HomeMy WebLinkAboutDOCUMENTS Initial Application Date:ID f?// • ` Application#J sou-fa-14.3s
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 2/546 Phone.(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.orglpermits
"A RECORDED
SURVEY MAP,net
DEED�ED1(OR OFFER—TO PURCHASE)B SITE PLAN ARE REQUIRED WHEN SUBMITTING��A LANDIUSE APP
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.ATION+ /
LANDOWNERA„ I s A4 / (” • / ' a-1 '/I ip Mailing Address: `'Y I 4) Ju 11 / 4ct+t' _R_tws `-WL`
City' 11'1 In IOW r. �j Slalgfy /LZip!e 30Contact No: (] 1,I Email:
APPLICANT': RALPH K BL/RDf1 Mailing Address': 2 I01 I-rW} 5 C1RCLE
City: 5PR7tJGLARE state:/W/< zip: 390 Contact No9lo-4g7-IDOLI Email: CR{Ityrrta014325eQ
'Please fill out applicant information If different Man landowner alto e h
CONTACT NAME APPLYING IN OFFICE: Phone# 4
PROPERTY LOCATION:,, ��AxSubdivision:u`eI Lb 4 S N` `L 2 /0 S� S PR iN v (Ake- Nr Lot ft: U Lot Size:/)'0.74c
7
State Road#./0C-#Q i.O' tate Road NNaame. pf L aID 5 sit 1 / MapapIB'ook 8 Page
y CSP `'r 1%0
Parcel::�/�bs��II ,�o. s Oso/ 001 0 O PIN: O'S1A'/ 4 - 0 /40.0Lu
Zonin _I Flood Zone. � Watersheds 7 Deed Book 8 Page.4 a ` II Power Company'.
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SM..(Size_x )#Bedrooms: #Baths Basement(wlwo bath):_Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished?(_)yes ( )no w/a closet?( )yes ( )no(if yes add in with It bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath) Garage:_Site Built Deck' On Frame_Off Frame_
(Is the second floor finished?(L_I)yes (( )no Any other site built additions?(_)yes (_)no
p/ Manufactured Home. JSW_DW TW(Size I l x OI) )if Bedrooms. 3 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 )Use: Closets in addition?( )yes ( )no
Water Supply: County Existing Well New Well(# 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 five hundred feet(5001 of tract listed above?(_)yes ( )no
Does the property contain any easements whether underground or overhead( )yes (_)no
Structures(existing or proposed):Single family dwellings'. _Manufactured Homes: 1 VC1'4. M1t��'t9Uter(specify).
IWr_ 1
Required Residential Property Line Setbacks: Comments:
Front Minimum/3S Actual t
Oe
Rear S I1 {(�
Closest Side `-CU
Sidestreeucorner lot
Nearest Building
on same lot
Residential Land_ - ppiication Page 1 of 2 03111
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: I A k E 210 Sr 0114 A SOC 1
Li M 1 1-Es DD t&JAJ O N' L' FT
•
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 foreppLng statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
1J\ of AAge /D
nature of Owner or ne sAgent 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 forrany
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
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NAME: KV LP i-I- r. 81/41RotJ APPLICATION ft:
*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 plan=60 months:Complete plat=without expiration)
910-893-7525 option I CONFIRMATION#
Environmental Health New Septic SvstemCode 800
• All property Irons must be made visible. Place "pink property flags" on each corner iron of lot. All properly
lines must be clearly flagged approximately 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 aVior 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 pnderarowth 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 recording for proof of request.
- • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
vlro -nil ,dh xis int T.nk r •ec l• a 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 ltd 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 8 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 typetsl: can be ranked in order of preference,must choose one.
I—I Accepted iI Innovative 1—I Col a I I I Any
1_tAlternative 11 Other
The plicant shall notify the I '. Ib department up n submittal of th 'applic. n if any of the fell. ing apply to the p petty in
quesn. If the answer is 'I'es",applic' t MUST AT 'ACH SUPPORTIN ' D i CUMENTATION:
I-1ES LINO Does the site . main an;Jurisdictional Wetlands?
1IES 1I N e Do you plan tt have a aigGon system now or i • future?
i ES 1_ •,j N Does or will t,e build g contain any drais!Ple. plain- _ . \1 ES 1-1 Mi Are there an existing wells,springs,waterlines i aslewater Systems 0 P 1 is property'! \
1— ES 1—I Nit Is any waste ater goin. to he generated on the sit' other than domestic s wa '?
1—Iy\t\pS {_I Nd Is the site s{hject to app. val by any other Publ. A,envy?
I—I S 1—I N 1 Are there ny Easements Right of Ways n this pro'erty!
1 IYE (. ) N 1 Does the te contain any ex :ting water,c •le,phone or nderground electric line?
If yes plea call No Cuts at :10-632-49.9 to locate the li -s. This i. a free service.
I Have Rea his A i dlrillion And Cerli 'That The Infor +lion Pro ded Herein Is True Complete nd Correct. A 'hotted County And
State Officials ' railed Right Of Entry Conduct cessary Ins. lions To Deter' 'ne Complianc_With Applic He Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification • • • ing Of All Property Lin . • .I 'orners And Making
The Site Aufssihie So That A Compl e Site veluallan Can Be Performed. /op
W^ / /27
PROPERTY 0 NPFEG7 .J7RS' �
OR OWNE LEGGA''LREPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
Date: 10i 2' 2Q f ? Application#
PROCEDURES AND.GUIDEUNES FOR MANUFACTURED HOME INSPECTIONS
RA-20R&RA-20M Certification Criteria
I, IRALPH r. ( vizor, understand that because I'm located in a RA-20R or RA-20M
Zoning District and wish to place a manufactured home in this district I must meet the following criteria,
verified by toning inspection approval,before I will be issued a certificate of occupancy for this home.
1. The home must have a pitched roof, for a manufactured home, whether A-shaped or rounded,
which has a minimum rise(measured at the center of the home)of twelve (12) inches for every
seven (7) feet of total width of the home. (Example: A home measuring fourteen (14 ft.) in
width must have a twenty four(24) Inch rise as measured from the center of the roofline to the
baseline of the root) (See Illustrations Below.)
ria minimum a—.'{Fi...,; 11=1 U"MSMmum r f k" I Rounded
Rod Pa*Rll4. _ t RaofPkshll a Pt
.� :.
1� i
Note: Most Rounded Roofs Wil Not Meet The Roof Pitch
Requirement As Illustrated. The Measurement From The Peak Of
The Roof To The Base Line Of The Roof Must Be 12" For Every 7'Of
Total Width Of The Home. (Ex:14'Wide Home=24" Roof Rise)
Continued
Mobile HOMO RA-20 RIM Criteria
Pagel of 2 12/10
2. The home must be underpinned,consisting of a brick curtain wall or have galvanized metal
sheeting,ABS or PBC plastic color skirting with interlocking edges,installed around the
perimeter of the home. Skirting shall be consistent in appearance,In gpod condition,
continuous,permanent,and unpierced except for ventilation and access.
3. The homes moving apparatus must be removed,underpinned,or landscaped. (See examples
below.)
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4. The home must have been constructed after July 1"1976.
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Signature of Property Owner/Agent Date
• By signing this form the owner/agent is stating that they have read and understand the
Information on this form.
Mobile Moore 8420 R/M Criteria Page 2 ort
12/10
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8 Application# I I at)'4 35
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
Application for Manufactured Home Set-Uo Permit
(Please fill out each part completely)
Part I-Owner Information:
Home Owner Information (To be completed by owner of the manufactured holme)
Nam•e: 114,�,PV4 \—. (-4,C-on Address: eC -I0 -f 1.. r,1pi ISl (-r eL.l
City: C ? �..te Slate: ICC-- Zip: r� 8.390 Daytime Phone: (I P CO_I l 1 - I co
Landow,nsr Information (To be completed by landowner, it different than above) `,�
Name: tiny MQII/IEI.U-S Address: L4 ..jJ In Ma4fhews Ont
v
AIC- Zi LH7 -lgLi LI
City:S��l l'lo La�.l t; State: Ip:'A 3qG Daytime Phone:q((
Part II-Contractor Information (To be completed by Contractors or Homeowner,if applicable.
Name,address, phone must mat�cryry,,Info(m ion on Ipgnse)
A. Set-Up Contractor Company Name: �CYi)I S nil (Mite f-L CMP
Phone: ill. ,5"'75":2q Address: 33ci5 Wain- 'p Ln
City: P r%y.AH e �;I Ip State: .I‘) CG . Zip: 1 R 3 u Q;
State Lic# 0d 3$8 Email: C
B. Electrical Contractor Company/ Name: 10 n n i P r J h'1(Ph /�
Phone:(� ! 15 —C24 33 Address: Y IC 1.5 brook Cotirr
City: 0 cirk4'0Y1 State: 1 A) C%• Zip: J/ '
State Lic# a5-(o C(i) I Email:
C. Mechanical Contractor Company Name: l 6 I-a ( S S M11 S c oc
Phone: q3�' -345-c Address: I33 L1I WW1 rS
2 .IO ,1 'l
City: Sp tic. State: AJC . Zip: 02 K3 90
State Lic# 18844, Email: ABC c
D. Plumbing Contractor Company Name: A17C Pkf1 billofa >`ippI CO •
Phone: 3 13 - `1Ole 0 Address: 217 (...../• 12(w-dl F .
City: Fay State: JVice- . Zip: e2?301 ✓
State Lic# 5'911 Email:
Part Ill-Manufactured Home Information
Model Year: 179 I Size: I L7 x 0 U Complete&follow zoning criteria sheet
Park Name: -- Lot Number:
I hereby certify that I have the authority to apply for this permit, that the application is correct including the contractor
information and have obtained their permission to purchase these permits on their behalf, and that the construction or
installation will conform to the applicable manufactured home set-up requirements, and the Harnett County Zoning
Ordinance. I understand that if any item is incorrect or false information has been provided that this permit could be
revoked.
h re \�` 1 'e1 Irl
Sign tura of Ho Home Own or Agent Date
'Effective July 1,2004,a County Tax Department Moving Perini(must be provided before a Set Up Permit will be issued. It is
purchased from the tax office of the county that the home is moved from. If the home is from a dealer, we need proof of year on the
Form 500 and if available, the serial number.
List of inspections and Egress requirements available upon request Progress Energy customers must provide Premise Number.
SETUP 04/11
JOSEPH R.UTLEY, R. AMY B.KINIAW
1 �IV'i
Tax Administrator �/_ Chief of Assessment KINId Collections
ki
- TAM1 K.BOTELLO
Chief of Real Estate and Mapping
OFFICE OF THE TAX ADMINISTRATOR
Courthouse•5th Floor-Suite 530•P.O.Box 449•Fayetteville,North Carolina 28302-0449
(910)678-7507 • Fax: (910)678-7588
MOBILE HOME MOVING PERMIT
Date: October 2, 2017 Current Listing Owner: BYRON, RALPH
County of Cumberland Permit No.: B-81
State of North Carolina Agent: Toni Gotshall
Permission is granted to the following person(s)to move the mobile home identified below.
Name: BYRON, RALPH Phone: (910) 497-1004
Address: 12665 NC HWY 210 S SPRING LAKE NC 28390
Are you the current owner of the mobile home? Yes m No ❑ Purchase Date: 12/17/90
Mobile Home Carrier
Name/Company: DAVIS MOBILE HOME MOVING
Address: 3343 WAYNE LN FAY NC 28306
Property Description
Manufacturer Year Size VIN
FISHER 1991 14X80 HONC28014CK3223462
Current Location: 2909 LEWIS CIR SPRING LAKE NC 28390
County: Cumberland Parcel ID: 0513-73-6322-
Location Moving To: 12665 NC HWY 210 S SPRING LAKE NC 28390
County: HARNETT Parcel ID:
This permit is issued in accordance with the provisions of North Carolina General Statute §105-316.1
through §105-316.8.
This permit shall be conspicuously displayed near the license plate on the rear of the mobile home at
all times during transportation.
PERMIT VALID FOR THIS MOVE ONLY!
OI U
Josephs- V'
R. Utley, Jr.
Cumberland County Tax Administrator
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50042435 Date 10/17/17
Property Address 12665 NC 210 S
PARCEL NUMBER 01-0524- - -0018- -08-
Application type description CP MANUFACTURED HOME RA20R/RA20M CRITERI
Subdivision Name
Property Zoning PENDING
Owner Contractor
MATTHEWS AMY M DAVIS MOBILE HOME MOVING INC
12665 NC 210 S 3345 WAYNE LANE
SPRING LAKE NC 28390 FAYETTEVILLE NC 28306
(910) 425-9524
Applicant
BYRON RALPH F
2909 LEWIS CIR
SPRING LAKE NC 28390
(910) 497-1004
--- Structure Information 000 000 14X80 3BDR SWMH
Flood Zone FLOOD ZONE X
Other struct info # BATHS 2
# BEDROOMS 3000000 . 00
MOBILE HOME YEAR 1991000 . 00
PROPOSED USE SWMH
SEPTIC - EXISTING? EXT TANK
WATER SUPPLY COUNTY
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1214808
Issue Date . . . 10/17/17 Valuation . . . . 0
Expiration Date . 4/15/18
Permit MANFACTURED HOME PERMIT
Additional desc .
Phone Access Code 1214816
Issue Date . . . 10/17/17 Valuation . . . . 0
Expiration Date . . 10/17/18
Special Notes and Comments
T/S: 10/02/2017 03 : 57 PM JBROCK ----
TAKE 210 S ABOUT 12 MILES DOWN ON LEFT
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50042435 Date 10/17/17
Property Address 12665 NC 210 S
PARCEL NUMBER 01-0524- - -0018- -08-
Application description . . CP MANUFACTURED HOME RA20R/RA20M CASTERS
Subdivision Name
Property Zoning PENDING
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . MANFACTURED HOME PERMIT
10 501 T501 R*MOBILE HOME FOUND. / M. WALL /_/_
10 814 A814 ADDRESS CONFIRMATION / /_
20 818 Z818 PZ*ZONING INSPECTION /
30 507 T507 R*MANUFACTURED HOME FINAL /