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Initial Application Date: 1101 V Application* e 5..1_i 4 W / cu# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Llllington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www hameRorg/pennits RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION? LANDOWNER:WYNN CONSTRUCTION, INC. Mailing Address: 2550 CAPITOL DRIVE,SUITE 105 City: CREEDMOOR State:NC Zip:27522 Contact No: 919-258-2430 Email: ttrefftrsalvynnhomes.com APPLICANT':WYNN CONSTRUCTION, INC. Mailing Address:2550 CAPITOL DRIVE, SUITE 105 City: CREEDMOOR State:NC Zip:27522 Contact No: 919-258-2430 Email: RrefRu 'Please fill out applicant information if different men landowner CONTACT NAME APPLYING IN OFFICE:TERI TREFFTZS Phone#919-592-8545 ANDERSON CREEK CROSSING PROPERTY LOCATION:Subdivision: a \! Lot*: (5 0 i Lot szxe. I L Stale Road lJ / State Road Name: E �L b �I) ChiI `+MI✓c— Map Book&Pape: 4b/ pro Parcel:p V ) 03L36A� of oo Q 9 PIN: 030 &7- 7att7, oon Zoning(.jA40 `Flood Zone: )C Watershed:plc\ Deed Book 8 Pageao I30 /317 Power Company`: 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: Monolith* yNf • SFD:(Sizd.r/.'4 x5 6 1*Bedrooms:4#Baths:1.Basement(w/wo bath)':T4 Garage: S Deck:_Crawl Space:_Slab',_Slab:: 4) 1 (la the bonus room finished?Oyes ( )no w/a closet?L1 yes ( 1 no(If yes add in with*bedrooms) ❑ Mod:(Size x I*Bedrooms_#Baths_Basement(w/wo bath) Garage:_Site Built Deck:_ On Frame_Off Frame_ (Is the second floor finished?U yes ( )no My other site built additions?( 1 yes ( 1 no ❑ Manufactured Home: SW_DW TW(Size x )#Bedrooms:_Garage: (site built? )Deck: (site built? ) ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:U Rooms: Use: Hours of Operation: *Employees:_ ❑ AdditionlAccessory/Other.(Size_x )Use: Closets in addition?L1 yes ( I no Wafer 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 hundred feet(5001 of trap listed above?(__)yes (I I no Does the property contain any easements whether underground or overhead( )yes (La no Structures(existing o •po •):Single family dwellings: 1 Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum—lc Actual.46. Rear SJ SQ. Closest Side ./L 0 )?• S SMestreeVeamer IN 6 Nearest Building on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 27 W TO NURSERY RD.,LEFT ON NURSERY THEN LEFT ON RAY RD.,THEN LEFT INTO ANDERSON CREEK If permits are gran-• .•ree to cogfann •all • •loans and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state : faregoi • sta -Merits an a r rate and corred to the best of my knowledge. Permit subject to revocation if false Information is provided. lir- to Signature of Owner•r Owns sAgent Vr "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 a months from the Initial date N permits have not been Issued" Residential Land Use Application Page 2 of 2 03/11 N32°17'32"E 70,00 APPROXIMATE WETLANDS LOCATION V (.105 —�_ L7(S , M J CJI ° ° a $ 15.00 ml 15.33 I2 _ (U NN u® m m 00 NI5.00 C, 2A0 s 4 L fl 2Poo ' �12.so 1104 vi ie.so 12.33 033 0 22.00 2.0 ire q I N0, �I x18.67 A c 0 m 22.33 , 0 � O 1 : ,. O YOtNCAR0'7 0 9 0 ,,4- Ess/A ��• -4 n * •A y "9 % SEAL r . y91,4,a ��C) co ct N32°17'32"E p,if i.UC kRk9; 7 ,00 "'m9nn11g1111 ,1, 4 fa EDUCATI ❑ N DRIVE 121/2_//-7 ( 50 ' R / W ) flU IW WAS flCPA16O nal RECORDED DATA,AS IRm.M01 MN 011CR SOUP=PROVISO SY NE MOS TM IS A RT SITE R. 101174E0M1 EY FM MIIOG 04:(OAND MO II O VADAT NWKWMR A LANKY IMIt IT THU=PM,. NM MM IS NOT • NIFMEO Flat PECaMif I.01KYMAYQ.OP SPAM Charlie T. Carpenter, P.L. S. PRELIMINARY SITE PLAN FOPo em / Professional Land Surveyor WYNN C❑NSTRUCTI❑N l.J 1940 Juniper Church Road Ti__ 0505-87-8237.000 J ' I Four Oaks, NC 27524 PARCEL IO 01053525 0100 49 C LOT 1105 ANDERSON CREEK CLUB S/D (919) 320-5281 PB 2017 PG 327 37 EDUCATION DRIVE plschuck300yahoo.com 12/12/17 SPRING LAKE. NC 28390 I'=30' 09/09111 Application# Harnett County Central Permitting Each ssehm below to he NNW outFax 810 893 2793 www lumen mg/pannPC Box 85 Ltlhnplon NC 27548 M whomever o work 910 893mg/panne' Must be owner or Iicensad innbamler Address O0mpany Application for Residential Building and Trades Permit name&phone must match ,,,, / Owners Name WYNN CONSTRUCTION INC Date �a�;'9/ /7 See Address c�, 7 ( A.4.0i. IQ-, ti ;ON i fkl I-ARf I{L' Phone q 1 q-c�J JS. -Q21/,30 Directions to Job site from Llllington 27W TO NURSERY R ., LEFT ON NURSERY, LEFT ON RAY, LEFT INTO ANDERSON CREEK Subdivision A AI e,So 'mak - i PAmilytL4 Lot I Qui � Description of Proposed Work NEW CONSTRUCTION, SFD/ #of Bedrooms e Heated SF p?g 7) Unheated SF S o $ Finished Bonus Room') V-&S Crawl Space _SlabX SuLtr General Contractor Information �� WYNN CONSTRUCTION, INC. 919-25-258-2430 Building Contractors Company Name Telephone 2550 CAPITOL DR., STE. 105, CRFEDMOOR NC 27522 ttrefftzs©wynnhomes.com Address Email Address 46295 License# Electrical Contractor Information Description of Work NEW CONSTRUCTION Service Size 200 Amps T-Pole✓Yes_No BUFORD ELECTRIC 910-723-1937 Electrical Contractors Company Name Telephone 948 PAN DRIVE, HOPE MILLS, NC 28348 bufordelectricagmail.com Address Email Address 31424-U License# Mechanical/HVAC Contractor Information Description of Work NEW CONSTRUCTION CERTIFIED HEAT AND AIR 910-858-0000 Mechanical Contractor s Company Name Telephone 779 SUNSET LAKE RD., LUMBER BRIDGE, NC 28357 Address Email Address NC 200212 H3 CLASS 1 --License# Plumbous Contractor Information Description of Work NEW CONSTRUCTION #Baths THORNTON'S PLUMBING 919-550-4833 Plumbing Contractor s Company Name Telephone 3160=A OMAR RD., CLAYTON, NC Address Email Address 22152 License# Insulation Contractor Information TATUM INSULATION 919-661-0999 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 to me and that Qv aianina below I have obtained all subcontractors permission to obtain these osrmit%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 r cu fe s ule AJ /r�/�" Signature Coni/Contra I trans)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 penury 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 J 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 pnor 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 WY ' $ONS(RUCTION, INC. @ / Sign w/Ti , �idUliilrra. CONSTRUCTION, COORD. Date /a/a- // ?O r7 • LIEN AGENT INFORMATION Effective April 1,2013 In accordance with North Carolina General Assembly Session Law 2012-158, Inspection Departments are not allowed to issue any permit where the project cost is $30,000 or more unless the application is for improvements to an existing dwelling that the applicant uses as a residence OR the property owner has designated a lien agent and provided the inspections office with the information below: Name of Lien Agent TITLE INSURANCE COMPANY Mailing address of Agent 19 W. HARGETT STREET, SUITE 507 RALEIGH, NC 27601 Physical address of Agent 19 W. HARGETT STREET, SUITE 507 RALEIGH, NC 27601 Telephone 888-690-7384 Fax 913-4859-5231 Email support Cpliensnc.com The information will be attached to the permit record and a copy provided to the applicant. The applicant is required to post a copy on the construction site. Excerpt from North Carolina G.S. 160A-417: "(Effective April 1,2013)No permit shall be issued pursuant to subdivision(I)of subsection(a) of this section where the cost of the work is thirty thousand dollars($30,000)or more, other than for improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that the applicant uses as a residence,unless the name,physical and mailing address;telephone number, facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to G.S.44A-11.1(a)is conspicuously set forth in the permit or in an attachment thereto.The building permit may contain the lien agents electronic mail address.The lien agent information for each permit issued pursuant to this subsection shall be maintained by the inspection department in the same manner and in the same location in which it maintains its record of building permits issued." www.liensnc.com Appointment of Lien Agent:Details-LiensNC Lien Service https://apps.liensne.com/scr/appoinpnent/detaits.html?entryNumber—.., DO NOT REMOVE! Details: Appointment of Lien Agent Fll.a on: 12/15/2017 Entry it: 770885 Initially filed by: wynnhomee Designated Llan Agent Protect Property Print 8 Post Nnelon Ttleimumoce Company [internam bond subdivision lot 1105 n..',Ne bWnnliondr. [c-If •_.1 Odbu wwlinmanwwn..ry spring Ina,NC 22190 �,i?', ACNun 19 W..Horsey W.,SJNSp'1IRnitwit NC lumen County n?i )13, 27611 I PPm:PPP.690.)SN Coa : Please se ppostoet this notice on lh Job Site. ran 913-4e9.523I Property Type I SuppWn eel Subconlntlon: Intl,.-ec.:nthatr at Scan thin image with Your smut phone to view this Wing.You to then file a Notice _. I 1.2 Peony Dwelling to Lien Agent for We project. Owner Information hymn homes 2550 capital dr {' Creedmoor, NC 2)522 - it United Steles Email:nuwy(@wynnhomt.com Phone:919529-1347 View Comment(0) Technical Support Hotline:(Bag)690-7384 • • I oft 12/15/2017, 10:03 AM