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HomeMy WebLinkAboutRBPR-03-2021-37192.TIF •� THIS IS NOTA PERMIT Case# RBPR-03-2021-37192 „ CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 SM Residential Building Plan Review- Building New AUTH CONST (IJ)IJ76 Applicant DEBRA BREWER,, C:7046161536 Owner KATELYNN DANIEL, 1701 GREENBROOKE RD,HUDSON NC 28638 C:7048607454 KATELYNNADANIEL@GMAIL.COM NAME TO APPEAR ON PERMIT Katelynn Daniel SITE ADDRESS: 6367 MOUNTAIN GROVE RD,HICKORY NC 28602 PIN# 278002677899 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.11 DIRECTIONS: Hwy 127,turn on Mountain Grove Rd,driveway on left at Brookford Cemetary,Follow gravel dr property at end PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DES E WORK: 11/11/22 new site plan received and approved by Sue Ballbach zoning. 9/30/2022 refund 2nd IP fee. IP was not reissued. 9/1/22 Zoning(Sue B)is ok with house plan revision dated 2/21/22. 2/21/22 Revised to a 20x40 single family dwelling,with a wrap around porch 5'wide, 1.5 story home, no future garage, new site map Previous Description: IP/AC,360 GPD/34x81 single family dwelling, 3 bedrooms, include porches and future attached garage, no basement `future garage with need separate building&zoning permits 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20x40 House wrap around porch 5'wide #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: ehappli.atn a, II/112022 15:38 Page 1 of 3 A �G THIS IS NOTA PERMIT Case# RBPR-03-2021-37192 „rt��011 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 sM Residential Buildi ' ding New AUTH CONST c//30 )) Re'uscd Applicant DEBRA BREWER,, C:7046161536 Owner KATELYNN DANIEL,206 TAYLOR CIR,GRANITE FALLS 28630 C:7048607454 KATELYNNDANIEL@GMAIL.COM GMAIL.COM NAME TO APPEAR ON PERMIT Katelynn Daniel SITE ADDRESS: 6367 MOUNTAIN GROVE RD,HICKORY NC 28602 PIN# 278002677899 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.11 DIRECTIONS: Hwy 127,turn on Mountain Grove Rd,driveway on left at Brookford Cemetary,Follow gravel dr property at end PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS P : • 360 WATER SUPPLY: Public Water • CRIBE WORK: 9/30/2022 refund 2nd IP fee. IP was not reissued. 9/1/22 Zoning (Sue B)is ok with house plan revision dated 2/21/22. 2/21/22 Revised to a 20x40 single family dwelling,with a wrap around porch 5'wide, 1.5 story home, no future garage, new site map Previous Description: IP/AC, 360 GPD/34x81 single family dwelling,3 bedrooms, include porches and future attached garage, no basement *future garage with need separate building&zoning permits 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20x40 House wrap around porch 5'wide #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: ellappli au n 09/30/2022 09:28 Page I of 3 catawba county pu.olic health AUTHORIZATION OF REFUND Date: 9/30/22 Case It: RBPR-03-2021-37192 Applicant: Katelynn Daniel Refund Amount: 5150.00 Refund Reason: Refund 2nd IP fee. IP was not reissued. Authorizing Signature: ft\i ,14(1tit:-' Received By Staff: Date: 10/31) catawbacountync.gov Environmental Health Colcwbc County Government Center 25 Government Drive PO Box 389 Newton NC 28658 ! 828.465.8270 MAKING. LIVING. BETTER. Catawba County, North Carolina - Disbursement Voucher Vendor No. Date: 9/30/2022 Make Payment To: ,. ../hINIC06 Voucher No(s) Katelynn Daniel / f 1 z 1701 Greenbrooke Rd �_.► Hudson, NC 28638 v ��� I8 42 ATTACHMENT Prepared by: Julia English Description Amount RBPR-03-2021-37192 Refund 2nd IP fee. IP was not reissued $150.00 Sub-Total Food Tax Sales Tax Total $ 150.00 For Accounting Use Fund Cost Center Object Project Amount Only 110 580200 663000 Total The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. (SIGNATURE-APPROPRIATE OFFICIAL) 44411‘.• CATAWBA COUNTY I00A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT V ° F 4, PHONE: 828.465.8399 Friday,September 30,2022 1842 5M www.catawbacountync.gov PAYOR: Daniel,Katelynn PAYMENTS TRANSACTION NUMBER: TRC-48187229-30-09-2022 PAYMENT DATE: 09/30/2022 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 02-22-402761 I10-580200-663000 Improvement Permit Fee ($150.00) TOTAL PAYMENTS: ($150.00) RBPR-03-2021-37192 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 6367 MOUNTAIN GROVE RD,HICKORY NC 28602 Applicant DEBRA BREWER,, C:7046161536 Owner KATELYNN DANIEL,206 TAYLOR CIR,GRANITE FALLS 28630 C:7048607454 KATELYNNDANIEL rt GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 09/30/2022 09:17 Page 1 of 1