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HomeMy WebLinkAboutDOCUMENTS Initial Application Dater 11 7 I 1 Application# L IEc 4I R l 11? 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.harnett.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER:H&H CONSTRUCTORS OF FAYETTEVILLE,LLC. Mailing Address:2919 BREEZEWOOD AVENUE STE.400 City: FAYETTEVILLE State:NC Zip:28303 Contact No: 910-486-4864 Email: LeannaHair©Hhhomes.com APPLICANT*:SAME AS OWNER Mailing Address:SAME City: SAME State:_Zip: Contact No: SAME Email: SAME 'Please fill out applicant information if different tan landowner CONTACT NAME APPLYING IN OFFICE:LEANNA HAIR Phone#910-2221-7512 ,{' PROPERTY LOCATION:Subdivision: COOPERS CREEK Lot#:(11 7/ 4 ( 7 Lot Size: 4-(l' State Road#1121 StateRoadNa e': RAY ROAD ` Mapj �B(000k&Page► AV/ so Parcel'. C.)1050(406' 0414 ' V1(� PIN:05�-1/,,� —�Ff� `( i Zoning:RAZOR Flood Zone: x Watershed: A Deed Book&Page:340/ol / "7 Power Company*: SOUTH RIVER 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: j, r •rr5 S _lihic Pt SFD'(Sizh5� wC^)1#Betlrooms� #BathsBasement(w/wo hath)' Garage: Deck:=Crawl Space: Slab. (Is the bonus room finished?( )yes ( )no vu a closet?( )yes ( 1 no(if yes add in with#bedrooms) U 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?( 1 yes ( )no U Manufactured Home: SW_DW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? 1 ❑ Duplex:(Size x 1 No. Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: ❑ Addition/Accessory/Other:(Size_x )Use: Closets in addition?( 1 yes ( )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) ✓ County Sewer Does owner of this tract of land,own land that contains a manufactured home within fiv ndred feet(500')of tract listed above?( )yes (✓)no Does the property contain any easements whether underground or overhead( yes ( 1 no Structures(existing o •roposed ' Single family dwellings: ` Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 20 Actual • Rear 11S S Closest Side 0 Sidestreet/corner lot 20 Nearest Building 10 on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC-210 TURN RIGHT AT OVERHILLS ROAD. TURN LEFT TO STAY ON OVERHILLS, SHARP LEFT AT RAY ROAD.2ND RIGHT ONTO COOPERS AVENUE. If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such wont and the specifications of plans submitted. I hereby state that foregoing stat antsparee accurate and corro (too the best of my knowledge. Permit subjectsutto revocation if false information is provided. �VilAn- Q 1L4Agen I� Da i� Signature of Owner or Owners Agent Date I mit 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 are not responsible for any incorrect or missing information that Is contained within these applications.'" "Thls application expires 6 months from the initial date If permits have not been issued" • Residential Land Use Application Page 2 of 2 03/11 MICHAEL P. GRIFFIN , emery/hat undo my direction and sunless that error of closure%Me survey was draw from an actual calculated by c0ddiatf b I. 4XO#lne Tat the JAb'G193b9St_91'02 SB area Moen hereon pros calculated by Coordinates i13NNyH Wane my hand and seal this day of YC1VM 20/Z SITE PLAN APPROVAL-- DISTRICT _y++L4JSE 41 —Fn z0 '../IL-'r *BEDROOMS— LE eaSEVENT / nis, 11:14--C— i'i 5 05°04!l7" 70 i tamirvaVafor e./2 __________________ __ tc 1 ^ / � I If \ J� \ ( 93 \ I j I lr r 1 A �) / -, W I \\ 0 1 / / 2\ 6° I \ 5 v_/ ifr I 1 C . __._ *8 , WETLANDS ® \\ N h'F�- ' \ ,0 / W �® \605 N LLI • � , ® / z U \ Q \ W I A \ \ m I 33.42750 FT. III I Q S h (L. 1 I 0 77 AC. A \ • m 1 \ a O I N 05°07'37'W I co n 1 I /57.40' \ 9g \ 10'/JTILIT/'/SSTRLE TREE EASEMENT SETBACKS FRONT 20' KfAK 15' 515E 10' COKNEK 5100 20' REVISION. 10RIGHT 9/7/17 REVISION NEW FLANS 6/22/17 Ci R=50.00'L=65.20'N47°305 It 60.68' I LEGEND Application# Harnett County Central Permitting PO Box 65 Lillington, NC 27546 Each section below to be filled out 910-893-7525 Fax 9W-893-2793 www.hamett.arg/permits by whomever performing work. Must be owner or licensed contractor. Address,company Application for Residential Building and Trades Permit name 8 phone must match Owner's Name: I /l,, H&HppConstructors of Favetteville,LLC. Date: / 4 Site Address: 4 L' C]i rc. L'1 AVE nue_ Phone: b i? — 3,(C Directions to job site from Lillington: Hwy 210 to Spring Lake. Turn Rt. at Overhills turn left to stay on Overhills. Sharp left a Ray Road. 2nd Rt. On Cooper's Avenue. f Subdivision: Coopers Creek Lot: 'I(y l� Description+o�1f'Proposed( Work: New Sin le Family Dwelling #of Bedrooms: Heated SF:7a`F3JUnheated SF:IXC 1 Finished Bonus Room? Crawl Space: Slab: General Contractor Information H&H Constructors of Fayetteville, LLC. 910-486-4864 Building Contractor's Company Name Telephone 2919 Breezewood Ave. Ste, 400 Fay., NC 28303 Leannahair(5hhhomes.com Address Email Address 74158 License# Electrical Contractor Information Description of Work Service Size: 200 Amps T-Pole: X Yes No Sandy Ridge Electric 910-323-2458 Electrical Contractor's Company Name Telephone 454 Whitehead Road keith(ojsandyridoeelectric.com Address Email Address 10006U License# Mechanical/HVAC Contractor Information Description of Work Carolina Comfort Air, Inc. 919-934-1060 Mechanical Contractor's Company Name Telephone 703 N Clinton Avenue Dunn NC 28334 carolinacomfortairr(ilvahoo.com Address Email Address 29077 H-3-I License# Plumbing Contractor Information Description of Work # Baths J Vance Johnson Plumbing Co., Inc. 910-424-6712 Plumbing Contractor's Company Name Telephone 3242 Mid Pine Rd. Fay., NC 28306 vaniohnson(&viplumbinq.com Address Email Address 07756 P-I License# Insulation Contractor Information Tricitv Insulation, Inc. 418 Person St. Fay., NC 28301 910-486-8855 Insulation Contractor's Company Name &Address Telephone *NOTE: General Contractor/owner must fill out and sign the second page of this application. I hereby certify that I have the authorityto 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 signing below I have obtained all subcontractors permission to obtain hese permits and if w_iiy 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. Signature of Owner/Contrac or/Officer(s) of Corporation Dat Affidavit for Worker's Compensation N.C.G.S. 87-14 The undersigned applicant being the: X General Contractor 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: X 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 permit is sought it is understood that the Central Permitting Department issuing the permit may require certificates of coverage of worker's compensation insurance prior 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: HUH Constructors of Fayetteville LLC. Sign w/TitlS. Q�l�...,e�� .w /Permitting Coordinator Date I � i q