DOCUMENTS SInitial Application Date: 3I LP I Y D Application# i O5C l 4_v ll/
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnetl.org/permits
"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 O Box 369
City: State:State:NC Zip.27528 Contact No: 919 553 3242 Email: comfrthomes@aol.com
APPLICANT:Comfort Homes, Inc. Mailing Address:
P O Box 369
City: Clayton Smote.NC Zip:27528 Contact No- 919 553 3242 Email: comfrthomes@aol.com
`Please rut out applicant information n aMerent Nen landowner
CONTACT NAME APPLYING IN OFFICE:Julian Stewart Phone#919 422 1481
PROPERTY LOCATION:Subdivision'. Oxford Woods Lot*:29 Lot Size: 825 acre
State Road#1006 State Road Name: Old Stage Road N Map Book 8 PageG(Ta 1/ n4
Parcel: 040692 0017 48 PIN: 0682-99-2274.000
RA-30 :' 57(� Duke Progress Energy
Zoning: Flood Zone: A Watershed:IV Deed BookB Page. I Power Company':
64157305 from Progress Energy.
structures with Progress Energy as service provider need to supply premise number 9
PROPOSED USE:
54' 525' 3 2 ✓ : ✓ : ✓ Slab:litmc
♦4 SFD:(Size x - )#Bedrooms._#Baths._Basement(w/moo bath)'._Garage._Deck._Crawl Space._Slab'._
(Is the bonus room finished?( )yes (✓)no wi a closet?U yes (Li no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?(J yes ( )no My other site built additions?(i yes ( )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:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other:(Size x_ 1 Use- Closets in addition?( 1 yes ( )no
Water Supply: I County Existing Well New Well(#of dwellings using well )'Must have operable wafer 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 (I)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 51'
Rear 25' 160'
Closest Side 10 11
Sidestreeticorner lot n/a
Nearest Building n/a
on same lot
Residential Land Use Application Page 1 of 2 03111
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC 210 N; right on Benson Road'; fight on Old Stage;subdivisi00 on right
If peri ranted I agree to conform to al rdinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby oing rents a tea correct to the best of my knowledge. Permit subject to revocation if false information is provided.
-i ` 2/28/18
Signature of Owner or Owner's Agent 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 Land Use Application Page 2 of 2 03/11
X —-- Al A»� z A1„69,99.90 z
o \ k / k _ . \ea. » \�
00c0 - - -
um — — - -
7
~ ( k § \ I ; ) / kco
j \� m = � / ;
M ) ( 07 7G
> � / 2 � U
au -cc\ \ � � � 3 . \ � � \
*% ` / An)
§ � a / !
\\ \ I / � e � k ) \ \ t
/ / ,
CCi ;t ; » a
a> \ / + � §�>
�� d `
� ` :LD: U
w _�! '°"
0 - ^ ~al iD ` �3
0 \ \ \
CC rol m _10
\ e / . al- i-cru
§ cq L. Lao a.ruc
4. 0I o Plaaa0;z
j � � ` \/\\ _ — \\ G /
CO 0 Li ADOPTED MAP NUMBER 2008-214 It 215 s
6 CO cu
—I Cr
K \ .
\{ en E ; 4 § •
! a /{ !
� � i§ Ca— ( Q ` tic/5' § � \
CD ! , � ~ 1
}\ =y ( \ \ § .4.-4 f ) \
N.ANtE:, �ek'S\ \c\Q._ APPLICATION#:
*This application to be filled 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 AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
depending upon documentation submitted. (Complete site pian=60 months:Complete plat=without expiation)
910-893-7525 option I CONFIRMATION M
'4„ 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 at/for 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 maybe 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 recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
Environmental Health Existing Tank Inspections Code 800
• 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.
1—I Accepted I_I Innovative I.4r Conventional 1-1 Any
I ) Alternative I-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:
LIVES 1I NO Does the site contain any Jurisdictional Wetlands? •\Nero—w 'The\
I_IYES III NO Do you plan to have an i�garion system now or in the future?
I_IYES 1)(I NO Does or will the building contain any drains?Please explain.
I—IVES IX I NO Are there any existing wells.•springs.waterlines or Wastewater Systems on this property?
I_I YES tirj NO Is any wastewater going to be generated on the site other than domestic sewage?
IYES IbJ NO Is the site subject to approval by any other Public Agency?
l i YES 1_1 NO Are there any Easements or Right of Ways on this property?
I_I YES ("14 NO Does the site contain any existing water,cable.phone or underground electric lines?'"ogNv'S.@ S\ee.C4 e:�Ns
roc .,.aa.�
If yes please call No Cuts at 500-632-1949 to locate the lines. This is a free service.
I Have Read This Application And Certify That The Information Provided Herein Is True.Complete And Correct. Authorized County And
Stare 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
*�>�e�esstbl That
.4oe\mV to Sii�te E a luMion Can Be Performed,
-
PROPERTY OWNS GROW RS EG�RESENTATIVE SIGNATURE(REQUIRED) DATE `�
10/10
oeroaii
Application#
Harnett County Central Permitting
Ewe mew babes b be Mad outPD Bos 85 Ullepton NC 27548
by whomever p&oarng work 910 592 7525 Fla 910 893 2193 www Mrnen apryoimM
Meat be Owes Or licensed
contractor Address company Application for R td
none 8 phone must match $;i danttal Building and Trades Parm --��((��
Demers Name
l`a1[a\'Q Date "a'cy(S-\g
y
site Address I. C\Cu•o RhoneQ\q-Ss"N-3 a11�
Directions to Job site from Lillinglon C _ a\tl N Q��t�� Q����S���•
Subdmslon �( Loh q
Descnplon of Proposed WorkQSAS\e‘h,Oeh-, D� S.XkQC,aat.;\"�pof oms
\�
Heated SFI'LT Unheated SF S'3\ Finished Bonus Rooms__O Crawl Space *Slab
lul(\ �\^ � NIX\Q„
&Contractor Information
Building"_ Contractor s Compan Nafie C OA-St S �
TelephoneILA
•41 a t>s\ ts-. 4oA.C.00n
Address Email Address
License#
Electn(Byl Contractor Information
Description of Work ti '.n -I•�',sqO.S.i Service Size cnli Amps T-Pole Yes No
cl\e -qts - OS R9
Electrical Contractors Company Name Telephone
am Q.(�
Address SQ\@t`0. C-. Email Address
aa�ac a-)SiLiv
License*
Machanicgl(1IVAC Contractor Information
Description of War�kOCy.. \c qA
eon \ eC�i- J2hCk\q\. f3 aacs
\ip(k
Mechanics
Contractors Company Name J Telephone
Address ' Ems Address
%\D1/4-\ \
License#
Plumbing Contractor Information ��''�\\
Description of Works-... \. \C;m t w #Baths CD"
\i.\NSL\--t;\ A&•\11;‘‘ Q\S- q3`t-\3'14
CPlumbing Contractor s Company me Telephone
Pl
ISS \`^�WL�:\\0.c Ga• ,
Address a °Email Address
License#
'�^ \ Insulat, in Contractor Information
S\fk b\ l)Tv f `St�- \QE\ D\-"��yr.�.�/.\y1(�
.1
Insulation Contractors Company Name Si Address Telephone
'a�saq
'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 Count) Zoning Ordinance I state the information on the above
contractors is correct as known to me and that by sianina below I have obtained
all subcontracto
germ ssion to obtain these oer t gut and if achanges 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
_'
Signature of Owner/Contrraacta'Officer(s of Corporation Date
ate
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
.__General Contractor Owner
_.,L�Ofticer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjviry{riat 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
__X_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 permC 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 _ ���� ` •••• •)„
Sign w/I7tle- 9 \�C\ -' f�
Date :-\
•
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: 02/14/201B
Entry #: 799997 Initially flied by: ComfortHomes
Designated Lien Agent Project Property Print & Post
WFG National Title Insurance Company Oxford Woods lot 29 lal.,r1:1
72 CLARENDON COURT .. _
Online:www.hmw
ane ore._.....,.... ANGIER,NC 27501 p'loris- l
Adams:l 9W Hargett St Suie 507/Raleigh a,t.j'NC }Tamen County n
37601 Co at reckon:
Phone:5s154/9L7295 Please post this notice on the lob Sile
Fax:9132489,5231 Property Type supplies and 8ubcamnumn:
Emil:supwn@Rmroc earn cora gre.geroogaa, Scan this image with your smart phone to
view this filing.You can then file a Notice
1-2 Family Dwelling to Lien Agent for project.
Owner Information
Comfort Homes,Inc.
P O Box 369
Clayton, NC 27528
United States
Email.comfrthomesgaol corn
Phone:919-553-3242
View Comments(0)
Technical Support Hotline:(888)690-7384
1 of 1 2/14/2018,2:06 PM
HARNETT COUNTY CASH RECEIPTS
*1* CUSTOMER RECEIPT +a+
Oper: JBROCK Type: CP Drawer: 1
Date: 3/06/18 52 Receipt no: 277279
Year Number Amount
2018 50843469
72 CLARENDON CT
ANGIER, NC 27581
B4 BP - ENV HEALTH FEES
=758.88
NEW TANK
COMFORT HOMES INC
Tender detail
CK CHECK PAYMEN 38811 $750.08
Total tendered $750.00
Total payment $758.80
Trans date: 3/86/18 Time: 13:16:34
** THANK YOU FOR YOUR PAYMENT as