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Initial Application Date:3} L I\ Application# 1 T r`—' ` 3"' CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 exf 2 Fax:(910)893-2793 www.hamett.orglpermits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE}&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER'. Comfort Homes, Inc. Mailing Address:P 0 Box 369 City: Clayton State,NC Zip.27528 Contact No: 919 553 3242 Email: comfrthomes@aol.com APPLICANT': Comfort Homes, Inc. Mailing Address:P 0 Box 369 City: Clayton grate.NC Zip.,27528 Contact No: 919 553 3242 Email. comfrthomes@aol.com 'Please fill out applicant information it afferent than landowner CONTACT NAME APPLYING IN OFFICE: Julian Stewart Phone#919 422 1481 PROPERTY LOCATION:Subdivision: Oxford Woods Lot#:27 Lot Size:.737 acre State Road#1006 State Road Name: Old Stage Road N Map Book&Pagr?0J i 1I H / 040692 0017 460682-99-158a000 0682-99-1582.000 Parcel: RA-30 � VDuke Progress Energy Zoning: Flood Zane. �, Watershed: Deed Book&Page3�7� Power Cam any' gEnergy to03356522 from ProgressEnergy. 'New structures with Progress as service provider needsupply premise number PROPOSED USE: Monolithic 4 SKI:(Size 72 x 36' )#Bedrooms:3#Baths:2 Basement(wNm bath):_Garage: ✓ Deck: I Crawl Space: ✓ Slab:_Stab:_ (Is the bonus room finished?( 1 yes (f)no wl a closet?U yes (jj no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath)_Garage:_Site Built Deck: On Frame_Off Frame_ (Is the second floor finished?U yes U no Any other site built additions?(_J yes ( 1 no ❑ Manufactured Home: SW_DWTLN(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? ) ❑ Duplex:(Size x 1 No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: El Addition/Accessory/Other(Size x 1 Use: Closets in addition?(_J yes ( 1 no Water Supply: 1 County Existing Well New Well(#of oWelUngs 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(500')of tract listed above?( )yes (✓1 no Does the property contain any easements whether underground or overhead(I)yes ( )no Structures(existing or proposed):Single family dwellings:proposed Manufactured Homes: Other(specify)'. Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual 65' Rear 25' 140' Closest Side 10 11' Sidestreevcorner lot n/a Nearest Building n/a on same lot 03/i t Residential Land Use Application Page 1 of 2 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC 210 N', right on Benson Road; right on Old Stage; subdivision on right If permits are grant I agree to conform to all ordi ances and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that for ateme are accurat od torr ot to the best of my knowledge. Permit subject to revocation if false information is provided. � g 2/28/18 Signature M Owner or gent t Date "9t 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 S months from the initial date if permits have not been issued" Residential t and Use Rppllcnlion Page 2 of 2 03/11 O Lc) .. a co U] Cn 15" d ' f'i i 04 N 0 k3 aw Fz s" o Z 0 \ o w � a o3 ,' ..- 0 I " 0 '`� ZZEO0 S3 AD 4 A C � El CM.a 5 ca r\\ - mo wx \ 0. 0/ \ ooaz El % / .1ra 3ww OO <4 h / / \ wam 8. N aO W O N % \.'b '9 o " m " W $L1" Ud � z \ ,/ pFf F � , ofi / � w a • o 4 // Pi* \ ..a i ol re P:1 ' e#4 " \` w 5\ 0 5 c NUen \'a °�o '� � •••V) i // Nn 0 La •5 eb 0 \ �� • fpfq1I1 /� p ilpp540 ` \ \ O• W % I, y o 01 tp$ �` f OAe Vcrt- \ \ aft` ` $ `. <% \ \ i . -' e°ee .eis.99z — • ,S'e, ,� \�.\ 3.0s 3 Gbt,�` 470111111‘"------_________, O, ai m m oe dye, .f0 9a.arse- �� I m ? L m I U t m F 'ME-''2, U z PIAT NORM 1 W W © \ 0''''"; c USW ADOPTED MAP NUMBER 2008-214 & 215 \\ Z <5 a b \ p .tal Lo O q W V Co N. r co La `5-x, W 0.a LI II E`.�' C-aF >'n 12Ca 0 1-4 C.) 0" -5 U 'WL - W LJ C LO a 0 < 2 NW J V JAW 6; t O H}h n IeT cu Ud NQd- GFS La W W 3 W I F --e nn en 0 ci N WOj~O 0 urn N = O ce ¢apo 0 O i h O a t4 1 1 c4 W O p,Nnrnr rrTiyr (n I 6 0 W 1- p F e rr ,' _ m 0 w1. rau C e" 4 R _e4`,,�� ' iS ..Lj pi rU m Z (4 W y 2 Y J�theCtSi c L dNPhOK GY W N F222 f `l U a U ^m ON� m- m o Hqa M ;E 4gy! I J ...�•3��+ Z J N...-.r1a O O G w No q 4 414!3 ~ d Com.+ N� W K 0 9p OwC M qi (� . 1 1 ._ o N,, w 6 ,r_ . . NAME:at.st.& \ c Q. APPLICATION#: *This application to be ftllei out when applying for a septic system inspection.* - County Health Department Application for Improvement Permit and/or Authorization to Construct IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED.THEN THE IMPROVEMENT PERMIT OR AUTHORIZ.ATTON TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration depending upon documentation submitted. (Complete site pan=60 months:Complete plat=without expiration) 910-893-7525 option 1 CONFIRMATION# Environmental Health New Septic SystemCode 800 • All property irons must be made visible. Place 'pink property flags" on each corner iron of lot. All property lines must be clearly flagged approtimately every 50 feet between corners. • Place"orange house corner flags"at each corner of the proposed structure. Also flag driveways, garages, decks, out buildings, swimming pools, etc. Place flags per site plan developed aVfor Central Permitting. • Place orange Environmental Health card in location that is easily viewed from road to assist in locating property. • If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property. • All lots to be addressed within 10 business days after confirmation.$25.00 return trip fee may be incurred for failure to uncover outlet lid. mark house corners and property lines. etc. once lot confirmed ready. • After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code 800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note confirmation number given at end of recoriinq for proof of reauest. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. Environmental Health Existing Tank Inspections Code BOO • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if possible) and then put lid back in place. ;Unless inspection is for a septic tank in a mobile home park) • DO NOT LEAVE LIDS OFF OF SEPTIC TANK: • After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to hear results.Once approved, proceed to Central Permitting for remaining permits. SEPTIC If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference. must choose one. 1J Accepted 1I Innovative (_Y) Conventional I__{ Any II Alternative (_I Other The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer is"yes', applicant MUST.ATTACH SUPPORTING DOCUMENTATION: 1_}YES 1_1 NO Does the site contain any Jurisdictional Wetlands? WNr\cc\t _n IIYES I1•I NO Do you plan to have an i�•a:ion system now or in the future? {_IVES (XI NO Does or will the building contain any rr ?Please explain. I—IVES Ix�I NO Are there any existing wells.springs. waterlines or Wastewater Systems on this property? J 1YES 1` /Y NO Is any wastewater going to be generated on the site other than domestic sewage? {YES (.) NO Is the site subject to approval by any other Public Agency? 1 YES (_I NO Are there arty Easements or Right of Ways on this property? 1—I YES 1.4.1 NO Does the site contain any exisring water,cable,phone or underground electric lines Ca. (- Q- S�ecE.! e•�.� Oc ..say If yes please call No Cuts at 00-632-4949Eto locate the lines. This is a free service. 0 I Hale Read This Application And Certify That The Information Provided Herein Is True,Complete And Correct. Authorized County And State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making s le So Tha A o plete Si Evaluation Can Be Performed. PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10!10 09,09111 Application# Ham+,ill County Central Permitting Earn section below lo be Mled ofP D Boa 55 Ullinglon NC 27546 by*Moran pedpnn�9 work 910 BBO 7525 Fitz 910 993 2793 wow Mined op/permits Must be owner or licensed fonb'cor Address company Application for Residential Building and Trades Perm none&phone must math H Owners Name �.\�� \ " a , n Date OL-a Site Address ClS C\a -, , / t, assn\ PhonA\4-Ss3-fa4� Directions to job site from Lilbnglon V _ 'AAP ��a� , ia•SCS--se>n �� A' Oce t::11\ .. yc4Qe ' (-4.s.\C c6'.moi:Ca\ On C�.O�t Subdivision Uh-c0<an'� ( Lot a°l Descnption of Proposed WorkCooSAcy��'�OS S\co\e � i c n i6tt.��#of rooms Heated SF `�rwl)fl Unheated SF 'i Finished Bonus Room'?V\O Crawl Span Slab Genal3l Contractor Information n fie_ CIA-St S'eaya Building Contractors Companx Name Telephone S\aP\ �-a\ C 2)cj Cmc\`cocC\en P ao\.e�c� Address Email Address SS\%y License# Electnpsl Contractor Information Description of Work N i 'a. a iCtcxxt1hs-ti. Service Size 1y00 Amps T-Pole Yes No S.3.a.K.eC clend I:\\C\- CCS - OS set Electrical Contractors Company Name Telephone Address SeSsi.(,. C. Email Address a1St.o License# Mechanical IHVAC Contractor Information Desalpbon of Work. ;& \<.oc.>. . \Cr eC Jac �ti�:ot\ ( Mechanics Contractors Company Name Telephone n, S\: c \ icctZ' r, w 4«est az)Sa9 Address Emad Address License# Plumbinc Contractor Information Description of Work `4t \x---t 0,-XS, #Baths ta- \� \\� scomp q\- q3C\-\S99 Plumbing Contractortors Company me Telephone S Address - -sa OEma,l Address LO�s a License# Insulation Contractor Information a Z - S\<S 0.a C c Insulation Contractors Company Name a Address mac teal Telephone Q---)S-as 'NOTE General Contractor must fill out and sign the second page of this application Iand that-the will conform hereby certify that I have the authority to make necessary application that the application is correct o Me regu Mechanical codes construction and the Harnett Counts Zoning Iations Ord nanceinthe I sate the infuinglorma on onlhenabove contractors is correct as known to me and that by signora below I have obtained all_ obtaintheseubconacto ermits and if ay 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 _a Signature of Owner/Contracto Ofticer(s of Corporation Date Affidavit for Worker's Compensation NC G $ 87-14 The undersigned applicant being the General Contractor Owner Officer/Agent of the Contractor or Owner Do hereby confirm under penalties of perjury hat the person(s)rfvm(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 perm!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 Name J\: Sl Sign wRitle.— .p '�.,__�_!�L C4� ••-• Date _ p l_I_ • r Appointment of Lien Agent: Details-LiensNC Lien Service https://apps.liensnc.com/scr/appointment/details.html?entryNumber—... DO NOT REMOVE! Details: Appointment of Lien Agent Filed on: 02/14/2018 Entry #: 799995 Initially filed by: ComfortHomes Designated Lien Agent Project Property Print & Post WFG National Title Insurance Company Oxford Woods lot !�.- !:1 75 CLARENDON COURT _ } Online www liensncCom.a....s...d ANGIER,NC 27501 'r � Address 19W Hargett St.Suite so7/Raleigh,NC I lemon County 9 +nom 960t Contretlon: Phone:S8gs690-73g4 Please post this notice on the lob Site. Fla:9ra89-523t Property Type supplier and Subcontractors: Gehl:wppevittlnnanccorn.w..r..,v„, Scan this image with your smart phone to view this tiling You can then Me a Notice 1-2 Family Dwelling to Lien Agent for this project Owner Information Comfort Homes,Inc. P 0 Box 369 Clayton, NC 27528 United States Email'.comfrrthames@aol corn Phone 919.553-3242 View Comments(0) technical Support Hotline:(888)690-7384 I of I 2/14/2018,2:05 PM NARNETT COUNTY CASH RECEIPTS ama CUSTOMER RECEIPT a** Date:Open IMOD(3/86/18 52 RecCP Drawer: Receipt e 277275 Year Humber Amount 2018 58843467 75 CLARENDON CT ANGIER, NC 27501 B4 BP - ENV HEALTH FEESS75B.BB NEW TANK COMFORT HOME INC Tender detail CK CHECK PAPIER 38811 $758.08 Total tendered $750.88 Total payment Trans date: 3/86/18 Time: 13:15:28 ** THANK YOU FOR YOUR PAYMENT as