DOCUMENTS Initial Application Date:1l )' r 6 SCANNED Application# ' 1.1S673 f aC
CUtt
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street,Lillington,NC 27545 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.orglpennits
"A RECORDED SURVEY MAP,PRECORDED DEEDD'IOR OFFER TO PURCHASE)8,SITE PLAN ARE REQUIRED�WHEN1SSUB_MITTING A LAND�/ USE/ APPLICATION"
LANDOWNER:
/ wa�,.d,..y. Walsh LIoyuA7 Mailing A/dd��d�re�sss3�00 EW-Pi niuri Apt Se
City: 1Y!/rt'1. ort) State ZipL 4J ontactNoa ec•.t.SLl Email: Tr'nh.lt€ t*wbri2JV✓n.(,L�
APPLICANT" 1 m�era int-17 Mailing Address: Ia(Oy . ) `.�
320-5 I�A/(��L_i(/,/ I on
City. � f 4Yli fial+L state: NC zipl-1S4�ontact No. .SJMA Email: I
'Please fill out applicant information LI different than landowner
CONTACT NAME APPLYING IN OFFICE:
1 �� t,. 1 'C /}.,'�] 1l Phone# 1
PROPERTY LOCATION:Subdivision: AALAtiD(/Y�1T`,.('- �nW Cate__ Lot#'. I Lot Size'.at c
State Road# _StatetatRoad Name �'('y")A,/�.F-,__�,. /J (q� Map Book&Page: Za1 / n
Parcel'. �110,�U�''/V/��IA11 0040 1kqlfr / lJ PIN. UILQ/ 1 glialgjgg
Zoning:Y'lT' 3DFlood Zone: N Watershed:.Deed Book B Page: 453S ;N,11 Power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
/ 11.. Z S I3 Slab:
�SFD'.(Size Z."1 x� )#Bedrooms: k Baths!-,. Basement(wlwo bath)N Garage:N_Deck: Crawl Space:_Slab._Mon:
(Is the bonus room finished?(_)yes (_)no w/a closet?( )yes ( )no(it yes add in with#bedrooms)
0 Mod.(Size x )#Bedrooms_It Baths_Basement(wlwo bath)_Garage:_Site Built Deck._ On Frame_Off Frame_
(Is the second floor finished?(_)yes (_)no Any other site built additions?(_)yes (_)no
O Manufactured Home: SW DW TW(Size x )#Bedrooms: Garage:_(site built? )Deck: (site built?_)
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
O Home Occupation:U Rooms Use: Hours of Operation. #Employees.
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes ( )no
Water Supply. County Existing Well New Well(#of dwellings using well )`Must have op ble 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 property contain any easements whether underground or over ad(_)yes (_)no
Structures(existing ode ngle family dwellings: Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:1Comments:
Front Minimum 15 Actual tec
Rear ZG 2.5
Closest Side _f.0 ,1.0
7
Sidestreeticorner lot Y
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: j-I'UI/A IL/own E. YYWrt -ituk P hT
TKt 04715 +eI.GSIiC06int!AlAutIv' A1.11i5Cr/01.
Con-I-thin too IG51itCan.-plan -ho dnvtp �} .
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 state ants are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
rg ite &AO Dat
of Owner or 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:
ALLDIMENSIONS, LOCAPONS AND EEANRES SHOWN ON
THIS PLOT PLAN ARE APPRAAENRDE AND ARE ONLY AN
{y. ARTISTS RENDITION, EXACT LOCATION OF ALL FEATURES
9 PRE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
E� CO EXACTLY AS SHOWN ON PLANS AND/CR IN MODELS,
SITE PLACEMENT OF HOME, DRIVEWAY, SIDEWALKS AND
c`Q N EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
a DEEMED NECESSARY BY HELD PERSONNEL.
0to
9 CUSTOMER
CT DA
ID
L 200, m CUSTOMER DATE
—N—
.G IWADE JURNEY REPRESENTATIVE DATE
APPROVAL FOR STARING:
THIS PLOT PLAN AS PREPARED BY RESIDENPAL LAND SERVICES,
VICENINT MAPS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
Not To Scale
DATE BHOMI BELOW.
WADE JURNEY HOMES REPRESENTATIVE DATE
SETBACKS' IMPERVIOUS SURFACE AREA
FRONT - 15' w/PARKING IN REAR DESCRIPTION AREA
FRONT - 55' w/PARKING IN FRONT HOUSE w/ PORCH 600 S.F.
REAR - 25' PA1IO/HVAC/MI6C. 9 S.F.
NEAR SIDE - 0.5' MIN 5' MAX DRIVEWAY & WALKS 615 S.F.
OPEN SIDE - 10' ALLEY PAVEMENT 994 S.F.
WINDOW/DOOR - 6' TOTAL (PROPOSED)= 2,118 S.F.
LOT AREA = 4,514 S.F.
SITE PLAN APPROVAL % IMPERVIOUS AREA =46.9%
DISTRICT 3 SE S��•�+1' `'ft
`� �Y : .
#BEDROOMS
so `/ L•� S78'56'46"E
DateZonl • , m'uWVMor 41.58
1 191
26' DRIV EASEMENT (PB 2007, - 1027) _
I 46.5
4,514 S.F.
0.10 AC I
o �I o
O W
24.0
D' Pac
Lu 1200 /
19A .`-,1 CFOUNDATIONa I 190
P 1m
Z 240 CO
W
5' MAINTENANCE Jd.9
EASEMENT SETBACK (TYPTYI
41.59'
N 5 29 W
ALEAH COURT
50' PUBLIC R/W
00/09/11 Application#
Harnett County Central Permitting
PO Box 85 Llliington NC 27548
Each section below to be filed out 910 893 7525 Fax 910 893 2793 www harnett orglpermits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match i-b' f-et ,/
Owners Name Call .L,brnxil eS Date �{�%In
Site Address 12. A1trim !-)r I Phone 4IQ.QQ$Se,Sq
Directions to lob site from Lillington 0.04 li/. f.-CY7/(n4-St- •-t'jjr./arra S (S*,I-.
Ij'4/. (I S y2 t 5 . 40 us'!" et: mi.-ton AJJk in .Ilei is crttt
_Latino on I/JILL) Com ph`JI 4o An n0,9-
Subdivision M.vthnu1S .Q.GROW SCr/!Y_ Lot 141
Description of Proposed Work Sete_ #of Bedrooms 3
Heated SF COO Unheated SF Finished Bonus Room/ Crawl Space _Slab X
General Contractor Information
ILAu 1uL 331r. rz-&I0ci
Building Contractors Company Name Telephone
3[X1 -1415rig/AuPSWP7_ i) GIn(yicst) 4rfiki1ze itaL6rf1O1 ry) 5[QM
A dress J eni-I ID Email Address
gcvu
Li
icense
EI i I Con rac or o tion
Description of Work El/car-Er A 1 n514./1 Service Size j.DCD Amps T-Pole✓ Yes_No
W-3 G(Q.550•z i
Electrical Contractors Company Name Telephone
Cle.koon ({rlh drreftl3e1/(drl/Ulu
Address Emaill Abdeas
11i72-1
License#
hlechanicalUHVAC Contractor Information
Description of Work I iti 14At 4 Air
Mechanical Contractors Company Name Telephone
PO ems 5n k.n col g s ut7-t nit_ ll�...a_Lh vC�aulldoY� nwl
Address Emai Address
LtZ-lt
License#
Plumbing' Contractor Information
Description of Work P111rit\01v1g X145-{/E(( Baths
-I hnrinnn DIVIMtitnQQ auu 556 ,43213
Plumbing Contractors Compan j Name Telephone
31(jo4 171hcoviEn. alai ton ?l57D --rtaftbm45fotithAtifiintotireno.. vaL•
Address Email Addresi
(ASK
ZzISZ
License#
Insulation Contractor Information
1)1 ltldaStin4 .4-lov) 4 • 188 •Go
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 Harnett County Zoning Ordinance I state the information on the above
contractors is correct as known tome and that by swum below I have obtained all subcontractors
permission to obtain these permits and if aJr y 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 cu ent fee sched I&_
cus-i2416
Signature of Owner/Contractor er(s)of Corporation Date
Affidavit for Worker's Compensation N C G 3 87-14
The undersigned applicant being the /
_ . _General Contractor _Owner V Officer/Agent of the Contractor or Owner
Do hereb onfirm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work
set fort n 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
Company or Name �140+4L_k))rn u� tvtS
-,f'd-Eo, t� I ��
Sign wiritle4' (/3.K r�JMC. arnlit—el 1Yl24 i"/ 4[2611/
(Date W11
DO NOT REMOVE!
Details: Appointment of Lien Agent
Entry #: 717289 Filed on: 2017
Initially flileedd by:by: wjh2013
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company M BC 191
72 Alen!'Ct
online:wwe ben ,c"ni LiInington,NC 27546 O r• -�
Address:19 w Horgan St Suite sal Raleigh.Ne Hansen County ._.o .
iE
27nei E'ey.rd
Phone:NBS6M1-73 W
Fax:91 uxas231 Property Type Contractors:
Please post bis notice on the lob Site.
Emil:running lionenemm - -2 Famil Dwelling
> Suppliers and Subcontractors:
Sean this Image with your smart phone to
view this filing You can then file a Nome
Owner Information to Lien Agent l'or this project_
WJH,LLC
33(X)Battleground Ave Suite 230
Greensboro, NC 27410
United Stales
Email:uabia6_ZwaJejumeyhnmes.eom
Phone:919-995-5654
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Technical Support Hotline:tH8j 490-7384