DOCUMENTS Initial Application Date:a 1 I' I I n Application N ¶ 3) o
CUP
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street.Llllington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)803-2793 www.hamettorg/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)6 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:McKee Homes, LLC Malang Address; 109 Hay Street, Ste 301
City: Fayetteville State:NC hp:28301 contact No: 9104757100 Email: krivera@mckeehomesnc.com
APPLICANT:McKee Homes, LLC Mailing Address: 109 Hay Street, Ste 301
City: Fayetteville yysre.NC 214.28301 contact No: 9104757100 Emit krivera@nickeehomesnc.com
'Plum Mout applicant Information If different ecus widower
CONTACT NAME APPLYING IN OFFICE:Kelsey Rivera phone#9104757100,727
PROPERTY LOCATD ,ION:Subdivision'. AndersonCreek 1 Lot#:1021 Lot Size, .32
`4
State Road# 1State Road Name: r1/4-.1—/ht a,3 C3 Oj C.t C+ Mop Book 8 Page: 20161362
Deme, 01053523 0100 566 /� PIN: 0505-88-2342.000
Zoning:RA-20R Flood Zone: % Watershed:N CL Deed Book S Page:3495 /0468 power company:
'New structures Mth Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
O SFD:(Size 42 z 77 t*Bedrooms:3 #Baths:3 --aemen4w/w0 bath): Gare[e?Hick: Crawl Spacelab la.
151
(Is the bonus room finished?ig yes Ino w/a closet? ✓ yes no(If yes add In with*bedrooms)
❑ Mod:(Size x_)f Bedrooms U Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?(_)yes (J no My other site built addtbns?(J yes (J no
O Manufactured Home:_SW_DW_TW(Size x )#Bedrooms:_Garage:_(site built?_)Deck: (she built?_)
U Duplex:(Size_x_)No.Buildings: No.Bedrooms Per Unit:
U Home Occupation:I Rooms: Use: Hours of Operation: #Employees:
O AddltioNAccessory/Other:(Size x )Use: Closets In addition?(_)yes ( )no
Water Supply: X County _Existing Well _New Well(#of dwellings using well_)'Must Mw operable water before final
Sewage Supply:_New Septic Tank(Complete Checklist Existing Septic Tank(Complete Checklist) X County Sewer
Dots owner of this tract of land.own land that contains a manufactured home within live hundred feet(500)of tract listed above?(—)yes ( X)no
Does the property onntaln any easements whether underground or overhead(J yet (X )no
Structures(existing or proposed):Single family dwellings:X Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:: Comments:,
Front Minimum Actual 3S•`�
Rear C T
Closest Side
Sldeateeticorner lot
Nearest Building
on same lot
Residential Land Use Application Page I of 2 03111
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILUNGTON: Nursery Road to Erlterance
If psnita are granted I agree to conform to all ordinances and laws of the Stale 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 subbed to revocation N false information Is provided.
Kelsey Rivera Date:2Osigned
a 1°b Kelsey 1/30/18
Signature of Owner or Owners Agent Oat.
"1t M the owneriapplicants responlbilNy 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 Ib employees are not responsible for any
Incorrect or missing Information that Is contained within these applications."
"This application expires a month from the Initial date H penults have not been Issued"
•
Residential Land Use Application Page 2 of 2 03111
F-
HOUSE PLAN: TOR/NO W/SYTANG ROOM-RH /
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PROP. S/W (.61 o0 R=145.00'
40 SF in arco L=41.71'
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41.57'
5' UTILITY
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09/09111 Application#
Harnett County Central Permuting
Ldlington NC 27548
Each mhos Slaw b beats!out 010 809 7525 Fax 010803 2703 www Mmslt are/pe mts
VAIOMIPtif Ramming wart
Must bswnrar lwamad
condor Address oornsaro Application for Residential Building and Trades Permit
rima a phone must nwtd
Owners Name McKee Homes, LLC Date 1/30/18
Site Address 143 Glenwood Court Phone 9104757100,727
Dr ectlons to Job site from Lillington Nursery Road to enterance
Subdivision Anderson Creek-Carriage Glen Lot 1021
Description of Proposed Work Sinale Family Home #oteedrooms 3
Heated SF 2756 Unheated SF 1042 Finished Bonus Rooms_Crawl Space _Slab X
Geserel ContnelorInformRan
GML Development, Inc 910-475-7100,727
Building Contractors Company Name Telephone
109 Hay Street, Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
63970
License#
• Magian
Description of Work single Family Home Service SIZe 200 Amps T-Pole X Yea_No
J.M. Pope Electric 919-776-58144
Electrical Contractors Company Name Telephone
409 Chatham Street, Sanford, NC 27330 jmpopeeleclnc@gmail.com
Address Email Address
21326-L
License#
MeshanrralwyAC Contractor dnformabon
Description of work Single Family Home
Certified Heating and Air 910-858-0000
Mechanical Contractora Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 certified heatair@embargmail.com
Address Email Address
2012 H3-1
License#
Plumbrno Contractor Irrformatron
Description of Work Single Family Home #Baths 3
Dell Haire Plumbing 910-818-4863
Plumbing Contractors Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License#
Insulation Contractor Infonnaltoq
Cumberland Insulation 910-484-7118
Insula on 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 applaabon is coned
and that-the construction will conform to the regulations in the Building Electncal Plumbing and
Mechanical codes and the Smelt County Zoning Ordinance I state the mfonnabon on the above
contractors is correct as known to me and that by aanrna below I have obfemad ell suheentraofors
permission to obtain these Denny and if spy 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 Horned County Central Permitteg Department of
any and all changes
EXPIRED PERMIT FEES-a Months to 2 years permit re-issue fee is S150 00 Atter 2 years re-issue fee
is as per current fee schedule
Kelsey Rivera Date:20180113012110:47 05'080 1/30/18
Signature of Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensabon N C G 8 87-14
The undersigned applicant being the
X General Contractor _Owner _Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of penury that the person(s) firm(s)or corporatoMs)performing the work
set forth in the permit
_Has three(3)or mare 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
X Has one(1)or more subcontractors(s)who has thew own policy of workers compensation insurance
coven®themselves
_Has no more than two(2)employees and no subcontractors
White working on the project for which this permit is sought it a understood that the Central Permitting
Department issuing the permit may require cwMoates of coverage of workers compensation insurance poor
to issuance of the permit and at any time dump the permitted work from any person firm or corporation
carrying out the work
Company orName McKee Homes, LLC
Sign wrr" Kelsey Rivera °p,.°I=°'1_'1°36 "' PreConstruction Coordinator ot 1/30/18
Appointment of Lien Agent: Details-LiensNC Lien Service https://appsliensnc.com/scr/appointmentldetails.html?entryNumb...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed an: 01/30/2018
Entry #: 791179 Initially flied by: Jbuckwalter
Designated Lien Agent Project Propertg Print & Post
First American Title Insurance Company Anderson Creek-Carriage Glen Lot 1021 Harnett OR .El
County 143 Glenwood Coon
OWinc wwwbenne corn ur--a NC •
Address:19W'.Huger SL Suite 507/Raleigh,NC E} • t
27601
Contractors:
Phone:888-690-7384 Prapertg Tgpe Please post this notice on the Job Site.
En:913_489-5231 Suppliers and Sibcantncton:
Emma:suoomglien%corn Scan this image with your smart phone to
1-2 Family Dwelling view this filing You can then file a Notice
to Lien Agent for this project.
Owner Information
Date of First Furnishing
McKee Homes,LLC 02112/2018
109 Hay Street
Suite 301
Fayetteville, NC 28301
United States
Email:krivera@mckeehomesnc cam
Phone.910-475-7100
View Continents(0)
Technical Support Hotline:(888)690-7384
1 of 1 1/30/18,11:42 AM
•
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 First American Title Insurance Company
Mailing address of Agent 19 W. Hargett St, Ste 507
Ralerigh, NC 27601
Physical address of Agent Same as above
Telephone 888-690-7384 Fax 913-489-5231
Email support@liensnc.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 I,2013)No permit shall be issued pursuant to subdivision(1)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 agent's 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
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 693-2793
Application Number 18-50043310 Date 2/23/18
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning UNZONED
Owner Contractor
MCKEE HOMES LLC GML DEVELOPMENT INC
109 HAY ST 5112 PINE BIRCH DRIVE
STE 301 RALEIGH NC 27606
FAYETTEVILLE NC 28301 (919) 793-5237
(910) 475-7100
Applicant
MCKEE HOMES LLC #1021
109 HAY ST
STE 301
FAYETTEVILLE NC 28301
(910) 475-7100
--- Structure Information 000 000 42X77 3BDR 3BA MONO W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BATHS 3
# BEDROOMS 3000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1230226
Issue Date . . . 2/23/18 Valuation . . . . 0
Expiration Date . 2/23/19
Special Notes and Comments
T/S: 02/14/2018 11 :28 AM JBROCK ----
ANDERSON CREEK #1021
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 18-50043310 Date 2/23/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning UNZONED
Permit BLDG,MECH,ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1230226
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION _/_/
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE
20 104 B104 R*FOUND & SETBACK VERIF SURVEY
30-999 309 P309 R*PLUMB UNDER SLAB
30-999 205 E205 R*ELEC UNDER SLAB
40-50 129 I129 R*INSULATION INSPECTION
40-60 425 R425 FOUR TRADE ROUGH IN
40-60 125 R125 ONE TRADE ROUGH IN
40-60 325 R325 THREE TRADE ROUGH IN
40-60 225 R225 TWO TRADE ROUGH IN / /
50-60 429 R429 FOUR TRADE FINAL / /
50-60 131 R131 ONE TRADE FINAL / /
50-60 329 R329 THREE TRADE FINAL
50-60 229 R229 TWO TRADE FINAL
50-60 209 E209 R*ELEC TEMP POWER CERT / /
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT Baa
I Oper: JBROCK Type: CP Drawer: 1
Date: 2/23/18 52 Receipt no: 262927
Year Number Amount
2818 50843310
91749 TECH 2
LILLINGTON, NC 27546
B1 BP - PERMIT FEES
SED $1105.08
MCKEE HOMES
Tender detail
CP CREDIT CARD $1105.08
total tendered $1105.08
Total payment $1185.08
Trans date: 2/23/18 Time: 12:02:33
as THANK YOU FOR YOUR PAYMENT **