DOCUMENTS Initial Application Date: 1 - 0 Application# 18 55 '4 370(I
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPUCATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 wxw.hamett.org/permits
"A RECORDED SURVEY NAP,RECORDED DEED(OR OFFER TO PURCHASE)&SIM PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
William lliam and Maryanne Sheeley Mailing Address:259 Rolling Pines Dr
City: Spring Lake Sate:NC Zip:28390 Contact No: 914-474-0575 Email:
APPLICANT*: Malting Construction Malting Address:8420 Olive Pierce Rd
City: Apex Sate:NC biz27539 Contact No: 919-612-1377 Email: andybarr40@yahao.com
*Please fill out applicant infomation if different than landowner
CONTACT NAME APPLYING IN OFFICE:Andy Barr Phone#919454-0680
PROPERTY LOCATION:Subdivision: Anderson Creek Club(Links Crossing) Lot#:416 Lot Size:'AC
State Road#1121
State Road Name: Ray Rd Map Book&Page: 2-006 / qT c-
Parcel: 01053509 0100 65 PIN: 0515-08-7217.000 "�
Company":Zoning:RA20R Flood Zone:N/A Waters)ted:N/A Deed Book&Page: ,j U6$ /D l l y Power South river Electric
'New structures with Progress Enemy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFD:(Size x )#Bedrooms:_#Baths:_Basement(w/wa bath):_Garage: Deck: Crawl Space:_Slab:_Slab:_
(Is the bonus roomflnished?( )yes ( )no w/a closet?( )yes ( )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?( )yes ( )no My other site built additions?( )yes ( )no
❑ Manufactured Home:_SW_DW TW(Size x )it Bedrooms: Garage: (site built? 1 Deck: (site built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:_
❑
Addition/Accessory/Other y/Other.(Size 13 x 15 )use:Sunroom Addition Closets in addition?U yes N')no
Water Supply: 1 County Existing Well New Well(#of dwellings using well Jai/oat have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Checklist) ✓ County Sewer
Does owner of this bad of land,ovm and that contains a manufactured home within rive hundred feet(500')of tract listed above?(i yes (✓)no
Does the property cerMain any easements wheeler underground or overhead( )yes (✓)no
Sbudures(existing or proposed):Single family dwellings: -844 Manufactured Homes: Other(sped ): 1 -'
A41 01
-P{-Wa
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual �--
Rear 25 I _{„`
Closest Side 10 Its ' S
Sidedreet/comer lot 20 s
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 LI WNGTON: Left on main. Right onto HWY 27 west,Left onto Nursery Rd.,
Left onto Ray Rd. Left onto Anderson Creek Dr.,Right onto Barons Run East. Right onto Whispering Pines Dr.,
Left onto Rolling Pines Dr.and home will be on left.
If permits are granted I agree to conform to all ordinances and laws of i State of North Carolina regulating such work and the specifications of plans submitted.
I hereby stale that foregoing statements - :to a, ., :. • 'er best of my knowledge. Permit subject to revocation if false information is provided.
1- s - i8
Signature of Owner Agent
Date
"1t is the ownerlapplicants 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 am not responsible for any
incorrect or missing information that is contained within these applications."'
"This application expires 6 months from the initial date it permits have not been issued"
Residential Land Use Application Page 2 of 2 03/11
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REC N53'2224"W 84.00'
332s
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ROLLING PINES DRIVE
5a ntaVAT: RI4-E OF W4'/
CLOSING MAP
)ERT & KERRY AGcj 1,0, TOWNSIEP OF ANDERSON CREEK
LING PINES DRIVET,E35ENG 3 DATE MARCH 3RD, 2010
FL i.d
.AKE - ,pis 'i-v= SCALE. 1" = 30'
?T'i r•3 REFERE::CL. LCT 416, PHASE 2-8
C uaW T ANDERSON CREEK CLUB
„ Ir /LP„� ..p MAP q 2006-904
N. LARRY RING. P' - L-t.715
Laity King&Associates, R.L.S., P.A.
P O.Box 53]8]
'33]Morg orlon Foa0.Sui'e 201
ee'I eello.NC 293:5
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Fox'.(910483-4054 ,n ovoso..u. o-s .m_. -r
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•
*Each section below must be filled out by Application#
whoever is performing the work. Mus; be Harnett County Central Permitting
owner or licensed contractor. Address, PO Box 65 Lillington,NC 27546
company name 8 phone must match 916-693-7525 Fax 910-893-2793 www.M1arnett org;permits
information on state license. COMMERCIAL
Q Application for Building and Trades Permit
Owner's Name: 4 llll\ts. Sger Lc7 Date: Y- 5 18
Site Address: tZSt 'Fo lts) Pln.s 1:;,. gen) Lk. Al C_Qg3 Phone: 11 Li- `)7`4- 9n-5--
Directions
S7SDirections to job site from Lillington: L.pr OA MAsnr P-r mu an W LFr NN Nvf.4wot RJr
LF- rN 1. r jar.) Lit S A 4 AN c. d t
4.
p� LL /
r`-1 ON t-.ili'/[ttsi .✓c 'i rrJ t-
D r F% ,w ro (20 L4Tl G. /JAI ES ()ea 14IREN U (--nr
go
Subdivision: A •. +son Cr,. 't— CLL Lot: y/fo
Description of Proposed Work: Sunt-.....A.- earl.:-(e.. t4'x.tS'
Heated SF 101C Unheated SF
General Contractor Information: Building Cost$ 4 i$, Zoo, B"
'^f.-' d-...sr,,„_,w 414- 6I7 — t111
Building Contractor's Company Name Telephone
gHiQ ?it.r va< Olt I 'ea Iy L)c_ 2753/ andybarr40@yahoo.cam
Address / Email Address
'11PoK
-"lure of Own: Contr.ctor/Ofhcer(s)of Corporation License#
• rical Contractor Information: Electrical Cost$ fZ/So-0.o+
Description of Work Wire/Trim out Service Size: 1544 Amps #T-Poles 03/44
Pioneer Electric, Inc 919-499-7767
Electrical Contractor's Company Name Telephone
80 Neill Thomas Rd. Lillington NC 27546 pioneerelectric@earthhnk.net
Addrree¢s Email Address
/.( � 771‘ ..
21643-V
21643-V
Signature of Owner/Contractor/Officer(s) of Corporation License#
Mechanical Contractor Information: Mechanical Cost$ 2( `loo.o'^
Description of Work Rough in and trim out HVAC #Units 1
Total Systems Heating and Cooling Inc. 910-436-3450
Mechanical Contractor's Company Name Telephone
13341 Hwy 210 South Spring Lake NC 28390
Address Email Address
28846 /�r�/11,1
Signatur Ow tractor/Officer(s)of Corporation License#
Plumbing Contractor Information: Plumbing Cost$
Description of Work Rough In and trim out Plumbing # Baths
Plumbing Contractor's Company Name Telephone
Address Email Address
Sialre of Owner/contraltor/Officer(s) of Corporation License#
Insulation Contractor Information
Tri-City Insulation - 910-237-0910
Insulation Contractor's Company Name &Address Telephone
*NOTE: General Contractor must fill out and sign the second page of this application
•
•
Sprinkler Contractor Information
•
Sprinkler • Tele...rte
Addresh —.1111111,1111111,0Email Address
1
Signatu7-of efticer(s)of Corporation -`W rr License#
F Information
Fire Alarm Contractor's Company Na . Telephone
1 I4. ST L ZS o $4b - ,tarn Fi 3a1t -
/� � Emai -••cess
Signa ure of Orr(s)of Corporation License#
riveway Access- NC Department of Transportation Driveway Access/Permit? Yes - No
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 if a�changes occur including fisted 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 reissue fee
is charged at full price per curre Klee schedule.
��— y- ,J -
SgnatureofOwner!Contr,ctor/ fficer(s)of Corporation Dale
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
General Contractor Owner ke...**Oifcer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s),frm(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.
11/'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(heir own policy of workers'compensation insurance
covering themselves.
_ Has no more than Iwo(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 prior
to issuance of the permit and at any time during the permitted work tram any person,firm or corporation
carrying out the work
Company or Name' [. .C-ncs yy
Sign white' . ..p j ' - Is' -c Dater !— Sr re
Ccmme¢Ia'Building Application 2 of 3 3:10
Date 14ISII V
Plan Box# 'cc-0 -0-- Job Name 5k.e..t.i Q_y
Plan Name
Lk S1
App# Valuation t o 126 SQ Feet t9S'
Garage
Inspections for SFD/SFA
Crawl_ Slab_ Mono_ Basement_
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
Final
Foundation Survey_ Envir. Health_ Other
Additions / Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough In
Insulation_
Final
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043721 Date 4/10/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - -Application type description CP ADD & ALTER RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
SHEELEY WILLIAM AND MARYANNE BARR, ANDREW
259 ROLLING PINES DR 321 ANGIER RD.
SPRING LAKE NC 28390 FUQUAY VARINA, NC
(914) 474-8575 FUQUAY-VARINA NC 27526
(919) 454-4680
Applicant
JCW CONSTRUCTION
8420 OLIVE PIERCE RD
APEX NC 27539
(919) 612-1377
--- Structure Information 000 000 13X15 SUNROOM ADDITION
Flood Zone FLOOD ZONE X
Other struct info # BATHS NA
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1237585
Issue Date . . . 4/10/18 Valuation . . . . 0
Expiration Date . 4/10/19
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1237593
Issue Date . . 4/10/18 Valuation . . . . 0
Expiration Date . 4/10/19
Permit RESIDENTIAL INSULATION PERMIT
Additional desc .
Phone Access Code 1237619
Issue Date . . . 4/10/18 Valuation . . . . 0
Expiration Date . 4/10/19
Permit LAND USE PERMIT
Additional desc .
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 18-50043721 Date 4/10/18
Phone Access Code . 1237627
Issue Date 4/10/18 Valuation . . . . 0
Expiration Date . 10/07/18
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1237635
Issue Date . . . 4/10/18 Valuation . . . . 0
Expiration Date . 4/10/19
Special Notes and Comments
T/S: 04/05/2018 09 : 39 AM JBROCK ----
HWY 27 W L ONTO NURSERY RD L ON RAY RD
L ONTO ANDERSON CREEK DR R ONTO BARDONS
RUN E R ONTO WHISPERING PINES DR L ONTO
ROLLINGS PINES DR & HOME WILL BE ON L
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 3
Application Number 18-50043721 Date 4/10/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP ADD & ALTER RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL BUILDING PERMIT
999 103 B103 R*BLDG FOUND & TEMP SVC POLE / /
999 105 B105 R*OPEN FLOOR / /
999 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN
999 329 R329 THREE TRADE FINAL
999 325 R325 THREE TRADE ROUGH IN / /
999 229 R229 TWO TRADE FINAL / /
999 225 R225 TWO TRADE ROUGH IN /
Permit type . . . RESIDENTIAL INSULATION PERMIT
999 129 I129 R*INSULATION INSPECTION / /
HARNETT COUNTY CASH RECEIPTS
eam CUSTOMER RECEIPT mmm
Oper:
JBROCK Type: CP Drawer: I
Date: 4/10!10 52 Receipt no: 316566
Year Number Amount
2018 50043721
91749 TECH 2
LILLINGTON, NC 27546
BI BP - PERMIT FEES
$325.00
ADD 8 ALTER
ANDY BARR
Tender detail
CP CREDIT CARD 4325.00
Total tendered $325.00
Total payment $325.00
Trans date: 4/10/14 Time: 9:37:45
ae THANK YOU FOR YOUR PAYMENT **