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Home My WebLink AboutRBPR-08-2016-24451.TIF 1.\' C THIS IS NOT A PERMIT Case # RBPR-08-2016-24451 -, ,fillP CATAWBA COUNTY HEALTH DEPARTMENT 'M .1-70:r fD' ,t}'"'` PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES` ' 0 •/842 SN Residential Building Plan Review - Building New 117 Y. 'fro o T IMPROVEMENT - AUTH_CONSTox a kaa JCQLtiI - tcrlerRn /51)kirinwls Contractor SAME AS OWNER, , Owner VIOREL BUDEANU, 4645 N NC 16 HWY, CONOVER NC 28613 C:8283087643 NAME TO APPEAR ON PERMIT VIOREL BUDEANU SITE ADDRESS: 4601 N NC 16 HWY, CONOVER NC 28613 PIN # 375306488243 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.39 DIRECTIONS: TAKE HWY 16 N PASSED 140 FROM WALMART ON HWY 16 IS 3 MILES ON LEFT WITH BROWN FENCE PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: BUILDING NEW SINGLE FAMILY DWELLING 4 BEDROOMS WITH UNFINISHED BASEMENT 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? Yes Property Easements Description: SHOWS DUKE POWER EASEMENT APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Shed 14x20 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: House 57.2 x 56 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 09-ehapplication 08/10/2016 12:01 Page I of ,c,A CATAWBA COUNTY Case it RBPR-08-2016-24451 ,T �I�] Public Health Department Subdivision 4 ,�,�{i „ Environmental Health Division PIN# 375306488243 ' PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: ( VIOREL BUDEANU), 4645 N NC 16 HWY, CONOVER NC 28613 ( VIOREL BUDEANU) Site Address: 4601 N NC 16 HWY, CONOVER NC 28613 Property Size: Square Feet Acres 1.39 Directions: TAKE HWY 16 N PASSED 140 FROM WALMART ON HWY 16 IS 3 MILES ON LEFT WITH BROWN FENCE 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. !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 - complete site ev-f' . can be performed. Date: A-C.$, /o/2J/ Signature of Applicant or Agent ;��_.✓ 0 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 ##k##**M♦t+Yk♦k#YtW*t++#*+♦+#*Vt*M#+W*WW♦i##+##+•+#++*+#ti#it+#+#++++++#+x*#++++#++++#***M##♦######aa***#### 1 mit 81amir) - I, � ijhpri' ' ' ri)itfig ! :Iri�9� I pri FEENAME .,u, L !O.:1,uui t1 1[11 gr,DATE Ur: iii`FEE AMOUNTR!. Authorization to Construct Fee (New/Expansion) 08/05/2016 $300.00 Fee Improvement Permit Fee 08/05/2016 $150.00 1��'" .ii!I TOTAI I EEsjkl tk5TIli'I�illlll'�11IIIV rtll'"I!I!i I (il�hllll�{i 111`1{{;; r �I I + IV Iltlili hll 'II I it hliili!{k �� hI�II)I� ' $aso 00 9ft��'� PIIIhlllt a LRU;WIIWI8v�1hII�U11LGllIlI;ilIUliII11i LWT'ItI�IA�gOil�'WIW!IIIWIIWIIIIIII�lflilll� +x 11 lilt...,l4ti1llWt„ -uu^Jua - 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) 19-ehappl ication 08/10/2016 12:01 Page 2 of 4 -.4411\ �X Fila G THIS IS NOTA PERMIT Case # RBPR-08-2016-24451 2 ... 2 CATAWBA COUNTY HEALTH DEPARTMENT ��` 15!:.1:: 1� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES T:r' �k ti J'1842 s�� Residential Building Plan Review - Building New 4 �Q, ;D tio IMPROVEMENT - AUTH CONST A ,0o ,-A13_ { Applicant VIOREL BUDEANU,4645 N NC 16 HWY, CONOVER NC 28613 Contractor SAME AS OWNER, . Owner VIOREL BUDEANU,4645 N NC 16 HWY, CONOVER NC 28613 NAME TO APPEAR ON PERMIT VIOREL BUDEANU SITE ADDRESS: 4601 N NC 16 HWY, CONOVER NC 28613 PIN # 375306488243 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.39 DIRECTIONS: TAKE HWY 16 N PASSEIS 140 FROM WALMART ON HWY 16 IS 3 MILES ON LEFT WITH BROWN FENCE PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: BUILDING NEW SINGLE FAMILY DWELLING 4 BEDROOMS WITH UNFINISHED BASEMENT 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? Yes Property Easements Description: SHOWS DUKE POWER EASEMENT APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 57X51 #OF NEW BEDROOMS:: . 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-chapplication 08/05/2016 09:42 Page 1 of 4 ,6A • CATAWBA COUNTY case# RBPR-08-2016-24451 F aiac. Public Health Department x Subdivision ¢�,( �" „'t, Environmental Health Division PIN# 375306488243 \ ' PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 1$ t NAME ON PERMIT: ( VIOREL BUDEANU), 4645 N NC 16 HWY, CONOVER NC 28613 ( VIOREL BUDEANU) Site Address: 4601 N NC 16 HWY. CONOVER NC 28613 Property Size: Square Feet Acres 1.39 Directions: TAKE HWY 16 N PASSED 140 FROM WALMART ON HWY 16 IS 3 MILES ON LEFT WITH BROWN FENCE 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 co�site evaluati. b n c.ne performed. Date: S -^C— 2 O 16 Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working .ays-o applicaho ate. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME': ;' DATE 'FEE AMOUNT Authorization to Construct Fee (New/Expansion) 08/05/2016 $300.00 Fee Improvement Permit Fee 08/05/2016 $150.00 TOTAL,FEES $450.00 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 08/05/2016 09:42 Page 2 of 4 CAT'AVV3 THIS 1S NOT A PERMIT COUNfl f CATAWBA COUNTY HEALTH DEPARTMENT Page 1 �f �.�n�0.—„�. Application for Environmental Services a B s Improvement Fermi l Authorization to Construct Septic Repair❑ Septic Malfunction U Septic Expansion n New Well Permit I I Replacement Well ❑ Well Abandonment❑ Well Repair I I Existing System Inspection (Pre-Approval Required) El Application is for New Construction LA Existing Facility n Property Address 3 7 c30 Li 3�+ Subdivision{/ qoc H 'dr.- ICP 1-1vJ GirOt-f _i (IT3 ot Acres Seco lock/Phase Driving Directions to Property fii< { !C c ,k-/ fir 5- _� h0 A-L ,, ' l c7al/ CG' Gil! l( Bt LPa_ f,/lo\rM- C=f Ater, NAME TO APPEAR ON PERMIT? [ Owner ❑ Applicant U Contractor Applicant Contact Information Name I/t`t9R62 RCit 6AIvt/ Address 14 6 4 c //' vv /j IV ('O/V O (JjFf a Phone 22g - p7 /-7,Cz/ 3 Cell Phone 62 g�? 0 Z 7 C4 Owner Contact Information Name Ut'o /c i^/ /2),-/65 L^'4 ,v(/ Address /4 6 (� ,� p w lC `I/ ec,V0U/=C2 Phone I Cell Phone 1{2 g ? © g 7 4,s Contractor Contact Information Name Address Phone 1 Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner El Applicant El Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions # of Occupants Basement I-SI Yes ❑ No Basement Fixtures C) 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. p Yes pi No Does the site contain any jurisdictional wetlands? 0 Yes No Does the site contain any existing wastewater systems? FD Yes 'y'No Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes Q NTo Is the site subject to approval by any other public agency? ®Yes ljk]No Are there any easements or right of ways on this property? Describe Existing water supply in use LI Individual Well ❑ Community Well ❑ Semi-Public Well n 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 0 Conventional 0 Innovative 0 Other ,='1 Any { v A'rA `Vn�; gay � THIS IS NOTA PERMIT COUNTS u. .ILS CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 ; Proposed Facility Type n Primary Residence _. New Residence n Addition to Residence ft of New Bedrooms * Project Description Structure Dimensions J / x$eo # of Occupants Basement [ Yes n No Basement Fixtures 0 Yes D No Accessory Structure(s) Describe 4(oc Ql . u PSV )4( x LO G # of New Bedrooms *'j if applicable LI Structure Dimensions .X iAng # of Occupants Accessory Dwelling ❑ Yes ❑No Plumbing F5 Yes No Describe Plumbing Needed n Multi-Family Residence#Units #Bedrooms per Unit*f Total#Bedrooms *1. Structure Dimensions n Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area(Sq. Ft.) n Business Specific Type of Business Retail Floor Space #of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type Individual Well n Semi-Public Well ❑ Community Well Abandonment Type n Drilled in Bored E Dug n Unknown Well Repair Requested n Yes n 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 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 Date Al 5' 2 0t'® Printed Name of Owner or Agent U(''o 0( L 6 ye/panto- Catawba County Environmental Health z6sa = // r \ I 1 I/0 . , 269__. \ \ __ _ _, l I l __ ,,, „, ,, ,, ,, / (` / O (109 !n� gso ial Hto c.e0:71 o ,o4111111/4. ,CTI 4111111111111111/4; cm 2. 0A (201 ' -3 • ' / / / A� + / • V /♦ - '✓ 60i r----.----'--..."7-:::-)S4 ./: / Parcel: 375306488243, 4601 N NC 16 HWY 1ir1=60ft 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. Copyright 2014 Catawba County NC 08/10/2016 Catawba County, North Carolina This map product was prepared from the Catawba County,NC,Geospatial Information System. ` N b Catawba County has made substantial efforts to ensure the accuracy of location and labeling information • •. A contained on this map.Catawba County promotes and recommends the independent verification of any i 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. Selected Parcel Number: 3753-06-48-8243 inch =60 feet Prepared for: 4625 ::::" 269.88 • 9306 • or1 cf. 26249\ 1 9A ,,,,, / 8243 c) ,o I 333 86 333�� ®4573 TRA^ B-1 •p • V \ co 1 .85A ^o <' • 6953 4570 1 h3 32 •0, ^o 274. THIS IS NOTALEGALDOCUMENT D,teSav .: 7/19/201f Time: 9/14: �34$46 4 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 375306488243 Owner: BUDEANU VIORAL Parcel Address: 4601 N NC 16 HWY Owner2: BUDEANU IONELA City: CONOVER, 28613 Address: 4645 N NC 16 HWY LRK(REID): 404084 Address2: Deed Book/Page: 2773/0889 City: CONOVER Subdivision: State/Zip: NC 28613-8460 Lots/Block: / Last Sale: School Information: School District: COUNTY Plat Book/Page: Legal: N NC 16 HWY Elementary School: LYLE CREEK Middle School: RIVER BEND Calculated Acreage: 1.390 High School: BUNKER HILL Tax Map: 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 Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $15,900 Zoning3: Assessed Total Value: $15,900 Zoning Overlay: WP-O Year Built/Remodeled: / 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 #: 3710375300J Building Details 2010 Census Block: 2018 WaterShed: WS-IV Protected Area 2010 Census Tract: 010201 Voter Precinct: P27 Agricultural District: Proximity 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 hold 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. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=375306488243&typ=P 8/8/2016