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Home My WebLink AboutRBPR-10-2021-39054.TIF .r�$A • THIS IS NOTA PERMIT Case# RBPR-10-2021-39054 d „ CATAWBA COUNTY HEALTH DEPARTMENT ( PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /g 2 SM Residential Building Plan Review-Building New IMPROVEMENT-AUTH CONST- NEW WELL *Removed Contractor/Contact *WISE,INC.,D.V. (THOMAS WISE),PO BOX 4897,MOORESVILLE NC 28117 B:704-746-6054 MOBILE TDWISE@HOTMAIL.COM Contractor R MORGAN HOMES (BOB MORGAN),PO BOX 1801,DENVER NC 28037 C:7046074438 Owner SHELLEY SIMON,23338 GRAYSHIRE LN,LAKE BARRINGTON IL 60010 C:847-738-3067 NAME TO APPEAR ON PERMIT SHELLEY SIMON SITE ADDRESS: 1236 ASTORIA PKWY,CATAWBA NC 28609 PIN# 471001259586 NAME of SUBDIVISION: ASTORIA Lot# 29 Section Block PROPERTY SIZE: Square Feet Acres 0.88 DIRECTIONS: Right onto Regal Blvd off of Hopewell Church Rd. Property is lot 59 on Astoria Pkwy across from Regal Blvd. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLON PER DAY: 360 WATER SUPPLY: Private Well ESCRIBE WORK: 8/18/23 Revised site plan received showing new location. 7/27/23 Revised application to 3 bedroom home size 66 x 102 no basement or basement plumbing. See new site plan. New contractor added per Mr. Hudachko. 5/6/2022 Revise to Basement/basement plumbing per Mr. Hudachko. On-site inspector to advise fees due after review of site. Previous description IP/AC/New Septic,480 gpd-- New 4 bedroom, 80x66 single family home and 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: 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: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 66 x 102 house and attached garage #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: chapplicati,m 08/212023 09:09 Page 1 of'3 rw CATAWBA COUNTY Cased RBPR-10-2021-39054 • Public Health Department 4t Subdivision ASTORIA .� Environmental Health Division PINk n. 471001259586 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (SHELLEY SIMON),23338 GRAYSHIRE LN,LAKE BARRINGTON IL 60010 ( SHELLEY SIMON) Site Address: 1236 ASTORIA PKWY,CATAWBA NC 28609 Property Size: Square Feet Acres 0.88 Directions: Right onto Regal Blvd off of Hopewell Church Rd.Property is lot 59 on Astoria Pkwy across from Regal Blvd. APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=80 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 80 months(5 years).Permits may be revoked If the information on this application/site plan changes or if the Intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct Authorized county and stele officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I 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. The undersigned is theowner of the property or legal agent of the owner. Date: " ( o?. Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA4 SETBACKS: rear to be 50ft from 760 contour line FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 10/14/2021 S300.00 Fee Improvement Permit Fee 10/14/202I S150.00 Welt Permit& Inspection Fee 10/14/2021 S300.00 Authorization to Construct Fee(New/Expansion) 08/21/2023 SI50.00 Fee Improvement Permit Fee 08/21/2023 S150.00 TOTAL FEES S1,030.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN ANDlOR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) c Iuit'i :n".n O8/21(2023 09:14 Page 2of3 • f\Aiu'S kpleii)1(e, liti)3 Lake Norman - fc 0 raw t— nl *4 bar Proposed (found) au; Well O or ehrr ^ (17 ca Ill] CD ttl -- n - II r ri OT III &h-• 60' tl� 1.11 vt C�1 si Thy+ 1 1 rQh /h 5=•h••nr eh.• 60' �t/cn Proposed Residence for: • , Michael i-1udachko 4 Shelley Simon Lot 29 of Astoria 123i, Astoria Parkway, Catawba, NC 30/scale: I" 15 S/,8 .s 30� p V �8tor, _ " '''t try �0rk� .4'11 ♦ CATAWBA COUNTY (1,11100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658RECEIPT `4 PHONE:828.465.8399 Tuesday,August 22,2023 /842 SM www.catawbacountync,gov PAYOR: Hudachko,Michael PAYMENTS TRANSACTION NUMBER: TRC-71438674-22-08-2023 PAYMENT DATE: 08/22/2023 PAYMENT TYPE: Credit Card 309781008 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-23-427189 110-580200-663000 Authorization to Construct Fee(N $150.00 ew/Expansion) Fee 08-23-427189 110-580200-663000 Improvement Permit Fee S150.00 TOTAL PAYMENTS: $300.00 RBPR-1 0-202 1-3 9054 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 1236 ASTORIA PKWY,CATAWBA NC 28609 *Removed Contractor/ContadtWISE,INC.,D.V.,PO BOX 4897,MOORESVILLE NC 28117 B:704-746-6054 MOBILE TDWISE@HOTMAIL.COM Owner SHELLEY SIMON,23338 GRAYSHIRE LN,LAKE BARRINGTON IL 60010 C:847-738-3067 Paid By MICHAEL HUDACHKO,23338 GRAYSHIRE LN,BARRINGTON IL 60010 HUDACHKO@COMCAST.NET **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor R MORGAN HOMES,PO BOX 1801,DENVER NC 28037 C:7046074438 receipt 08/22/2023 15:32 Page 1 of 1 EA � THIS IS NOT A PERMIT Case# RBPR-10-202I-39054 -3 CATAWBA COUNTY HEAL TI I DEPAR TMEN"I'0 7 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES g42 sM Residential BuildingPlan Review- BuildingNew IMPROVEMENT- AUTH CONST- NEW WELL I *Removed Contractor/Contact *WISE,INC.,D.V. (I I IOMAS WISE), PO BOX 4897,MOORESVILLE NC 28117 B:704-746-6054 MOBILE TDW1SE(01OTMAIL.COM contractor R MORGAN I TOMES (BOB MORGAN),PO BOX 1801,DENVER NC 28037 C:7046074438 Owner SHELLEY SIMON.23338 GRAYS!TIRE LN,LAKE BARRINGTON IL 60010 C:847-738-3067 NAME TO APPEAR ON PERMIT SHELLEY SIMON SITE ADDRESS: 1236 ASTORIA PKWY,CATAWBA NC 28609 PIN# 471001259586 NAME of SUBDIVISION: ASTORIA 1 of it 29 Section/Block PROPERTY SIZE: Square Feet Acres 0.88 DIRECTIONS: Right onto Regal Blvd off of Hopewell Church Rd. Property is lot 59 on Astoria Pkwy across from Regal Blvd. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well SCRIBE WORK: 7/27/23 Revised application to 3 bedroom home size 66 x 102 no basement or basement plumbing. See new site plan. New contractor added per Mr. Hudachko. 5/6/2022 Revise to Basement/basement plumbing per Mr. Hudachko. On-site inspector to advise fees due after review of site. Previous description IP/AC/New Septic,480 gpd--New 4 bedroom, 80x66 single family home and 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 properly? 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: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 66 x 102 house and attached garage #OF NEW BEDROOMS:: ;' 3 SEMENT? _._—!- No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO aL:qpli;:r.i-n 07/28/2023 09:35 Page I of3 (...... �tti• (ATAWBA COUNTY rase u RE3YR-10 2021 3905 4 i� G Puhlle Ilialtll Department Subdtvlsion ASTORIA Q '' Environmental health Division 1119�1 PO thus 389, IINI-A Southwest Blvd.Newton,NC 2lt(i K P[Ntl 471001259586 W - NAME ON PERMIT: ( Slll{I.LEY SIMON).23338 GRAYS)LIRE L.N,I.AKIi i ARRINGTON 11,60010 ( SHELLEY SIMON) Site Address: 1236 ASTORIA PKWY,CA•fAWIIA NC 28609 Property Size: Square Feet - . _ Acres 0.88 Directions: Right onto Regal Blvd off of Hopewell Church Rd.Property is lot 59 on Astoria Pkwy across from Regal Blvd. Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements 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 10 determine compliance with applicable laws and rules I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner Date: 1 fA�1 4.02..3 Signature iiir\pplicant or Agent , If you need further information or assistance please call 828.465 270 AREA4 SETBACKS: rear to be 50ft from 760 contour line I I:ENAMME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 10/14/2021 S300.00 Fee Improvement Permit Fee 10/14/2021 5I50.00 Well Permit& Inspection Fee 10/14/2021 S300.00 TOTAL FEES S750.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN ANDIOR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 07:28 2023 no 35 I':,rc=„r Lake Norman 9 -14.10' \�'� - e - -- 0 M ••1 •4 bar Proposed (found) 4 eut Weill O ca al -pprox to 'n adJacen __T a F home _9 I- h ° - • 111 T�@� -CO P5r$ l/pry 0 In R roc!6p, �Ory 30, Si$ 3O, A 1-717n8f�r411 A rlV�f� w THIS IS NOT A PERMIT Case# RBPR-10-2021-39054 ; CATAWBA COUNTY HEALTH DEPARTMENT 441 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review-Building New RECEIVED IMPROVEMENT-AUTH CONST-NEW WELL • ij&/' ) 1 - JUN ? 4 2022 Contractor *WISE,INC.,D.V. (THOMAS WISE),PO BOX 4897,MOORESVILLE NC 28117 B:704-746-6054 MOBILE TDWISE@HOTMAILCOM Owner SHELLEY SIMON,23338 GRAYSHIRE LN,LAKE BARRINGTON IL 60010 CnVi rrn'mental Health C:847.738-3067 NAME TO APPEAR ON PERMIT SHELLEY SIMON SITE ADDRESS: 1236 ASTORIA PKWY,CATAWBA NC 28609 PIN# 471001259586 29 NAME at SUBDIVISION: ASTORIA Lot N 5etion/Block PROPERTY SIZE: Square Feet Acres 0.88 DIRECTIONS: Right onto Regal Blvd off of Hopewell Church Rd.Property is lot 59 on Astoria Pkwy arxoea from Regal Blvd. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank • GALLONS PER DAY: 4S0 WATER SUPPLY: Private Well • • =E WO-+ 5/6/2022 Revise to Basement/basement plumbing per Mr. Hudachko.On-site Inspector to advise fees due after review of site. Previous description IP/AC/New Septic,480 gpd—New 4 bedroom, 80x66 single family home and 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? Yee 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: I OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 80x88 house and attached garage *OF N 'ROOMS:: 4 Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes . Desired system types(Improvement Permit or Authorization to -- - ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: • .5, Other described: APPLICATION FOR WELL CONSTRUCTION • PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO chapplication 01/06r2022 13:28 Pap I e[3 C11:411rist; CATAWBA COUNTY •.-�'� Case k RBPR-10-2021-39054 �•/ Q Public Health Department ice/ s Fmuorunentel Health Division Strbdivisicn ASTORIA PINr/ 471001259586 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (SHELLEY SIMON).23338 GRAYSHIRE LN,LAKE BARRING'PON IL 60010 (SHELLEY SIMON) Site Address: 1236 ASTORIA PKWY,CATAWBA NC 28609 Property She: Square Feet Acres 0.88 Directions: Right onto Regal Blvd off of Hopewei Church Rd.Property Is lot 59 on Astoria Pkwy across from Regal Blvd. • Completed applications are vaid for a period d 2 years.improvement Permits we valid with complete site plan a 80 months(5 years);with complete plat • `without expiration An Autbor¢atlon to Corwruct wit remain valid as long es the Improvement Permit is valid.An Authorization to Construct Issued for septic repair is valid for 00 months(5 years).Pen i%may be revoked if the Information on this application/site plan changes or 8 the intended use for the proposed facility changes. Permits may be revoked If site conditions are altered ere h that they effect permit conditions or Installation requirements I have read this application and certify that the Information provided herein le rue,complete and correct Authorized county and,fate officials are granted nate of entry to conduct necessary Inspections to determine cotnplWloe with applicable taws and rules. I understand that I am solely responsible for the proper identification and labeling of at property lines and corners and making the site accessible so that a complete site evaluaton can be performed. The undersigned Is the owner of the property or legal agent of the owner.Date: 514 f ZZ Signature of Applicant or Ar-0414e--- 4(Z741Pe--id J • If you need further information or assistance please call 828-465-8270 • AREA4 SET3iUICI: rear to be 50ft from 760 contour line • Authorization to Construct Fee(New/Expansion) 10/14/2021 $300.00 Fee Improvement Permit Fee 10/14/202I $150.00 W1DII Permit&Inspection Fee 10r14/2021 $300.00 11 V Y( ' • t 1 (yti 10� Y�7r L L 1 L. *' t.. Syr 1 1.. 4 4 - '... f•1N r.1' ..4l '1,... 1t� 1 •• r'4".w•A L�: ,'R:.,,s- ..'!".1 F:i..Z, r �tx�- 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) °tuipPtiexion 03/06/2022 13:2a Page 2 of 3