DOCUMENTS 6 � Insca �I` QC
Initial Application Date'. ICY O'"'a ?' �*pwwp..ii Application I �� —
1! i1t[.i,�: }i/ CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street, NC 2b546 Phone:("89933--7525 ext2 Fax:(910)893-2793 www.harnett.org/Permits
`"A"A RECORDED EY ,R CORDED EEDLOW PF`ER TOYPURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
kW: Michael Ryan Homes P.O Boo 481452
: Mailing Address:
Charlotte NC 28269 74751 Email: warranty@michaelryanhomes
City: State: Zip: Contact No:
Michael Ryan Homes P.O Hoc 481452
APPLICANT': Mailing Address:
Charlotte NC 28269 74751 Email:
City' State:_Zip: Contact No:
'Please fill out applicant information if different Pan landowner
Jim Duckworth 980-722-3273
CONTACT NAME APPLYING IN OFFICE: Phone#
PROPERTY LOCATION:Subdivision: Carolina Lak¢51\�1(� \/� Lot#: IC7 Lot Size': 13�
State Road# State Roa
d NNa-mme: l) .f (� 1 G+ yesf/,, U (y�7/Map Book 8 Pager=a I/ -NIS
ParcelQel:pp����0pp3��� �r�/ CO ,/� PIN: Il? (# `b"l oo
Zon7fj. Flood Zone. C. Watershed: Ng* Deed Book 8 Page'2;544/� % Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: //� qq Monolithic
H SFD:(Size 45 x-UU)#Bedrooms-#Baths3—Basement(w/wo bath): , . Garage'- Deck:_Crawl Space: ,-Slab. X Slab:_
(Is the bonus room finished?U yes (NE)no w/a closet?( )yes (NE )no(if yes add in with#bedrooms)
O Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?(_)yes ( )no Any other site built additions?U 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'.
O Addition/AccessorylOther(Size_x )Use: Closets in addition?(U yes U no
Water Supply: ( ' County Existing Well _New Well(#of dwellings using well )`Must have operable water before final
Sewage Supply:_New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) x. County Sewer yy��
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500)of tract listed above?(�yes ( `/J no
Does the property contain any easements whether underground or overhead(U yes ( )no
Structures(existing o
ropose - ingle family dwellings: Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum .3S Actual l}( 'W
Rear 2c 113.o4
Closest Side /0 `)1/1 `i
Sidestreeticorner lot )`V' 43
Nearest Building
on same lot Page 1 of 2 03111
Residential Land Use Application 9
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: IAC \Y u`\ Y Ulm L_Vk L J
If permits are granted I agree to conform to all ordinances and laws of the State 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 subject to revocation if false information is provided.
12 � 1 1Z
Signature of Owner or Owner's Agent Date
"'It 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 6 months from the initial date If permits have not been issued"
Residential Land Use Application Page 2 of 2 03/11
' LEGEND CURVE TABLE
Kcb"> iR/W-RICHT CF WAY CURVE RADIUS LENGTH LH. BEARING CHORD
OB-OEEU BOOK CI 128.00' 92.83" S74 51'30"W 163.21'
PG-PACE
PROP-PROPOSED
SP-SQUARE FEET NORTH
SITE AC-ACRE(S)
CONC-CONCRETE
�� ESNT-EASEMENT
••0 .UN PL-PROPERTY LINE
0
(13 /
PA.ENsw000 CR 1 / Ow
CAROLINA LAKES
HAR:ORmrw DR (1 2' I BLOCK H / v.
v.
Vicinity Map ,_ i I PC H . SLIDE 79 /
(Not to Score) /
— — _ — _ -. _- L. _ /
__ 983'52'46Y / /
—
25.00' . (14 '
CAROLINA LAKES
BLOCK H
PC Mt, SLIDE 79
CFL
f
(i6A O 1
C) r'fl.
CAROLINA LAKES ^ ��e
BLOCK H I 01`0
PC #1, SLIDE 79 5,33'26 4D'
'']
W A.
nPROPOSED HOUSE rt
• THE WINDSOR
N.
Ob s5\ o'
s 0O'
0
2}]J \i 15,265 SF
0.350 AC
)
,o I PROP
DRIVECONC
WALK
/
79.00'
_ ---- N83'S2'46'W c Cl
'
WOOODD RUN _
50' PRIVATC R/W
_ _
PLOT PLAN
PREPARED FOR:MICHAEL RYAN HOMES �ttttIIIlq TOWNSHIP: BARBECUE
ADDRESS: 265 WOOD RUN :::,‘„:0\. CAR°//,
:::,‘„:0\. 0i, DAM DFCFMRFR R. 9017
Jennifer Brock
From: Chandler Smith <chandler@michaelryanhomes.com>
Sent: Wednesday, December 20, 2017 10:22 AM
To: Jennifer Brock
Subject: Re:apps that Jim dropped off
Hey Jennifer,
Michael owns both of the companies on each end of the offer. It was not an outside party.
Thank you,
Chandler Smith
Customer Cure and Procurement
(843)560-3200 Cell
844433574-8900 Warranty
On Wed, Dec 20, 2017 at 10:14 AM,Jennifer Brock<ibrock(oihamett.org> wrote:
Lot 15 for Carolina Lakes
I need an Offer to Purchase for lot please. The application was filled out as Michael Ryan being the land owner
&that is not the case on lot 15.
1
09109/11 Application#
Harnett County Central Permitting ' '
Each section bebelowtobe Med outPO Bos 65 Ldlmpmn NC 27548
Eachsc
bywhomever sdpbefammg work 910 693 7525 Fax 910 993 2793 www Smelt org/pemms
Must be owner or licensed
=tractor Address company Application for Residential Building and Trades Penna
name&phone must match
Owners Name Michael Ryan Homes,Inc. Date _(DI 2.6)1 12
Site Address 265 Wood Run,Sanford,NC 27332 Phone 843-574-8900
Directions to job site from Lillington Enter Carolina Lakes Thru Gate,Left Onto Carolina Way,
Right on Wood Run,Site on Left
Subdivision Carolina Lakes Lot 15,Block H
Description of Proposed Work New Home #of Bedrooms 5
s... :m
Heated SF 3,501 Unheated SF 500 Finished Bonus Room Yes Crawl Space x Slab x
General Contractor Information
Michael Ryan Homes,Inc. 843-574-8900
Building Contractors Company Name Telephone
PO Box 481452,Charlotte,NC 28269 warrantyanmichaelryanhomes.com
Address Email Address
74751
License#
Electrical Contractor Information.
Description of Work New Home Service Size 200 Amps T-Pole X Yes No
Kearns Electrical Service 919-369-7857
Electrical Contractors Company Name Telephone
149 Allie Dr,Garner,NC 27529 kearnselectricalserviceA,gmail.com
Address Email Address
L.22899
License#
MechanicallHVAC Contractor Information
Description of Work New Home
WQkLYTArr\ tleatta -4wtr C\ Cl 3711 Oke-910
Mechanical Contractors Company Nene Telephone
4'3 ShtpvraSh On'C Fta.mry NC alszq h‘ACt,nal Cowl
Address Email Address
kiAt U4
License#
plumbing Contractor information
Descnpbon of Work New Home #Bathe 3.5
Glover Contract Plumbing,Inc. 910-892-1612
Plumbing Contractors Company Name Telephone
67 Hunter View Lane,Coats,NC 27521 ploverplumbingincc1�rocketmail.com
Address Email Address
23160
License#
Insulation Contractor Infornatrol
Tri-City Insulation,334 E Mountain Dr,Fayetteville,NC 28306 910-486-8855
Insulation 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 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 that by eranrna below I have obtained all subcontractors
permission to obtain these permits and if gay 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-e Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per current fee schedule
(c)-.� 67L s//e
S re of Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87.14
The undersigned applicant being the
X General Contractor X Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that 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
covenng themselves
Has no more than two(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 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 Michael Ryan Homes,Inc.
Sign w/Tille(122--1 - ' P' Date Gb-S/Id
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 12/11/2017
Entry ft: 768056 Initially filed by: MRHWarranty
Designated Lien Agent Project Property Print & Post
Chicago Title Company,LLC 265 CarolinaLakesRun Lot lS
❑ r -o
Sanford,
Run
Online wwwlienmefamnm.-...e.��. rneNC27332
0
Amiens:19 W.Hargett St Suite 5071 Raleigh,NC Haman County ❑
27601 Contractors:
Phone:888490-7384 Please post this notice on the Job Site.
Fai913489sD1 Property Type Suppliers and Subcontractors:
P.mut SUOL Ft dhmsvc com,..r�,.,.-_.,.�
Scan
this
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You with h yoursmart phone to
can then tiles Notice
Other to Lien Agent for this project.
Owner information
Date of First Furnishing
Michael Ryan Homes
PO Box 481452 1262573017
Charlotte, NC 28269
United States
Email:Warranry@mlchaelryanhOmcs.uon
Phone:843-574-8900
View Comments(0)
Technical Support Hotline:(888)690-7384
Date \a\ a,) in
•
Plan Box# CIS Job Name Mt^ie`Ps.e R.ij or\
Plan Name
33 (o 096
App # a-' l0 Valuation SQ Feet 35-OO I
Garage Sao
= Do l
4." fly,
Inspections for SFD/SFA * w .i.44i�
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