HomeMy WebLinkAboutDOCUMENTS Initial Application Dale: 1 IOL I is Application it I8 :21C)/'7
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COUNTY OF BARNET,'RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street Utlegton.NC 27540 Phone:(910)8037525 exb2 Fax:(910)893-2793 vrww.hametl.orgrpennlfe
'A RECORDED SURVEY)MP,RECORDED GEED(OROFFER TO PURCHASE)S NTE PLAN ARE REQUIRED WNEM ammo A LAND USE APPLMAIIOM^
Juni)
LANDOWNER: toad' i 4jopyfl.S Mailing Addrese: 1Igra w'i 4,s/ 11 m)
City: (n 'I/AC1Itch stata:J' zip:Lik G'-omact No:ao tae 2 SU Email:1451er-IZ€ itheigatenal
APPUCAANT'T 1 LLI(.47 Mailing Addroae. 10Ill✓E. .SLVI -S /4 eJIVa y Oil
City_ IQIDy+EEAAE. State: 1* LpfS�CanScl No. 54MI Email:
"sues:out went lSmnwon Vdarerad than landowner
CONTACT NAME APPLYING IN OFFICE:
� _� I� �1 p,� �7� �� Phone M
PROPERTY LOCATION:SubdMaian: MLAAOSMS wa . Suits (!ntE- Lot Lot Sizs:M.S
Slate Road a 1 . State Road Name:A`/44 y }t• [� �}-� Book&Pa9a:?nY I I Mag
Prat 11d/>tdio413"r11 PIN: win 75 aL 1k 00 as,yy
Zoning:kA3D Flood zone: N walarend: t4 Deed Book&Paae:4 /min Power Company':�•t,
'New selectee with Proven Energy as service provider need to apply premise number from Progress Energy.
PROPOSED USE:
''` ,I . { M Nx:
SFR.(Sias x7 t% 1 P Bodmo.Ta:�H aathaS Beseman*wMm bath):i GarageL Deck:L Crawl Space_Slab:—SIW
(Is the bonus room Mand?L)yes Li no w/adaset?(_)Yes (._)no(If yes add in with*bedrooms)
❑ Mod(Slea_e_le Bedrooms—e BathsBasement(who bath)_Garage:_Site But Deck:_ On Frame Oft Frame_
(Is the second Dor finished?(J yes (_)no My ober site GDM additions?U yes L)no
3 Manufactured Horne:_SW DW_TW(Size x_I a Bedrooms:_Garage:—(dile buit?_)Deck:—(ants but? )
U Oupler(Sire a_)No.Buildings: No.Bedrooms Per UnIt.
❑ Home Occupation:M Rooms: Use: Hours of Operation: *Employees:
❑ AddltIoNAmenorytOther:(Size_a )Use: Closets Inaddeon?(_)yes (_)no
Water Supply x County Edaing Well _New Well(it or dwellings usinp well )'Muth have operable water before final
Sewage Supply._New Septic lar*(Complete Checklist) _Existing Septic Tank(Cwnpsla Check/lel) K County Sewer
Does owner of the bad of land,own land that containsmanufactured lams within Ave hundred feel(5001)of tract listed above?Ll we (_)era
D ow the property contain any easements whether urfeigraund or overhead Li Yes (_)no
Structures(edwn%or proposed):Single fawly tlwellirps'. Manufactured Homes: O her(spedfy):
Required Residential Properly LineSetbacks: Comments:
Front MinimumG Actual L5
.'6
Rear W �5
oast we �e ,t OOw'`---
SIdesbUco
eernerloi ZD
sweat Building
on sena lot ..
CONTINUES
APPLICATION CON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 4e A GIOn f,( Ln4 TVLp Xt3 �x 41'
i(xrt us 4216 +A vas t, CG inartAl AuL A1LIIj5 crice.
cor_krut or l/51LL -4-0 A„vio c{
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the speafcations of plans submitted.
I hereby state that foregoing state ants are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
Al/ ' uro e-tio
IgnS aturof Owner or rs 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"
NOTE:
ALL DIMENSIONS, LOCATCNS ANO FEATURES SHOWN ON
THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARTISTS RENDITION EXACT LOCATION OF ALL FEATURES
ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
C
MEXACTLY AS SHOWN ON PLANS AND/OR IN MODELS,
SITE g PLACEMENT OF HOME, DRIVEWAY, SIOEWALRS AND
EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
QG DEEMED NECESSARY BY FIELD PERSONNEL
r411111° CO
Q
ty�O^.
CUSTOMER DATE
2 CUSTOMER DATE
`S 4 �J
2O /
WADE ARNET REPRESENTATIVE DATE
APPROVAL FOR STAKING
T115 PLOT PLAN AS PREPARED BY RESIDENTIAL LAND SERVICES,
VICINITY MAP IS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
Not To Scale DATE SHOWN BELOW,
WADE JIIRNEY HOMES REPRESENTATIVE DATE
SETBACKS: IMPERVIOUS SURFACE AREA
FRONT — 15' w/PARKING IN REAR DESCRIPTION AREA
FRONT — 55' w/PARKING IN FRONT HOUSE w/ PORCH 600 S.F.
REAR — 25' PATIO/HVAC/MISC. 9 S.F.
NEAR SIDE — 0.5' MIN 5' MAX DRIVEWAY & WALKS 621 S.F.
OPEN SIDE - 10' ALLEY PAVEMENT 1,840 S.F.
WINDOW/DOOR - 6* TOTAL (PROPOSED)-- 3,070 S.F.
LOT AREA = 6,703 S.F.
R IMPERVIOUS AREA =45.811
179 180
N55'27'55"E
91.3;
6,763 S.F. 194 215'
\ 0,1. AC 1J
P6_DRIVEWAY EASEMENT P; _ 11)_ 7 - w �'E
1 J D g
\- I CO Q
\; 4 lIPP20 u
if
w cyr 0-
CL
\f M 140SV0,40 / n Z N
NW D I o 19 x 1_ 8
• 1 �O f Q 1-
\ ¢ $
BSA? , I F CO W 8
\ co
o s
\ I
3 OTBACH (THAN
5' MAINTENANCE\ GT
EASEMENT
NN
ALEAH COURT
50' PUBLIC R/W
09(09111 Application#
Harnett County Central Permitting
PFBox 05 93293 NC 27548
Each section below to be filled out 910 893 7525 Fax 910 883 2793 www hemett aaro/perms.by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Budding and Trades Permit
name 8 phone must match I'
Owners Name 4LItQ1ainrnLU KUNA.6 Date417S(n
Site Address Co5 Adnan ' l Phone al 4Q5.5(i5q
Directions to rob site from Lillington 14/44 rt/. Oil F Cvn n4L Si. . -Pah lost( S4 Si-.
ti S 47I 5 . 40 uSlu CA "pail AnL rn "IP rs Cvttf(
(fl -i-?hut on 1/5It! Cdkmf2h(J) 46pnn2.SL-
Subdlvlslon M dr ria tiS 4-b now S Owe. Lot IQLI
Description of Proposed Work 5 FR— #of Bedrooms _3
Heated SF t2O0 Unheated SF Finished Bonus Room/ Crawl Space Slab X
General Contractor Information
idu 1uL 33/4•3-z-5(-1oc/
Building Contractor s Company Name Telephone
4f1 134:1USrtYrWiAO. i..72 ) GlnorsiOelkt -C it thn bin tjban(�.(pwi
A dress Z.--I�Iv Email Address
4742L447W1--
License
icense#
Ic I Contractor t tion
Description of Work Eft(Iry l NSkr it Service Size J_DD Amps T-Pole✓ Yes_No
1.10--3 a:4.5.5o•zN41
Electrical Contractors Company Name Telephone
Cl6ty4ar to 1-4ILeJ,1lel(l'Mtr[nal
Address Email A c ss
I Is9$'l
License#
MechanlcaUHVAC Contractor Information
Description of Work NIlt1Q 4 Air
0.0m.G'ar4-ptr 33L 7GK 473a
Mechanical Contractors Company Name Telephone
�oEz57S57-1 C.knwtnpr5 ,UG77fP_ Ya•✓Lth•Fn&a,LlaoY�4aem
Address Emai Address
t-IZIR'
License#
Plumbing Contractor Information
Description of Work PIllAytlol vier -Cleary( #Baths
�nrSan Q(tlpAnlnG fit %6 .4 3
Plumbing Contractors Compant Name Telephone
31(ao q 17t'Sovt En. Cla,I sof 71S7D --r ],.s
trlEwhnbinronanbat�hvaL•
Address�ar-�� ' Email Addres Cars
Z.7c2
-I -
License#
Insulation Contractor Information
gin t t I d tx5114,Sul0Atom 4(0''188 'Zstki
Insulation Contractors Company Name 13 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 pv signing below I have obtained all subcontractors
permission to obtain these permits and if Au 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 ell 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 cu ent fee schedglg_
�e 4 <1-7
Signature of Owner/Contractor r(s)of Corporation Date
Affidavit for Worker's Compensation NC G 8 87-14
The undeysigned applicant being the /
__General Contractor Owner (. Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of penury that the person(s) firm(s)or corporation(s)performing the work
set fort 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
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 workers 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 ( 1JUrn ui 146,146
Sign w/rdle./44.6.-iab7garThii'/( *dTh't-tili/ Date 4
bctn
DO NOT REMOVE!
Details: Appointment of Lien Agent Piled on: 09/07/2017
Entry N: 717306
Initially filed by: wjh3013
Designated Lien Agent Protect Property
Print & Post
itmesmn hide Insurance Company ,RHC 190
88 Aleph Ct e -
Onllne:wuu.Lenmeeom Lillinglon,NC 27546 -y
Harnett County
Aderen:to W.Hargett 9t,Suite 507 Raleigh,SC \ \
na91 Q .yo
enaae:tlsgh90.t1F1 Property Type Contractors:
Eu: I1-1su-`231 Please post his notice on the lob Site.
Email:'uoonnn,lienenacum. 1-2 Family Dwelling Suppliers and Subcontractors:
Scan this image with your smart phone to
icw this filing_You can then tile a Notice
Owner Information to Lien Agent Mr this project.
WIH,LLC
33011 Hanlew'nmid Ave Suite 230
Greensboro, NC 27410
United States
Email':trabitrlwwadeinmeyhomes.com
Phone 141-999-5565
View Comments 601
Technical Support Hotline:04891690-7384