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HomeMy WebLinkAboutRBPR-07-2015-21960.tifyJgA 1842 su Applicant Contractor Land Owner THIS IS NOT A PERMIT Case # RBPR-07-2015-21960 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST *CS BARNETTE CONSTRUCTION INC (CHRIS BARNETTE), 985 RUSSELL RIDGE, CATAWBA? 28609 C:7044504698 CSBARNETTE@EMBARQMAIL.COM *CS BARNETTE CONSTRUCTION INC (CHRIS BARNETTE), 985 RUSSELL RIDGE, CATAWBA 1 28609 C:7044504698 CSBARNETTECEMBARQNIAIL.CONI CARTER RACHEL GABRIEL HEIRS (CARTER RACHEL GABRIEL HEIRS), 500 6TH AV NE, CONOVER NC 28613 NAME TO APPEAR ON PERMIT *CS BARNETTE CONSTRUCTION INC (CHRIS BARNETTE) SITE ADDRESS: 5765 SHERRILLS FORD RD, CATAWBA NC 28609 PIN # 368902894898 NASIE of SUBDIVISION: Lot q Section/Block PROPERTY SIZE: Square Feet Acres 5.85 DIRECTIONS: Between Sherrills Ford Rd headed to Bandys Crossroad PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY : Public Water DESCRIBE WORK: 42x50 single family dwelling- no basement w/ detached garage 24x24 SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES', then supporting documentation is required Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF old barn EXISTING STRUCTURES ON SITE (IF AN DIM EXISTING STRUCTURE: 30x40 NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 42x50 & 24x24 # OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described PLUMBING REQUIRED? CONVENTIONAL: ANY: YES E9 - e113pp11ca00n 07/16/2015 14 46 Page I of 4 THIS IS NOT A PERMIT Case # RBPR-07-2015-21960 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST Applicant *CS BARNETTE CONSTRUCTION INC (CHRIS BARNETTE), 985 RUSSELL RIDGE, CATAWBAI 28609 0:7044504698 CSBARNETTE@EMBARQMAIL.COM Contractor *CS BARNETTE CONSTRUCTION INC (CHRIS BARNETTE). 985 RUSSELL RIDGE, CATAWBAI 28609 C.7044504698 CSBARNETTE@EMBARQMAIL.COM Land Owner CARTER RACHEL GABRIEL HEIRS (CARTER RACHEL GABRIEL HEIRS), 500 6TH AV NE, CONOVER NC 28613 NAME TO APPEAR ON PERMIT *CS BARNETTE CONSTRUCTION INC (CHRIS BARNETTE) SITE ADDRESS: S'1 tos- FcxJ,, C�wbo. 1810 09 PIN # 368902894898 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Feet Acres 5.85 DIRECTIONS: Between Sherrills Ford Rd headed to Bandys Crossroad PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: 42x50 single family dwelling- no basement w/ detached garage 24x24 SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES', then supporting documentation is required Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF old barn EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: 30x40 NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 42x50 & 24x24 # OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct)' ACCEPTED. ALTERNATIVE, OTHER: INNOVATIVE: Other described: PLUMBING REQUIRED? CONVENTIONAL ANY. YES E9 - chapplication 07/16/2015 14 29 Page 1 of 4 �A CATAWBA COUNTY Case # RBPR-07-2015-21960 �� Qy Public Health Department Subdivision Environmental Health Division PIN# 368902894898 PO Bos 389, 100-A Southwest Blvd, Newton, NC 28658 !g 2 b NAME ON PERMIT: *CS BARNETTE CONSTRUCTION INC ( CHRIS BARNETTE), 985 RUSSELL RIDGE, CATAWBA NC 2860 *CS BARNETTE CONSTRUCTION INC ( CHRIS BARNETTE) Site Address: Property Size: Square Feet Acres 5.85 Directions: Between Sherrills Ford Rd headed to Bandys Crossroad Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable, Improvement Permits and Well Permits are transferrable Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility 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 1 am solely responsible for the proper identification y1nrd labelin of all property lines and corners and making the site accessible s that a co tete site evaluation can be performed Date: -I \� -I Signature of Applicant or Agent-� An Environmental Health Specialist will contact you within 5 forking days of application date. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME " DATE Authorization to Construct Fee (New/Expansion) 07/lb/2015 Fee Improvement Permit Fee TOTAL FEES 07/16/2015 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR FEE AMOUNT $300.00 $150.00 $450.00 WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - chapplicatsn 07/16/^_015 1429 Page 2 of 4 CATLAWBAL THIS IS NOT A PERMIT R Q) Piz - b I - a L) � 5 COUNTV CATAWBA COUNTY HEALTH DEPARTMENT Application for Enviromnental Services Page I Improvement PermitX Authorization to Construct,] Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New Construction 9 Existing Facility ❑ Property Address Subdivision y PARGJG ID .3(089D28g49gA Lot t# Acres -51 85 Section/Block/Phase Driving Directions to Property meq. FFnI �e�S wtd�s Yn t c u ni A9kH)'- SIfERQILGS Tn 6AnJayS cQass i?a �� NAME TO APPEAR ON PERDIIT? VOwner XApplicant /Contractor Applicant Contact Information Name C141?Is 6AF—Nr77E Address C) !P3!5 42U -SS FLL RI067E Phone %OL/- L15 C->- IV 9 S Owner Contact Information Name SAM Address Phone Contractor Contact Information Name C S Q A•Q N.0 7Tf f atiST Address Phone (Z0 c 4TAv ilA 2P606(. Cell Phone '5A/K# Cell Phone N�. / c�rz iS^1 (D 31 R4 Cell Phone WHO WILL BE TIM PRIMARY CONTACT? Z OwnerApplicant contractor Description of Existing Structures on Site nG� SA)C" # of Bedrooms *j /V0 Structure Dimensions '�.O X y© # of Occupants Basement ❑ Yes�No Basement Fixtures ® Yes -'Oxo 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 to any question is `yes", applicant must attach supporting documentation. ® Yes oto Does the site contain any jurisdictional wetlands? • Yes &No Does the site contain any existing wastewater systems? ® Yes ONo Is any wastewater going to be generated on the site other than domestic sewage? 01Yes No Is the site subject to approval by any other public agency? ® Yes ,01`&�o Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Ind ividual Well ❑ Community Well LJ Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** Oyes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference} 0 Accepted ❑ Alternative Conventional 0 Innovative ❑ Other f� Any 'lu D CATAV A THIS IS NOT A PERN11T 0111 INTY 1+`=V- -- CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence V New Residence ❑ Addition to Residence # of New Bedrooms *T� Project Description the k ! Y"s Structure Dimensions t/ 2 X .SO # of Occupants S Basement ❑ Yes 2r No Basement Fixtures ® Yes ;No Accessory Structure(s) Describe oe 4,p c .G 4 it 6,i�- # of New Bedrooms 'It if applicable (C) Structure Dimensions 2VI ZV # of Occupants O Accessory Dwelling ❑ Yes 2'No Plumbing ❑ Yes j?'No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit"f r Total # Bedrooms *j Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Conununity Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ unknown Well Repair Requested ❑ Yes ❑ No Describe 1J&* o?y e /T v ii ATE e_ Td 13 c, USrra Calculated Design Flow, Commercial f Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. Ibis may prevent the need for septic system size increase in the future. 7 If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RE TRIP RILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits maybe revoked if the information on this application, site plans dr intended use changes for the proposed facility. 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or AgentDate �� /_5 v /� Printed Name of Owner or Agent C//;eS T9>4eNF77F Catawba County Environmental Health Parcel: 368902894898, CATAWBA, 28609 1in=150ft This map/report product was prepared from the Catawba County, NC Geospatial Information Services Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report, Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user, The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity Copyright 2014 Catawba County NC 07/14/2015 i Catawba County Environmental Health 4 l&� Parcel: 368902894898, CATAWBA, 28609 IJ 0 1 in=150ft This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 07/16/2015 Parcel Report Sri l, -,S shirr i 5 �-bfoi , NC Parcel Report- Catawba County NC Parcel Information: Parcel ID: 368902894898 Parcel Address: City: CATAWBA, 28609 LRK(REID): 20132 Deed Book/Page: 2014E/0346 Subdivision: Lots/Block: / Last Sale: Plat Book/Page: Legal: Calculated Acreage: 5.850 Tax Map: 019 Y 04020 Township: CATAWBA State Road #: 1848 Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: BANDYS Building(s) Value: $0 Land Value: $52,900 Assessed Total Value: $52,900 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details Watershed: WS -IV Protected Area Voter Precinct: P5 Parcel Report Data Descriptions List all Owners Deed History Report Page 1 of 1 Owner Information: Owner: CARTER RACHEL GABRIEL HEIRS Owner2: Address: 500 6TH AVE NE Address2: City: CONOVER State/Zip: NC 28613-1637 School Information: School District: COUNTY Elementary School: CATAWBA Middle School: MILL CREEK High School: BANDYS Zoning Information: Zoning District: COUNTY Zoningl: R-20 Zoning2: Zoning3: Zoning Overlay: WP -O Small Area: SHERRILLS FORD Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: 2007-09-05 Firm Panel #: 2010 Census Block: 2011 2010 Census Tract: 011501 Agricultural District: PROXIMITY Assessment Report This map/report product was prepared from the Catawba County, NC Geospabal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity © 2015, Catawba County Government, North Carolina. All rights reserved. rplAe' NQwSe�ne qb� o0spd st i5-1 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=368902894898&typ=P 7/16/2015