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HomeMy WebLinkAboutRBPR-03-2016-23442.TIF .<Y A oG THIS IS NOT A PERMIT Case # RBPR-03-2016-23442 u - CATAWBA COUNTY HEALTH DEPARTMENT 0 �4 go i a ` PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES r° v• 1842 5M Residential Building Plan Review - Manufactured Home oro ' . r4r (h IMPROVEMENT �• 3 . / El S )1. _ ?ak=d Owner DAVID ADDINGTON, 6431 STARTOWN RD, MAIDEN NC 28650 C:8282441179 NAME TO APPEAR ON PERMIT David Addington SITE ADDRESS: 2224 DEERFIELD DR, MAIDEN NC 28650 PIN # 362602753796 NAME of SUBDIVISION: CEDARFIELD PH 1 Lot# 7 Section/Block A PROPERTY SIZE: Square Feet Acres 0.47 DIRECTIONS: Hwy 10 W to Left Startown Rd to Left onto Biggerstaff RD to Right onto Cedarfield DR to Right onto Deerfield DR #2224 is on the right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK/ Revised 4/4/16 - SW 16x66 w/ Decks: front 6x8, back 10x8 Clayton Homes has been removed from application. They are no longer associated with application. 16x76 single wide with 6x6 front deck, 6x6 back deck **Home must meet appearance criteria ---Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sq ft, home must be masonry underpinned (can use vinyl if singlewide). Home must be parallel to road and must face front of property **If this new home is a replacement for an existing occupied home—that existing home must be removed from the site within 30 days of the issuance of the Certificate of Compliance** 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? Yes 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? APPLICATION FOR: New Structure STRUCTURE TYPE: �.. PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF Home has been removed EXISTING STRUCTURES ON SITE OF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16x66 w/Decks front 6x8, back 10x8 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 09-ehapplica0on 04/04/2016 16.42 Page I of 5 $y,A CATAWBA COUNTY Case II RBPR-03-2016-23442 :7 Public Health Department Subdivision CEDARFIELD PH 1 Q Yi Environmental Health Division � PIN01 362602753796 � PO Box 389, 100-A Southwest I3Ivd,Newton, NC 28658 Igo ,' NAME ON PERMIT: ( DAVID ADDINGTON), 6431 STARTOWN RD, MAIDEN NC 28650 ( David Addington) Site Address: 2224 DEERFIELD DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.47 Directions: Hwy 10 W to Left Startown Rd to Left onto Biggerstaff RD to Right onto Cedarfield DR to Right onto Deerfield DR#2224 is on the 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 understand that I am solely responsible for the proper identificatiyn anrJ la�gling of all property lines and corners and making the site essible so thaw plete ite-evalu tion can be performed. Date:z-/ 9 10 Signature of Applicant or Agerk ( �Q.V-lC�. � I C d� 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 AREA1 at 71 a1 a 77t ` L��tP;(,h7 a i - swraaa i ax ii 6 i FGENAME--r Y7 a � ° x ° - DATE" FEE'AMOUNT "- Improvement Permit Fee 03/21/2016 $150.00 �s-- a ,;TOTAI FEES a 1 6'l f1 E Ir rr1 t , W% "` t l t $150-09-,V4 �s 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) P9-ehappl icaliou 04/04/2016 16:42 Page 2 of 5 Catawba County Environmental Health 1 50. 0 cl4\ O. 186.00 2op3% 0 $ 18610 \ \ \ a�4\2 g Ul Cl I\ tt \� .. S of fo is&S r zoo 00 .—\-> s cs, I \\ , I I \ \ \ a 1 , , - ~ �Y .,,,r.GEDARFIE1 3 oR It \ \Parcel: 362602753796, 2224 DEERFIELD DR tin=50ft 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 04/04/2016 UTHIS IS NOT A PERMIT Case # RBPR-03-2016-23442• r7w Fla CATAWBA COUNTY HEALTH DEPARTMENT 0 0. • goy 'i 0 2SM PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •?' : 84 Residential Building Plan Review - Manufactured Home • o .a trt o IMPROVEMENT 0 d Applicant *CLAYTON HOMES# 81 /CMH INC (UNLICENSED), 1230 CONOVER BLVD, CONOVER NC 286 B:828-465-3450E:828-464-0261 JWHOLDER @HOTMAIL.COM Contractor *CLAYTON HOMES# 81 /CMH INC (UNLICENSED), 1230 CONOVER BLVD, CONOVER NC 286 B:828-465-3450F:828-464-0261 JWHOLDER @HOTMAIL.COM Owner DAVID ADDINGTON, 2224 DEERFIELD DR, MAIDEN NC 28650 0:8282441179 NAME TO APPEAR ON PERMIT David Addington SITE ADDRESS: 2224 DEERFIELD DR, MAIDEN NC 28650 PIN # 362602753796 NAME of SUBDIVISION: CEDARFIELD PH 1 Lot# 7 Section/Block A PROPERTY SIZE: Square Feet Acres 0.47 DIRECTIONS: Hwy 10 W to Left Startown Rd to Left onto Biggerstaff RD to Right onto Cedarfield DR to Right onto Deerfield DR #2224 is on the right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 16x76 single wide with 6x6 front deck, 6x6 back deck **Home must meet appearance criteria ---Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sq ft, home must be masonry underpinned (can use vinyl if singlewide). Home must be parallel to road and must face front of property**If this new home is a replacement for an existing occupied home—that existing home must be removed from the site within 30 days - of the issuance of the Certificate of Compliance** 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? Yes 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? APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF single-wide EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 14x66 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16x76 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-etapplication 03/21/2016 16:18 Page 1 of 5 $A CATAWBA COUNTY Case# RBPR-03-20 1 6-23 442 2 Public Health Department Subdivision CEDARFIELD PH 1 < a '4, Environmental Health Division PIN# 362602753796 �'® PO Box 389, 100-A Southwest Blvd. Newton.NC 28658 0!g 2 u NAME ON PERMIT: (DAVID ADDINGTON),2224 DEERFIELD DR, MAIDEN NC 28650 ( David Addington) Site Address: 2224 DEERFIELD DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.47 Directions: Hwy 10 W to Left Startown Rd to Left onto Biggerstaff RD to Right onto Cedarfield DR to Right onto Deerfield DR#2224 is on the right Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site acces ..le so that a comple,- site evaluation can be performed. Date: 312 I I IL" Signature of Applicant or Agent s$aals- 4 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 AREA1 U FEENAME - DATE. FEE AMOUNT Improvement Permit Fee 03/21/2016 5150.00 ' TOTAL FEES - 51:50.00 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-ehapplimtion 03/21/2016 16 18 Page 2 of 5 'RBeg - 03 - aa,e - a3 a C eTAWB e THIS IS NOT A PERMIT counr s �, .�L g CATAWBA COUNTY HEALTH DEPARTMENT �' �"" „or,, Application for Environmental Services Page 1 Improvement Permit Authorization to Construct Septic Repair ❑ Septic Malfunction [ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) r Application is for New Construction ❑ Existing Facility 0 Property Address ,. ,. .. Sat' e ►,± / Subdivision l e t f�` Phi� PIC�c✓I, w(✓ Lot# �� t Acres "11 �� �" W Section/BlocWPhase a Driving Directions to Property 0, 6 A NS Ili_ I . ■ ir a' Oftvia p �� I/ II • t! PS a* IS "a •A 'f eI h{2 �D g D Kit beeR-Field) p . tt ?,41- I S on-tla Riti-- NAME TO APPEAR ON PERMIT? .g1 Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name etc(,'rb 'S r ire s / eziob laSar- Address i 36 ro,noinc and w . ,, eo/novcc /J deEtc,R Phone Qm_at -7_3/ 6,3? Cell Phone 826, -x17- 3007 Owner Contact Information Name peep k3olAre-7. Address 629 4 beei2-F1at—i D2WE / Mg 1c1eN Phone qz,ze, _ di4 I - f 1 Tel. Cell Phone Contractor Contact Information I Name SG, ._ GCS tafil ��Ca,, License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner [Applicant ❑ Contractor Description of Existing Structures on Site l'-{ ke (pip Sihn5 t.e Il i d P_, ft of Bedrooms *t a Structure Dimensions 1,4K Le to # of Occupants 1 Basement ❑ Yes X No Basement Fixtures ❑ Yes XNo 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 f No Does the site contain any jurisdictional wetlands? $'Yes ❑ No Does the site contain any existing wastewater systems? ❑ Yes ro Is any wastewater going to be generated on the site other than domestic sewage? - Yes o Is the site subject to approval by any other public agency? ❑ Yes Nt/No Are there any easements or right of ways on this property? Describe Existing water supply in use hidividual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township G ater Line Is a public water supply available? ** ❑ Yes 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) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other 'I Any CATAWBA THIS IS NOT A PERMIT cOUNtY CATAWBA COUNTY HEALTH DEPARTMENT «e,„c , Application for Environmental Services Page Tor* r_,/ t/J UV Proposed Facility Type ( $(p Primary Residence I] New Residence n Addition to Residence # of New Bedrooms *t bOd Project Description NtlAJ AleX 7Lo Stt/l k&O/ - &Delp iYA-( Structure Dimensions 1M,( -71,p #o Occupants I Basement ❑ Yes Ill No Basement Fixtures ❑ Yes Pit No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed •.„❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *t 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 n Other Facility Type Specify If Church # of Seats Kitchen n Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well n Semi-Public Well n Community Well Abandonment Type H Drilled n Bored ❑ Dug n Unknown Well Repair Requested n Yes H No Describe Calculated Design Flow, Commercial t 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. This may prevent the need for septic system size increase in the future. t 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 RETRIP WILL 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 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 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 Agent ∎�1�r1 /��{��i>1 Date 2/02/46 Printed Name of Owner or Agent FOjtj L-u-caj e._ C(jt1 ha'l[tnhP-4 kr-/ Catawba County Environmental Health \ c \ 186.00 i2.3% g 0 S 186.'10 4 • 6 , ..... tt- c �5 , : o (/�^�]c4- •� o S , It 0 �0 oft, 0 0 j , l A r 21% l DP 1 1 1 1 , , 1 , -- '1 , , , , IA__ - ' 1 , _ _ ` 1 ,q Parcel: 362602753796, 2224 DEERFIELD DR tin=50ft 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 03/21/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 362602753796 Owner: ADDINGTON DAVID TALMADGE Parcel Address: 2224 DEERFIELD DR Owner2: BUFF LARRY COLBURN City: MAIDEN, 28650 Address: 2224 DEERFIELD DR LRK(REID): 16761 Address2: Deed Book/Page: 2007/1835 City: MAIDEN Subdivision: CEDARFIELD PH 1 State/Zip: NC 28650-9378 Lots/Block: 7/A Last Sale: School Information: Plat Book/Page: 21/184 School District: COUNTY Legal: LOT 7 CEDARFIELD PL 21-184 Elementary School: MAIDEN Calculated Acreage: .470 Middle School: MAIDEN Tax Map: 016 J 01029 High School: MAIDEN Township: JACOBS FORK School Map State Road #: 2097 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MAIDEN RURAL Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $7,100 Zoning3: Assessed Total Value: $7,100 Zoning Overlay: ED-O Year Built/Remodeled: / Small Area: STARTOWN Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710362600J Building Details 2010 Census Block: 1037 WaterShed: 2010 Census Tract: 011702 Voter Precinct: P34 Agricultural District: PROXIMITY Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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. ©2015, Catawba County Government, North Carolina. All rights reserved. '2 rm p;n 2c(0 cA l Icioy http://gis.catawbacountync.gov/nomap/parcel_report.php?key=362602753796&typ=P 3/21/2016 a °v pose . ITT° 05291 , C Air A W B A C O U N T*Y ""4i E A L T H D E P A R T M E N T (704) 465-8270 e / Lot Eval. X Improve. Permit )l Repair Permit_Cert. of Comp. Permit 9` Oper. Permit_ Owner/Agent Yc c k 1_0 W W(Lr S Phone pan -40W (cu) Address fir t5 LOX Sq`7 SubdivisionCAdm.r *eld It(UCon NC , V6oa., Section/Block/Phase 4 Lot# Lot Size 0 0 Directions: gwy (017J © STWIT0.o ) (L.x+ 0 316[nc(L5!-r1-eFed r2 cenen- '06 On srop Sr5ra 2.JC( toy Facility: House_ Mobile Home Ye Business! . Other: Zoning Approval /no #nri300(15 Multi-family_ Other . Tax Map # 1,6q - 1 - 3c Bedrooms 3 Seats Employees . Application Rate 0 q0 GPD Flow 3Q0 Hot Tub or Spa yes) Special Fixtures . 100% Repair Area yes/no REPAIR NOTICE: Basement yes/n9 Basement Plumbing yes/69 . REPAIRS MUST BE WITHIN 30 DAYS OR _ Water Supply: Private Public X . DAYS FROM DATE OF PERMIT. Type of System: Trench )( Bed_Pump Pump/Panel_Panel LPP_Other Tank Size: Septic Tank MOO T. 1 Pump Tank Nitrification Field: Total Square Feet r'i00 i3 Depth of Stone (2," Bed Size Trench Width c3(o :, Total Length of All Trenches 300 I Number of Trenches 5 Individual Trench Length(o 0 /00/426 /(PO /Cob Feet on Center Maximum Trench Depth 240 Distance of Nearest Well 50 Lot Evaluation: Approved/no (Void After 24 months) Topo 3 % Slope Sketch of lot Evaluation Site - System Design - Final Texture Clayey Structure 3)oc k:( Clay Min. ( % I e ‘'( Soil Wetness PS Soil Depth r '/'✓ Restric. Hoz. at Available space - /no S� Overall Class SU Comments: Septic Tank Contractors MUST contact the Sanitarian BEFORE changing permit. I DG&'dLFrr:co Tai **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date( 07 -16-5a-, / (Improvement Permit id after 60 months) Owner/Agent()", / 7,14— n .,,pr,,, Sanitarian Al /'.' � �t-�� . . Installed B.' Date t2-22-93 San tari 5 47_,Q- 'AP_ (Note any changes/information in red or by sketch on 'Back) IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL $25 CHARGE. - White-Office Blue-Bldg. Insp. Comp. Yellow-Owner/Agent Green-Bldg. Insp. I.P.