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HomeMy WebLinkAboutEHPR-11-09-2914.TIF THIS IS NOT A PERMIT Case # EHPR-11-09-2914 CATAWBA COUNTY HEALTH DEPARTMENT a Plan Review Application for Environmental Services 1842 Ski Environmental Health Plan Review - OSWP IMPROVEMENT - AUTH CONST :APPLICANT OWNER CONTRACTOR DWIGHT ANDLRSON DWIGHT ANDERSON 2459 CHANDLER PL 2459 CHANDLER PL GRANITE FALLS NC 28630 GRANITE FALLS NC 28630 828-396-2782 828-396-2782 NAME TO APPEAR ON PERMIT DWIGHT ANDERSON Pin#: 373417008241 SITE ADDRESS: 1922 THOMASVILLE RD, CONOVER, NC DIRECTIONS: COUNTY HOME RD/ LEFT THOMASVILLE RD/ LOT AT CORNER OF THOMASVILLE RD & CHARLOTTE ST NAME of SUBDIVISION: Lot # 1 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.009 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 4 Basement: Yes Water Using Fixtures in Basement:No No. in Family 5 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 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 been done to this property? If so, describe Are there easements/right-of-ways recorded on this property? NONE Type of Water Supply: Individual Well Community Well Municipal 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 non-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: % 1- r ~ - C) r Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 w ing days of application date. If you need further information or assistance please all 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 15 Authorization to Construct Fee (New[. 11/25/2009 $275.00 Rear 30 Improvement Permit Fee 11/25/2009 $150.00 Max Hght $425.00 TOTAL FEES *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 1 1 /25/09 12:36 ~3a^ ,~01 It) n, a? 3a THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit 0'_ Authorization to Construct r Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well❑ Well Abandonment ❑ 1. Name to Appear on Permit C S 6 v\ 2. Permit Requested By Ow ` c x Business Phone 3 (o'tl. -gad Address a -P 30 - Home Phone 33 33 . Property Owner O Business Phone Address 4 Y,5 ~ P ra " 4 - C . Home Phone 4. Name of Subdivision 2 00 7" Lot # Section/Block/Phase Property Address a vr,, 7v. 3 e.r Directions to Property: ©A r?~«r,,~u o&-e /►o1711 •f~ IC4 04 J,07,0,16S1'111 /C .400c), 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure (.off x c) Bedrooms*_ *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 ;III be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increase in the future. Basement: ( pe/no Water Using Fixtures in Basement: yes/(9 No. in Family Jr Whirlpool Tub yes/lo Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units 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 No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes / Io 10. Is a public water supply available on or adjacent to the above property? Yes ~to Check type that is available: [ ] Community well [ ] Semi-public we u nty/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. 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 ERE IS AN ADDITIONAL CHARGE.** c Date d Signature of Owner or Agent t'~40L 7, Catawba County, Forth Carolina This map product wos preporecJ fi'om the Colowbo County, NT, Geographic lnfornralion Srslenr. N Calawba County has erode suhstowiol efforts io ensure the accuracy of7ocatioa and lohelow information contoured on I11 nrnp. Colowba County promotes mid recommends the independent ycrificalim of nny clata conlnined on this map product hp the user. 77re Coun/r ofC'atawho. its employees. ngenl.s and personnel Jiscloim, and shall ool he held liable for nor nod all damages, loss or linhilim, whedrer direct, indirect or consequential which arises or mcm arise from //os loop prochtci or the use rherenjbr ony person or' enliry. Legend Selected Parcel Number: 3734-17-00-8241 1 inch = 60 feet Prepared for: _ 19 28 0433 20 20 29 6349 ' 30 30 86 a. 61) (160) 31 (162) (180) PLAT 48 X54 2 o o ' 1.01 824, 1.12A 0119 LOt o~ J (19) " 130 (180) OJT' 30 ~f (1 THIS IS NOT A LEGAL DOCUINIh;N1' Wednesday, November 2-5, 2009 11:49 Ai NI CATAWBA COUNTY PERMIT A ~o ZONING AUTHORIZATION R New Dwelling slip, P. O. Box 389 PERA/11T NO: ZONR-11-09-2948 U IOOA Southwest Blvd APPLIED: 1 11125/2009 r} Newton. North Carolina 28658 ISSUFD: 11/25/2009 4.1~ SM Phone: 828-465-8380 FXPIRES: 05124/2010 FAX: 828-465-8962 www.rttawbacountync.gov APPLICANT OWNER CONTRACTOR DWIGHT ANDERSON DWIGHT ANDERSON 2459 CHANDLER PL 2459 CHANDLER PL GRANITE FALLS NC 28630 GRANITE FALLS NC 28630 PROPERTY ID#: 3 734 1 700824 1 CENSUS TRACT: STREET ADDRESS: 1922 THOMASVILLE RD, CONOVER, NC LOT/t I PROJEC-1 DESCRI P PION: 2 S'fORY OI:I N,IODULAR DW6L.LING W/ A'ITACI IL?D GARAGi W/ UN1=1NIS1-II:iD 13ASI MLN'I' DIRECTIONS: COMMENTS: 2 STORY MODULAR DWELLING W/ AT"IACI-II-D GARAGE W/ UNI-lNISI IED [3ASEr`4EN"I' FLOOD GONE? OWNER TYPE: Residential (Private) RFQUIRED SETBACKS 100 YEAR FLOOD "LONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 15.00 FLOOD PLAIN, STRUCTURE? No MAX ]]EIGHT: 45.00 REAR: 30.00 SIDE I: VALUE: 0 CORNER: SIDE; 2: 1. Before an inspection can he made by the Building Inspection 011icc, the applicant must pull a string to designate the side and rear property lines where the structure is being placed or constructed. 2. i lomc shall he placed on the lot in harmony with the site-built structures, or have the 1i-ont door lace the road frontage. FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 11/25/2009 $25.00 TOTAL FEES $25.00 'Ilie applicant hereby certifies that all information and attachments to this Certificate of Zoning Compliance are true and correct and acknowledges that this permit was issued on the basis 01, tile information required herein. The applicant further acknowledges that any construction. alteration or addition which ditlers from this application shall be Subject to removal or alteration so as to hring said stRucture into conlixmancc 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 decd 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 boil i-ng-p-rmit is secured and remains active. APPLIOK .'T NA\qP (PRIN'II:;D) APPLIQ NT SIGNATURE 70i ING XI,I,I OVI?D m, ZONING FEES ARE NON-REFUNDABLE COMPANY NAiAgE Page 1 nl' I CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID:' 3734-17-00-8241 Naine: ANDERSON DWIGHT D Name2: ANDERSON TINA L Address: 2459 CHANDLER PL Address2: City: GRANITE FALLS State: NC Zip: 28630-9447 Account: 201293 Calc Acreage: 1.01 Tax Map: LRK: 402536 Deed Book: 2682 Deed Page: 0834 Subdivision Name: Subdivision Block: Lots: 1 Plat Book: 48 Plat Page: 52 Building Number: Street Name: THOMASVILLE RD Site Zip: 28613 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY State Road: 1504 Total Bldgs Value: Land Value: $15,200 Total Value: $15,200 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: 010303 Census Block 2010: 2005 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Wednesday, November 25, 2009 11:49 AM ~~A Cp CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE r-] Newton, NC 28658- 0 (828)465-8399 Wednesday, November 25, 2009 4 sM www.catawbacountync.gov Plan Case: EHPR-11-09-2914 Invoice Number: INV-11-09-257569 Environmental Health Plan Review Invoice Date: 11/25/2009 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Authorization to Construct Fee Adjustable $275.00 (New/Expansion) Fee Total Fees Due: $425.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/25/2009 Credit Card -1 $425.00 $0.00 Total Paid: $425.00 Total Due: $0.00 plan invoie~ ;a2?63t1 o-l8be-''1e21-9041=l6a~37d ~fee.b;.rpt 11/25/2009 1234