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HomeMy WebLinkAboutRBPR-06-2021-38135.tif .14$A • THIS IS NOTA PERMIT Case# RBPR-06-2021-38135 Q" 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 Pepe 2af3 K43A .-1-Tilstils31110 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