HomeMy WebLinkAboutRBPR-06-2021-38135.tif .14$A • THIS IS NOTA PERMIT Case# RBPR-06-2021-38135
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CATAWBA COUNTY HEALTH DEPARTMENT
U O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
18 sM Residential Building Plan Review- Building New
IMPROVEMENT- AUTH CONST- NEW WELL
Contractor *COPPER BUILDERS,INC. (WADE MILLER), 1235 E EAST BLVD SUITE 155,CHARLOTTE NC 28203
13:7049659252 C:7047285892 SHANNON r COPPERBUILDERS.COM
Owner ROBIN SPINDLER, 107 BERCHMAN DR,ROCHESTER NY 14626
Paid By COPPER BUILDERS INC (SHANNON DOUGLAS), I235-E EAST BLVD,CI IARLOTTE NC 28203
C:7047285892
NAME TO APPEAR ON PERMIT
*Copper Builders, Inc. (Wade Miller)
SITE ADDRESS: 5202 GLENWOOD ST,SHERRILLS FORD NC 28673 PIN# 461603110511
NAME of SUBDIVISION: J G EDWARDS PROP UNREC 14
Lot# Section/Block
PROPERTY SIZE: Square Feet Acres 0.52
DIRECTIONS: Hwy 16 to Campground Rd,turn right onto Keistlers Store Rd,left on Mountain Shore Dr,then left on Glenwood St,
property on right
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLO ; DAY: 360 WATER SUPPLY: Private Well
ESCRIBE WORK: 10/19/22 graded and driveway put in over part of septic location. Permits must be reissued.
12/22/21 House location revised back to original location. House location will match septic permits dated 9/17/
21. House will be 78ft from front property line.
11/1/21 REVISE HOUSE LOCATION NEW SITE PLAN
PREVIOUS DESCRIPTION: IP/AC, 360 GPD**SEE WELL-12-2019-126266 / 68x74 Single family dwelling, 3
bedrooms, 10x12 rear porch, 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: 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: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 68x74 House WI 10x12 rear deck
#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: YES INNOVATIVE: ANY:
Other described: 50%Reduction
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
rLn�•plii:*, , 10/19/2022 16:15 Page 1 of3
irAW5Ae.D,Uq7N. Cue RBPR-06-202 1-3 8 135
fublr:Health Department Subdivision J G EDWARDS PROP UNREC
Environmental Health Division PIN/ 461603110511
PO Box 389.100-A Southwrsl Blvd,Newton.NC 2/651
PAVE OR PEWIT: °COPPER BUILDERS,INC. ( WADE MILLER). 1235 E EAST BLVD SUITE 155.CHARLOTTE NC 28203
'Copper Builders,Inc. (Wade b
S!taf+delnrea: 5202 GLENWOOD ST.SHERRILI:S FORD NC 211673
fr*Pt Square Feet _- Acres 0.52
tY Ifs:
Directions: Hwy 16 to Campground Rd.turn right onto Keistlers Store Rd,left on Mountain Shore Or,then left on Glenwood St,
property on nQht
Conpleyd applications are void fora perpd of 2 yens Improvement Permits are valid wRth complete site plan•60 months(5 years).with complete plat
without exprsbon An Authorization to Construe*will roman valid as long as the Improvement Pemst rs veld An Authonzatron to Construe*issued Ion
septic repair a va:rd for 60 months(5 years).Perrrnts may be revoked if the information on INS appi,cauoNl.te plan changes or the ntended use for the
proposed fealty d anges Permits may be revoked if cite conditions are altered such that they effect permit conditions or instsaation regurrements
I have read his application and certify that the vAoemabon provded herein rs true.complete and correct Authorized county and state&Alates ars
granted night of entry to conduct necessary rnspedions to determine compliance with applicable laves and rules. I underhand that I ern solely
responaeIe for the proper identificabon and labelirgf d all property tines and comers and mal<np the site accessible SO that a complete site evaluation
can be performed.
The undersigned is ene owner of the property or legal agent of the owner
Dais: N r Z Z Signature of Applicant of Agent
If you need further information or mistral ase call 828-465-8270 •
;L.rf Arofyi //AT r EE F.fx-01.114
Authorization to Construct Fee(New/Expansion) 06/24/2021 S150.00
Fee
Improvement Pe.'m:t Fee 05f24/2C2► Si50.53
Au ho^zation to Consruct Fee(New/Excansion) 11/G4/2321 5150.00
Fee
Improvement Permit Fee I I/04/202I S150.00
Authorization to Construct Fee(New/Expansion) 10/19/2022 S150.00
Fee
improvementPermit Fee 10/19/2022 S150.00
Z'aTAIL FEES S900.80
'.FEES ARE NON-REFUNDABLE
ONCE'A Sit L war ES MARE GR
WORK ON A ELAN LEVEENN HAS C3MMIENC.:EG
SYSTEeft REDEZIGV AkL/0f1 ROMP tqlu tq;C11 F.f>i:J1.II I"IOMAL CHARGE
(SEE FEE SCHEDULE)
...two.,also 10/1W2.022 16 1S
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CAI'AWBA COUNTY
100A SOUTHWEST BLVD
NE WTON,NORTH CAROLINA 28658 RECEIPT
„Sr PHONE:828.465.8399
Wednesday,October 19,2022
www.catawbacountync.gov
PAYOR: Copper Builders Inc
Copper Builders Inc(Douglas,Shannon)
PAYMENTS
TRANSACTION NUMBER: TRC-49427532-19-10-2022
PAYMENT DATE: 10/19/2022
PAYMENT TYPE: Credit Card
296489742
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
10-22-413677 110-580200-663000 Authorization to Construct Fee(N $150.00
ew/Expansion) Fee
10-22-413677 110-580200-663000 Improvement Permit Fee $150.00
TOTAL PAYMENTS: $300.00
RB PR-06-2021-3 813 5
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 5202 GI,ENWOOD ST,SHERRILLS FORD NC 28673
Owner ROBIN SPINDI.ER, 107 BERCI IMAN DR,ROCHESTER NY 14626
Paid By COPPER BUILDERS INC, 1235-E EAST BLVD,CHARLOTTE NC 28203
C:7047285892
**NO PEOPLESOFT ACCOUNT ASSIGNED**
Contractor *COPPER BUILDERS,INC., 1235 E EAST BLVD SUITE 155,CI[ARLOTTE NC 28203
B:7049659252C:7047285892 SHANNON r COPPERBUILDERS_COM
receipt 10/19/2022 16:29 Page 1 of 1