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HomeMy WebLinkAboutRBPR-06-2016-24175.TIF vSV'A • THIS 1S NOT A PERMIT Case # RBPR-06-20 1 6-24 1 7 5 Ern y CATAWBA COUNTY HEALTH DEPARTMENT 0 A •o 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES i o 1842 SM Residential Building Plan Review - Building New to • eo IMPROVEMENT- AUTH CONST ;PO, s; . • Contractor *RMR CONSTRUCTION CO INC (RICHARD MATTHEWS), 119 CONOVER BLVD E,CONOVER 28613- B:828-464-8597 C:8283120743F:828-466-1576 RMR @RMRREALESTATE.COM Owner RMR CONSTRUCTION CO INC, PO BOX 595, CONOVER NC 28613 B:828-464-8597 NAME TO APPEAR ON PERMIT *RMR CONSTRUCTION CO INC (Richard Matthews) SITE ADDRESS: 4735 COUNTY HOME RD, CONOVER NC 28613 PIN # 373305283897 NAME of SUBDIVISION: THOMASVILLE ACRES Lot# 17 Section/Block PROPERTY SIZE: Square Feet Acres 1.07 DIRECTIONS: Springs Rd E, turn right onto County Home Rd, pass Thomasville Rd on Right, property on the right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: New Single family dwelling. 3 bedrooms, 50x51, 1848 sf, no basement, attached garage 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: Existing Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED ** FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 5051 house with attached garage #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? - No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): CONVENTIONAL: ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: ANY: YES Other described: E9-chapplication 06/27/2016 10:54 Page 1 014 A CATAWBA COUNTY Case# RBPR-06-2016-24175 T , tit. Public Health Department Subdivision THOMASVILLE ACRES �6 ---- %, ,S Environmental Health Division PIN# 373305283897 K.s4y . PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 K NAME ON PERMIT: *I2MR CONSTRUCTION CO INC ( RICHARD MATTHEWS), 119 CONOVER BLVD E, CONOVER NC 2861: *RMR CONSTRUCTION CO INC ( Richard Matthews) Site Address: 4735 COUNTY HOME RD, CONOVER NC 28613 a Size: Square 1.07 Property S p uare Peet Acres Directions: Springs Rd E, turn right onto County Home Rd, pass Thomasville Rd on Right, property 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 understa td that I am solely ,sible for the proper identification^ n4a�irig pf all property lines and corners and making the site accessibl so •- - •O•�. ?_er atio - •••:rtormed. Date: b / l c ki 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 AREA2 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 06/27/2016 $150.00 Fee Improvement Permit Fee 06/27/2016 $150.00 ' •. , TOTAL FEES $300.00„ 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-chapplica[ion 66127(2016 10:54 Page 2 of4 cATAWBA fHIS IS NOT A PERMIT coounTY[ 2Y iJ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I Improvement Permit 0 Authorization to Construct el Septic Repair n Septic Malfunction n Septic Expansion ❑ New Well Permit n Replacement Well n Well Abandonment I— Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction El Existing Facility n Property Address 4735 County Home Road Subdivision Thomasville Acres Conover, NC 28613 Lot# 17 Acres 1.07 Section/Block/Phase Driving Directions to Property Springs Road East-Turn Right onto County Home Road-Pass Thomasville Road on Right-On Right NAME TO APPEAR ON PERMIT? n Owner F Applicant ❑ Contractor Applicant Contact Information Name RMR Construction Co., Inc. Address PO Box 595, Conover, NC 28613 Phone 828-464-8597 Cell Phone 828-312-0743 Owner Contact Information NameSame as Applicant Address Phone Cell Phone Contractor Contact Information Name Same as Applicant Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site None x /'YY ,i-14 co, # of Bedrooms *tit Structure Dimensions I # of Occupants Basement ❑ Yes ❑ No Basement Fixtures C Yes 11 No 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 D No Does the site contain any jurisdictional wetlands? CI Yes la No Does the site contain any existing wastewater systems? • Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? CI Yes o No Is the site subject to approval by any other public agency? ® Yes 'o No Are there any easements or right of ways on this property? Describe Existing water supply in use [ Individual Well ❑ Community Well ❑ Semi-Public Well County/City/Township Water Line Is a public water supply available? ** II Yes n 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 %Any c ATAw A THIS IS NOT A PERMIT cou�TY f \ CATAWBA COUNTY HEALTH DEPARTMENT c m„;a Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence El New Residence ❑ Addition to Residence # of New Bedrooms *t 3 Project Description New Single Family Residence Structure Dimensions 50.x: � # of Occupants Basement ❑ Yes I No Basement Fixtures ® Yes D 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 ❑ Other Facility Type Specify If Church# of Seats Kitchen I I Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ 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. 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 °` Date Printed Name of Owner or Agent it] U4k - —4.,AL .`^jf CATAWBA Geospatial Real Estate Search " k Information Services N M A lb 52t38 C O +r 136.99 671.02 T 1 r ° E e OP1'4 Q C,) • 132 • " 1 in=50ft w+ 5 Parcel: 373305283897, 4735 COUNTY HOME RD CONOVER, 28613 Owners: RMR CONSTRUCTION CO INC, null Owner Address: PO BOX 595 Values - Building(s): $0, Land: $16,900, Total: $16,900 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 •;. 06/21/2016 Catawba County Environmental Health 2 119.6- 90 24.6 290.82 83.4• -----„,.........-� 97.30 9.4' / // N 2: 521.38 z w 0 (66S) i 1 I-'- z O 4 U J r rr--'-') J ) ir----1 13 c0 300 tr // Parcel: 373305283897, 4735 COUNTY HOME 1 in=60ft RD CONOVER, 28613 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 at 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 06/27/2016 • Catawba County Environmental Health 5 / co.O / • 0 51 . / M HH / 'La 178.05 119.• ' • 90 r 24.." �� 290.82 ,...4 /...--,--,...........______ 9.4= / 97. I . • M 521.38•/ �f o ----IvAllur M ] LIJ (665 1 02 36. 9 2 n 0 r U /3/7722 . / /` 4723 13 //// / • ;)/7/// / a. r 1 k ' • • /V.' 7 CD ./ Ci i N I t Parcel: 373305283897, 4735 COUNTY HOME 1in=100ft RD CONOVER, 28613 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 06/27/2016 Parcel,Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 373305283897 Owner: RMR CONSTRUCTION CO INC Parcel Address: 4735 COUNTY HOME RD Owner2: null City: CONOVER, 28613 Address: PO BOX 595 LRK(REID): 404174 Address2: null Deed Book/Page: 2779/1907 City: CONOVER Subdivision: THOMASVILLE ACRES State/Zip: NC 28613-0595 Lots/Block: 17/ null School Information: Last Sale: School District: COUNTY Plat Book/Page: 67/64 Legal: LOT 17 THOMASVILLE ACRES PL 67-64 Elementary School: SNOW CREEK Middle School: ARNDT Calculated Acreage: 1.070 High School: ST STEPHENS Tax Map: null Township: CLINES School Map State Road #: 1484 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: ST STEPHENS Zoningl: R-20 Building(s) Value: $0 Zoning2: null Land Value: $16,900 Zoning3: null Assessed Total Value: $16,900 Zoning Overlay: null 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: null Building Permits for this parcel. Firm Panel #: null Building Details 2010 Census Block: 2008 WaterShed: null 2010 Census Tract: 010303 Voter Precinct: P29 Agricultural District: 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. II//,'��/, I�r�If' 1�'^\n'/'�!It�1/�/�/(�©2016, Catawba County Government, North Carolina. All rights reserved.pa 3`' moor") /Co 9vt /o/c6. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=373305283897&typ=P 6/27/2016