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HomeMy WebLinkAboutRBPR-07-2017-27040.TIFContractor THIS IS NOT A PERMIT Case # RBPIZ-07-2017-27040 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICAI'ION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST ❑® D *RMR CONSTRUCTION CO INC (RICHARD MATTHEWS), 119 CONOVER 131 -VD E, CONOVEI 28613- B:828-464-8597 C:8283120743 Ol'HER:8283120740F:828-466-1576 RMR@RMRREALESTATE., Owner CHARLES GANTT, 3342 STONESTHROW DR, NEWTON NC 28658-8883 H:8284645414 I-IOME:8284645414 NAME TO APPEAR ON PERMIT Charles Gantt SITE ADDRESS: 3958 NORTFIERNMISTIC DR, MAIDEN NC 28650 PIN # 362703338791 NAME of SUBDIVISION: FLYING VACRES Loth 5 Section/Block PROPERTYSI%E: Square Feet Acres 0.81 DIRECTIONS: Startown Rd S, cross over Hwy 321, Right onto Blackburn Bridge Rd, Left onto Herter Rd, left onto Broodmare Dr, Left onto Northermistic Dr, in cul-de-sac PRIMARY CONTACT: Contractor SEWER TYPE: Septic`Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: New, single family dwelling, 53x38 with 12x12 back deck, attached garage, no 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? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 53x38 House with 12x12 deck # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE. OTHER: INNOVATIVE: Other described PLUMBING REQUIRED? Yes CONVENTIONAL: ANY YES E9-ehapplicmion 07/26/2017 10'54 Page I of �A CATAQI'BACOUNTv Case R13PR-07-2017-27040 # Public Health Department Subdivision FLYING V ACRES Environmental I-lealth Division ' PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 I'IN# 362703338791 /g 2 NAME ON PERMIT: ( Cl ]ARLES GANTT), 3342 STONESTI]ROW DR, NEWTON NC 28658-8883 ( Charles Gantt) Site Address: 3958 NORTHERNMISTIC DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.81 Directions: Startown Rd S, cross over Hwy 321, Right onto Blackburn Bridge Rd, Left onto Herter Rd, left onto Broodmare Dr, Left onto Northermistic Dr, in cul-de-sac 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 a of responsible for the proper identification an Q tabeehgg of property lines and corners and making the site acces ibl s hat a com aeon can be performed Date: Z 6 0l. / l 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 �. FEENAME DATE FEE "AMOUNT Authorization to Construct Fee (New/Expansion) 07/26/2017 5150.00 Fee Improvement Permit Fee 07/26/2017 S150.00 7. TOTAL FEES 5300.00 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) 1!9 - chapphc;nnm 07/26/2017 10:54 Pae 2 of 4 THIS IS NOT A PERMIT &FAWBAo� vU CATAWBA COUNTY HEALTH DEPARTMENT —1 Application for Environmental Services Page 1 Improvement Permit Authorization to Car-tr•yy uctSeptic Repair [I Septic Malfunction ❑ Septic Expansi n ❑ New Well Permit Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New Construction 0 Existing Facility ❑ n PropertyAddress 24`r� IVa nr'I�cC rl Subdivision r<<i--ir /t^4'CIX Lot # .f- Acres d' I Section/Block/Phase P4_,s_e _J_Driving Directions to Property S+_ " �' " Act G'1 -f o 0e "—y 321 Qs kA O �� ,Qi -c," -r- &r/4-ir ACY- te�A NAME TO APPEAR ON PERMIT? []Owner Applicant ❑ Contractor Applicant Contact Information Name P,^- X cu,,IA-r-'e.atoC. Address j' � /S �X f-qj­ .,e iN C Phone ( 4)1 Yl u L�u- ,D.rt7'r Owner Contact 1 Information Name C� .rtp f ( A-1-7- Address -1iTAddress C zi -4E ✓- /-J C Phone (�pjy) 7d'/- C� �P.%_ Contractor Contact Information Name Address Phone Cell Phone (yJ P1 1 Cell Phone 1 Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner [gApplicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *f Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ® 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. 19 Yes W No Does the site contain any jurisdictional wetlands? 19 Yes ® No Does the site contain any existing wastewater systems? O Yes ®No Is any wastewater going to be generated on the site other than domestic sewage? N Yes 0 No Is the site subject to approval by any other public agency? 17 Yes 10 No Are there any easements or right of ways on this property? Describe Existin y water supply in use ❑Individual Well ❑Community Well ❑ 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) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other Any CATAW A THIS IS NOT A PERMIT coUNTV -).VV 1JL"� CATAWBA COUNTY t1EALTH DEPARTMENT Application for Environmental Services Proposed Facility Type ❑ Primary Residence 9 New R idence ❑ Addition to Residence # of New Bedrooms *f 3 Project Description ,SJ^.( Ir C`.... —) Structure Dimensions .T3x3,P P 1 X'10a' wAg of Occupant Basement El Yes VJ No Basement Fixtures ® Yes fNo U Accessory Structure(s) Describe # of New Bedrooms *f if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*f Total # Bedrooms *f Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Page 2 Calculated Design Flow, Commercial f Additional information may be required to determine design Bow 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. f 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. 1 understand that 1 am solely responsible for the proper identification and labeling of all property lines and comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent Printed Name of Owner or Agent Date i hx 17 C AWM Geospatial Information Services 0 Real Estate Search (705) AN W+E S Parcel: 362703338791, 3958 NORTHERNMISTIC DR MAIDEN, 28650 Owners: GANTT CHARLES L, Owner Address: 3342 STONESTHROW DR Values - Building(s): $0, Land: $14,700, Total: $14,700 1 in=50ft This map/report product was prepared from the Catawba County, NC Geospabal 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 07/24/2017 Catawba County Environmental Health :::::: 7� � kB�RN BR/�Ge R4 (706) Parcel: 362703338791, 3958 1 in=50ft NORTHERNMISTIC DR MAIDEN, 28650 This map/report product was prepared from the Catawba County, NC Geospaual 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 07/26/2017 Parcel Report Parcel Report - Catawba County NC Parcel Information: Parcel ID: 362703338791 Parcel Address: 3958 NORTHERNMISTIC DR City: MAIDEN, 28650 LRK(REID): 700363 Deed Book/Page: 2751/0168 Subdivision: FLYING V ACRES Lots/Block: 5/ Last Sale: Plat Book/Page: 43/71 Legal: LOT 5 5 PL 43-71 FLYING V PL 43-71 Calculated Acreage: .810 Tax Map: Township: JACOBS FORK State Road #: 2021 Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: MAIDEN RURAL Building(s) Value: $0 Land Value: $14,700 Assessed Total Value: $14,700 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details WaterShed: Voter Precinct: P34 Parcel Report Data Descriptions List all Owners Deed History Report Owner Information: Owner: GANTT CHARLES L Owner2: Address: 3342 STONESTHROW DR Address2: City: NEWTON State/Zip: NC 28658-8883 School Information: School District: COUNTY Elementary School: MAIDEN Middle School: MAIDEN High School: MAIDEN School Map Zoning Information: Zoning District: COUNTY Zoningl: R-40 Zoning2: Zoning3: Zoning Overlay: ed -o Small Area: STARTOWN Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: 2007-09-05 Firm Panel #: 3710362700J 2010 Census Block: 1039 2010 Census Tract: 011702 Agricultural District: Proximity Assessment Report Page 1 of 1 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 venhcanon 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 arse from this map/report product or the use thereof by any person or entity © 2017, Catawba County Government, North Carolina. 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