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HomeMy WebLinkAboutRBPR-07-2016-24337.TIFApplicant Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2016-24337 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST -NEW WELL �-A1ADISON HOME BUILDERS (RYAN PRUETT), 301 IOTH STNW F-105, NC 28613- H-8284648870 C:8282440968 HOME:8284648870 OTHER:(282)464-8870 RYAN a MADISONHOMEBUILDERS.NET *MADISON HOME BUILDERS, LLC (W KELVIN ANDERSON), 1721 E BOULEVARD, CHARLOT NC 28203 6:7043349339 C:8284648870F.7043740686 SUE n MADISONHOMEBUILDERS.NET JACOB STARR, 3900 ZONNIE SCRONCE RD, VALE NC 28168 C-8282386577 Paid By MORGAN JARRETT, 1718 EASTHAVEN DR, NEWTON NC 28658 NAME TO APPEAR ON PERMIT JACOB STARR SITE ADDRESS: 3900 ZONNIE SCRONCE RD. VALE NC 28168 PIN # 360703144551 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Peet Qeles 23 638 DIRECTIONS: RT ON NC 1OW, LEFT ON LILNCOLNTON HWY, RIGHT ON REEPSVILLE RD, RIGHT ON MACEDONIA CHURCH RD, RIGHT ON ZONNIE SCRONCE RD, LOTAT END PRIMARY CONTACT: Applicant SEWERTYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: BUILDING NEW SINGLE FAMILY DWELLING 3 BEDROOMS 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: FACILITY TYPE: Single Family Residence DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: NEW STRUCTURE DIM:: 62X40 # OF NEW BEDROOMS:: 3 BASEMENT? Yes PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS PROPOSED CONSTRUCTION BASEMENT FIXTURES? Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE OTHER INNOVATIVE. Other described. 2 PLUMBING REQUIRED? CONVENTIONAL: ANY YES APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO 1=9 - ehapphcma,n 07/20/2016 16 48 Page I o(4 r CATAWBA COUNTY Casey RBPR-07-2016-24337 Public Health Department Subdivision Environmental I Icalth Division PIN# 360703144551 PO Bos 389, 100-A Southwest Blvd, Newton. NC 28658 Ig 2i„ NAME ON PERMIT: ( JACOB STARR), 3900 ZONNIE SCRONCE RD, VALE NC 28168 ( JACOB STARR) Site Address: 3900 ZONNIE SCRONCE RD, VALE NC 28168 Property Size: Square Feet Acres 23.638 Directions: RT ON NC 10W, LEFT ON LILNCOLNTON HWY, RIGHT ON REEPSVILLE RD, RIGHT ON MACEDONIA CHURCH RD, RIGHT ON ZONNIE SCRONCE RD, LOT AT END 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 far 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 „!, ..,, .. .0, I .�I'jle .P�,Acunlpnl. I'IFEENAME!!i�jl,�j;. ,,(rirTlini;h.tl'f;'.:4'i. aEI!ha;i'! +!',DATE�1'''' FEE'AMOUNTw: Authorization to Construct Fee (New/Expansion) 07/20/2016 $150.00 Fee Improvement Permit Fee 07/20/2016 $150.00 Well Permit & Inspection Fee 07/20/2016 $300.00 j'I!'lij��pI���(!r TOTa,�u;FEEs "''.,-;a;!`'>>!f(fPs�itlliGii!lUlllill!Illllllflil'N:i,.,. '.,afi�lu', I'il!!liitii�.- ;1600!oi1"',," �IIJIIIl� ��� `U86!lGILBlIi:+:,.�" ^rr sr,m�.ea'CIWIt:'u"�JGG111116;II!1!IW�tIIB: "'LInL�'�..,�",!:!!i{iL'i, ,.ta.7haiaG_ ,::r 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) F9 - chapphcawm 07/20/2016 16 48 Pagc 2 of 4 Applicant Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2016-24337 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTHI CONST - NEW WELL MADISON HOME BUILDERS (RYAN PRUETT), 301 IOTH ST NW F-105, NC 28613- H.8284648870 C 8282440968 HOME 8284648870 OTHER: (282)464-8870 RYAN@MADISONHOMEBUI LDERS .NET 'MADISON HOME BUILDERS. LLC (W KELVIN ANDERSON), 1721 E BOULEVARD. CHARLC NC 28203 B:7043349339 C:828464887OF:7043740686 SUE@MADISONHOMEBUILDERS.NET JACOB STARR, 3900 ZONNIE SCRONCE RD, VALE NC 28168 C:8282386577 Paid By MORGAN JARRETT, 1718 EASTHAVEN DR, NEWTON NC 28658 NAME TO APPEAR ON PERMIT JACOB STARR SITE ADDRESS: 3900 ZONNIE SCRONCE RD, VALE NC 28168 PIN # 360703144551 NAME of SUBDIVISION: Loi # Section/Block _ PROPERTY SIZE: Square Feet Acres 1547 DIRECTIONS: RT ON NC 1OW, LEFT ON LILNCOLNTON HWY, RIGHT ON REEPSVILLE RD, RIGHT ON MACEDONIA CHURCH RC RIGHT ON ZONNIE SCRONCE RD, LOTAT END PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: BUILDING NEW SINGLE FAMILY DWELLING 3 BEDROOMS 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: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF AN DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 62X40 # OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes Desired system types (Improvement Permit or Authorization to Construct). ACCEPTED: ALTERNATIVE. OTHER: INNOVATIVE. Other described PLUMBING REQUIRED? CONVENTIONAL ANY YES APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9 - chapphcanon 07/20/2016 15 02 Page I of 4 RA CACAWBACOUNTN Case RBPR-07-2016-24337 e Public Health Department Subdivision s Environmental Health Division PIN# 360703144551 PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 NAME ON PERMIT: ( JACOB STARR), 3900 ZONNIE SCRONCE RD, VALE NC 28168 ( JACOB STARR) Site Address: 3900 ZONNIE SCRONCE RD, VALE NC 38168 Property Size: Square Feet Acres 1547 Directions: RT ON NC 10W, LEFT ON LILNCOLNTON HWY, RIGHT ON REEPSVILLE RD, RIGHT ON MACEDONIA CHURCH RD, RIGHT ON ZONNIE SCRONCE RD, LOT AT END 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 la rules I under that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site access, a so that a co plete sit evaluation can be erformed. Date: 7-70— Ha Signature of Applicant or Agent �X "-Vn" J7 An Environmental Health Specialist will contact you within _ king 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) 07/20/2016 $150.00 Fee Improvement Permit Fee 07/20/2016 5150.00 Well Permit & Inspection Fee 07/20/3016 5300.00 TOTAL FEES 5600.00 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 - ch,tpphcanon 07/20/2016 IS 02 Page 2 of 4 CATAWB 'rxlS IS Nar A PERMI'r a 4 33�7 %- 7117ggr CATAWBA COUNTY HEALTH DEPARTMENT Application for L,nvirorunental Services Page 1 Improvement Permit Authorization to Construclt Septic Repair [:]Septic Malfunction ❑ Septic Expansion ElNew Well PermittRReplacement Well ❑ Well Abandonment ❑ Well Repair (-� Existing System Inspection J(Pre-Approval Required) ❑ �j/ Application is for New Construction lX1 Existing Facility ❑ Property Address ]`DO 2oorJ+6 $Ci;utJC6 "ROAD Subdivision VACC NG 2916b Lot# Acres (`S.Ca AAl1 t Section/Block/Phase Driving Directions to Property RT ort Irk ✓Ov J LCFr o4 HKr. jjticttNme bipit/ JET oN R&-)-J0416R0ADJ PT ori M O(t /o C wA iv o Rum) .— RT otJ Zer+rJle -&C RoNe(5 A060,107' A7 46�A NAME TO APPEAR ON PERM T?Owner ❑ Applicant ❑ Contractor Applicant Contact Information INamc1Al9l,,crJ NanE84HiXRS — RyprJ Address 361 /o7N :S -r NW Su17t F-105 CoNoul`rz NG 28613 f Phone S?9-t/6t/- 90v7b I Cell Phone 826?-Vy-C9(.8 Owner Contact Information Name jp(tfS S7At K r MoK( AtJ J� epC-r7 Address /7)6 (t9sr#0)VCrJ I)A NEwwri Nc- 7-9&Se I Phone !'IMaRC.At- I Cell Phone 929-239-(aST7 JPK6 Contractor- Contact Information Name MAD&rN 9-" '�w1onKXS 3UC REX I Address '' CL19 a7&rt 2,6iD C14fgKtc716 /NJ Q- 29217 r Phone '7o(J- 623, SIS -1 I Cell Phone WHO WILT. BE THE PRIMARY CONTACT? ❑ Owner tplicant ❑ Contractor Description of Existing Structures on Site_ �)�'� (yi- # of Bedrooms *j' Structure Dimensions # of Occupants Basement 1- Ycs ❑ No Basement Fixtures 2"YYes Q \o 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. 11 Yes GIgo Does the site contain any jurisdictional wettands? 0 Yes KKo Does the site contain any existing wastewater systems? I7 Yes �o Is any wastewater going to be generated on the site other than domestic sewage? G,OG's ❑ No Is the site subject to approval by any other public agency? El Yes *0 Are there any. asements or right of ways on this property? Describe Ex) . it ' ' it ❑" 7 **.❑ stin water supply in use Individual W g pp } [�"C ell ❑ Comnruni R ell Semi -Public, Well ^,� ❑ County/City. I'ou,nshi Ai atcr Luie Is a public water supply available'. Yes c �O If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (sys ms cat) be ranked in order of your preference) �,% Aceepted ❑ Alternative ❑ Conventional 0 Innovative Q IJ Other " Any THIS IS NOT A PERMIT ounii,. "6 IL9t�1 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Pro 'posed Facility Type [Primary Residence [�New Residence ❑ Addition to Residence Project Description Af(w S7iCK 13uwr ilvrne- Structure Dimeg sions �Z i 4t% # of Occupants Basement ZYes ❑ No Basement Fixtures ®'Yes No # of New Bedrooms *j 3 Z ❑ Accessory Structure(s) Describe # of New Bedrooms *f if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes [:]No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Uuit*t Total # Bedrooms * I 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 ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Con ruction/Abandonment/Repair Proposed Well Type Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Page 3 Calculated Design Flow, Commercial f 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent �YnL �ROF77 Date 6" b � r Printed Name of Owner or Agent �il�J i Hat 54m,to �+ Dead Book AM me 706 ( TRACr OWI ' AK #hr # 1691- 04-94-7904 'lb-4 lxeAeeee paeVaraMAeeaaratllkseMwMh aA�ee( MMeW 4vYbMaNCN.LeaWj. 4aener4lmlxiYs:AJIF wwemrmvmurELwawrLur aaW 'bNx mbmt Jaren j Deed Book 7657 - 092 matt 1 r NC Pin # 3607 -01-16-5374 DW B -A 1110 - 930 k 78866 N eZnp75i E t o.e zcsr-e9z rencr rl r ae.e _ <x voles 1 z9z' I D>dver ltlA /.T' AfBAA I 1 _ 80 Aere� z property of ; Joyce �dbert Jarrett to be conveyed to and cm6oed exl5tirq r property of MvoAn 5err6ibert & MAIN parcel havN : NG pin # 0? -03-14-4551 f � J r vrR.eAA J 2U AY(aatl✓nlWv+�S.sC�?i!N��i7� C61.�a 1,P tar STAWOFAW CAMCIKA V COGYIYOFCArAM8A , { 46w T A*.4fJ-A &.*. 011kr fW-61 CAPN/, o w fr ftt/M-Wp pfath -ha W.—Mvf#aBafm e +e.eh dE shlbfay rsprkaeelrh for HCCMIN. 7-zo-ler eye.:—V-' 4. r 1. Def. 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Inas the 6Dvn?Cries nDI sarreyed are rle.My mdaa/ed as dravn frpn,aiormahan Jaunt m BB 3335 Page ITS that fie rglM of prerlinm as calrWohdrs I MOM.; !fief IIrS plat vas preps the ACE54I-A .-• y Ds aaeMed W't—my Ar/9am1 sigmtu-e, reg/slrahm .r, andseal Mn the yrd day of JUL Y 1016 tl �( nL a PlirlEEErLrfr �� R19WIAlmn Nwaer�L 1765 °' PO,VeCA #a! race • � t ... l 6ik .OtFS - J7{S • �!. - RE@AA[IBRM'NJC6.10 arrk LWlr2tMWlANS:o •':O JY '`Q �.U1IAABBI'MWT R�WFAplaailN9WxlRE,,•p• rrrrrsNl9eeene`•ss, •MYLSEA IAMMM OMMMlErlm - Ob/mfARtAi xBl#'(AMPoL EOxIrccAAMN16N¢I e0 3 EABA[! IDII$Mk&LaEW17aaSNlxiYRNAMYARIEM(ERiIJLMMS rxsaarx�s'exrsfLaMw.avr.mxsM.rrsannaarsrwivams v aaaSIe/4AE1/EAW A61M#Or/L/AT61ea179YLK Vropa^Iy /ms viihm Me A(ITfAU SNA a A APLANO(STRKT& +a v/Nr/nad i9andAO,P/fUL 1015 7 /�' Ilk FILED Jui 20, 2010 10:32 em AJr&WrA#aeef w rBelEArAxNB1tMYA'flBl BOOK 00076 CATAWBACOUNTYNC onvo wnr6m9111m DONNA HICKS SPENCER aelxerrarmlaealBrNL La1aJ PAGE 0040 REGISTER OF DEEDS INST# 11942 NaaeeWW(aelMae Alt LruaD.aslaeemw rasovne EaeMl¢r (3) okra eumm MGM NE 4 - A10ItiN CAMM CAI.'. 1.81X1.832.4949 N" CAROM 1 CALL CUM 0' 40,880' 160'200' 140' w #eg6p 6PAPHICAI SCALE 1"=B0' IA Deed 6�v v} n[ena GYIHHrt Jar6tt D 1. rme a, er '\•\`�` Deed Back 2657 - 092 nett 2 �"�•�� g NC Pin # 3607 - 03-14-0798 Drd Boa*2125- X106 -'•'rbc Y Deed Back f977 - 934 nv 3iL • .vlM / ._��� Ar Contrd laUaeJ i fxisrnw FouNO PaNrLn I ' sram:e4.s nwPr of lame Parcel Report Parcel Report - Catawba County NC Parcel Information: Parcel ID: 360703144551 Parcel Address: City: LRK(REID): 701255 Deed Book/Page: 3335/0175 Subdivision: Lots/Block: / Last Sale: Plat Book/Page: Legal: Calculated Acreage: 15.470 Tax Map: Township: State Road #: 2078 TaxNalue Information: Tax Rates(pdf) City Tax District: All in County County Fire District: All in City Building(s) Value: $0 Land Value: $0 Assessed Total Value: $0 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details WaterShed: Voter Precinct: Parcel Report Data Descriptions List all Owners Deed History Report Page I of 1 Owner Information: Owner: This parcel is currently being processed Owner2: Address: Address2: City: State/Zip: School Information: School District: Elementary School: Middle School: High School: Zoning Information: Zoning District: Zoningl: Zoning2: Zoning3: Zoning Overlay: Small Area: Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: Firm Panel #: 2010 Census Block: 2010 Census Tract: Agricultural District: Assessment Report This map/report product was prepared from the Catawba County, INC 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 venfication 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, inditect or consequential which arises or may arise from this map/repos product or the use thereof by any person or entity © 2016, Catawba County Government, North Carolina All rights reserved New er ::�° �W�e�C,y\'g CcOD scrzr� � 3 e)�Jk 3Wi 1daK http://gis.catawbacountync.gov/noniap/parcel_report.plip?key=360703144551&typ=P 7/20/2016