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HomeMy WebLinkAboutRBPR-09-2016-24724.TIF ysBA �G THIS IS NOT A PERMIT Case # RBPR-09-2016-24724 F d t - y CATAWBA COUNTY HEALTH DEPARTMENT 0 �0. ,*0 7 � �C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /8 2 sm Residential Building Plan Review - Building New 02: ..0 jro I IMPROVEMENT- AUTH_CONSTd _ o • Contractor *MATTHEWS CONSTRUCTION CO., INC. (BOBBY MATTHEWS), 210 1ST AV S, CONOVER NC 28613- B:828-464-7325F:828-465-6747 EVEGTER@MATTHEWSCONSTRUCTION.COM Owner GARY MATTHEWS, 223 8TH ST NE, CONOVER NC 28613 H:828-464-7325 C:828-312-0652 HOME:828-464-7325 NAME TO APPEAR ON PERMIT Gary Matthews SITE ADDRESS: 1574 BASIN ST, CONOVER NC 28613 PIN # 374604508144 NAME of SUBDIVISION: CRESCENT LAND AND TIMBER COMPA Lot# 17 Section/Block PROPERTY SIZE: Square Feet Acres 0.86 DIRECTIONS: 16N out of Conover/left St Peters Church Rd/right Valwood St/left Basin St/will see house numbers on front gate PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: new 2 story single family dwelling /old house must be removed **owner to check for Lake Buffer requirements with Duke Lake Management** 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: ** NO STRUCTURE SELECTED ** FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF block cabin -to be demolished EXISTING STRUCTURES ON SITE (IF ANY) • DIM EXISTING STRUCTURE: 24 x 28 NUMBER OF EXISTING BEDROOMS: .)- #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 68 x 46 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: • E9-ehapplication 09/14/2016 17:36 Page 1 of4 _tgA • CATAWBA COUNTY Case# RBPR-09-2016-24724 L�uy Public Health Department Subdivision CRESCENT LAND AND TIMBE 6 'P Environmental Health Division PIN# 374604508144 -/ PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 /842 :M NAME ON PERMIT: (GARY MATTHEWS), 223 8TH ST NE, CONOVER NC 28613 ( Gary Matthews) Site Address: 1574 BASIN ST, CONOVER NC 28613 Property Size: Square Feet Acres 0.86 Directions: 16N out of Conover/left St Peters Church Rd/right Valwood St/left Basin St/will see house numbers on front gate 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 i EEENAME DATE T FEE AMOUNT. Authorization to Construct Fee (New/Expansion) 09/14/2016 $150.00 Fee Improvement Permit Fee 09/14/2016 $150.00 TOTAL FEES - 5300.001 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 09/14/2016 17:36 Page 2 of 4 CATAWBA TRIS IS NOTA PERMIT rouNTs' t a CATAWBA COUNTY HEALTH DEPARTMENT •-= a o.,n cwmm Application-for Environmental-Services -Page-I-- _ .._..._..___ Improvement,Permit ©❑ Authorization to Construct Septic Repair❑ Septie,lllalfunction❑ Septic:Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction 0 Existing Facility ❑ Property.Address1574 Basin Street Subdivision Conover, NC 28613 Lot# Acres .862 Section/I1loclIPhase Driving,Directions to property lin Moo ofComm 051Peers Charm Rom tunaµalacur.aentltale aVAonVS oolSt.goWGavnsLaidNmklyouvRiseenotiav n dswhit Dom w e NAME TO APPEAR. ON PERMIT? 0 Owner 0 Applicant ❑ Contractor AppliciintCmrtactInformation stEdel!'{ 4Uc ma•1IAewsPini'NcGe, .Cern Name Gary E. Matthews do Matthews Construction ail,ng act ,J Address 210.1st Ave. S. J Phone 828-464-7325. Cell Phone 828-312-0652: Owner Contact Information Name: Address Phone Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE-THE PRIMARY CONTACT? Q Owner ❑® Applicant E Contractor Description ofExistingStructures on Site Itire.eropmblock cabin ,- -lb c d eMoJ.ske II of Bedrooms *t 2 Structure Dimensions 24 x 28 #of Occupants 2 Basement ❑ Yes D No Basement Fixtures. Q Yes Uti No The Applicant:shall notify'the local health department upon submittal of this application if any of the following applyto the property in question. If the answer,to any question is"yes'', applicant must attach supporting documentation: C7 Yes 0 No Does;tbe site contain any jurisdictional wetlands? 0 Yes D No Does;the site contain'any existing wastewater systems? D Yes C7 No Is any wastewater going to be geueiated on the site other than domestic sewage? *Yes 'No Is the site subject to approval by any other public agency? D Yes 0 No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well U 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). ❑Accepted 0 Alternative ® Conventional 0 Innovative 0 Other 0 Any THIS IS NOTA PERMIT COUN1UL-A CATAWBA COUNTY HEALTH DEPARTMENT � ,„c;, Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑® New Residence ❑ Addition to Residence #of New Bedrooms *j 3 Project Description 2490 sr. 2 story home Structure Dimensions 68 x 46 (l of Occupants 2 Basement Q Yes ❑ No Basement Fixtures CIYes ® No ❑ Accessoi Structure(s) Describe #of New Bedrooms *r if applicable Structure Dimensions. #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Fancily Residence#'Units //Bedrooms per Uni(*f Total #'Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Seats. Floor Space-Entire Food Service Facility (Sq Ft) #Employees,per Shift II of Shifts. Dining Area(Sq. Ft.) ❑ Business Specific Type of Business Retail Floor,Space (l of Employees per Shift # of Shills ❑ Other Facility Type Specify If Church#of Seats Kitchen ❑ Yes 0 N If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled 0 Bored 0 Dug ❑ Unknown Well Repair Requested ❑ Yes ❑No Describe Calculated Design Flow, Commercial t Additional jinfogmatron_tray-be required;to determine design flow Iiom certain facilities. This value will be determined during consultation with,oil-site staff.- *Any room that wilt be intendedfor sleeping atthc 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 butno bedrooms,calculated design flow is required. **`df No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RE•fRIP 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 undcr.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 intcnded use changes for.the proposed facility I have read this application and certify that theinformation provided,herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct a necessary inspections to determine compliance with applicable laws and riles: 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 LSDC', rr+t.xra ----•• Date 9 - 13 - 1t Printed Name of Owner or Agent G! Ry ti . rvs strI-1 t~v!S yy Catawba ¢County Environmental Health r. r S.A'.t x4,..47-1A1 r AS . # ; . 3, fir" 1 7 / rf � c # ! bizSCd'x rr � 'fig ye � # �' 0 , S�� X`x �` 0p ,:, ..- a . au. n-tra` -,.: .233.,9 °L9.441,Y ] 04,),,A3,..0;p 0440:2+,a kid i f14- ry �S z. °' '^��t ,�,p ,1,4:-.0i: �;� `� Etc u'ya���u" � �'"�6 .�'f'''("ry +:� rtb r t' ��{ "�r c°� 'R4'xu � �`��'� .�' ����r r�'rc �, yy.\V+Y ` c.,t1. ��§ k ti-,?MO.e'€ .:g a�.i, q R71.yi-77,. %x.70 '% y+�, � '.�4.Tii, �.rb -+PA be 11, s s " , sob v -n w, � � 6.i7 if r y a ��7 � a kiti x t� jr V ' �: �p• cw ',:- 4 .0 ‘NC ' - 44.1E ev c+, . .y0 t 1 �i dc. 1 erubsti " ��t ,r 6pT sw 4:5. ea7Z 11-1 • • ?r, p coni, 5t /.40,---ea--#1" o 4 p. Q\t 0 . ; r 1/ 46O ( 87 • 21.85 Parcel: 374604508144, 1574 BASIN ST lin=50ft CONOVER, 28613 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. Coovriaht 2014 Catawba Countv NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 374604508144 Owner: MATTHEWS GARY EUGENE Parcel Address: 1574 BASIN ST Owner2: MATTHEWS MARY E City: CONOVER, 28613 Address: 223 8TH ST NE LRK(REID): 26499 Address2: Deed Book/Page: 1343/0243 City: CONOVER Subdivision: CRESCENT LAND AND TIMBER COMPA State/Zip: NC 28613-1653 Lots/Block: 17/ Last Sale: $45,000 on 1983-12-01 School Information: Plat Book/Page: 16/99 School District: COUNTY Legal: LOT 17 SEC 24 L 17 PL 16-99 PL 16-99 Elementary School: OXFORD Calculated Acreage: .860 Middle School: RIVER BEND Tax Map: 0300 24017 High School: BUNKER HILL Township: CLINES School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoning1: R-40 Building(s) Value: $41,000 Zoning2: Land Value: $125,200 Zoning3: Assessed Total Value: $166,200 Zoning Overlay: CRC-O,FPM-O Year Built/Remodeled: 1948/ Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 1006 WaterShed: 2010 Census Tract: 010201 Voter Precinct: P33 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. xP/iA ' • e; NCtd5 Ohc$306 3Rg 31OgPd http://gis.catawbacountync.gov/nomap/parcel_report.php?key=374604508144&typ=P 9/13/2016