMS ` VARIOUS FEES AND INSURANCE CASH PURCHASE PRICE $ 3 °D Black Steve TRADE-IN ALLOWANCE $ j Black Frig _ LESS BAL DUE on above$ Black Dishwasher NET ALLOWANCE $ Upgraded Thermal-guard windows ��—CASH DOWN PAYMENT $ S 00O "T __ Upgraded Insulation package CASH AS AGREED $ 4 — Kitchen Island LESS TOTAL CREDITS $ 5;00 LA Fo 1 Yr. manufactures warranty SUB-TOTAL $ - . . SALES TAX(If Not Included Above) Unpaid Balance of Cash Sale Price $3 yY 503 w Dealer and Buyer certify that the additional terms and _This purchase includes the new home unit, conditions printed on the other side of this Agreement are —dropped oft Only. . — agreed to as a part of this Agreement,the same as If printed above the signatures. Buyer Is purchasing the above ___ described manufactured home; the optional equipment and _Buyer is responsible for all items necessary accessories,the insurance as described has bean voluntary;that _to complete home, includin., but not limited to. - Buyer's trade-in is free from all claims whatsoever, except _satisfing zoning, permits,covenants, setup, as noted. Inspections, and overall completion of home. ESTIMATED RATE OF FINANCING /e NUMBER OF YEARS *wheels&axles were rented, willbe picked up ESTIMATED MONTHLY PAYME TS$ MU ,aay >, 4,1 4 q CCPV Al i VYly _. -- Tills AGREEMENT CONTAINS THE ENTIRE UNDERSTANDING BETWEEN �O �< �/ DEALER AND BUYER AND NO OTHER REPRESENTATION OR Lnl},yLvh r S_jT ✓vinn�_k.thf-- _ INDUCEMENT, VERBAL OR WRITTEN,HAS BEEN MADE WHICH IS NOT be z Tt\,l e, COVERED IN THIS AGREEMENT. -- BUYER(S)ACKNOWLEDGE RECEIPT OF A COPY OF THIS ORDER AND THAT - _ BUYER(S)HAVE READ AND UNDERSTAND THE BACK OF THIS AGREEMENT. I UNDERSTAND THAT I HAVE THE RIGHT TO CANCEL THIS PURCHASE BEFORE.MIDNIGHT OF THE THIRD 8ALANCE,GMRIEO TO OPTIONAL EQUIPMENT $ BUSINESS DAYAFTER THE DATE THAT I HAVE SIGNED THIS AGREEMENT. I UNDERSTAND THAT THIS DsscRlvnou QPTRADE.IN AR 'srzE CANCELLATION MUST BE IN WRITING. IF I CANCEL MAKE MODEL BEDROOMS THEUNDERSTAND PURCHASE AFTER THE THREEERDAY PERIOD, I ANY OBLIGNT TN TT THE DEALER MAYNOT THE -TITLE No. SERIAL COLOR - ANY OBLIGATION TO GIVE ME BACK ALL OF THE AMOUNT OWING TO WHOM --- — _ MONEY THAT I PAID THE DEALER. ) UNDERSTAND JJ ANY CHANGE TO THE TERMS OF THE PURCHASE ANY DEBT BUYFPROWES ON TRADE-IN IS TO BE PAID BY 0 DEALER ..G'E - Ta a - '- I _L 0 BUYER 1GREEM6 �., .- HEAVENLY HOMES E ,(� , • �i t SIGNED% �, /'--"= NW Valid UnI.as Spnq. +`pl 0 Mr of IN Cor.. DEALER ��- moi 'Y 'R. ///�/ Yywen AufhMnd Agin( _ _ I__I Approved By % /='_ - `SIGNED% _ BUYER I-nme FM.,r, ) A PLAIN LANGUAGE P .; -F ArRFFIAPNY i nCIAL SECURITY CURI . NO_ / rSO HARNETT COUNTY CASH RECEIPTS *** CUSTOMER RECEIPT m«m awer: 1 Date: 72/112/18 52 ROCK eceipt no:ra249195 Year Humber Amount 2017 50042715 1805 EBEHEZER CHURCH RD COATS, NC 27521 B1 BP - PERMIT FEES ;225.88 DWMN FRED ELLIOTT Tender detail 4225.08 CP CREDIT CARD $225.80 fatal tendered $225.80 Total payment Trans date: 2/12/18 Time: 13:50:03 mm THANK YOU FOR YOUR PAYMENT at HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call: (910) 893-7525 Fax: (910) 893-2793 Application Number 17-50042715 Date 2/12/18 Property Address 1805 EBENEZER CHURCH RD PARCEL NUMBER 07-1600- - -0212- -01- Application type description CP MANUFACTURED HOME RA 30 CRITERIA Subdivision Name Property Zoning RES/AGRI DIST - RA-30 Owner Contractor ELLIOTT FRED ALLEN EASY STREET MOVERS, LLC 3900 COBB STREET 805 EASY STREET GARNER NC 27529 DUNN NC 28334 (805) 820-3865 Applicant ELLIOTT JR FRED ALLEN 720 ENTLE SLOPE WAG RALEIGH NC 27603 (919) 791-8657 --- Structure Information 000 000 29X60 3BDR 2BA DWMH Flood Zone FLOOD ZONE X Other struct info # BATHS 2 # BEDROOMS 3000000 . 00 MOBILE HOME YEAR 1 . 00 PROPOSED USE DWMH SEPTIC - EXISTING? NEW TANK Permit MANUFACTURED HOME PERMIT Additional desc . Phone Access Code 1228519 Issue Date . . . 2/12/18 Valuation . . . . 0 Expiration Date . 2/12/19 Permit LAND USE PERMIT Additional desc . Phone Access Code 1228501 Issue Date . . . 2/12/18 Valuation . . 0 Expiration Date . 8/11/18 Special Notes and Comments T/S: 11/07/2017 04 : 26 PM JBROCK ---- HWY421 S TO L ONTO LESLIE CAMPBELL AVE TRAFFIC CIR MERGE ONTO NC 27 E GO 3 . 1 MILES THEN TURN ONTO EBENEZER CHURCH RD HOUSE & PROPERTY WILL BE ON THE LEFT 1805 EBENEZER CHURCH RD HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call: (910) 893-7525 Fax: (910) 893-2793 Page 2 Application Number 17-50042715 Date 2/12/18 Property Address 1805 EBENEZER CHURCH RD PARCEL NUMBER 07-1600- - -0212- -01- Application description . . CP MANUFACTURED HOME RA 30 CRITERIA Subdivision Name Property Zoning RES/AGRI DIST - RA-30 Required Inspections Phone Insp Seq Insp# Code Description Initials Date Permit type . . . . MANUFACTURED HOME PERMIT 10 501 T501 R*MOBILE HOME FOUND. / M. WALL / / 10 814 A814 ADDRESS CONFIRMATION / / 20 818 Z818 PZ*ZONING INSPECTION / / 30 507 T507 R*MANUFACTURED HOME FINAL / / 999 H824 ENVIR. OPERATIONS PERMIT / /