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HomeMy WebLinkAboutRBPR-08-2022-41878.TIF SBA • THIS IS NOTA PERMIT Case# RBPR-08-2022-41878 ' rn dQ , 09 CATAWBA COUNTY IIEALTI I DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 sM Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL Contractor *KENNETH E DELLINGER (KENNETH DELLINGER),842 S NC 16 HWY,STANLEY NC 28164 B:704-827-7919 C:7045195089 OTHER:7043611108F:704-827-8209 KEDBUILDER2012@ATT.NET %ner DIANE&WILLIAM DEMAURO,5423 MONTANYA VIEW CT,VALDESE NC 28690 C:9544441928 DIANEDEMAURO@YAHOO.COM NAME TO APPEAR ON PERMIT DIANE & WILLIAM DEMAURO SITE ADDRESS: 5195 CORBAN ST,CLAREMONT NC 28610 PIN# 376402853673 NAME of SUBDIVISION: Lot I Section/Block _ PROPERTY SIZE: Square Feet Acres 9.35 DIRECTIONS: Exit 3 off 1-40 NE on Rock Barn RD,Left Oxford School RD, Right River Bend RD,Right Bolick RD,Left on Corban ST PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New 1 story 4 bedroom Single Family Dwelling w/attached garage,deck 32x12**Recorded deed attached 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM) 84x68 including attached garage;32x12 deck #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED? 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 08/08/2022 10:18 Page 1 of 3 Y'A • THIS IS NOT A PERMIT Case# RBPR-08-2022-41878 CT t CATAWBA COUNTY HEALTH DEPARTMENT Q "fit;"- PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /8 2 SPA Residential Building Plan Review-Building New IMPROVEMENT- AUTH CONST- NEW WELL Contractor *KENNETH E DELLINGER (KENNETH DELLINGER),842 S NC 16 HWY,STANLEY NC 28164 B:704-827-7919 C:7045195089 OTHER:7043611108F:704-827-8209 KEDBUILDER2012@ATT.NET Owner DIANE DEMAURO,&WILLIAM,5423 MONTANYA VIEW CT,VALDESE NC 28690 C:9544441928 DIANEDEMAURO@YAHOO.COM NAME TO APPEAR ON PERMIT DIANE DEMAURO, & WILLIAM SITE ADDRESS: 5195 CORBAN ST,CLAREMONT NC 28610 PIN# 376402853673 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 9.35 DIRECTIONS: Exit 3 off 1-40 NE on Rock Barn RD, Left Oxford School RD,Right River Bend RD,Right Bolick RD,Left on Corban ST PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New 1 story 4 bedroom Single Family Dwelling w/attached garage, deck 32x12**Recorded deed attached 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 84x68;32x12 deck #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED? 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 ehapplication 08/05/2022 12:45 Page 1 of 3 CATAWBA COUNTY Case# RBPR-08-2022-41878 111.�, Public Health Department Subdivision Environmental Health Division PIN# 376402853673 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 aft NAME ON PERMIT: (DIANE DEMAURO,&WILLIAM),5423 MONTANYA VIEW CT,VALDESE NC 28690 ( DIANE DEMAURO, &WILLIAA Site Address: 5195 CORBAN ST,CLAREMONT NC 28610 Property Size: Square Feet Acres 9.35 Directions: Exit 3 off 1-40 NE on Rock Barn RD, Left Oxford School RD,Right River Bend RD,Right Bolick RD, Left on Corban ST 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 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: 51 S)2 Signature of Applicant or Agent t lY P If you need further information or assistance please call 828-465-8270 AREA2 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 08/05/2022 $300.00 Fee Improvement Permit Fee 08/05/2022 $150.00 Well Permit& Inspection Fee 08/05/2022 $300.00 TOTAL FEES $750.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) happI ication 08/05/2022 12:45 Page 2 of 3 . , . catawba c0 unto@P� ° _ r�a public healthy k-P (S-r7 A--- Application for Environmental Health Services THIS 7S NOT A PERMIT • Application is for: New Construction ❑Existing Facility 7il Improvement Permit Authorization to Construct MI ew Septic Septic Repair/Malfunction ❑ Septic Relocation 0 Septic Expansion ❑Existing System Inspection or Reconnection *New Well ❑Replacement Well ❑ Well Abandonment ❑Well Repair Property Address .5/9 s- Cc-b., Si' Acres 7r.3gr Subdivision Lot# Driving Directions to Property L`ur 133 ocF r-'/o "we cs,d ,Pccd 4An,02-6/ LEA r VA-1 4. 2A Seked Rogi/ k,ift t mA) Ri✓oAREAV/LDI ,eily- ,,J &//el- Ad/ [APT-n.A.) 67o4ded sr. Describe work "ea, /i/oMe Applicant Name O/44, .he Mate ro Applicant Address ,3 c/.23 /2/on fo'n y q (//9cd c/ 1/2 I PSP VC 2S y'C' Phone 7c4/_t/r// ,/4 Xe. Email cl/e?'?e 4/174'ur-o e yahoo .co-i Owner Name DM'i e De�,0 Owner Address 6-4/.23 /j?oi2/a 4 yq 14 ea' C/ e'eSe. / V L ... 6 Sd Phone qS y--e/V t/-/Q a k Email d a /2e de 7Qu ry yahoo ,c d�j Contractor Name Kp,., L e //itiy e,e Contractor Address 'y,2 MC-/C STA,✓Le AA C. 4/6 t/ Phone 70"f -5/9 -.508? r Email k e4h o,(der Z 12( 4.-}*.n . Name to Appear on Permit? ®Owner 0 Applicant ❑Contractor Who will be the Primary Contact? 541 Owner ❑Applicant ❑ Contractor Proposed New Construction-Residential Primary Residence ® New Residence ❑ Addition to Residence #of New Bedrooms *t T #of Occupants Project Description /Vets) Nothe 0 : 1v6 Structure Dimensions,also specify dimensions of decks&porches lit}' t, so, K G 3/Defyl,, ,•NcLii.... ,2 4 it.2T/C4.. 4 3Z:'$.lt'decf (Choose One) El Basement NrCrawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement El Yes 0 No Retaining Wall>2' 0 Yes No Accessory Dwelling #of New edrooms*t 4 #of Occupants ier Structure Dimensions (Choose One) 0 BasementCrawl Space D Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 18.No Retaining Wall>2' 0 Yes 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing 0 Yes ❑No Describe Plumbing Needed (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' 0 Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement, Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes 0 No Well Construction/Abandon ent/Repair Proposed Well Type individual Well ❑ Semi-Public Well ❑Community Well Abandonment Type 0 Drilled ❑ Bored ❑ Dug El Unknown Well Repair Requested ❑Yes 0 No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?[ Yes 0 No Environmental Health Catawba County Government Center, 25 Government Drive I P0. Box 389, Newton, NC 28658 Phone: (828) 465-8270 I Fax: (828) 465-8276 1 EHAdmin@CatawbaCountyNC.gov Existing Structures on Site . • , Describe Structure Dimensions #of Bedrooms * #of Occupants Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Existing Water Supply ❑Individual Well ❑ Shared Well—Number of Connections El Community Well El County/City/Township Water Line Is a public water supply available? ** ❑ Yes [N'No Commercial ❑Proposed New Construction ❑Existing/Change of Use ❑ Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑ Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑Yes ❑No Residential Kitchen ❑Yes 0 No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow, Commercial t (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is"yes",applicant must attach supporting documentation. ❑Yes No Does the site contain any jurisdictional wetlands? ❑Yes No Does the site contain any existing wastewater systems? 0 Yes No Is any wastewater going to be generated on the site other than domestic sewage? gYes No Is the site subject to approval by any other public agency? Yes A No Are there any easements or right of ways on this property? Describe If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑ Accepted 0 Alternative Conventional 0 Innovative 0 Other 0 Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** if No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground. Property owner/applicant is responsible for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. 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 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'f or legal agent of the owner. /- 7 . & Signature of Owner or Legal Agent &Il-41!__ 0 l. 'aw Date Printed Name of Owner or Legal Agent cJJG'r)g beitAaurr3 • Catawba County Environmental Health i-------'-7. Qio13rn 0,19 rit 13 44.30 659.26 ____________ '•,20 27,70 • 6.38 5685 *•••r- 619.€_2 a 60 13.85 30 38.25 299.48 45.98 • —. 45,78 60 ..1,40 1 a1 foI -- In v & • , , .9 00 F td 1/2\j) , ;. d ' 231011 c[O.i f4:J;' FIS,-,-; V0::a4 � s�51 6. (5.40 5 1 ' < N e' N ti LN9 1 � 200 * r?,rt 93.85 178,g2 I; 175 25 • 'k o rOD.pp 175 ram_ ?00•'� Parcel: 376402853673, CORBAN ST 1 in=200ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba, its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct, indirect or consequential which arises or.may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 07/13/2.022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 376402853673 Owner: HEFNER RAYMOND GREGORY Parcel Address: 5195 CORBAN ST Owner2: HEFNER MELISSA LACKEY City: CLAREMONT, 28610 Address: 3727 MAPLE KNOLL DR LRK(REID): 60008 Address2: Deed Book/Page: 3288/0928 City: MONROE Subdivision: State/Zip: NC 28112-7031 Lots/Block: / School Information: Last Sale: $12,000 on 1977-12-01 School District: COUNTY Plat Book/Page: Elementary School: OXFORD Legal: Middle School: RIVER BEND Calculated Acreage: 9.350 High School: BUNKER HILL Tax Map: 1800 00004A School Map Township: CLINES State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $48,600 Zoning3: Assessed Total Value: $48,600 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-12-18 Building Permit Address Search for this parcel. Firm Panel #: 3710376400K If available, Building Permits for this parcel. Septic links 2010 Census Block: 1010 are not permits. 2010 Census Tract: 010101 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. +') l ci Building Details l e`"� ` C WaterShed: WS-IV Critical Area L( b'av�f\\3 i Voter Precinct: P27/Voting Map L.i 5O.Q0 Parcel Report Data Descriptions f e,C LC 1\ .300 .00 List all Owners Deed History Report Assessment Report "his map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling nformation contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The ;ounty of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may 'rise from this map/report product or the use thereof by any person or entity. ©2022, Catawba County Government, North Carolina.All rights reserved.