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HomeMy WebLinkAboutRBPR-05-2023-44372.TIF $A'' G THIS IS NOT A PERMIT Case# RBPR-05-2023-44372 CATAWBA COUNTY HEALTH DEPARTMENT d PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \8 2 SM Residential BuildingPlan Review- Building New g IMPROVEMENT /)bJ)3 geoisd Contractor *BRANDON HABERSKI, C:8284553859 BHABERSKI@GMAIL.COM Owner BRANDON HABERSKI, 1945 TURN FOUR DR,HICKORY NC 28602 C:8284553859 NAME TO APPEAR ON PERMIT Brandon Haberski SITE ADDRESS: 1950 TURN FOUR DR,HICKORY NC 28602 PIN # 360903041356 NAME of SUBDIVISION: Lot fl TR B Section/Block PROPERTY SIZE: Square Feet Acres 2.17 DIRECTIONS: West Hwy 10,Right on Whitener Rd, 1 mi Right on Turn Four Dr,property on end of RD PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well lt: 6/20/23 REVISED TO IP TO DESIGNATE REPAIR AREA NEW HOME IN LOCATION OF PREVIOUSLY DESIGNATED REPAIR AREA New 2 story 3 bedroom Single Family Dwelling w/unfinished 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? 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: 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 24x54 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: �hapi Iic:unu 06/20/2023 14:28 Page 1 of3 4..�1111rit. CATAWIA COUNTY Cam if RBPR-05-2023-44372 Public IlaJLh Department Suhdivown 'a Ezvtrarncntal Hallh Dmvlsim s � PIN' 360903041 ass +\/, PO Box 319,100-A S hvoest ft1rd,Newton,NC 28651 NAME ON PERMIT: (BRANDON I IABERSKI), 1945 TURN FOUR DR.ITICKORY NC 21602 (Brandon Haberski) ski Address: 19501URN FOUR DR.I IICKORY NC 28602 Property Um: Sguarc Feel Acres 2.17 D4attbns: West Mry 10,ROI on Whence Rd.1 rn Right on Tun Four Dr.property on end of RD Completed appecatone are veld fora period of 2 yen Improvement Perris are vied With connpsta w plot-60 month(5 years).wen complete prat •witmout saprison M Auttronzalion to Corotruct wi remain valid as long u ins Improvement Parma Is vend M Au1orizabn to Construct issued for septic repair is valid for 60 monde(5 years).Permits may be revoked I1 is Inforrtsbon On this ippapUonWca pion charges or if the Warded the lot the proposed hdity changes Permits new be revoked If Me GonditgM ire saved suds VW they effect penni oonche ns or Inalaaaoon requirements I hove reed the ppiiaton and certify that the hlorrnaton provided hereto ls true.complete and correct Authonzed county and seta offae1i are granlM rt91t of soy lo conduct necessary,sspect oni to deisnNns compliance with epplaable ears and Hies I understand that I am whey responsible foe The proper Identification srd labeling of en property Ines and mmers and makig is sde scoesaDie so Mel■Gavrplete srm evilualion can be performed The undersrpned u is owner of is property Or legal agent 01 the owner Date: 6y/;i0/10 _ Signature of Applicant orAgenIf you nerd further information or assistance please call 82E-465.8270 AREA1 FEENAME LATE TEE AMOUNT Existing Tank Check Fee 05/16/2023 S80.00 Improvement Perrot Fee 06/20/2023 S70 00 TOTAL FEES SISO.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) 06/204021 I1 211 Paws 2.d �4'A • CATAWBA COUNTY 100A SOUTI!WEST BLVD NEWTON,NORTH CAROI,INA 28658 RECEIPT ‘'"' PHONE:828.465.8399 �J Tuesday,June 20,2023 I842 SM www.catawbacountync.gov PAYOR: I laberski,Brandon PAYMENTS TRANSACTION NUMBER: TRC-66760638-20-06-2023 PAYMENT DATE: 06/20/2023 PAYMENT TYPE: Credit Card 306987056 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-23-424335 110-580200-663000 Improvement Permit Fee $70.00 TOTAL PAYMENTS: $70.00 RBPR-05-2023-44372 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 1950 TURN FOUR DR,HICKORY NC 28602 Owner BRANDON I IABERSKI, 1945 TURN FOUR DR,HICKORY NC 28602 C:8284553859 **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor *BRANDON IIABERSKI, C:8284553859 BHABERSKI@GMAIL.COM receipt 06/20/2023 14.26 Page 1 oft