HomeMy WebLinkAboutDOCUMENTS Initial Application Date. 3 L ) � O Application# 1 5w W W
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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.hamett.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:Comfort Homes, Inc. Mailing Address:P O Box 369
City: Clayton Beate.NC Zip.27528 Contact No: 919 553 3242 Email: comfrthomes@aol.com
APPLICANT*:Comfort Homes, Inc. Mailing Address:P O Box 369
City: Clayton State:NC Zip:27528 Contact No: 919 553 3242 Email. com(rthomes@aol.com
'Please till out applicant information n different than landowner
CONTACT NAME APPLYING IN OFFICE:Julian Stewart Phone#919 422 1481
PROPERTY LOCATION:Subdivision: Oxford Woods Lot#:26 Lot' �Siize':.759 acre/
State Road#1006 State Road Name: Old Stage Road N Map Book&Pageraac/L 1l i s'f ']
Parcel'. 040692 0017 45 PIN: 06822-99-0055577.000 /
Zoning:RA-30 _ Flood Zone: X Watershed:N Deed Book 8 Page:;S r5 14 Power Company'. Duke Progress Energy
•New structures with Progress Energyas serviceprovider need to supplypremise number 64751018 from Progress Energy.
9 9 9Y
PROPOSED USE:
Monolithic
fif SFE):(Size 46' x 49 )#Bedrooms:3 #Baths:2 Basement(w/wo bath):_Garage: I Deck: ✓ Crawl Space: ✓ Slab:_Slab:_
(Is the bonus room finished?( )yes (f)no w/a closet?(i yes (✓)no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wN o bath)_Garage:_Site Built Deck._ On Frame_Off Frame_
(Is the second floor finished?(i yes ( )no Any other site built additions?(i yes ( 1 no
❑ Manufactured Home:_SW_OW_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:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes (J no
Water Supply: ✓ County Existing Well New Well(#of dwellings using well )*Must have operable water before final
Sewage Supply: I 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 is/)no
Does the property contain any easements whether underground or overhead(I)yes (j no
Structures(existing or proposed):Single family dwellings:proposed Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 41 .
Rear 25' 170'
Closest Side 10 11
Sldestreevcorner lot n/a
Nearest Building n/a
on same lot
Residential Lana Use Application Page l of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC 210 N;right on Benson Road; right on Old Stage;subdivision on right
If permits ar anted 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 M fpments re rate tla0 correct to the best of my knowledge. Permit subject to revocation if false information is provided.
2/28/18
Signa ure 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
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NAME: he r;} C\C , APPLICATION#:
*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
IFTHE 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 p an=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 properly flags" on each corner iron of lot. All property
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 at/for 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 undergrowth 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 recorjina for proof of reouest.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
Environmental Health Existing Tank Inspections 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 lid 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 & 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 rearrest.
• 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 type(s): cm be ranked in order of preference.must choose one.
I Accepted 1I Innovative 1 { Conventional 1_I Any
1-1 Alternative 1-) Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer is'yes'. applicant MUST ATTACH SUPPORTING DOCUMENTATION:
1_IYES 1—✓/1 NO Does the site contain any Jurisdictional Wetlands? V-nNL.( ...-A N
I_IYES (CI NO Do you plan to have an htigajSo scnem now or in the future?
1_Il'ES 1X1 NO Does or will the building contain any deims?Please explain._
IJIFS ''I NO Are there any existing wells.springs.waterlines or Wastewater Systems on this property?
I_I YES 11y NO Is any wastewater going to be generated on the site other than domestic sewage?
(_}YES I I NO Is the site subject to approval by any ocher Public Agency?
DYES1`—r)� NO Are there any Easements or Right of Ways on this property??
i_)YES IAV NO Does the site contain any exisdng water,cable.phone or underground electric lines?'oh� AceR.t v:aJ\S
.. ay,
If yes please call No Cuts at£00-6324949 to locate the lines. This is a free service. 0
I Have Read This Application And Certify That The Information Provided Herein Is True.Complete And Correct. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site A • sible So hat. omple e Site Evaluation Can Be Performed. (x
PROPERTY 0 •S 7.7 NERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
09(09/11
Application#
Harnett County Central Permitting
ESN noon Wow bbs NIS outPD Box 85 Langton NC 21548
M*tomes perlurrmng work 910 893 7525 Fra 910 893 27k1 www nsrnon orygimib
Must be owner or hammed
omn°"oOf a ' mmpany Application for R�F tdential Budding and Trades Permit
icon 8 phone must math
Owners NameQx cc\ct\ s - \ Date
site Address \ 1\� Q,31‘k, n\pkaco\ Phoned\Q-SSS-f4 .-.
Directions to pb site from Edlington ♦V _ a\n N' C •cs S. C e \SCrt.. „ A'
�O (0)C� [t&t\ �e4Qe t\thc\.'LcS <c CIG- C‘�(��
Subdivision Vy.<J<ltS, v� � da�
Description of Proposed Work S ' Lot�,
1 4p�� � tw y�#of bedrooms .2
Heated SF \ko\\ Unheated SF icy Finished Bonus Room'? \'1.j Crawl Spacilk Slab
�� Generst Contractor Information o _
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Building Contractors CompanyName �!� -,(v Telephone
o �' •�
• co w���scr� Q Q -\`ct> c t
Address Email Address
33\Cey
License#
Electnisil Contractor Information
Description of Work •. -.s. a 4 tC%ss\.p.>,i Service Size OOO Amps T-Phe _Yes No
5.Iss 11/4-‘9_c NSL � � g\°,-Q is - gel
Electrical Contractor s Company Name Telephone
t1oSa\c�o'a \lo\!:c� Q3J
Address
Se "NWC Email Address
aackac
a�s��
License#
Mechamca(t1VAC Contractor Information
Description of Work. \o\kec •)2,(4,;.:\O-\;. (N.
0)(`e CL\q- 3ac - AA\
Mechanical Contractors Company Name J- Telephone
31/4 SS•s:j.Q\ Vac & a7)sa9
Address Emad Address
License#
Plumbu1c Contractor Information
Descnption of WorkCJ .a, a<--m 0,,� #Baths
1•cC1/4i,\"\•.ct\\o, q\R- 0.3\-\399
cPllumbing Contractors Company me Telephone
91S 5 ZOeQ:\\0.c GQL• ,
Address r a7sa°Email Address
/ 0?S'a';
License#
Insulation Contractor Information
0.�vcsTS,—nSLL\ S\ O\h°t,t,„ eQsJ \4-\n\ia\-*q9
Insulation Contractor s Company Name &Address V,qt mss. �`C Telephone
'd--)Sa4
'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 sionma below I have obtained all
subcontracto
ermission to obtain these emitsand if any changes occur including listed contractors site plan
number of bedrooms building and bade 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
ac
Signature of Owner/Contracto`
Oflicer(s of Corporation Da
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
General Contractor Owner
Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury{fiat the person(s)nirm(s)or corporation(s)performing the work
set forth in the permit
Has three(3)or more employees and hes 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 perms 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
Sign w/fsle a\ \ -
_.--_��___ !1`�� �� � Date
sr
•
Appointment of Lien Agent: Details-LiensNC Lien Service https://apps.liensnc.com/scr/appointment/detailS.html?entryNumber—...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 02/14/2018
Entry W: 799994 Initially flied by: ComfortHomes
Designated Lien Agent Project Property Print & Post
WFG National l'itle Insurance Company Oxford Woods Io126 Ealy0
71 CLARFNDON COURT V ryryrrR
Online.wwlienenc corn/2,_.......,.e ANGIER,NC 27501
Address:19W Hargett Si.GAR 507/Raleigh,NC Harnett County Q er4 .
176E1 Cnntractora:
Phone:88aL90-73M Please post This nonce on the Job Sue.
Fa:913489-s7/1 Property Type Suppliersand Subcontractors:
Emau w000nflliensncwm w...,......«. Scan this image with your smart phone to
view this fling.You can then file a Notice
1-2 Family Dwelling to Lien Agent for this project.
Owner Information
Comfort Homes,Inc.
PO Box 369
Clayton, NC 27528
binned States
Emailcomfnimmes@aol coin
Phone:919-553-3242
View Comments(0)
Technical Support Hotline:(888)690-7384
1 of 1 2/14/2018,2:05 PM
HARNETT COUNTY CASH RECEIPTS
•Sm CUSTOMER RECEIPT mem
ODate: 33/66/18 52 ReceiptPn :Drawer:74
Year Number Amount
2018 58043466
71 CLARENDON CT
ANGIER, NC 27581
B4 BP - ENV HEALTH FEES
NEY TANK $750,00
COMFORT HOMES INC
Tender detail
CK CHECK DAYMEN 38811 $750.80
Total tendered $750.80
Total payment $758.80
Trans date: 3/06/18 Time: 13:15:00
** THANK YOU FOR YOUR PAYMENT am