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HomeMy WebLinkAboutRBPR-09-2016-24742.TIF ,ygA THIS IS NOTA PERMIT Case # RBPR-09-2016-24742 d y • CATAWBA COUNTY HEALTH DEPARTMENT 0 76.7a :"• .1:1 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ` _ /842 SM Residential Building Plan Review - Manufactured Home '0 • c I.0 r IMPROVEMENT ❑� Applicant *OAKWOOD HOMES #712 (ELIOBERTOALFONSO), 1265 70 HWY W,NEWTON NC 28658 B:(828)217-1862 C:(828)464-2662F:828-464-4301 R712@CLAYTONHOMES.COM Land Owner BANK OF AMERICA NA, 7105 CORPORATE DR, PLANO TX 75024-4100 Owner TIM BARTON, 4897 SIERRA DR, MAIDEN NC 28650 C:4193674182 NAME TO APPEAR ON PERMIT Tim Barton SITE ADDRESS: 4897 SIERRA DR, MAIDEN NC 28650 PIN # 367704911031 NAME of SUBDIVISION: MOUNT ANDERSON PHASE 2 Lot# 53 Section/Block C PROPERTY SIZE: Square Feet Acres 0.68 DIRECTIONS: 16S/right Tower Rd/Right Sierra Dr/pass Apex Dr/lot on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: new DW mobile home Home must meet appearance criteria ---Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sq ft, home must be masonry underpinned (can use vinyl if singlewide). Home must be parallel to road and must face front of property**If this new home is a replacement for an existing home— that existing home must be removed from the site before of the issuance of the Certificate of Compliance** 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: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF DW Mobil Home EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 28 x 56 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 56/6x6 front& rear deck #OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 09/t6(2016 1147 Page 1 of4 �$A • CATAWBA COUNTY Case# RBPR-09-2016-24742 ti .t. ,y Public Health Department Subdivision MOUNT ANDERSON PHASE 2 d Q H Environmental Health Division PIN# 367704911031 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 !g4 w NAME ON PERMIT: (TIM BARTON),4897 SIERRA DR, MAIDEN NC 28650 ( Tim Barton) Site Address: 4897 SIERRA DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.68 Directions: 16S/right Tower Rd/Right Sierra Dr/pass Apex Dr/lot on left 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 AREA1 FEENAME DATE FEE AMOUNT) Improvement Permit Fee 09/16/2016 $150.00 TOTAL IFEES . $150.00 l I I 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 09/16/2016 11:47 Pagc 2 of 4 1'644301 MHC712 02:15:33 p.m. 09-14-2016 1 i3 oa CATAWBA THIS IS NOT A PERMIT COUNTY > CATAWBA COUNTY HEALTH DEPARTMENT NmN C��d�� — Application for Environmental Services Page 1 Improvement Permit Authorization to Construct 111Septic Repair❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) /p Application is for NewFacility -Construction ❑ Existing r Property Address istii $ ;f rC` rl , Subdivision hn0, Aril kiC- �.I;"(-Q cSO Lot# Acres Section/3lgck/Phase Driving Directions to Property 4-k \*, c C4..S -1.-C) l 4 1 nrn4-r) 'lj2r. lid (Thry Sierrs fl -S�PCss Apc'_ii- Or — Lo C)1--\ Le-fr NAME TO APPEAR ON PERMIT? iii.Owner ❑ Applicant ❑ Contractor Applicant Contact Information lI Name r JG'.lJL000c-\ AV- \e o- - \UA----- )eni Ol Al For TheiviG4 Address (aC1C, R .I-)\i -10 l_b -- 4\ .l.J L_ � ( 0. Phone 7,,_ g- 'Y/og _ aLr. Lc Cell Phone , Owner Con act Information -- Name - l r,� �3C��or\ Address tj-(SC`\.1 C,ierr Or- - `�C (A ("� \L )C.- ,TD- (.4:: -(--) Phone `11 Gc ._2.,u..-) -'4 c,&. 7` Cell Phone Contractor Contact Information Name Cc,�e_ GS C-7.--), I :c ..-- Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Ownerfpplicant 0 Contractor Description of Existing Structures on Site -; -` t-` L.1--\.-3.f-' ..a‘eke lv—.C`+r-} _ Q #of Bedrooms *t Structure Dimensions �SxxS Cp #of Occupants Basement ❑ Yes No Basement Fixtures ® Yes No .D ix reirl/1Ja 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. i7 es 410 Does the site contain any jurisdictional wetlands? J�Yes qo Does the site contain any existing wastewater systems? C Yes d'No Is any wastewater going to be generated on the site other than domestic sewage? 1514 Yes ' Io 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 Existing water supply in useIndividual Well U Community Well LI Semi-Public Well ❑ County/City/Township ater 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 ference) ❑Accepted 0 Alternative . onventional 0 Innovative 0 Other 0 Any , 8284644301 MHC712 02:15:51 p.m. 09-14-2016 2/3 CATAWBA THIS IS NOT A PERMIT couNry CATAWBA COUNTY HEALTH DEPARTMENT North CarolinaApplication for Environmental Services Page 2 Pr posed Facility Type Primary Residence ❑ New Residence 0 Addition to Residence #of New Bedrooms *t Project Description (' kozn e (--)L-1t-J C'�EL_thlt LDirle co., hCc. i r-tL�btect d' G Structure Dimensions Q D -cc - , of Occupants 3 Basement ❑ Yes 1;8 No Basement Fixtures ® Yes ( No It/(p r.i-d (tat leder U Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑No Plumbing 0 Yes 0 No Describe Plumbing Needed U Multi-Family Residence#Units #Bedrooms per Unit*t Total#Bedrooms tt Structure Dimensions Li Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area (Sq. Ft.) U Business Specific Type of Business Retail Floor Space #of Employees per Shift #of Shifts O Other Facility Type Specify If Church#of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug 0 Unknown Well Repair Requested ❑ Yes 0 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 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 arc 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. +�''" ,Q Signature of Owner or Agent�Q ;'( (--1 INC ,\ („(tit'Date c - L,j- I EO Printed Name of Owner.or Agent - \. .k..len Or N.. `12i✓ 0C--CL- 6UlneS 82846443Q1 MHC712 02:16:12 p.m. 09-14-2016 3/3 cATAWBA Geospatial Real Estate Search --iiiwasiggFialkInformation Services SIERRA DR I • • 1 (oo 11.1.16' LAIN pet Ai i237 lifl ,Mit 4/ L (netts fry�wtf5 r"'!) Ie, Io0tobsitm w- 1: 1 in=100ft Parcel: 367704911031, 4897 SIERRA DR MAIDEN, 28650 Owners: BANK OF AMERICA NA, null Owner Address: 2375 N GLENVILLE DR BLDG B Values - Building(s): $18,500, Land: $11,800, Total: $30,300 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 09/13/2016 . Catawba County Environmental Health 141.99 II 237.87 ��..// 73 SIERRA DR 56.40 75.50 •4885 IlL.13"3'35.08 II .4909 1111 411 1%1130.21 28.22 .489di . 598 w 71.,5 1 4.21 . 47.06 2 .06 •4921 1 .46 / /J ! • Parcel: 367704911031, 4897 SIERRA DR lin=60ft MAIDEN, 28650 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 County NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367704911031 Owner: BANK OF AMERICA NA Parcel Address: 4897 SIERRA DR Owner2: City: MAIDEN, 28650 Address: 2375 N GLENVILLE DR BLDG B LRK(REID): 200380 Address2: MAIL STOP RGV-3B-35 Deed Book/Page: 3246/0899 City: RICHARDSON Subdivision: MOUNT ANDERSON PHASE 2 State/Zip: TX 75082-4315 Lots/Block: 53/C Last Sale: School Information: Plat Book/Page: 39/51 School District: COUNTY Legal: LOT 53C PLAT 39-51 Elementary School: BALLS CREEK Calculated Acreage: .680 Middle School: MILL CREEK High School: BANDYS Tax Map: Township: CALDWELL School Map State Road #: 2760 Tax/Value 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: $18,500 Zoning2: Land Value: $11,800 Zoning3: Assessed Total Value: $30,300 Zoning Overlay: WP-O Year Built/Remodeled: 1998/ 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 #: 3710366600J Building Details 2010 Census Block: 3004 WaterShed: WS-IV Protected Area 2010 Census Tract: 011602 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. Si 3 Biz_ 3%og,po http://gis.catawbacountync.gov/nomap/parcel_report.php?key=367704911031&typ=P 9/14/2016 CATAWBA COUNTY JJEAIJH DEPARTMENT � Telephone: (704) 465-8270 TDD: (704) 465-8200 .Nj'% 1 4 3 L Improve. Permitt,/Authorization to Construct L - epair Permit Oper. Permit System Type 4,2/4- Owner/Agent Owner/Agent f c q Sm,yi l Phone V6 q-a.s 32 Address 4,4R7? .S/e-,Q,t2R D/2, Subdivision jrp-,R,v e_r 4J At e a. , 4 .. .. _ A Section/Block1Phase G Lot# f Lot Size. ' 6 - - g. ./.irections: ��� • - , „ Ro • • _ -r— S/FFPB D0 - p,-cc 410i Ok. 7 ,3 04/ 0 Facility: House • Mobile Home G.- Business . Other: Tax Map # 9/‹.... 2 -Aa. Multi-family Other . Zoning Approval # Z`J f O 72,/ # Bedrooms ,3 # Seats # Employees . Application Rate i GPD Flow 30 d Hot Tub or Spa yes/©o Special Fixtures . 100% Repair AreaM/no Basement yes1 Basement Plumbing ye/nn Water Supply: Priva -11 Public � 1 Type of System: Trenc G./led Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Size /466 6 Pump Tank Size Nitrification Field: Total Square Feet 5700 Depth of Stone /a " l�y�Bed�Size Trench Width %� ' Total Length of All Trenches 300 Nurrl1§g-i f Tr�che Individual Trench Length Is-77.S/ 2/7y/ Feet on Conte P ' Maximum Trenc Depth j �,4- Distance of Nearest Well SO `i" *DO NOT INSTALL WHO' T Topo 6 % Slope Texture C L,Qyc e 1 Fct- Structure �LeXsCy Yes �` Clay Min. /,11I , Soil Wetness " Soil Depth 7.1 " \ Restric. Hoz. at .2," Available space - no Overall Class SepIT IV Comments: / / r syr- - yT,e�N Gs / Gid _ _ g / _ _ 7�i ?� 3 `+ / j/�- 1 s--) • , / i / 1 i if' It 1Jaai { **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five y rs from date issued and is not transferable. Permit Date , );)„ i '7 i Owner/Agent 4.:,k, ljy! if, _ Sanitarian e�� Installed By ,,. ,r.; /-' L';-i'-'J Date y - y-f/ Sanitarian _ Also _ White-Office Blue-Building inspection Operation Permit Yellow-Owner/Agent Green-Building Inspection Authorization to Construct