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HomeMy WebLinkAboutRBPR-06-2016-24177.TIF .S1;A •G THIS IS NOT A PERMIT Case # RBPR-06-2016-24177 `� L CATAWBA COUNTY HEALTH DEPARTMENT 0''I -j o PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' 1842 stir Residential Building Plan Review - Building Addition : u tie if IMPROVEMENT - AUTH_CONST- EXPANSION _„'• }. ex,Vd wit Contractor RG CUSTOM HOMES, INC., GANNON (GANNON BERRY), 1624 BLUE STAR RD, HICKORY 28602- B:(828)409-6774 C:8284096774 GB@GANNONBERG.COM GANNONBERG.COM Owner CHRISTOPHER FRYE,2153 DOVE ST, NAME TO APPEAR ON PERMIT Christopher Frye SITE ADDRESS: 2153 DOVE ST, NEWTON NC 28658 PIN # 362908884622 NAME of SUBDIVISION: PHIL CLINE PROP Lot p9-62 &94-97 Section/I3Iock A PROPERTY SIZE: Square Feet Acres 0.69 DIRECTIONS: East Hwy 10, turn right on dove st house on the left. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: Adding addition 26x16 w/ 1 BdRm, closet & full bathroom to existing 2 BdRm Home. Total 3 BdRms - 360 GPD SITE INFORMATION Do any of the following apply to the property for which this application is applied? lithe 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? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF House, Garage EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: House 24x35, Garage 24x22 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 26'x16' #OF NEW BEDROOMS:: 1 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: [9-chapplication 06/27/2016 15:18 Page 1 o14 vRA--c� C ATAWBA COUNTY Case# RBPR-06-2016-24177 ®\�� Public Health Department Subdivision PHIL CLINE PROP 4� IH) Environmental Health Division PINn 362908884622 J___z Box 389, 100-A Southwest Blvd. Newton.NC 28658 Ig47. NAME ON PERMIT: (CHRISTOPHER FRYE),2153 DOVE ST, ( Christopher Frye) Site Address: 2153 DOVE ST, NEWTON NC 28658 Property Size: Square Feet Acres 0.69 Directions: _ East Hwy 10, turn right on dove st house on the left. 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 AREA2 IFlEl6hN"{min'_n_- t1 hI i. ua _� _a: rr�r�mEi���llii�l l'tPh DATE t ::�Ilhh:JFEEAMOUNTI;I FEFNAMC i I. Authorization to Construct Fee (New/Expansion) 06/27/2016 S 150.00 Fee Improvement Permit Fee 06/27/2016 $150.00 111r Ili 'Ile TOTAL FEES l 110 4) ' r Y1b� 1ilIi i I y i 'S300'00 r ..i"1NPi t.d nsuoiwp.iviL. ,ilm udilil r 1 t t�'ht.+ 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) 09-ehappliearion 06272016 15:18 Page 2 of . BA G THIS IS NOT A PERMIT Case # RBPR-06-2016-24177 CATAWBA COUNTY HEALTH DEPARTMENT 0' oY1�.0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 74.4. t•3i /8. 2 w Residential Building Plan Review - Building Addition :o •a 12... IMPROVEMENT - AUTH CONST- EXPANSION Contractor *BERG CUSTOM HOMES, INC.. GANNON ( BERG CUSTOM HOMES. INC GANNON), 1624 BLC STAR RD, HICKORY NC 28602- B:(828)409-6774 C:8284096774 GB @GANNONBERG.COM Owner CHRISTOPHER FRYE, 2153 DOVE ST, NAME TO APPEAR ON PERMIT Christopher Frye SITE ADDRESS: 2153 DOVE ST. NEWTON NC 28658 PIN # 362908884622 NAME of SUBDIVISION: PHIL CLINE PROP Lot p9-62& 94-97 Section/Block A PROPERTY SIZE: Square Feet Acres 0.69 DIRECTIONS: East Hwy 10, turn right on dove st house on the left. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: 26'X16' Bedroom Closet and bathroom 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? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF 2 bedroom house EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 24'x35' NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 26'x16' #OF NEW BEDROOMS:: 1 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 • 06/27/2016 13:41 Page 1 of 4 • �gA CATAWBA COUNTY Case# RBPR-06-20 1 6-24 1 77 Public Health Department Subdivision PHIL CLINE PROP <'; ^®q K Environmental Health Division PM# 362908884622 '- - PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 18 2 NAME ON PERMIT: (CHRISTOPHER FRYE), 2153 DOVE ST. ( Christopher Frye) Site Address: 2153 DOVE ST. NEWTON NC 28658 Property Size: Square Feet Acres 0.69 Directions: East Hwy 10, turn right on dove st house on the left. 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,y.. rules, I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site access - so that a comp ite evaluation can be performed. Date: —z 7- /4 Signature of Applicant or Anent L.._ An Environmental Health Specialist will contact you within 5 working days of appli• ion 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 5150.00 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-ehapplicmion 06/27/2016 13:41 Page 2 of4 cATAV V BA °THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit Authorization to Constructt Septic Repair ❑ Septic Malfunction ❑ Septic Expansion 7 New Well Permit❑ Replacement Well n Well Abandonment❑ Well Repair p• Existing System Inspection (Pre-Approval Required) ❑ •"°lication is for New Construction n Existing Facility.[( Property Addres_ Z1 ,/ Un✓e°- t, Subdivision 77v� AfQt44 e1 N L Z k N - 91113 Lot # Acres j Section/Bloch/Pha e Driving Directions to Property ( / 0. i 110\/ ( � I V r yx p 1 (� 01� )) oQ 2. 5 Y+ovCe i 5 On Le-C 19-7 / NAME TO APPEAR ON PERMIT? V Owner ❑ Applicant %Contractor Applicant Contact Information j Name �� D'r os pvs ivh . -ec I nc. Address 14, zi ]v G S 1.C e., A/l 2 62 Phone $2 Linq '77 CellPhone Owner Contact Information Name C11ri5 Y \ y6& Fyye Add y.-- atj5i 5 due 5}. Hew-toy. N 7— 9115-2 8Li33 Phone Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant 4-Contractor Description of Existing Structures on Site Z 174 Y CO rh In d V SL. #of Bedrooms *j L_ Structure Dimensions 5 XZ y # of Occupants V Basement ❑ Yes'No Basement Fixtures ❑ Yes AffNo 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 ..„.125/No Does the site contain any jurisdictional wetlands? Yes ❑ 'o Does the site contain any existing wastewater systems? ❑ Yes No Is any wastewater going to be generated on the site other than domestic sewage? *Yes ❑ No Is the site subject to approval by any other public agency? ❑ Yes )(No Are there any easements or right of ways on this property? Describe Existin water supply in use ❑ Individual Well ❑ Community Well n Semi-Pub •c W II County/City/Township Water 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 ❑ Itmovative ❑ Other 'Any �' THIS IS NOT A PERMIT �� �'- �� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence XAddition to Residence # of N w Bedrooms *t Project Description Z6 k ( - bedroow- e- fS Ia,ine b,,T roar.'• • Structure Dimensions Z.(2' I ("' # of Occupants 9 Basement n Yes ,'No Basement Fixtures ® Yes _No n Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling [ Yes ❑ No Plumbing n Yes ❑ No Describe Plumbing Needed Multi-Family Residence it Units #Bedrooms per Unit*t Total# Bedrooms *I. 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 n Other Facility Type Specify If Church# of Seats Kitchen E Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type E. individual Well n Semi-Public Well n Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug (-I Unknown Well Repair Requested ❑ Yes n 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. 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. JJ Signature of Owner or Agen Date 6 - Z 1 " Printed Name of Owner or Agent ( �� i� THIS IS NOT A PERMIT ��� `\` �� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page Non1+Cnrailn Improvement Permit n Authorization to Construct I I Septic Repair n Septic Malfunction ❑ Septic Expansion n New Well Permit P Replacement Well ❑ Well Abandonment n Well Repair I i Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction I I Existing Facility n Property Address Subdivision Lot# Acres Section/Block/Phase Driving Directions to Property NAME TO APPEAR ON PERMIT? n Owner I I Applicant n Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name Address Phone Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner n Applicant n Contractor Description of Existing Structures on Site # of Bedrooms *j' Structure Dimensions #of Occupants Basement n Yes n No Basement Fixtures ® Yes glO 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. C Yes 0 No Does the site contain any jurisdictional wetlands? ©Yes ICI No Does the site contain any existing wastewater systems? 0 Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? IC:1 Yes 0 No Is the site subject to approval by any other public agency? ® Yes 0 No Are there any easements or right of ways on this property? Describe Existing water supply in use n Individual Well ❑ Community Well n Semi-Public Well n County/City/Township Water Line Is a public water supply available? ** ❑ 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 Catawba County Environmental Health / 3/7 /�i 0 00 / / O / / / / Oo`F S / i / 70 / / / 0 / 00 / / / / /./7/Jd / /y �r, / T / / \ ti / �'.9/ 7 1:../.„)/ us/ / / . / / Y. O`, ! / / / -.;‘,/>-7 / / . / / / N� / / / / / / 7,...,„....'a ' / / /, / / /%..2 / / / / f // / 1 I� ' / , / ii f / / 1�: � / 7 / / // / f j� N / / / / 4il /YN/ / / / / / / / / / / o / / / /h �/ / / / / „ , / / , / / / / / > / . ; / I / N // /./ , .IO % / / / / / \ N/ / / / / / \ N / / / / / / / / / / / / / / / / / / Parcel: 362908884622, 2153 DOVE ST 1 in=50ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts I 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 • • Q -51-13 7l1il03 P osEed • CATAWBA COUNTY HEALTH DEPARTMENT / / Telephone (828)465-8270 TDD (R28)465-8200 WLS # 000 J - CO-545 IP -k/ ,4C Rpr Prmt. V Opr Prtrit. Sys Type a-4 Well Prmt. Replacement Well Well Rpr Prmt. Owner/Agent Serf 1- z . Phone Address ab6 Davy ,Sff �1�,wltron lJG a5' __' ' 33 Subdivision phi C-I .4t Pro /-. Section/Block/Phase Lot# 37 Lot Size 0 b9 Directions H ." ; Inc*) k-ir` vo•fo� Sr }f2. rr, 1e on �+ f/ Property Address ;�153 Qo-ic 54- kjy wfo,4 Facility. House k/ Mobile Home Business Multi-family Other Pin Number .36 aci0 $Y,3 462a Other .Zoning Approval# #Bedrooms a N Seats -#Employees Application Rate .3 GPD Flow 'a-b _. Hot Tub or Spa yes/no Special Fixtures Basement yes/no 100% Repair Area/no Basement Plumbing yes/no Water Supply: Private Well Public t/"Semi-Public ************************************ ************************************************************************************** Type of System: Trench Bed V Pump Pump/Panel Panel LPP Other ^ Septic Tank Size ]U 0 b Pump Tank Size Nitrification Field: Total Square Feet la 0 O Depth of Stone d14 " Bed Size io I r •(a 0 Trench Width Total Length of All Trenches _ Number of Trenches .c,., rt Trench Length / / / / / Feet on Center Maximum Trench Depth 3 ' Distance of Nearest Well mac.+ F- *DO NOT INSTALL SEPTIC WHEN WET* I *WELL RECORD REQUIRED AT COMPLETION* ***************tit***************************************************************************F***************************** TopoLI 3 % Slope DJV2 5+rsi}' Texture G -1k yap n i 1 par S u C Structure ,56k. WO' Clay Min. I I j i ha-1/4") 5to3 is .5 ySFQYV\ Soil Wetness •c, z Soil Depth yf - - i — r Mtn • Restric Hoz at " Fk 334 Dtit5 '0 I Available space 3e /no c (� Overall Class StjU q.t..... W°'1` {- } raM cny We- 1i Comments - _ - - - - -- - 9) Ex.i. 1~et.JTank 5,l Fr*M u.+� L:- - t< o ro _ , fl` M fro �r}y I an I -D I , n e 3\3 0 1d ran. QxlS-I-tnasyS+ `4 n , f 1 y L IVCf ,5(J, P.,cc. w¢+Cr • —_ l�Y 3 gt,Jn y Pn (0. Sy31-2.,v. C-L 4 U Z T I,/o n u T 5 e,<1 e_ 1 p , t ∎ 1, r d r t,Q. Filter Required JCL out( Syahe-n Or ft-P rcco-., Riser required when �� `t, -r n S}� I I n ,,,� 1 rt- c-c3 U O 0eyt]- tank is more than 6 J L k inches deep. .�-cn lc 1 Pu t p S t�rJ5� Q,k I.S}r nc l4- n "NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** js�1c F. 11 w I cf orn So S ****************************************************************************** *********************************** ******** 1 *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guarantee. i any ite by the Health Department. n Permit Date AT 2- o,.3 EHS IJ Owner/Agen Septic Tank Install By jCe...11 1 .,.d n iv. .,r Date -I//"1,of EHS �— )^ti- ' Well Installed By Well Grout Approval Date Well Head Approval Date, Date Sample Collected Date of Results Results EIIS White Office Yellow Owtrer/Agentt Pink Building Inspection Authorization to Construct Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 362908884622 Owner: FRYE CHRISTOPHER Parcel Address: 2153 DOVE ST Owner2: null City: NEWTON, 28658 Address: 2153 DOVE ST LRK(REID): 37610 Address2: null Deed Book/Page: 3014/1526 City: NEWTON Subdivision: PHIL CLINE PROP State/Zip: NC 28658-8432 Lots/Block: 59-62 & 94-97/A School Information: Last Sale: School District: COUNTY Plat Book/Page: 5/67 Legal: LOT 59-62 & 94 PL 5-67 Elementary School: STARTOWN Middle School: MAIDEN Calculated Acreage: .690 High School: MAIDEN Tax Map: 071N 05002 Township: NEWTON School Map State Road #: 1151 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: NEWTON Zoning District: NEWTON County Fire District: All in City Zoning1: R-20 Building(s) Value: $48,400 Zoning2: null Land Value: $14,300 Zoning3: null Assessed Total Value: $62,700 Zoning Overlay: null Year Built/Remodeled: 1946/null Small Area: null 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 #: 3710362900J Building Details 2010 Census Block: 2013 Watershed: null 2010 Census Tract: 011701 Voter Precinct: P34 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. ©2016, Catawba County Government, North Carolina. All rights reserved. NaUj Je(c1 thco I "i lOrn . ) e ,OXinsOi CD -2c0)( 1 ,0 (i`3,t2m ;CID )- m d> 3 '&iEm • +a.l 3Coo red / deb . l_ Naurgdem lb 2 ex n . http://gis.catawbacountync.gov/nomap/parcel_report.php?key=362908884622&typ=P 6/27/2016