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Home My WebLink AboutRBPR-10-2015-22479.TIF �t3A .� THIS IS NOT A PERMIT Case # RBPR-10-2015-22479 Q a CATAWBA COUNTY HEALTH DEPARTMENT El - q n El v "' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 9r� 1842 :M Residential Building Plan Review - Building New •o y o r: •IMPROVEMENT- AUTH CONST o d, :S`i Applicant *BOUREANU, CONSTANTIN CLAUDIU (CONSTANTIN CLAUDIU BOUREANU), 1475 KENSINGTON PARK, HICKORY NC 28602- B:(828)320-4225 C:8283204225F:(866)530-4588 ADVANCEDELECTRICAL @HOTMAIL.COM Land Owner ABERNETI-IY PARK LIMITED, 2850 SAINT GEORGE RD, WINSTON SALEM NC 27106 NAME TO APPEAR ON PERMIT *BOUREANU, CONSTANTIN CLAUDIU (CONSTANTIN CLAUDIU BOUREANU) SITE ADDRESS: 5163 MEADOW PARK LN, HICKORY NC 28602 PIN # 279012874247 NAME of SUBDIVISION: ABERNETHY PARK PH 12 Lot# 87 Section/Block PROPERTY SIZE: Square Feet Acres 0.47 DIRECTIONS: Bethel Church RD TR Pittstown RD,TL Abernethy Park DR, TR Orchards Park DR, TR Regents Park DR,TL Kensington Park DR, TR Meadow Park LN PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: 65x60 1 story 4 bedroom single family dwelling with attached garage. No basement 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 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 65x60 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 05/12/2016 09:36 Page I of5 0A • CATAWBA COUNTY Case# RBPR-10-2015-22479 .TCf�Qy Public Health Department Subdivision ABERNETHY PARK PH 12 4 's4g. �S Environmental Health Division PIN# 279012874247 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 t8 2 W NAME ON PERMIT: *BOUREANU, CONSTANTIN CLAUDIU (CONSTANTIN CLAUDIU BOUREANU), 1475 KENSINGTON P, HICKORY NC 28602- `BOUREANU, CONSTANTIN CLAUDIU ( CONSTANTIN CLAUDIU BOUREANU) Site Address: 5163 MEADOW PARK LN, HICKORY NC 28602 Property Size: Square Feet Acres 0.47 Directions: Bethel Church RD TR Pittstown RD, TLAbernethy Park DR, TR Orchards Park DR,TR Regents Park DR, TL Kensington Park DR, TR Meadow Park LN 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 a fi rules. I understand that I am solely responsible for the proper identification nd ring ling of all property lines and corners and making the site accessi'ile so tha a com.lete site evaluation can be performed. Date: `JO2f (c, Signature of Applicant or Agent •11 9iI ,Cise An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 ^'sS.?11u 1 SuNF{1`I� rf` 11i y u11S�^g7�,1�f�I"1V' r, 14110111,111 I`t t M I 111flf 'flltNf( �••FEF NAM E��pin 1 .aulM1 'Lit nllt thli 'i ;1111UH4��Ii�.��1 4 DATE1` ! /c FEE AMOUNT`, Authorization to Construct Fee (New/Expansion) 10/06/2015 $300.00 Fee Improvement Permit Fee 10/06/2015 $150.00 Re-Trip or Redesign Fee 05/12/2016 $70.00 111114 'I ITOTAIL FEES P � , a''r ` ti+ l��E��iII��P J '0111111[ tllt��1 'a1llifi JS520 00i i• I li l l .,., I d111HINItjlti.,p f h t#1 44 i. itthalUr,l'io INII4Lh1 q�U h1II1MrlWIWllllllll l) 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-ehahpl i cut ion 05/12/2016 09:36 Page 2 of $A CATAWBA COUNTY � � 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT f PHONE: 828.465.8399 111!u.,reaps;. CJ �` �,iikko�e>o9 Thursday, May 12, 2016 1 ik��.- j84'Z sm www.catawbacountync.gov PAYOR: *BOUREANU, CONSTANTIN CLAUDIU *BOUREANU, CONSTANTIN CLAUDIU (BOUREANU, CONSTANTIN CLAUDIU) PAYMENTS TRANSACTION NUMBER: TRC-671176-12-05-2016 PAYMENT DATE : 05/12/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 05-16-328256 Re-Trip or Redesign Fee $70.00 TOTAL PAYMENTS : $70.00 RBPR-10-2015-22479 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 5163 MEADOW PARK LN, HICKORY NC 28602 Applicant *BOUREANU,CONSTANTIN CLAUDIU, 1475 KENSINGTON PARK, HICKORY NC 28602- B:(828)320-4225C:8283204225F:(866)530-4588 ADVANCEDELECTRICAL @HOTMAIL.COM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Land Owner ABERNETHY PARK LIMITED,2850 SAINT GEORGE RD, WINSTON SALEM NC 27106 receipt 05/12/2016 09:36 Page 1 of 1