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HomeMy WebLinkAboutRBPR-08-2016-24499.TIF S1Y'A G THIS IS NOT A PERMIT Case # RBPR-08-2016-24499 Kifilii,'',W � y CATAWBA COUNTY HEALTH DEPARTMENT " �. .� xi 0 kciPLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES2} - 4.7 842 SM Residential Building Plan Review - Building Addition 'o- . -o '0 IMPROVEMENT - AUTH CONST �. • Contractor *HILTON CONST. INC., GEORGE (GEORGE HILTON), 1786 SHOOK AV,NEWTON NC 28658 B:828-465-1177 C:828-320-0709F:828-465-1177 GHILTONREALTY@BELLSOUTH.NET Owner SCOTT PENNELL, 1489 BALLS CREEK RD, CLAREMONT NC 28610 C:828-234-9399 NAME TO APPEAR ON PERMIT Scott Pennell SITE ADDRESS: 1489 BALLS CREEK RD,CLAREMONT NC 28610 PIN # 377003138088 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 3.21 DIRECTIONS: 10E Hwy/right on Balls Creek Rd/ 1 mile on right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Public Water DESCRIBE WORK: adding mother-in-law apartment to existing dwelling (living room, kitchen, 2 bedrooms, 1 bath & laundry 704 sq ft) **addition cannot go beyond front of existing house'" **"new septic for addition*** 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 single family dwelling EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 32 x 42 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 32 #OF NEW BEDROOMS:: 2 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 08/11/2016 16:52 Page 1 of 4 8i`� CATAWBA COUNTY Case# RBPR-08-2016-24499 U,y Public Health Department Subdivision dElla „`�, F„nvironmental Health Division PIN# 377003138088 PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 NAME ON PERMIT: (SCOTT PENNELL), 1489 BALLS CREEK RD, CLAREMONT NC 28610 ( Scott Pennell) Site Address: 1489 BALLS CREEK RD, CLAREMONT NC 28610 Property Size: Square Feet Acres 3.21 Directions: 10E Hwy/right on Balls Creek Rd/1 mile on 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 acceible so that a complete site evaluation can be performed. Date: (1—/f Signature of Applicant or Agent 44,k petykt,e_ RAD tom, An Environmental Health Specialist will contact you within 5 workii'g days of application date. If you need further information or assistance please call 828-466-7291 AREA1 LFEENAME .` DATE , FEE AMOUNT- Authorization to Construct Fee (New/Expansion) 08/11/2016 $150.00 Fee Improvement Permit Fee 08/11/2016 $150.00 TOTALFEES $300.001 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 08/11/20I6 16:52 Page 2 of'4 CATAWBA THIS IS NOT A PERMIT counrr ».,� CATAWBA COUNTY HEALTH DEPARTMENT „m�„ao Application for Environmental Services Page 1 Improvement Permits Authorization to Construct Septic Repair n Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Rep acement Well ❑ Well Abandonment ❑ Well Repair n Existing System Inspection (Pre-Approval Required) n Application is for New Construction Existing Facility ❑ Property Address II G ALLS CREEK kr) ,Subdivision . ..I`LAKE inn' kit' l NC' cQ& Th . Lot# Acres Section/Block/Phase Driving Directions to Property t✓ , WC (D 14 w)) °KjGbrt c,N 'RALE-S re r4.< go) / M(LE t o K Ria-NT NAME TO APPEAR ON PERMIT? Owner ❑ Applicant rea Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Named-:0-f' pENUE( L Address / 5c 'p ,4 L� t"REEK ftD Cl41/FMow 1 A/G le,4'/b Phone Cell Phone • Contractor Contact Information Name Grolz rHP TeN CcMs fCl)CTION� /NC CEoRG� H/I t" t 4 Address j' 6' <fict/c /toe- oE1 NEWThA/ i e ,Q�65 Phone �,${,9, — 3.Q o'— 0'239 Cell Phone n '— 3 a0 - 070 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant PCo rtractor Description of Existing Structures on Site 1-4 hVS C # of Bedrooms *f, Y -.Structure Dimensions .3ay(//), #of Occupants 3 Basement ❑ Yes No Basement Fixtures 0 Yes FrNo The Applicant shall notify the local health department upon submittal of this application if any of the following apply to _ t the property�� i��'^question. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes F944o Does the site contain any jurisdictional wetlands? reeces CI No_„...--- Does the site contain any existing wastewater systems? © Yes C�'N� Is any wastewater going to be generated on the site other than domestic sewage? El Yes ®"Nio Is the site subject to approval by any other public agency? C Yes ®'No Are there any easements or right of ways on this property? Describe Existingyater supply in use ❑ Individual Well ❑ Community Well ❑ Semi-Public Well 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) \\I Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other X Any CATAWBA THIS IS NOT A PERMIT COUNTYCATAWBA COUNTY HEALTH DEPARTMENT 4611Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence n New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes ® No ❑ Accessory Structure(s) Describe_ Ain(i,(1— L` SZ(YB, \S-1/2 e t 1-150t34oi1Jvireg Rani # of New Bedrooms *t if applicable_' Structure Dimensions 55 K 32, Launaini '203nA t #of Occupants / Accessory Dwelling ❑ Yes XNo Plumbing 1 Yes ❑ No Describe Plumbing Needed E Multi-Family Residence# Units #Bedrooms per Unit*j - 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 ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug n Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial I 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 Clow 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. • Signature of Owner or Agent Q c [ � Date --- 7/— /6 Printed Name of Owner or Agent Q>`_,Ok Qv H-// The Catawba County Environmental Health • 1 1 1 k 1 I 1 1 1 1 1 t 1 1 • 1 1 I 1 1 V 1 1 15 .•: to 1 1 1 1 0 1 1 143.55 I 1 4 i 0 l 1 S I I 1 o V I I S ) • I 1 1 1 V 4 1 ) 1 I I V 1 1 I 1 1 1 1 t 11 1) V 1 IV 11 I 11 1 150.00 1 1 1 1 1 1 I 175.r0 I 1 100.00 1 a D r r (600) n a a in rn xi (240) 0 El i 61 • Cri 2 (5821 L? 0 0 b 0 Parcel: 377003138088, 1489 BALLS CREEK RD 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 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 08/11/2016 Catawba County Environmental Health 1o0A0 1 1 I I I 1 1 100.00 1 I I 1 I 1 I 4 1 I I I I I I I I 1 I I I I I 1 1 II1 I I I I I I I I l oflIIIIIIII-1 I I 1 1 1 No I I o I 143.55 1 I 1 I $ l o I 1 1 1 I I i---"c2t I 1 1 I 1 0 1 11 g ' I_LI 1 1 I 1 11 It }1 11 11 II 1 150.00 I I I I 1 I I I 175 '' I III I I 1 100.001 1 I oo.oq ,. (600) (240) 0 [PA •700 (582) o • 0 \II? _A 0 0 SI ❑ g o (575) occ0 40.00 0 0 o -r m 233.44 1111 co 1J o N co Parcel: 377003138088, 1489 BALLS CREEK RD 1 in=80ft 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 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 08/11/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 377003138088 Owner: PENNELL SCOTT D Parcel Address: 1489 BALLS CREEK RD Owner2: EASTER-PENNELL MARY ELIZABETH City: CLAREMONT, 28610 Address: 1489 BALLS CREEK RD LRK(REID): 22351 Address2: Deed Book/Page: 2327/1122 City: CLAREMONT Subdivision: State/Zip: NC 28610-8291 Lots/Block: / School Information: Last Sale: School District: COUNTY Plat BookPage: Legal: 1489 BALLS CREEK RD Elementary School: BALLS CREEK Middle School: MILL CREEK Calculated Acreage: 3.210 Tax Map: 022 Y 04025 High School: BANDYS Township: CATAWBA School Map State Road #: 1810 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoning1: R-40 Building(s) Value: $87,900 Zoning2: Land Value: $24,100 Zoning3: Assessed Total Value: $112,000 Zoning Overlay: WP-O Year Built/Remodeled: 1930/2002 Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710377000J Building Details 2010 Census Block: 3004 WaterShed: WS-IV Protected Area 2010 Census Tract: 011402 Voter Precinct: P1 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. pthow- Z- lid Z C={9 irurrttp://gis.catawbacountync. /nomap/p. ce _report.php?key=377003138088&typ=P 8/11/2016