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HomeMy WebLinkAboutRBPR-09-2016-24698.TIF yS�A •� THIS IS NOT A PERMIT Case # RBPR-09-2016-24698 CATAWBA COUNTY HEALTH DEPARTMENTry4. a IQ fl0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES '� '' . /842 sM Residential Building Plan Review - Accessory Structure - ' ro -r IMPROVEMENT - AUTH_CONST Ylarr Contractor AME AS OWNER,, Owner ROBERT WATFORD, 1329 ZION CHURCH RD, HICKORY NC 28602 C:8282342578 NAME TO APPEAR ON PERMIT Robert Watford SITE ADDRESS: 1329 ZION CHURCH RD, HICKORY NC 28602 PIN # 370113220537 NAME of SUBDIVISION: Lot N 1 Section/Block PROPERTY SIZE: Square Feet Acres 1.24 DIRECTIONS: APPROX 1 MILE/FROM TRAFFIC LIGHT INTERSECTION OF ZION CHURCH AND HWY 127 (MOUNTAIN VIEW) PRIMARY CONTACT: Owner SEWER TYPE: Public Sewer GALLONS PER DAY: 100 WATER SUPPLY: Private Well DESCRIBE WORK: Storage Building 16'X20' 2 story wood frame w/ 1/2 bathroom (Sink & Toilet Only) - 100 GPD IP, AC for Storage Building. On the IP need to designate Repair Area for existing home.** 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: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF single family dwelling & accessory building EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 30x47 house & 16x16 accessory bld NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 18 x 20 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-ehapplicaton 09/12/2016 09:00 Pagel of • CATAWBA COUNTY Case# RBPR-09-2016-24698 .¢' tL 9 Public Health Department Subdivision G v 1'4 Environmental Health Division PIN# '15t ).< 370113220537 ''^tb PO Box 389. 100-A Southwest Blvd,Newton, NC 28658 /8.2 .. NAME ON PERMIT: (ROBERT WATFORD), 1329 ZION CHURCH RD, HICKORY NC 28602 ( Robert Watford) Site Address: 1329 ZION CHURCH RD, HICKORY NC 28602 Property Size: Square Feet Acres 1.24 Directions: APPROX 1 MILE/FROM TRAFFIC LIGHT INTERSECTION OF ZION CHURCH AND HWY 127 (MOUNTAIN VIEW) 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. 1 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 !)FEENAMEJll ahl l�i,w lhllw� �Ef11 1 ' EI'il i i.�L DATE o'i 1(IIII!FEE AMOUNII'� 1 rf �� t� � ( ,,a, , �lal[aSII Authorization to Construct Fee (New/Expansion) 09/09/2016 S 150.00 Fee Improvement Permit Fee 09/09/2016 $150.00 "!~� e - Or 1111) 1nmt�t� W � i� I .4 1 [ E ; lir 531' a . � � iNllIWt181tWWU'Wr01x5i rRnp avit, 1•,t rPf(li tN 9^' ' _t5lli d0il injy^n �illliLlJWa�O�.1W114II1NI fit' 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-chapplieulion 09/12/2016 09:00 Page 2 ofd $A THIS IS NOTA PERMIT Case # RBPR-09-2016-24698 ;Fria '6:1 CATAWBA COUNTY HEALTH DEPARTMENT a .1-7 o .. .SO . IL ' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 'I /842 rM Residential Building Plan Review - Accessory Structure 'o 0 ci -t I IMPROVEMENT- AUTH CONST 0 t I, Contractor SAME AS OWNER, , Owner ROBERT WATFORD, 1329 ZION CHURCH RD, HICKORY NC 28602 C:8282342578 NAME TO APPEAR ON PERMIT Robert Watford SITE ADDRESS: 1329 ZION CHURCH RD, HICKORY NC 28602 PIN # 370113220537 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 1.24 DIRECTIONS: x PRIMARY CONTACT: Owner SEWER TYPE: Public Sewer GALLONS PER DAY: 100 WATER SUPPLY: Private Well DESCRIBE WORK: Storage Building 16'X20' 2 story wood frame w/ 1/2 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: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF single family dwelling & accessory building EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 30x47 house& 16x16 accessory bld NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 18 x 20 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 09/09/2016 15:05 Page 1 of 4 m..1 : CATAWBA COUNTY Case ii RBPR-09-2016-24698„Tait 2'Public Health Department Subdivision d --r 1-., Environmental Health Division PIM( 370113220537 11r PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 184 ,w NAME ON PERMIT: ( ROBERT WATFORD), 1329 ZION CHURCH RD, HICKORY NC 28602 ( Robert Watford) Site Address: 1329 ZION CHURCH RD, HICKORY NC 28602 Property Size: Square Feet Acres 1.24 Directions: x 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 --. solely responsible for the proper identification and labeling of all property lines and corners and making the site access le so that a complete site ev- -tion can be performed. Date: gl9/2Cx, Signature of Applicant or Agent bur inti Lek- 0. , An Environmental Health Specialist will contact you within 5 working days of appl cation da e. If you need further information or assistance please call 828-466-7291 AREA2 ' FEENAME ” m -DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 09/09/2016 $150.00 Fee Improvement Permit Fee 09/09/2016 $150.00 - TOTAL FEES - $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-ehapplization 09/09/2016 15:05 Page 2 of 4 CATS ]R ^ THIS IS NOT A PERMIT illNrr V 1JL7. CATAWBA COUNTY HEALTH DEPARTMENT ,,„,,,,.;;;;,„---;-•:., Application for Environmental Services Page 1 Improvement Permit Authorization to Construct Septic Repair E Septic Malfunction ❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction -6 Existing Facility ❑ Property Address I3Z9 Z ;, -� Ck--rcL t2—t • Subdivision I-k',`K e-,--- u c j to D _ Lot# Acres Section/Block/Phase • Driving Directions to Property ape?re- . I rn', la rv.-,m.A-rr_ff: C 1 •r k} ; in+-ersec - 1a Lf. Z;an C11-.,...,_1.— c.v.cf I`kJj 12 •I ( ir‘/Lc) un1^e-.•... v:2'-'J73 5 NAME TO APPEAR ON PERMIT? Owner _ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name , ho r k I uJ t''cT.-c p Address j3 Z9 Z�a r, Ci-,�r C_ F-ciS•• 1-�•�(co.rLi ,- ass(o 02_ Phone �a% 23t-f X57 Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site Ho ler 'laJi1C Ins .)LeI(o �[ # of Bedrooms *t a Structure DimensionQyq . #of Occupants 3 SII Basement ❑ Yes 121" No Basement Fixtures 0 Yes ®-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 iS o Does the site contain any jurisdictional wetlands? YesCo Does the site contain any existing wastewater systems? © Yes 04 Is any wastewater going to be generated on the site other than domestic sewage? ISYes p6 Is the site subject to approval by any other public agency? ® Yes P 4o Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well H 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) 0 Accepted 0 Alternative 0 Conventional ❑ Innovative 0 Other )(Any CATAWBA THIS IS NOT A PERMIT . COUNTY CATAWBA COUNTY HEALTH DEPARTMENT moo„„ ca�>A Application for Environmental Services Page 2 Proposed Facility Type . ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *j Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ® Yes ® No ❑ Accessory Structure(s) Describe ,S-1-c,rc 5�S hed. ( S h op In/oodcc sr,c-- pc&fob * pP �' #of New Bedrooms if applicable Structure Dimensions 1 7 •. #of Occupants 6 Accessory Dwelling ❑ Yes No Plumbing 2”Yes ❑ No Describe Plumbing Needed 'la be-{-l- - -L. A-- a- S l n re-, ] Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *1. 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 ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes L] 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 tliie 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 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. 4 Signature of Owner or Agent Date 1AlPrinted Name of Owner or Agent Rebe_s.-A- -T leicif--e,rei • Catawba County Environmentalmental N------ nn c."'"c."'"J V Q 3. cO yon 1t. 006 10,0 61 r°z$ i0. o o ?S `,3.511 G '41, \...., ;13 o •1 9 .IIIIIIA,„* * . f-----I. 0 , es S l\\\\N 120.11: N. ' 790 8.9.„ . c; -741.1411, i. 88.50 •4766 I (53) / •4754 I `M0RNIIyGG\OWCN_ 88.5.0 / 1i I I I Parcel: 370113220537, 1329 ZION CHURCH RD 1 in=60ft HICKORY, 28602 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 09/09/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 370113220537 Owner: WATFORD ROBERT JACKSON Parcel Address: 1329 ZION CHURCH RD Owner2: WATFORD FLORENE HARRIS City: HICKORY, 28602 Address: 1329 ZION CHURCH RD LRK(REID): 48079 Address2: Deed Book/Page: 3333/1231 City: HICKORY Subdivision: State/Zip: NC 28602-9111 Lots/Block: 1/ Last Sale: $65,000 on 2016-03-23 School Information: Plat BookfPage: 74/102 School District: COUNTY Legal: TRACT 1 PL 74-102 Elementary School: MOUNTAIN VIEW Calculated Acreage: 1.240 Middle School: JACOBS FORK Tax Map: 132H 02002 High School: FRED T FOARD Township: HICKORY School Map State Road #: 1008 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MOUNTAIN VIEW Zoningl: R-20 Building(s) Value: $54,300 Zoning2: Land Value: $16,400 Zoning3: Assessed Total Value: $70,700 Zoning Overlay: Year Built/Remodeled: 1929/ Small Area: MOUNTAIN VIEW Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers S Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710370100J Building Details 2010 Census Block: 2031 WaterShed: 2010 Census Tract: 011102 Voter Precinct: P23 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. 2OntS2 " "Rm \ ISym } \i2 gcd-h S�k 1St et �- - 100 C.niO http://gis.catawbacountync.gov/nomap/parcel_report.php?key=370113220537&typ=P 9/9/2016