DOCUMENTS Initial Application Date:\` i- I a 0) n Application# 1 / sLxJ--i Cy`%tp S.
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Far (910)893-2793 www.harnett.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
Michael Ryan Homes P.O Bac 481452
LANDOWNER: Mailing Address:
Charlotte NC 28269 74751 warranty@michaelryanhomes
City: State: Zip: Contact No: Email.
Michael Ryan Homes P O Bac 481452
APPLICANT': Mailing Address:
Charlotte NC 28269 74751
City: State: Zip: Contact Na. Email:
'Please fill out applicant information it different than landowner
Jim Duckworth 980-722-3273
CONTACT NAME APPLYING IN OFFICE: Phone#
PROPERTY LOCATION:
Subdivision. Carolina Lak(e�s/�/' O Lot#.yin9 Lot�SSii-z-e�./I l I O
State Road#' ��State Road Name'' MCI ICI f)sem WP NG ,- /�%ri\ € �� Map Book&Pagel=C4tO .��
Parcel V �,-.R�Y � YY(foc �� ,(� t'l�07"�`rCfl2 —3 Z`4
Zoning �2Ux-Flood Zone'_ )C_ 1/4iWatershed'. Ytil' 1Deed Book&Page: J'5 53/8 43 Power Company*:
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
//II// // t Monolithic
m SFD:(Size-IJ x )#Bedrooms: #BalhsVBasement(w/wo bath)'. Garage: ^ Deck: Crawl Sparz:_SlabSlabliC
(Is the bonus room finished?(_J yes (X.1 no w/a closet?( 1 yes (7�no(if yes add in with#bedrooms)
❑ Mod.(Size x )#Bedrooms_#Baths_Basement(Seto bath) Garage: Site Built Deck: On Frame Off Frame_
(Is the second floor finished?(i yes (J no Any other site built additions?( )yes (i no
❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms. Garage: (site built? )Deck: (site built? 1
❑ Duplex:(Size x 1 No. Buildings: No.Bedrooms Per Unit:
❑ Home Occupation'.#Rooms'. Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other (Size x )Use: Closets in addition?(i yes (_J no
Water Supply: 7i, 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) X County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundredu`n/ feet(500')of tract listed above?(_i yes (x)no
Does the property contain any easements whether underground or overhead(_)yes (13 no
Structures(existing or ropose Single family dwellings: 1 Manufactured Homes: Other(specify):
Required Residential Property Line Seth cks: Comments:
I
Front Minimum 35- Actual
Rear 25- �1
Closest Side
SidestreeUcorner lot I Jf
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC OIRECTI3 T?E PROPERTY FROMLILt LINGTON: ` � vc Y--e l
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.
Signature of Owner or Owner's Agent I7_I t
Date
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"
Res,dential Land Use Application Page 2 of 2
03/11
LEGEND _
F
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SRE ,
Vicinity Map
544'07'24"E
30.00'
504
ci 1.148 Sr
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teAPLEWOOD lW
50' PUBLIC VW
j PLOT PLAN
FOR: MICHAEL RYAN HOMES TOWN51-9P: BARBEE/HE
ADDRESS: 330 MAPLEWOOD DRIVE DATE: SEPTEMBER 21, 2017
CITY: NEAR SANFOR, NC RFV: DEC 6, 2017
£QiNSY: HARNETT SCALE: 1" = 40'
TAX PIN: 9595-36-6024.000 REF RP EHE: LOT 504-CAROLINA LAKES
PHASE SIX
PC&D SLIDE-57C
Naris •:
o__ F
,. MICHAEL J. AN5 PLS L-4491 paI $�G4 1.
CFS NC-075MAPS SURVIVING. INC
B
1306 10111
s airy '.6' =esn P44,
09/09/11 Application# •
Harnett County Central Permitting
Each eecLan below to be filled outPO Box 88 Lemgton NC 27548
by whomever performing work 818 893 7525 Fax 910 893 2793 www hamem org/pemiite
Must be owner or hcensed
contractor Address company Application for Residential Build=and Trades Permit
name&phone must match es
Owners Name tCfriel \z-'an ikcrne Date )2-11-17
Site Address mClple w DY-1WPhone X43- 79-0004
Directions to job site from Lillington ��11
Subdivision (JUT) 11.rvt tGl.\<eS Lot F0-L
Description of Proposed Work _Lir";w e4 n #of Bedrooms
Heated SF ) Unheated SF (4 to Finished Bonus Roomy_Crawl Space _Slab 1(
0
Y1111c?--Naim 5fe5 3'13-572( -8gat)
Building Contractors Company Name Telephone
12 fr)X 49145ZICYoivfai�te, Ai C. lNl , v W v1nlr�QetRy0h
Address mail Address HIPinieS,GClybl
.74751
License#
)=lectncal Contractor Information
Description of Work 1 Ai1YC. YIUri1J— Service Size hgU Amps T-Pole "'Yes No
Inn nne, SPINSS xhG Gla -a'l'l -Hob
Electrical Contractors Company Name Telephone
rO X 1207 , r avn„ , N c.
Address J' -i Email Address
License#
C,�MechanlcaWHVAC Contractor Information
Description of Work TM � M'LD- \UCL
_5e, Y1PN1SOY . Viealfh ' (Av✓a. O�Y' qla 32L1 -61a la
Mechanical Contractors Company Nam() Telephone
') ,Sh 1f,UaS1A W, Gram ., A,C-
Address Email Address
lS1A4
License#
q plum�bn �maContractor Information
Description of Work 1' I IAI/ h Jou•V -- #Baths
Coln-NrO e i 1OrY)111 ✓/�
Plumbing Contractor s Company Name Telephone
pa BEN 7Z(0 , LOat, iliev pi l/W112i n „NG
ddress ectad Addre s( IZDC 1c&1F-rna 1 1
License#
Insulation Contractor Information
r(121lyvl WM, it OA-1(✓Yl clti -fn (a l - chide
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 Hamett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that by ammo below I have obtained all subcontractors
permission to obtain these permits and if any 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-6 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per current fee schedule �7
Signature of Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The un ersrgned 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 corporation(s)performing the work
set forth 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 COG'
/; n/1 Hare)
Company or Name YY11(A R vY 1
SignwlTitle . Date 12)(—t7
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: izmizon
Entry #: 768053
Initially filed by: MRHWarranty
Designated Lien Agent Prelim! Property Print & Post
Chicago Title Company,LLC Carolina lakes Lot 504 Dr.
330 Maplewood Drive
Sanford,NC 27332 (w
Harnett Count)! r. •• u
AJm
Je:10W Ilvu:ySt,SLun 507/Raleigh,NC ,
'.7601
Contractors:
Phone:585.69114184 Please lost this notice on the lob Site.
F`an913-1x&5111 Property Type
Suppliers and Subcontractors:
Sean this image with your small phone to
ew this tiling You can then tile a Notice
Other to Lien Agent for this project
Owner Information
Date of First Furnishing
Michael Ryan Homes
PO Box 481452
Charlotte, NC 28269 12/3513017
United States
Email Warrantyldmichaelryanhomes con
Phone 843-574-8900
View Comments 10)
Technical Support Hotline:0881690-7384