HomeMy WebLinkAboutRBPR-08-2022-41846.TIF 4V .G THIS IS NOT A PERMIT Case# RBPR-08-2022-41846
d , CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/842 SM Residential Building Plan Review- Building New
IMPROVEMENT-AUTH CONST
1 )/' I22-- I? sd.
Applicant PETER SERB,5158 BETHEL CHURCH RD,HICKORY NC 28602
C:7733207031
Owner CONSTANTIN BOUREANU,5164 MEADOW PARK LN,HICKORY NC 28602
C:828-320-4225
NAME TO APPEAR ON PERMIT
CONSTANTIN BOUREANU
SITE ADDRESS: 1498 KENSINGTON PARK CT,HICKORY NC 28602 PIN# 279008876944
NAME of SUBDIVISION: ABERNETHY PARK PH 11 Lot# 79 Section/Block
PROPERTY SIZE: Square Feet Acres 0.44
DIRECTIONS: Right off of Orchard Park Dr onto Regents Park Dr.Right onto Kensington Park Ct.2nd lot on right.
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS BAY: 360 WATER SUPPLY: Public Water
CR Elti WORK: 12/8/22 revise house size to 57 x 50
IP/AC/NEW SEPTIC/360 GPD---New 49x84,3 bedroom single family on crawlspace w/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: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIj) 57 x 50 sfd
# F 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:
chappli atiun 12/08/2022 10:05 Page I of3
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. Public Health Department Subdivision
ABERNETHY PARK PH t 1
.� i Environmental health Division
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NAME ON PERMIT: (CONSTANTIN DOUREANU).5164 MEADOW PARK I,N,HICKORY NC 28602
(CONSTANTIN BOUREANU)
Site Address: 1498 KENSINGTON PARK CT.l IICKORY NC 28602
Property Size: Square Feet Acres 0.44
Directions: Right off of Orchard Park Dr onto Regents Park Dr.Right onto Kensington Park Ct.2nd lot on right.
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 Authonzaton to Construct will remain valid as long es 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 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 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:/ Ps3_.— -- Signature of Applicant or Agent A-b-V-714iY\ r
200 C\-3
If sou need further information or assistance please call 828-465-8270
AREAS
SETBACKS: Cluster Sub
FFENAME DATE FEEANIOtINT
Authorization to Construct Fee(New/Expansion) il8rf3%2022 5150.00
Fee
Improvement Permit Fee 08/03/2022 $150.00
TOTAL FEES S300.00
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)
12%084022 10 05
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