DOCUMENTS Initial Application Date: l aI o) / Application# 1 ) 5`L)T' 4
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.harned.orglpermits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
Michael Ryan Homes PO Boc 481452
LANDOWNER: Mailing Address.
Charlotte NC 28269 74751 warranty@michaelryanhomes
City: State: Zip: Contact No: Email:
Michael Ryan Homes P.O Boc 481452
APPLICANT': Mailing Address:
Charlotte NC 28269 74751 Email:City: State':_Zip: Contact No.
'Please LII out applicant information if different than landowner
Jim Duckworth 980-722-3273
CONTACT NAME APPLYING IN OFFICE: Phone#
Carolina Lakes Lot#: "x J�7 Lot S�izye�'. (��
PROPERTY LOCCjATIIO/N::Subdivision'. ��/�/� Dr ,/��y- 01-We- �M: -3 C.
State Road# ��)vSOq� State Road Name: 111aPie,- NV W -� Map Book 8 Page
."410
• o� 3pc ��5 S ` ) lx—C/ J .� PIN (VAI 55U1 ) �2,lsf,L_]
Zoningfln�t—Flood Zone. X Watershed: Net Deed Book 8 Page: /£Y 't3Power Company':
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: diMonolithic
{{ L
Et SFr).(Size 9 i/t x[.J� 1 t#Bedrooms'.1 #Bathsq1 '6asement(w/wo bath)'. Garage:_Deck:_Crawl Space:_Slab: Blab:Y,
(Is the bonus room finished?(___)yes cfy no w/a closet?( )yes (4C)no(if yes add in with#bedrooms)
❑ Mod'(Size_x )#Bedrooms_#Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame Off Frame_
Os the second floor finished?(__J yes ( 1 no Any other site built additions?( 1 yes (, )no
❑ Manufactured Home._SW OW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? 1
U Duplex' (Size_x )No. Buildings: No.Bedrooms Per Unit:
U Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other:(Size_x 1 Use: Closets in addition?( )yes (J 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 hundredunjfeet(500')of tract listed above?(_)yes )no
Does the property contain any easements whether underground or overhead(_„,i yes (1)410
Structures(existing or proposed):Single family tlwellings'.
Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3 c Actual 3b
Rear 2- c I I 7
,
Closest Side i14,SIl
Sidestreet/corner lot ��;a ,
A#L
Nearest Building fks#?:ri",
on same lot Page 1 of 2 03)11
Residential Land Use Application 9
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: J) 1(0 unix ./a ve3
356 IM (/q re..nioct
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.
✓/�`_.
2-1 1---t
Signature of Owner or Owner's Agent Date
"'It Is the ownerlapplicants 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
SITE
Vicinity Mop
544'07'24"E 95.00'
SO
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CN LP
N' r
2 'l t
Ui
N44'07'22'W /5.00'
•
N00'52"40"E
28.28' ,.. .
PLOT PLAN
FOR: MICHAEL RYAN HOMES TOWNSHIP: BARBEOUE
ADDRESS: 350 MAPLEWOOD DRIVE DATE. SEPTEMBER 21. 2017
Co-1- NEAR SANFOR, NC SCALE: 1" = 40'
COUNTY: HARNETT REFERENCE: LOT 503-CAROLINA LAKES
TAX PIN: 9595-36-5151.000 PHASE SIX
PC#O. SLIDE-57C
aC-- <oCAR ' y.
CAtf J AOAus PLS I-7491 o • AcESS 04
65 NC-075 - 4.
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O9I09I11 Application#
Harnett County Central Permitting
PO Box 88 LMnplon NC 27646
Each rection below to S filled out 910 893 7626 Fax 910 893 2703 www Smelt org'permia
by whomever performing work
Must be owner or licensed ion for Ra ldsnnal B nldmo and Trades Psrtn6
consider Address company
name a phone must match Date n
Owner d res .,D D Y 1 O1 V L°W a,)a \)Yl � Phone `643-579"�4O a
Site Addresss
Directions to lob site from Ldlmgton
' LI <e Lot �^
Subdivision .f e #of Bedrooms
Desulphon ol/�P��royp�osed Work N ie,w f-i n n"�— Crawl Space _Slab y
Heated SF 1(1)) Unheated SF 720 Finished Bonus Room _ Px
n • r M3-572-( -8°WO
Telephone
BuildingAContraolor; Name C., ya„ 16An1� mfr rice ( Izyel h
i • %14�� 2-Z �. f 1 1€mmail Address �(JYNe$.LGyvt
Ad•fes8
License# ‘../raw cal Contreelor InfonnMlon
Description of Work lis "�' Y10i&Y— Service Size fou Amps T-Pole _Yes_No
aIc1 -cu 7 -140b
u � ��•L t �� � � Telephone
Electrical Contractors Company Name L
• la 2 I fl a .,
Email Address
Address
License# ItinhIMICAIIHVAC Contractor IMormMion
Description of Work A Arn . t!n (p
� .` A . , 9 101 32A - nlo '
I C r - Telephone
Mischa seal Contractor1a Company Nem-111Y 1 (LA A 1 A
Address Email Address
19) aq� C
License# er ....w ria Contractor Information
Description of Work I I/ it #Baths
- • 4.0 0 AA 5A 14 Telephone
Plumbing contractors Company sore cc\phone CI �/�yy4 Y,h n/, NC
e96ed (d Roc 1t rnu1
Address
rnense U—
Llcense# lnsgMlon Contractor Information
—T 9ALCi_d L - oaag
.�1 ��� •t a �
Insulation Contractor s 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 authonty 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 Hamett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that by stamina below I have obtained ell subcontrectort
permission to obtain these Demote 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-8 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per current fee schedule
12- 11-17
Signature of 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 corporations)performing the work
set forth in the permit
J/ 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
Deto issuance of the issuing
e end atrmit aay any time re durinngdthe permitted work from any persoicates of coverage of worker s n compensation
oor corporation pnor
carrying out the work /�
Company or Name On I (X\Id
Sign w/Tide .( Date 12)(-t-7
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 12/11/2017
Entry #: 768055 Initially filed by: MRHWarranty
Designated Lien Agent Project Property Print & Post
Carolina lakes Lot 503 M /
Chicago Tale Company.LLC mJur ss
350 Maplewood Drive s 4-
Onllne:»wwllrn•m enmo.,,, ......,_..
Sanford,NC Count 27332 -.,�ot
Address:19 SA Hargett SI.Sn:e509/IlWeieM1.NC
Harnett county "�
1]601 Contractors:
Please post this notice an the Joh Site.
none:PBBfi'nTJBA
913-tan.2n
Property Type SupPllen and Subcontractors:
Scan this image with your smart phone to
¢mdb swmn//u beiss/w.enm..u-.,„m,.a-"" view this filing You con then file a Notice
Other to Lien Agent(this project
Owner Information
Det• of First Furnishing
Michael Ryan Homes
PO Bete 481452 1225/2017
Charlotte, NC 28269
United Slates
tmail.Warrant cram
Phone'.543.5744900
View Comments till
Technical Support Hotline:(8581690-7384