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Home My WebLink AboutEHPR-12-09-3095 (2).TIF g,A , n THIS IS NOT A PERMIT Case # EHPR-12-09-3095 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services Ig~2 SM Environmental Health Plan Review - OSWP IMPROVEMENT - AUTH CONST WPPLICANT77 z~r OWNER CONTRACTOR RMR~CONSTRUCT[ON RMR-CO' NSTRUC1;-10N RIv1RCONSTRUCTION C_OINC 00'130k595 PO`BOX.595 - CONOVER NG 2861 CONOVER NC 28613' CONOVER NC 28613 828-464-85971`.,- 828-464-8597 828-464-8597 rmrrealestafe@charter.com NAME TO APPEAR ON PERMIT RMR CONSTRUCTION Pin#: 373305294204 SITE ADDRESS: 1765 THOMASVILLE RD, Conover, NC DIRECTIONS: SPRINGS RD N/ RT COUNTY HOME RD/ RT THOMASVILLE RD ON LEFT NAME of SUBDIVISION: THOMASVILLE ACRES Lot # 13 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.68 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: No Water "Using. Fixtures in Basement:No No. in Family Whirlpool Tub : U. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 yi Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining'Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees Ist 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? . If so, describe: Has any grading, removal, or addition of soil beefi°done io-thts property? If so, describe j z - - - W - ,1 Are there easements/right-of-ways recorded on this 'property? ' NONE Type of Water Supply: Individual Well / Community Well t Muni4al X Semi Public I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a nor-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: (a i I c/ Signature of Applicant or Agent. A-- Z~D6 An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) 11fy?~ ~j Zoning Approval:✓ Yes No Zoning Approval #~1v1`-~ O't~ DO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 15 Authorization to 'Construct 1ee'(Newll2/11%2009 _ $150.00 Rear 30 liriprove e t Pern it Fe-- I 11%200-' 9;- F ` $150.00 Max Hght TOTAL FEES $300.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 12/11/09 11:56 THIS IS NOT A PERMIT WLS # CATAWBA COUNT' HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct,K Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit 2. Permit Requested By _r" Business Phone Address P. zs : ")1 4 cl--> ~ Home Phone _ 3. Property Owner Business Phone 1 Address S r~ C Home Phone 4. Name of Subdivision i Q e Lot Section/Block/Phase _ Property Address 1-7",-,T- Directions to Property: p~ ^ Q ' 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House - X Mobile Home Dimension of Structure Cr Bedrnoms* 3 r~-z-ti"r° 'ate . - ,~Awavu, , - tJ1\ f ~Ol7lrlhdt 111 be lntellded'for Sle-E}illy alt t tllll Ul ~U115tPU tioll or~f~~l L+UtL l~laf"11 011 ~lloul'l i)` I'lo l'-d J~ p < - f in d+' i , - 1 t w` bedl'~i X111 ~111~1~t~llRl ~ Olliall~a licaYton:, 1~1CllLllll~~t'IOl hc'C~I 1115,EVC I~~ h: ~ ~Illll-Ill l~ h~~L~~~Ill~`It~~llllll.~ 'll~~l~~il~c ~IanSvd.~ b~ lru~rn,afth tltl. otfbutldial~ ~iiiiit"issuali~ lhis iila _,l i:~yenrth~ 1~~I ic~t ~ystell~~ 1ncra~ ui tli~,futul~;. Basement: ye no Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tu e no Gallon Capacity MULTIPLE FAMILY RESIDENCES: nits Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes / o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes N^ If so, describe: 9. Are there.easements/right-of-ways recorded on this property? Yes 10. Is a public water supply available on or adjacent to the above property? Yes / No Check type that is available: [ ] Community well [ ] Semi-public well [ County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well I understand that this is a formal application for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. f. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE,- Date < < 1J g Signature of Owner or Agent ~V~~ CATAWBA COUNTY PERMIT ZONING AUTHORIZATION (R) New Dwelling P. 0. Box 389 PERMIT NO: ZONR-12-09-3299 IOOA Southwest Blvd APPLIED: 12/11/2009 Newton, North Carolina 28658 ISSUED: 12/11/2009 1 84 2 SM Phone: 828-465-8380 EXPIRES: 06/09/2010 FAX: 828-465-8962 www.catawbacountync.gov APPLICANT 'OWNER,r CONTRACTOR RNIR CONSTRL C I JuN RMR CONSTRL(_l ION-, RMR CONSTRUC J R-)N CO INC PO BOX 595 PO BOX 595 PO BOX 595 CONOVER NC 28613 CONOVER NC 28613 CONOVER NC 28613 PROPERTY ID#: 373305294204- CENSUS TRACT: STREET ADDRESS: 1765 THOMASVILLE RD, Conover, NC LOT# PROJECT DESCRIPTION: 1 STORY DWELLING W/ ATTACHED GARAGE DIRECTIONS: COMMENTS: 1 STORY DWELLING W/ ATTACHED GARAGE / THOMAS VILLE ACRES/ LOT 67 FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 15.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: 30.00 SIDE 1: VALUE: 0 CORNER: SIDE 2: 1. Before an inspection can be made by the Building Inspection Office, the applicant must pull a string to designate the side and rear property lines where the structure is being placed or constructed. 2. Home shall be placed on the lot in harmony with the site-built structures, or have the front door face theroad frontage. FEE' DESCRIPTION DATE -FEE MMOUNT Residential Zoning Fee 12/11/2009 525.00 _TOTAL FEES $25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowledges that this permit was issued on the basis of the information required herein The applicant further acknowledges that any construction, alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant. It is the responsibility of Applicant to comply with all existing deed restrictions pertaining to the property. Issuance of this permit is not certification of such compliance and does not relieve Applicant of the duty to comply. **This Zoning Authorization Permit shall expire six months from the date of issuance unless a buiI rmit is secured and remains active. f ff APPLICANT NAME (PRINTED) J APPLICANT SIGNATURE ZO ING APPROVED BY COMPANY NAME ZONING FEES ARE NON-REFUNDABLE r rm't Page I of 1 Print Parcel Map Page 1 of I Real Estate @aV& v Search 75.07 23.13 94 ~~bl 'f•61 S22S 4204 P- 22M Parcel Summary Printed Map Scale 1 inch = 60ft Parcel ID: 373305294204 Parcel Address: 1765 THOMASVILLE RD, CONOVER Owner: RMR CONSTRUCTION CO Address: PO BOX 595 City: CONOVER INC 11 1 Owner2: Address2: State/Zip: NC, 28613-0595 Building(s) Value: Land Value: $12,100 Total Value: $12,100 DISCLAIMER: 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. l CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3733-05-29-4204 Name: RMR CONSTRUCTION CO INC Name2: Address: PO BOX 595 Address2: City: CONOVER State: NC Zip: 28613-0595 Account: 159744894 Calc Acreage: 0.68 Tax Map: LRK: 404169 Deed Book: 2779 Deed Page: 1907 Subdivision Name: THOMASVILLE ACRES Subdivision Block: Lots: Plat Book: 67 Plat Page: 64 Building Number: 1765 Street Name: THOMASVILLE RD Site Zip: 28613 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY State Road: 1504 Total Bldgs Value: Land Value: $12,100 Total Value: $12,100 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P29 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SNOW CREEK Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: Census Block 2010: Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Friday, December 11, 2009 11:38 AM Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information Svstem. N Catawba County has, made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification ofany J4 data contained on this map 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 product or the use thereof by any person or entity. Legend Selected Parcel Number: 3733-05-29-4204 1 inch = 60 feet Prepared for: }}j 1 vc~ SR 1504 71.07 23.13 94 94 179.82 PI a .F-7=64 4 N 5225 204 of co 2290 CV 2109- ' 13 178.05 12 15/ 5016 CY) at 67-64 Z 290.82 THIS IS NOT A LEGAL DOCUMENT / Friday, December 11, 2009 11:38 AM _ ~ as r 1