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