DOCUMENTS Initial Application Date: 11 I /' I ( Application#1 n say-'Lc us
Clift
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E Front Street,Lillington,NC 27546 Phone:(91 o)893-7525 ext:2 Fax:(910)893-2793 www.harnettorglpermits
"A RECORDED SURVEY MAP,RECORDED DEED(//OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: i/nIly Witt- 16 1Y�11 / Mailing Address: PO Loy ,3a /P
city: AroodV 11)// State: lezip:a750$ContactNo: 7/9pdSff'L7E 2I: )7 / P7
APPLICANT': Wei lin Lam/ Mailing� Address: SQ' /%/)e /Q•c' Frt.
City: 6 wadWn Is9state:tC zip: 75O5bontact No 9/9— )S7b7/2mai1: h/e't
'Please fill oul applicant infobrnation it different than landowner
CONTACT NAME APPLYING IN OFFICE:
�/ y� Phone#
PROPERTY LOCATION:Subdivision: ETSC rI�k,t_)�4L,r1C/ f� bQ.� Lot ft: t'-t Lot Size. •—)45 !�`
State Road# S�N1IP � a�State Road Name: �.�1, RM."c1 Dr-- (M�ap^B000kk�8,, PaaIge: c l / I
Parcel:; �( 2, tk4c ... CbS u`E- PIN: bLa1 - b1 -% 3c'4t0t1
Zoning? Flood Zone: IC Watershed: 11/4,.)r,) Deed Book&Page134 , to11 Power Company'.
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFD:(Sin._ _ _ _)#Bedrooms:_ #Baths:_ Basement(w/wo bath):flu Garage:HU Deck:ye5Craw1 Space:yetab: Slab:_
(Is the bonus room finished?(_)yes (_)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 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: q Use: 1 Hours of Operation, #Employees:
6y AdditionlAccessory/Other:(Size Ia x t y )Use: SYo ra Qii Shed Closets in addition?(_)yes (vt)no
Water Supply: County V Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) V 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(5001 of tractlisted above?(_)yes ( )no
Does the property contain any easements whether underground or overhead(—)yes (✓no
Structures(existing or proposed):Single family dwellings: Manufactured Homes: e-C Other(specify):
Required Residential
lllProperty Line Setbacks: Comments:
Front Minimum 95 Actual
Rear 1] /Ce��20 a ki—_ er CAIN
Closest Side Sa_ a . (� n
Sidestreetcorner lot N\Q H f\Q_p,4.0_at , .._a O I LA/Le--
Nearest
Aicw—Nearest Building14,4s" r`IQ ln.t s • ,Y
on same lot ���111 � V
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON ICI
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: L-001 J1 1r: act
"C1 r •
If permits are granted I agree to conform o all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statem re ate and co ect to the best of my knowledge. Permit subject to revocation if false Information is provided.
ofO /7 7— /7
Signature of Owner or Owner's Agent rj Data
•
"'It is the owner/applicants responsibility to provide the county with an applicable information about the subject property,including but not limited
to:boundary Information,house location,underground or overhbad any
etc.The county or Its employees arp not responsible for any
incorrect or missing'Mortnation that Is contained within these applications.'"
"This application expires g months from the initial date if permits have not been issuer
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Residential Land Use Application . • Page 2 of 2 03/11
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SITE PLANCt.)
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DISTRICT l USE--'{ 51— I
#BEDROOMS
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D!\ I Zoning tnmr y
NOT FOR LEGAL USE .
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Application# �d ( tee/l<
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnett.org/permits
Certification of Work Performed By Owner/Contractor
�/
(Individual Trade Application)
Owner(s)of Structure: Rally + Mw(/An- /a in 8 Phone: 9/ &' �—e 72 2
Owner(s)Mailing Address: la?&x 307 <a Oroci /tdo- e hC a 73-0L-
Land
500Land Owner Name(s): —j`r1/✓1 C'- Phone:
Construction or Site Address:
PIN# Parcel #
Job Cost: �, Description of Work to be done ( -'C J4. L
_pV
Mechanical: New Unit With Ductwork New Unit Without Ductwork_ Gas Piping Other
Electrical*: 200 Amp_<200 Amp Service Change_ Service Reconnect_ Other
For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillington:
Subdivision: Lot#:
will provide the ?"). NJ% labor on this structure.
(Contractors Name) h '(T^rade�)
I am the building owner or my NC state license number is 1.7 ` "'" , which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code and all
other applicable State and local laws, ordinances and regulations.
Contractor's Company Name Telephone
Address Email Address
License# / 7
Structure Owner/Contractor Signature: ��/9L%y it /La/r7 Date: 1i'7- / 7
By signing this application you affirm that you have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after completion of the listed work.
*Company name, address, & phone must match information on license
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50042708 Date 11/07/17
Property Address 56 PINE LAMB DR
PARCEL NUMBER 13-0602- - -0085- -04-
Application type description CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name W H PATTERSON
Property Zoning PENDING
Owner Contractor
LAMB BILLY J & WIFE MARTHA OWNER
P.O. BOX 326
BROADWAY NC 27505
Applicant
LAMB MARTHA
56 PINELAND DR
BROADWAY NC 27505
(919) 258-6727
- -- Structure Information 000 000 12X24 STROAGE BLDG
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE STORAGE
SEPTIC - EXISTING? NA
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1217512
Issue Date . . . 11/07/17 Valuation . . 0
Expiration Date . 11/07/18
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1217520
Issue Date . . 11/07/17 Valuation . . . . 0
Expiration Date . 5/06/18
Special Notes and Comments
T/S: 11/07/2017 09 : 19 AM JBROCK --- -
COOL SPRINGS RD TO PINELAND DR
HARNETT COUNTY CENTRAL PERMITTING
P. O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50042708 Date 11/07/17
Property Address 56 PINE LAMB DR
PARCEL NUMBER . 13-0602- - -0085- -04-
Application description . . CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name W H PATTERSON
Property Zoning PENDING
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . RESIDENTIAL BUILDING PERMIT
999 131 R131 ONE TRADE FINAL / /