Loading...
HomeMy WebLinkAboutRBPR-08-2016-24476.TIF vS�A � THIS IS NOT A PERMIT Case # RBPR-08-2016-24476 Q'. d a� a CATAWBA COUNTY HEALTH DEPARTMENT 0`'� , y :fry 069 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES4.I ' r ti 411SM Residential Building Plan Review- Building NewIIPF IMPROVEMENT - AUTH CONST ' m.'4'� f. fff : Contractor *KILLIAN QUALITY HOMES INC (JONATHAN KILLIAN), 3754 WANDERING LN, HICKORY N( 28601 8:8283125578 C:8286403560F:8283277889 JONATHANKILLIAN@ROCKETMAIL.COM Owner EDGAR SANDERS, 16201 RIDGEWOOD CIR, PUNTA GORDA FL 33982 C:941-505-9521 NAME TO APPEAR ON PERMIT EDGAR SANDERS SITE ADDRESS: 1035 43RD AVE NE, HICKORY NC 28601 PIN # 371520808570 NAME of SUBDIVISION: ALONZO W SHOOK Lot# 6 Section/Block PROPERTY SIZE: Square Feet Acres 2.7 DIRECTIONS: Springs Rd to Sandy Ridge Rd, left on 43rd Ave, old house on the right. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New one-story, single family dwelling, 3 bedrooms, with attached garage, no basement, old home to be removed and will be replacing existing septic system but using existing well. 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF old single family dwelling (to be demolished) EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 46x46 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 35x75 single family dwelling #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-ehapplication 08/09/2016 11:12 Page 1 of 4 CATAWBA COUNTY Case# RBPR-08-2016-24476 if®y2 Public Health Department Subdivision ALONZO W SHOOK C „ r -I Environmental Health Division PIN# 371520808570 •iS / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 g42 sM NAME ON PERMIT: (EDGAR SANDERS), 16201 RIDGEWOOD CIR. PUNTA GORDA FL 33982 ( EDGAR SANDERS) Site Address: 1035 43RD AVE NE, HICKORY NC 28601 Property Size: Square Feet Acres 2.7 Directions: Springs Rd to Sandy Ridge Rd, left on 43rd Ave, old house 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 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 FFENAMG DATE AMOUNT .2 Authorization to Construct Fee (New/Expansion) 08/09/2016 $150.00 Fee Improvement Permit Fee 08/09/2016 $150.00 tTOTAL 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-chapplication 08/09/2016 I I:12 Page 2 of 4 t3 4-, CAT ViAB.t COUNTY Case a RBPR-08-2016-24476 c:l ltt Public Health Department Subdivision ALONZO W SHOOK I� w q l 1 Envimnmentut Health Division PIN 371520608570 \ a'ee Y�� PO Box 389, 100-A Southwest Blvd,Newton.NC 28658:1,1i, 9 NAME ON PERMIT: (EDGAR SANDERS), 16201 RIDGEWOOD OR, PUNTA GORDA FL33982 ( EDGAR SANDERS) Site Address: 1035 43RD AVE NE, HICKORY NC 28601 Property Size: Square Feet Acres 2.7 Directions: Springs Rd to Sandy Ridge Rd, left on 43rd Ave, old house 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(S)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, f have read.this application and certify that the information provided herein is true,complete an. =.rrect. Autho zed county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable la . and rules. I uncle,-tend th. I am solely responsible for the properidentifcat nd I ling fjII property lines and corners and making the site a -ssible so that a co •, .'e s - ev-uation c . be performed. Date: — - I— . Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working .- 's or application date. If you need further information or assistance please call 82:-466-7291 AREA2 k11.#%##!******ki44♦•**M******.*****t#k#if}##i##******##Ykiti.itt4#kf#w##}1;ktfit3t Yitk**>rtt}y******i#ti#k* FEENAME l 4E4 r o __. ' r DATE j..jEEAMOUNT24 Authorization to Construct Fee (New/Expansion) . 08/09/2016 $150.00 Fee Improvement Permit Fee 08;0912016 $150.00 , 'ir:,*k,TOTAL;FEES r'"' ,Mt ,. 5530000, r',, Y` .. . r:J... ':E e..:s't` S 2.: 't4+.t u.._Y?__+-;;-.:7r .-...:.o--,;:s.-.. . -..--;i "flSa .w:u*i.:....11.n._Si FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCURAN ADDITIONAL CHARGE (SEE FEE SCHEDULE) • E9-ehur,piia cion 08109i2016 11:12 Page 2 of 4 CATAWBBA nTH-IIS IS NOT A PERMIT counre CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit[} Authorization to Construct Septic Repair 0 Septic Malfunction 0 Septic Expansion ❑ New Well Permit 0 Replacement Well ❑ Well Abandonment 0 Well Repair 0 Existing System Inspection (Pre-Approval Required) 0 Application is for New Construction g Existing Facility 0 Properly Address 03 T rrl /4v F 't= Subdivision Lot tt Acres p g Section/Btoe Phase Driving Directions to Property �c is . s ecT :o �jSc. .tJ {2. r LA- C ...-1 t1(3 ,M Kl ✓F 0 /G 11 NAME TO APPEAR ON PERMIT? Owner 0 Applicantontractor Applicant Contact Information 7 Name Address 37s ti L,..)cfrA cite r.L..,y La„. Phone Cell Phone ?2s- ( yo-35-60 Owner ContactC� Information ` Name oe Address Phone Cell Phone 9 t(/_ S-0 C- ? c 2 / Contractor Contact Information - — Name IL`.\t:c,.... &Lal.J-0 - Address 7,5-(/' c l ��r, rA L�-. 1-H'--'? 2Zrvc au Phone I Cell Phone iz7 —ea Vo-3C40 WHO WILL BE THE PRIMARY CONTACT? 0 Owner licantontractor Description of Existing Structures on Site 6I '..w oe..) 110 c r t�<o f l� � x q �Q ft of Bedrooms *} 3 Structure Dimensions — n # of Occupants I Basement ❑ Yes 0-N Basement Fixtures ❑ Yes allo 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 Does the site contain any jurisdictional wetlands? YesDoes the site contain any existing wastewater systems? D Yes No Is any wastewater going to be generated on the site other than domestic sewage? Ayes Is the site subject to approval by any other public agency? D Yes o Are there any easements or right of ways on this property? Describe Existing water supply in useIndividual Well ❑Community Well 0 Semi-Public Well 0 County/City/Township Water Line Is a public water supply available? '* 0 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 0 Alternative 0 Conventional 0 Innovative 0 Other 0 Any 1 • I ! ArT'AW THIS IS NO'I-A PERMIT A„ ryX + COUNTY ,,, V V 1 + , CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence New Residence ❑ Addition to Residence # of New Bedrooms 't Project Description i 1 (�,, . �r✓� �=a .-1c ...� fit,.� ., Q e,,.-.c D ea IAe,.,�t Structure Dimensionss�� - '1 S x 75- # of Occupants Basement ❑ Yes IU No Basement Fixtures ❑ Yes 0-No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions r-.` of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing El Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence ft Units #Bedrooms per Unit*t Total ft Bedrooms *t • Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) ft Employees per Shift #of Shifts Dining Area(Sq. Ft.) Business Specific Type of Business Retail Floor Space ff of Employees per Shift 4 of Shifts Other Facility Type Specify______ If Church k of Seats Kitchen ❑ Yes ❑,No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well El Semi-Public Well El Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug (: Unknown Well Repair Requested ❑ Yes El 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. t If structure is plumbed but no bedrooms, calculated design flow is required. ** if No,a well permit must be issued with the Authorizatirin to Constrict. 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 lam solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evalu nipformed. � J Signature of Owner or Ag Date Printed Name of Owner or Agent s. �L-t tws _ CATAWBA Geospatial Permit Center Information Services .. ... _._ . ._.. 257.53 rn - s 'U 37 93 144,63 O C p co W ti Z al r -' 56. 5 v F t is •.dita RI 11 ISO, 6 0 5 9t9 CV ^, (arch ;� 1303 ,1� �-� •./ ESO 9 `0_ °.290,00 Au,ire,r 43RD AVE NE u OSLt/C of Se/mdVeGCcx N lin=80ft w+E s Parcel: 371520808570, 1035 43RD AVE NE HICKORY, 28601 . Owners: SANDERS EDGAR S SR, SANDERS STEPHEN B Owner Address: 16201 RIDGEWOOD CT Values - Building(s): $41,400, Land: $44,300, Total: $85,700 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 locationand labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent veriticalion.of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shalt 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 08/09/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 371520808570 Owner: SANDERS EDGAR S SR Parcel Address: 1035 43RD AVE NE Owner2: SANDERS STEPHEN B City: HICKORY, 28601 Address: 16201 RIDGEWOOD CT LRK(REID): 64479 Address2: Deed Book/Page: 3345/0470 City: PUNTA GORDA Subdivision: ALONZO W SHOOK State/Zip: FL 33982-9760 Lots/Block: 6/ Last Sale: $23,000 on 1984-03-01 School Information: Plat Book/Page: 14/96 School District: COUNTY Legal: LOT 6 PLAT 14-96 Elementary School: SNOW CREEK Calculated Acreage: 2.700 Middle School: ARNDT Tax Map: 220H 01003C High School: ST STEPHENS Township: HICKORY School Map State Road #: 2301 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: HICKORY County Fire District: ST STEPHENS Zoningl: R-1 Building(s) Value: $41,400 Zoning2: Land Value: $44,300 Zoning3: Assessed Total Value: $85,700 Zoning Overlay: Year Built/Remodeled: 1900/ Small Area: Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers • Miscellaneous: Firm Panel Date: 2007-12-18 Building Permits for this parcel. Firm Panel #: 3710371500K Building Details 2010 Census Block: 1004 WaterShed: 2010 Census Tract: 010302 Voter Precinct: P38 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. 43110 fO Pe'i1I..tj ()blind OA(' .505 pd http://gis.catawbacountync.gov/nomap/parcel_report.php?key=371520808570&typ=P 8/9/2016