DOCUMENTS Initial AppHcaUon Dale: I I Lt I I D Application# 15S 50043 ..O 9
CUP
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillingon,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamsl.olg/permits
"A RECORDED SURVEY MMP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATOR"
LANDOWNER:McKee Homes, LLC mailing Address: 109 Hay Street, Ste 301
City: Fayetteville State:NC zip:28301 causer Na: 9104757100 Email: krivera@mckeehomesnc.com
APPLIeANT.;McKee Homes, LLC mooing Address 109 Hay Street, Ste 301
city: Fayetteville state:NC zip:28301 canted No: 9104757100 Emu; krivera@mckeehomesnc.com
'Please Mout soprani lr/wmaton',different Own endpaver
CONTACT NAME APPLYING IN OFFICE:Kelsey Rivera phone p 9104757100,727
PROPERTY LOCATION:Subdivision: Anderson Creekt� 1_ Lot#:71 Lot size. .19
I
State Road# e1 CI Stale Road Name: 1 t M ri¢J 1 icer 'Or• Map Book B Page: 2015/258/
Pares; 01053524 010037 pale. 0505-834102.000
Zoning:RA-2OR Flood zone: ...r"—
f"- Watershed:lu"t Deed Book 8 Page:3343 /0040 power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
O SFS:(Size 3! x544")#Bedrooms:4#Batlro:2 same wtwo beth):_caa e:X _crewlSpecepleb ,•�
(Is the bonus room finished? yes no w/a closet?�yesn o(If yes add In with#bedrooms)
O Mod:(Size_x )#Bedrooms_#Baths_Basement(wAvo bath)_Garage:_Site Built Deck: On Fame_O#Fame_
(Is the second floor finished?U yes (_)no My other site built additions?(J yes ( I no
❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms:_Garage: (site built?_)Deck: (site built?_)
O Duplex:(Size x_)No.Buildings: No.Bedrooms Per Unit:
O Home Occupation:It Rooms: Use: Hoon of Operation: #Em
ploYees:
U Addition/Accessory/Other(Size x )Use: Closets in addition?(J yes (_)no
Water Supply: X County _ExisBng Well _New Well(#of dwellings using well )'Must haw operable water before final
Sewage Supply:_New Septic Tank(Complete Checklist) _Existing Septic Tank(Compete Checklist) X County Sewer
Does owner of this tract of land.own land that contains a manufactured home within five hundred feet(SUU')of tract listed above?LI yes ( X)no
Does the property contain any easements whether underground or overhead LJ yes IX 1 no
Structures(existing or proposed):Single family dwellings:X Manufactured Homes: Other(spedy):
Required Residential Property Line Setbacks:1 Comments:
Front Minimum Actual 35•d3
Rear ___G_�s::)
Closest Side \`•
SidestreeUco er lot_ _
Nearest Building
on same lot
Residential Land Use Application Page I of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILUNOTON: Nursery Road to Enterance
If permits we granted I agree to conform ban ordinances and laws of the State of North Carolina regulating such work and the sppedRmboos of plans submitted.
I hereby state that foregoing statements we accurate and m rest to time best of my knowledge. Permit subject to revocabon If false Information Is provided.
Kelsey Rivera Dae.2oeoa1y1o00:10 Rivera
1/31/18
Signature of Owner or Owners Agent Date
"'It Is the ownerleppllwMs responsibility to provide Nov county with any applicable IntormeWn about the subject property.Including but not limited
to:boundary Infomhstion,house location,underground or overhead easements,etc.The county or its employees am not responsible for any
Incorrect or miming Inhumation that is contained within prem applications."'
"This application expires S months from the Initial date If permits have not been Issued^
Residential Land Use Application Page 2 of 2 03/11
HOUSE PLAN: WINSTON - CRAFTSMAN W/COk£RED PORCH - LH
R=12
L=22.91'.91'
516.57'03"E
22.89'
S21'19'34"E _
70\ 34.87'
� 1 m
n
ui 71
17,87'
14.0 n
2.3
1N-1-2.3 vi11,7' .
L___J
12.0 •
3 WINSTON
ry . bCRAFTSMAN 0 (�%
�p
CO• b N
^ N
b
N
f-l�_ n i. ' 11.50'
20.0' I 18.3' I
R=275.00'
L=42.00'
516'57'03"E
41.96' 13: -ROP. 5/W
ao� 35 SF
1 34.87'—
S21'19'34"E — —
1.1
TIMBER SKIP DRIVE
(50' R/W)
a�3 /2 gip\ —
t
PLOT PLAN � HE SgRO<';'
inntinnansti L.
09/00/11 Application#
Harnett County Central Permitting
Eachs :M below to be filed cutPOx910 Box te29n4w/hamNC 6
by P N 910 Bal 76RS Fax910 ate t7a1 www hmstl Ora/prmla
Must be wawa'honed
contractor Addrsn company Aooheatron for Residential Buddrna and Trades Peru►
AIM a plume must match
Owners Name McKee Homes, LLC Date 1/31/18
Site Address 479 Timber Skip Drive Phone 9104757100,727
Directions to pb site from Llllinglon Nursery Road to enterance
Subdivision Anderson Creek-Crossing Lot 71
Desmpbon of Proposed Work Sinale Family Home #of Bedrooms 4
Heated SF 2225 Unheated SF 706 Finished Bonus Room'_Crawl Space _Slab X
ar
Ganal Cenrnclar Wenrmalwn
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#
Qroal Contractor Information
Description of Work Single Family Home Service Size 200 Amps T-Pole X Yes_No
J.M. Pope Electric 919-776-58144
Electrical Contractors Company Name Telephone
409 Chatham Street,Sanford, NC 27330 jmpopeelectric@gmail.com
Address Email Address
21326-L
License#
Met:hanleelMVAC Contractor IMamabon
Descnptron of Work Single Family Home
Certified Heating and Air 910-858-0000
Mechanical Contractors Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 certified heatair@ernbargmail.com
Address Email Address
2012 H3-1
License#
Plumbtna Contractor IMermdron
Descnplon of Work Single Family Home #Baths 2.5
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#
Diocletian Contractor Information
Cumberland Insulation 910-484-7118
Insulation Contractors Company Name 8 Address Telephone
'NOTE General Contractor must fill out and sign the second page of Ms 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
Mechamwl codes and the Haran County Zoning Ordinance I state the mformabon on the above
contractors is correct r known to me and that by namna below 1 haw obWnad dl suboonlnafon
oermasaa to ub .arra oarmda and d las changes occur including listed contractors site plan
number of bedrooms budding and trade plans Environmental Health permit changes or proposed use
changes I certify it is my responsibility to nobly the Harsh County Central Permitting Department of
any and all changes
EXPIRED PERMIT FEES--^rB�>Momlu to 2 yeas permit re-issue fee a$150 00 After 2 years re-issue fee
""""'l
Kelsey Breese
Rivera °'r 1/31/2018
Signature of OwnerlContractor/Otbcer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
X General Contractor _Owner _Mier/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) fin(s)or corporations)performing the work
set forth in are permit
_Has three(3)or more employees and has obtaned 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(*)who has then own policy of workers compensation insurance
covenng themselves
_Has no more than two(2)employees and no subcontractors
Wit wodurg on the project for wfich this permit is sought it is understood that the Central Permitting
Department issuing the perm*may require certificates of coverage of workers compensation insurance poor
to issuance of the permit and at any time dunng the permitted work from any person firm or corporation
crying out the work
Company or Name McKee Homes, LLC
KelseyDigitalysigned byKelsey
Sign wlfab oierzoie.msi PreConstruction Coordinator 1131/2018
RI�CIE 10.0354-0500'
Appointment of Lien Agent: Details-LiensNC Lien Service https://apps.liensne.com/scr/appointmentidetails.hnnl?entryNumb_.
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 01/31/2018
Entry #: 791819 Initially filed by: Jbuckwalter
Designated Lien Agent Project Propene Print & Post
First American Title Insurance Company Anderson Ciek-Crossing Lot 71 Hamer County 0" o
479 Timber Skip Drive
omine:www.iienmcem:,ee.�..�s NC
Address:19W..Bergen Sr.,Suite 507/Raleigh,NC O/.
27601
Conlnnton:
Phone:818-690.73* Properte Type Please post this notice on the lob She.
Fn:913-489.5231
Soppliess and Subcontractor:
Entail:.upomalimanc oat w wwwwwm 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.
Omer Information
Pate of First Finicking
McKee Homes LLC
109 Hay Street 02/19/2018
Ste 301
Fayetteville, NC 28301
United States
Email:knvera(Amekechomesncwm
Phone:910-4754100
View Comments(0)
Technical Support Hotline:(888)690-7384
1 of 1 1/31/18, 10:37 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 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 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) 893-2793
Application Number 18-50043309 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 #71
109 HAY ST
STE 301
FAYETTEVILLE NC 28301
(910) 475-7100
-- - Structure Information 000 000 38X64 .4 4BDR 2 . 5BA MONO W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BATHS 2 . 5
# BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH,ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1230200
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 #71
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 18-50043309 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 1230200
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
Oper: 3BROCKCOSiOMERType: CP a Drawer: 1
Date: 2/23/18 52 Receipt no: 262925
Year Number Amount
917492BECH 8 50843389
843389
LILLINOTON, NC 27546
81 BP - PERMIT FEES
SPD $1088.88
al MCKEE HOMES
Tender detail
CP CREDIT CARD $1008.80
Total tendered $1008.80
Total payment $1888.88
Trans date: 2123/18 Time: 12:01:56
xa THANK YOU FOR YOUR PAYMENT as