HomeMy WebLinkAboutEHPR-11-09-2732 (2).TIF
THIS IS NOT A PERMIT Case # EHPR-11-09-2732
~ G
a CATAWBA COUNTY HEALTH DEPARTMENT
U :.p Plan Review Application for Environmental Services
1842 SM Environmental Health Plan Review - OSWP
REPAIR
APPLICANT "OWNER CONTRACTOR
JAVIER CHAVEZ JAVIER CHAVEZ
2079 REDBERRY LN 2079 REDBERRY LN
CONOVER NC 28613 CONOVER NC 28613
828-455-5814 828-455-5814
NAME TO APPEAR ON PERMIT JAVIER CHAVEZ Pin#: 374308889407
SITE ADDRESS: 2079 REDBERRY LN, Conover, NC
DIRECTIONS: 1-IWY 16 N/ LT ON C B FARM RD/ RT INTO STRAWBERRY FIELDS SUBD/ ROAD GOES IN A CIRCLE ON RT
NAME of SUBDIVISION: STRAWBERRY FIELD PH 3 Lot # 90 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.409 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3
Basement: No Water Using Fixtures in Basement:No No. in Family 5
Whirlpool Tub : Gal. Capacity:
MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms
DAYCARE: Number of Children
RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space
TYPE OF BUSINESS: Number of Employees lst 2nd 3rd
OTHER: (Specify)
Do you aniticipate any additions to Facility?
If so, describe:
Has any grading, removal, or addition of soil been done to this property?
If so, describe
Are there easements/right-of-ways recorded on this property? NO
Type of Water Supply: Individual Well Community Well Municipal Semi-Public
I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal
system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for
evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is
transferable and may be eligible for a norrexpiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility.
A Well Permit and Authorization to Construct issued by this department is valid for (5) five nar from t date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this pr y ~ pr s ntatioDby you o house ors cture
location should conform to applicable setbacks.
1 w
Date: ~ Signature of Applicant or Agent-- \ ~An Environmental Health Specialist will contact~yu within 2 ~leir~g ays of application date.
If you need further information or assistance please call-828-466-7291.-
AREA2
(FOR OFFICE USE ONLY)
Zoning Approval: Yes No Zoning Approval UDO Zoning Form A
Minimum Setbacks
Front 30 FEE NAME DATE AMOUNT
Side 30 Authorization to Construct (Repair) F, 11/16/2069 $300.00
Rear 15 TOTAL FEES $300.00
Max Hght
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge
11 /16/09 14:30
Catawba County, North Carolina
This map product was prepared from the Cotaieba Comm, NC, Geographic hrfortnalion Systcm.
N Catam-ho Comav has mode suhstamial of orls to ensure the accuraci. of localiou caul labeling n fvillotlon
caNaiued m? this mop. Cotowba Comm promolcs and 1 cconmtends the iudupendcnt ycrifiration ofany
data cantnincd on this mop product by the user. The County ofCormcbo, its employees, agents and
personal disclaim, cad shah nol be held liable for om and all damages, loss or hohility, inccther direct, inchrect
of consequmliol which arises nr num arise fiom this ntap product or the axe tllereOj h any pencnn or entuy Legend
Selected Parcel Number: 3743-03-33-9407
1 inch = 60 feet Prepared for
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o TfIIS IS NOT A LEGAL 1)0CUiIMF-NT p)~ Mondav, November 16, 2009 02:13 PNI
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THIS IS NOT A PERMIT WLS #
CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services,-,/
Improvement Permit ❑ Authorization to Construct ❑ Septic Repair [ I Septic Expansion ❑
Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑
1. Name to Appear on Permit
2. Permit Requested By 7 Business Phone .53
Address X70 7~ 4! z-o,& e AllV cl- / - CoA/oV'--Z- Horne Phone
3. Property Owner 5i3.NE f►s 1.46 ye - Business Phone 8.28) S~__5-15
Sg-/f/'ee r
Address Horne Phone
4. Name of Subdivision le~7 Lp Lot #(16_ Section/Block/Phase
Property Address
Directions to Property:
5. Property Size: Square Feet Acres Date Platted/Recorded
6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms*
"Any room that yv~ill be intended for sleeping at the-time ofconstruction or for fntrn-c consideration should be noted as a
bedroom and counted on all applications. The number ol~ bedrooms will be confirmed by rooms identified on house plans as a
bedroom at the time of buildin- permit issuance. This may prevent the need for system size increase in the future.
Basement: yes/no Water Using Fixtures in Basement: yes/no No. in Family
Whirlpool Tub yes/no Gallon Capacity
MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms
DAY CARE: Number of Children
RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space
TYPE OF BUSINESS: Number of Employees 1 st 2nd 3rd
OTHER: (Specify)
7. Do you anticipate any additions to Facility? Yes / No
If so, describe:
8. Has any grading, removal, or addition of soil been done to this property? Yes / No
If so, describe:
9. Are there easements/right-of-ways recorded on this property? Yes / No
10. Is a public water supply available on or adjacent to the above propertyZpes[ / No
Check type that is available: [ ] Community well [ ] Semi-public Coun ty/City/Township water line
**If No, a Well Permit must be issued with the Septic Permit.**
11. Well Type Applying For: [Individual well [ ] Community well [ ] Semi-Public well
I understand that this is a formal application for a well pennit, Improvement Permit or Authorization to Construct a ground absorption sewage
disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on
this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a
result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well
Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization
to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or
structure location should conform to applicable setbacks.
**IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MA E T E 7! RTY, THERE IS AN- DITIONAL CHARGE.**
Date / ~r /~o Signature of Owner or Agent
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID: 3743-08-88-9407
Name:. CHAVEZ JAVIER
Namd2: CHAVEZ NORMA I
Address: 2079 REDBERRY LN
Address2:
City: CONOVER
State: NC
Zip: 28613-8140
Account: 159742125
Calc Acreage: 0.41
Tax Map:
LRK: 402248
Deed Book: 2915
Deed Page: 0260
Subdivision Name: STRAWBERRY FIELD PH 3
Subdivision Block:
Lots: 90
Plat Book: 46
Plat Page: 106
Building Number: 2079
Street Name: REDBERRY LN
Site Zip: 28613
Township: CLINES
Fire Code: OXFORD
City Code: COUNTY
State Road:
Total Bldgs Value: $109,700
Land Value: $13,500
Total Value: $123,200
Year Built: 1999
Year Remodeled:
Last Sale Date: 5/28/2008
Last Sale Amount: $132,500
Neighborhood: 69
Watershed:
Watershed Split:
Voter Precinct: P33
E911 District: COUNTY
Zoning: R-20
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay:
Zoning District: COUNTY
Split Zoning Dist: N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District: COUNTY
Elementary School: LYLE CREEK
Middle School: RIVER BEND
High School: BUNKER HILL
School Split: NO
P&Z Case Number: R-407
Census Tract 2010: 010201
Census Block 2010: 2011
Small Area Plan: ST STEPHENS/OXFORD
Agricultural District:
Printed: Monday, November 16, 2009 02:18 PM