HomeMy WebLinkAboutCBPR-07-2022-41584.TIF 4 THIS IS NOT A PERMIT Case# CBPR-07-2022-41584
t111 CATAWBA COUNTY HEALTH DEPARTMENT
V 0 . PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1842 sM Commercial BuildingPlan Review- BuildingNew
IMPROVEMENT
Applicant *I,AII,BUILDERS,INC. (JOE I(ARTMAN),4930 CAROLINA MILL RD,I IICKORY NC 28602
B:828-397-6156 C:8283123540F:828-397-5888 JOEHARTMAN@LAILBUILDERSINC.COM
Architect ICARD ARCI IITECTURE,PO BOX 490,CONOVER NC 28613
B:8284641028 MACKIE@MACKIEJOHNSON.COM
Contact Person *LAIL BUILDERS,INC. (JOE HARTMAN),4930 CAROLINA MILL RD,I IICKORY NC 28602
B:828-397-6156 C:8283I23540F:828-397-5888 JOEHARTMAN@LAILBUILDERSINC.COM
Owner PROVIDENCE BAPTIST CI IURCI I (DIANE CLINE),7618 PROVIDENCE CI IURCI I RD,HICKORY NC
28602
B:8283277070 C:8283208478
Third-Party Inspector CATAWBA VALLEY ENGINEERING&TESTING (DAVID LEGRAND,JR),PO BOX 747 SE,HICKORY
NC 28603
13:8285789972 C:8285789965 DLEGRAND r CVET.CO
NAME TO APPEAR ON PERMIT
PROVIDENCE BAPTIST CHURCH (Diane Cline)
SITE ADDRESS: 7618 PROVIDENCE CI IURCI I RD,I IICKORY NC 28602 PIN# 267904535483
NAME of SUBDIVISION: Lot# Section/Block
_____
PROPERTY SIZE: Square Feet 746,618.40 Acres 17.14
DIRECTIONS: 7618 providence church rd
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 825 WATER SUPPLY: Private Well
DESCRIBE WORK: 9/2/2022 revised to 825 gpd.
Construction of new sanctuary, replaces old sanctuary(burned down).Will have 379 seats, residential kitchen.
Classrooms are for Sunday School only. Existing Fellowship Hall has 256 seats. EH Fees will transfer from
CBPR-32810.
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? Yes
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: **NO STRUCTURE SELECTED**
FACILITY TYPE: Church OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 70 x 105
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS:
PROPOSED CONSTRUCTION
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
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CATAWBA COUNTY Case a CBPR-07-2022-41584
41111111110
Q(.1". 14 Public Health Department Subdivision
Environmental Health Division PIN# 267904535483
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
/g (. sN
NAME ON PERMIT: PROVIDENCE I3APTIST CHURCII (DIANE CLINE),7618 PROVIDENCE CI IURCH RD,I IICKORY NC 28602
PROVIDENCE BAPTIST CHUR•
Site Address: 7618 PROVIDENCE CHURCH RD,HICKORY NC 28602
Property Size: Square Feet_ 746,618.40 Acres 17.14
Directions: 7618 providence church rd
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
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: Signature of Applicant or Agent
I f you need further information or assistance please call 828-465-8270
AREA1
*******************************************************************F****************************************
FEENAME •
DATE FEE AMOUNT
Plan Review- New Commercial 07/07/2022 $619.68
TOTAL FEES $619.68
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)
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