The URL can be used to link to this page

Home My WebLink AboutRBPR-07-2012-15963.tifContractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2012-15963 CATAWBA COUNTY.HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition IMPROVEMENT SPIVEY CONSTRUCTION, PO BOX 4268, MOORESVILLE NC 28117 B:704 -663-4189C:704-363-7288 WILLIS SPIVEYF:704-663-4721 WILLIS a,SPIVEYINC.COM TOMMY STUTTS, 7404 SHERRILLS FORD RD, SHERRILLS FORD NC 28673 H:828-320-0079 NAME TO APPEAR ON PERMIT SPIVEY CONSTRUCTION SITE ADDRESS: 7404 SHERRILLS FORD RD, SHERRILLS FORD NC 28673 PIN # 460903401232 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Feet Acres 2.73 DIRECTIONS: 150E/ NORTH ON SHERRILLS FORD RD/ APPROX 3 MILES ON RIGHT PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well Public water IS available for this property. DESCRIBE WORK: ADDITION TO EXISTING DWELLING / 20 X 20 MULTI PURPOSE ROOM APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF SINGLE FAMILY DWELLING EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 28 X 72 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: ADDING 20 X 20 TO EXISTING BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED? No I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a non -expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: i / /1 / 1 2�-- Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 MINIMUM SETBACKS FRONT: 100 SIDE: 15 REAR: 30 MAX HEIGHT: 45 FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/11/2012 $150.00 $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Cil - :happlicalion 07/11/2012 09:48 Pagel of3 THIS IS NOT A PERMIT C� z CATAWBA COUNTY HEALTH DEPARTMENT I Application for Environmental Services Page 1 18 2 W Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New Construction ❑ Existing Facility Property Address 7404 Sherrills Ford Road Subdivision Sherrills Ford, NC 28673 Lot# Acres Section/Block/Phase Driving Directions to Property Hwy 150east, head north on Sherrills Ford Road. Home is approximately 3miles on the right. NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant ® Contractor Applicant Contact Information Name Address Phone I Cell Phone Owner Contact Information Name Tommy & Judy Stutts Address 7404 Sherrills Ford Road, Sherrills Ford, NC 28673 Phone (828)478-2513 I Cell Phone (828)320-0079 Contractor Contact Information (Name Spivey Construction Co., Inc (Willis Spivey) Address PO Box 4268 Mooresville, NC 28117 Phone (704) 663-4189 I Cell Phone (704) 663-7288 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant Contractor Description of Existing Structures on Site Sinqle story residential home # of Bedrooms *f 3 Structure Dimensions 271411 x 7 2 ' # of Occupants 2 Basement 0 Yes ❑ No Basement Fixtures 0 Yes ❑ No Planned Future Additions or Improvements (Building Permit NOT requested at this time) Describe 400sq ft multi-purpose room (living room) Proposed Future Structure Dimensions 2 0 ' x2 0 ' # of Bedrooms *f if applicable N/A Are there easements or right-of-ways recorded on this property ❑ Yes R No Describe Is a public water supply available on or adjacent to the above property ** ❑ Yes ® No Check type available ❑ Community Well ❑.Semi -Public Well ❑ County/City/Township Water Line Existing water supply in use Individual Well ❑ Community Well ❑ Semi Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) Fav THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 1842 w Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑/ Addition to Residence # of New Bedrooms *t 0 Project Description Construct new 400sq ft multi-purpose room (living room) Structure Dimensions 2 0 'x2 0 ' # of Occupants 2 Basement 0 Yes ❑ No Basement Fixtures 91 Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units Total # Bedrooms *t #Bedrooms per Unit*t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business # of Employees per Shift ❑ Other Facility Type Specify # of Shifts If Church # of Seats Kitchen ❑ Yes ❑ No Retail Floor Space If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on- site staff. *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 house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. tlf structure is plumbed but no bedrooms, calculated design now is required. ** If No, a well permit must be issued with the Authorization to Construct. Note: You must obtain Zoning approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non -expiring under certain specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable Signature of Owner or Agent L�'7';CA � X Printed Name of Owner or Agent is t Z f i 5 ; U . Date N A* 1 inch = 100 feet Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map 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 product or the use thereof by any person or entity Selected Parcel Number: 4609-03-40-1232 Prepared for: ,y-333.15 O 10 I /-5.77A 1, Pkat 69-187 �6�. 9 �( ►� ' 2 � Q 2.73A �G o 1.61 A ( 1.09A 1232 5304 Cn 9.4280 y 4 (1441 �~ 60(222) i E ' cir � I 1 7d A �? 9 THIS IS NOT A LEGAL DOCUMENT I I.... U / -1 Date: 7/11/2012 Time: 9:40:18 AM j CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4609-03-40-1232 Name: STUTTS TOMMY LAMAR Name2: STUTTS JUDITH M Address: 7404 SHERRILLS FORD RD Address2: City: SHERRILLS FRD State: NC Zip: 28673-7851 Account: 67519500 Calc Acreage: 2.73 Tax Map: 003 X 01004 LRK: 2735 Deed Book: 1085 Deed Page: 0891 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 7404 Street Name: SHERRILLS FORD RD Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: 1848 Total Bldgs Value: $170,100 Land Value: $24,200 Total Value: $194,300 Year Built: 1959 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 128 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P31 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-O,RP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 1040 Small Area Plan: SHERRILLS FORD Agricultural District: Proximity Printed: Wednesday, July 11, 2012 09:40 AM s JCJ"`- CATAWBA COUNTY PERMIT ZONING AUTHORIZATION (R) New Dwelling I IVR PIN# - PE1iMIT NO: ZONR-07-2012-029425 11. 0. Boz 389 Phone: 828-465-8380 APPL,II D: 07/11/2012 100A Southwest Blvd FAX: 828-465-8484 ISSUED: 07/11/2012 Newton. North Carolina 28658 I\FIRES: 03/26/2013 w�aw.catawbacountvnc.gov Owner TOMMY SFUTTS, 7404 SHE-RRILLS FORD RD, SHERRILLS FORD NC 28673 1-1:828-320-0079 Contractor SPIVEY CONSTRUCTION, PO BOX 4268, MOORESVILLF-. NC 28117 B:704 -663-4189C:704-363-7288 WILLIS SPIVEYF:704-663-4721 WILLISa SPIVEYINC.COM ACCOUNT-: 6556 PROPERTY ID#: 460903401232 CENSUS TRACT: 011502 STREETADDRESS: 7404 SI-IERRILLS FORD RD, SI IERRILLS FORD NC 28673 PROJECT DESCRIPTION: ADDITION TO EXISTING DWELLING / 20 X 20 MULTI PURPOSE ROOM FLOOD ZONE? No OWNER TYPE: VALUE: $26,748.00 100 YEAR FLOOD ZONE PLAIN? LAND OWNER: FLOOD PLAIN, STRUCTURE? No REQUIRED SETBACKS FRONT: 100 REAR: 30 SIDE: 15 MAX HEIGHT: 45 1. 13cibre an inspection can he made by the Building Inspection Office, the applicant must hull a string to designate the side and rear property lines where the structure is being placed or constructed. 2. I -Ionic shall Lie placed on the lot in harmony with the site -built structures. or havC the front door Dace the road Frontage. INVOICE/r: 07-12-288160 FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 07/11/2012 $25.00 TOTAL FEES S25.00 The applicant herel)v certifies that all information and attachments to this Certificate of Z_onint' Coll] pilialice are true and correct, and acknowledges that this permit Meas issued on the basis of the information reouired herein. The applicant fi,rthcr acknowledgcs that ally construction. alteration or addition which differs from this application shall he subicct to removal or alteration so as to bring said su•ucturc into coni,ormance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrcct e action shall he at the APPLICANT NA\1(.. (PRINTED) APPLICANT SIGNATURE � ZONING APPROVED BY r"< * ZONING FEES ARE NON-REFUNDABLE CU\i1'.ANI' NA\-il 07/11/2012 09:47 1SSUF D BY Pei 0LIe� =r; r'aQc f orf