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HomeMy WebLinkAboutRBPR-06-2016-24092.TIF C52.\-' THIS IS NOT A PERMIT Case # RBPR-06-2016-24092 -7 CATAWBA COUNTY HEALTH DEPARTMENT 0 gro. 0 )t�!'�� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES s i 1842 5a Residential Building Plan Review - Modular 0• •o y o IMPROVEMENT- AUTH CONST Faso Applicant BILL& MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610 Contractor CLAYTON HOMES (BOBBI *LASAGE), PO BOX 132,TAYLORSVILLE NC 28681 C:8282173168 JWHOLDER@HOTMAIL.COM Owner KATHY TRAVIS, 1434 CARLIN DR, CONOVER NC 28613 NAME TO APPEAR ON PERMIT Bill & Mary Hefner SITE ADDRESS: 3887 BOTTOM LN, CLAREMONT NC 28610 PIN # 376303114866 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.460 DIRECTIONS: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road (Heavily Wooded Lot) PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New Modular 28x52 w/ Decks: front& back 6x6 Will be using well on neighboring property. 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:: 28x52 Modular w/Decks: front& back 6x6 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: NO-ehapplication 06/14/2016 13:38 Page 1 of 4 a B• CATAWBA COUNTY Case# RBPR-06-2016-24092 Tr en Public Health Department Subdivision 6 -^�- H Environmental Health Division PINlt 376303114866 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Ig.2 o NAME ON PERMIT: ( BILL& MARY HEFNER), 3887 BOTTOM LN, CLAREMONT NC 28610 ( Bill & Mary Hefner) Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610 Property Size: Square Feet Acres 1.460 Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road (Heavily Wooded Lot) 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 accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent 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 Area 2 a11arinu �{� ii a P4 ist I I e:: }' ij�NffPfiNsi '����?'� i.P111111 ll{IIIW111111ll>111i111 `l �;hE_EENAMEAia 1,0 P3: 1',:ft" ' a 11111ii'" idas ` _. . k I��,'. . IDATE;EgIWAViIrtFEEA:MOUNTA Authorization to Construct Fee (New/Expansion) 06/14/2016 $150.00 Fee Improvement Permit Fee 06/14/2016 $150.00 1 'II ,Pa TO,TAL'aFEES�I�+f�'j li1�lllllllll� ull:lllll� •�! .'A PIIllllill •IIIil�IIIIl�.�lllll L lµ'1 ry�lll li $30010017- tt III �Ililll IIII (� 1 �wf . 414tE11811ualinithaftiflf1]B ifr itlatIIU" tinI11Ntil' MINIIln1(ll0111Influi hpsiImniRgnit*a..i;1l81111111111i111 thIli 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) 139-eliapplicalion 06/14/2016 13:38 Page 2 of 4 .,,SBA --% THIS IS NOT A PERMIT Case # RBPR-06-2016-24092 Q 0- , �•e . CATAWBA COUNTY HEALTH DEPARTMENT • / 1�� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES t,.t.5. ti' Ai. 842 5H Residential Building Plan Review - Modular . .p.-.1- ti IMPROVEMENT - AUTH_CONST `f •V. Applicant BILL& MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610 Contractor CLAYTON HOMES (BOBBI *LASAGE), PO BOX 132. TAYLORSVILLE NC 28681 C:8282173168 JWHOLDER @HOTMAIL.COM Owner KATHY TRAVIS, 1434 CARLIN DR. CONOVER NC 28613 NAME TO APPEAR ON PERMIT Bill & Mary Hefner SITE ADDRESS: 3887 BOTTOM LN, CLAREMONT NC 28610 PIN # 376303114866 NAME of SUBDIVISION: Lot 14 Section/Block PROPERTY SIZE: Square Feet Acres DIRECTIONS: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road (Heavily Wooded Lot) PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New Modular, 4 bedroom, 28x52, with 6x6 front porch and 6x6 back deck; Will be using well on neighboring property. 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x52 Modular with decks #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplicadon 06/14/2016 10:18 Page 1 of .gA • CATAWBA COUNTY Case# RBPR-06-2016-24092 �7 ®e, Public Health Department Subdivision "'t Environmental Health Division l ��r ^/^ PIN# 376303114866 ° / PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 N../84'). NAME ON PERMIT: ( BILL& MARY HEFNER), 3887 BOTTOM LN, CLAREMONT NC 28610 ( Bill & Mary Hefner) Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610 Property Size: Square Feet Acres Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road (Heavily Wooded Lot) 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 an labe ing of all property lines and corners and making the site acts • o t omplete site evaluatio n be performed. Date: L9( it-4 LLic Signature of Applicant or Agent An nvironmental Health Specialist will contact you within 5 working days o application date. If you need further information or assistance please call 828-466-7291 Area 2 FEENAME DATE FEE AMOUNT' Authorization to Construct Fee (New/Expansion) 06/14/2016 5150.00 Fee Improvement Permit Fee 06/14/2016 5150.00 . _ TOTAL FEES 'I : . > 5300.00 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-ehapplication 06/14/2016 10:18 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT cons : ,,'.,. --4.., CATAWBA COUNTY HEALTH DEPARTMENT „,,c„,o . ` Application for Environmental Services Page I Improvement Permit Authorization to Construct, Septic Repair❑ Septic Malfunction ❑ Septic Expansion H New Well Permit❑ Replacement Well 7 Well Abandonment H Well Repair n Existing System Inspection (Pre-Approval Required) H Application is for New Construction ' 7 / 5 Existing Facility n Property Address &bntiane Subdivision /vl AT y Shit 1 Af L Lot# Acres y� Section/Block/Phase_ Driving Directions to Property )(4 42, -s`� aO -rb tf L l_ ip , lb _ sS ss■ s ants/i, '_ ._. i gib " .r _ 4 n Sc ■ _ &L .• A Limn % cATA BA THIS IS NOT A PERMIT COUNTY �..VV 13 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type [Primary Residence New Residence n Addition to Residence #of New Bedrooms Project Description-Afra/--. Y!Oajanr� k- Structure Dimensions afc — # of Occupants Basement n Yes jer No Basement Fixtures ❑ Yes Xi No n Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes ❑ No Plumbing Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions n 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 P Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type Ti Individual Well n Semi-Public Well community Well Abandonment Type Ti Drilled Ti Bored ❑ Dug Ti Unknown Well Repair Requested n Yes No Describe Calculated Design Flow, Commercial '' 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. j 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 corners and making the site accessible so that a complete site evaluation can be performed. Oh I Signature of Owner or Agent ,fit`„tit irmarA =• Date I �/`4O Printed Name of Owner or Agent to a a A' Catawba County Environmental Health (157) (24) — — — — 5.03 1s (2 13907 (170) — _ (25) • 23903 i O w to ° O .58 158.92 Z (200) (50) a — sss885 .---- y- J 1 , � - • -fa -a +CO I C.:• $fi0 -65) . � 1333) — '� 885 1 6.1 • 23977 gr:S 850 • -----....,„„%` 200.29 co 5 el .0 1 l w •3873 Si S 196.86 121.19 Parcel: 376303114866, 3887 BOTTOM LN 1 in=60ft CLAREMONT, 28610 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 shah 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 06/07/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 376303114866 Owner: TRAVIS KATHY HEFNER Parcel Address: 3887 BOTTOM LN Owner2: null City: CLAREMONT, 28610 Address: 1434 CARLIN DR LRK(REID): 67845 Address2: null Deed Book/Page: 1706/0981 City: CONOVER Subdivision: null State/Zip: NC 28613-8054 Lots/Block: null/null Last Sale: $3,500 on 1984-01-01 School Information: School District: COUNTY Plat Book/Page: Legal: BOTTOM LANE Elementary School: OXFORD Middle School: RIVER BEND Calculated Acreage: 1.460 Tax Map: 3300 00008J High School: BUNKER HILL • Township: CLINES School Map State Road #: null TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoningl: R-30 Building(s) Value: $0 Zoning2: null Land Value: $11,800 Zoning3: null Assessed Total Value: $11,800 Zoning Overlay: WP-0 Year Built/Remodeled: null/null Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710376300J Building Details 2010 Census Block: 2012 WaterShed: WS-IV Protected Area 2010 Census Tract: 010101 Voter Precinct: P27 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. ©2016, Catawba ounty Government, North Carolina. All rights reserved. --Fp 02 SOO Rio ; lard Oxc_o rd 3(00 5o 1101 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=3 763 03 1 14866&typ=P 6/14/2016