HomeMy WebLinkAboutRBPR-09-2015-22302.TIF �$A G • THIS IS NOT A PERMIT Case # RBPR-09-201 5-22302
S CATAWBA COUNTY HEALTH DEPARTMENT 0 '-a 0 { 0
(mp PL AN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 'I r
7842 sM Residential Building-Plan-Review--.Building New C •v o:c
IMPROVEMENT- AUTH_CONST Ate. ,o- A
„P h`lG• Pni;,:)MM,4 ED 3 Biz Ql 4e-plan.
Applicant *MADISON HOME BUILDERS, LLC (W KELVIN ANDERSON), 1721 E BOULEVARD, CHARLOT
NC 28203
B:7043349339 C:8284648870E:7043740686 SUE@MADISONHOMEBUILDERS.NET
Owner JAMES FLYNN, PO BOX IS I, DENVER NC 28037
C:980-722-8862
NAME TO APPEAR ON PERMIT
James Flynn
SITE ADDRESS: 3890 DAVIS RD, MAIDEN NC 28650 PIN # 366703041295
NAME of SUBDIVISION: Lot 4 Section/Block
PROPERTY SIZE: Square Feet Acres 2.97
DIRECTIONS: Hwy 16 S/right Buffalo Shoals Rd/right Davis Rd/lot approx 3/4 mile on right
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: (360) WATER SUPPLY: Public Water
DESCRIBE WOR • 2/9/16 revised to edroom' *waiting for public water-wanting to connect/ line is not under construction yet*"
new singe amily dwelling 66 x 34
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: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF vacant lot
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 66 x 34
#OF NEW BEDROOMS••
BASEMENT? o BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
59-ehapplication 02/09/2016 13:25 Page 1 of4
° CATAWBA COUNTY Case# RBPR-09-2015-22302
;,
f• tin y 2 Public Health Department Subdivision
< 4®y p,Environmental Health Division PIN# 366703041295
PO Box 389. 100-A Southwest Blvd,Newton, NC 28658
1842 54
NAME ON PERMIT: (JAMES FLYNN), PO BOX 181 I, DENVER NC 28037
( James Flynn)
Site Address: 3890 DAVIS RD, MAIDEN NC 28650
Property Size: Square Feet Acres 2.97
Directions: Hwy 16 S/right Buffalo Shoals Rd/right Davis Rd/lot approx 3/4 mile on right
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 underst d that I am solely responsible for the
proper identification ,fa eli of all property lines and corners and making th slte;acce\le so that a complete si AY-•alu•tion can be performed.
Date: �' d j Signature of Applicant or Agent � \
JJJJ
n Environmental Health Specialist will contact you withir work g days of application date.
If you need further information or assistance p2ase-c 828-466-7291
AREA1
� ME5 p n» ' vE � f AE FEENAr z "4y • tti45 dr D 3FEE AMOUNT °! ..ri' rti i
Authorization to Construct Fee (New/Expansion) 09/10/2015 5300.00
Fee
Authorization to Construct Fee (New/Expansion) 02/09/2016 $150.00
Fee
Improvement Permit Fee 02/09/2016 $150.00
xri�;E'11� 1 -TOTAL FEES tib�l i d' �° h L.kia. i u�� .ii t . 0 0 ..i L.
I_n-�`i t...0 '3 _1, ,., Pii_I•„ _. _s„x;f3'�KEtil't ;1 Nit• iNafs..a d:= . =r.i:,
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
E9-chappl ical ion 02/09/2016 13:25 Page 2 of 4
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Parcel: 366703041295, 3890 DAVIS RD 1 in=60ft
MAIDEN, 28650
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
02/09/2016
..pA co • CATAWBA COUNTY
t" �� I 00A SOUTHWEST BLVD
NEWTON, NORTH CAROLINA 28658 RECEIPT
:,aP PHONE: 828A65.8399
C3 yt ''G� Tuesday, February 9, 2016
1842 sm www.catawbacountync.gov
PAYOR:
Flynn,James
PAYMENTS
TRANSACTION NUMBER: TRC-617916-09-02-2016
PAYMENT DATE : 02/09/2016
PAYMENT TYPE: Credit Card
157282872
INVOICE NUMBER FEE NAME FEE AMOUNT
02-16-325183 Authorization to Construct Fee $150.00
(New/Expansion) Fee
0216 325183"x7 r m ylmprovement PermirFee v} 1E,cr 4 ,w $150.00=
TOTAL PAYMENTS : $300.00
RBPR-09-2015-22302
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 3890 DAVIS RD, MAIDEN NC 28650
Applicant *MADISON I-TOME BUILDERS, LLC, 1721 E BOULEVARD, CHARLOTTE NC 28203
B:7043349339C:8284648870F:7043740686 SUEnMADISONI-IOMEBUILDERS.NET
Owner JAMES FLYNN, PO BOX 1811, DENVER NC 28037
C:980-722-8862
**NO PEOPLESOFT ACCOUNT ASSIGNED **
receipt 02/09/2016 13:23 Page 1 of 1