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Home My WebLink AboutRBPR-07-2012-15978.tifSBA i t �. 1842 sm Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2012-15978 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition IMPROVEMENT HARWELL CONSTRUCTION, TIM E, 1455 MUSKET DR, CATAWBA NC 28609 B:828 -241-3223C:828-234-1301 USE AS PRIMARY PHONEF:NA NA DOUGLAS BROWN, PO BOX 566, CLAREMONT NC 28610-0566 NAME TO APPEAR ON PERMIT Douglas Brown SITE ADDRESS: 2980 CLONINGER DR, CLL,-AUMON 28610 /—,.PIN # 37621552194 NAME of SUBDIVISION: �' E V Cloninger Estate (2�&3_� A _ Lot # Section/Blocl. PROPERTY SIZE: Square Feet Acres ( 0.77 DIRECTIONS: Main Street Claremont towards Cartawba - towards Post Office / Left Cloninger Drive / 2nd house on right PRIMARY CONTACT: fantractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public W4W Public wat IS available for this property. DESCRIBE WORK: Sunroom and Covered Deck Addition with with Enclosed Storage under sunroom / Claremont Zoning APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence Existing Structure PRIMARY RESIDENCE OTHER DESCRIPTION: DESCRIPTION OF Single Family Dwelling EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 45 x 82 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 44x20 Sunroom and Covered Deck BASEMENT? IVo BASEMENT FIXTURES? No 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: 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 Area 2 MINIMUM SETBACKS FRONT: SIDE: REAR: MAX HEIGHT: FEENAME DATE FEE AMOUNT Improvement Permit Fee 07/13/2012 $150.00 TOTAL FEES $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F.9 - ehapplication 07/13/2012 16:44 Pagel of 3 I g"4 2 SM THIS IS NOT A PERMIT Case # RBPR-07-2012-15978 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition IMPROVEMENT Contractor HARWELL CONSTRUCTION, TIM E, 1455 MUSKET DR, CATAWBA NC 28609 B:828 -241-3223C:828-234-1301 USE AS PRIMARY PHONEF :NA NA Owner DOUGLAS BROWN, PO BOX 566, CLAREMONT NC 28610-0566 NAME TO APPEAR ON PERMIT Douglas Brown SITE ADDRESS: 2980 CLONINGER DR, CLAREMONT NC 28610 PIN # 376215521947 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Feet Acres DIRECTIONS: Main Street Claremont towards Cartawba - towards Post Office / Left Cloninger Drive / 2nd house on right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Public Water Public water is **NOT** available for this property. DESCRIBE WORK: Sunroom and Covered Deck Addition with with Enclosed Storage under sunroom / Claremont Zoning 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: 45 x 82 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No 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 o structure location should cconform to applicable setbacks. Date: / ��Z Signature of Applicant or Agent An Environmental Health Specialist will contact you withi-2 working days of application date. If you need further information or assistance please call 828-466-7291 MINIMUM SETBACKS FRONT: SIDE: REAR: MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/13/2012 5150.00 $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I'() - chapplicauon 07/13/2012 12:04 Pagel of3 O W -4 C V W m 0 V H H Z OC 0 LL Z �aA THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT $5 Application for Environmental Services Page 1 1842 - 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 P,9 �/ _�,e ,�: Subdivision Lot # Acres / Section/Block/Phase Driving Directions to Property NAME TO APPEAR ON PERMIT? i71 1�710wner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name Z)cc/, --/- 'Z77// Address -2 611 Phone f, i4-5-9 %d#3 Cell Phone Contractor Contact information Address /[ /FYI IGe i �.-e '.4 4-4- Phone Cell one 30 %9� WHO WILL BE THE PRIMARY CONTACT? [:]Owner ❑Applicant Isi Contractor Description of Existing Structures on Site # of Bedrooms *t 3 Structure Dimensions,of Occupants Basement 0 Yes ❑ No Basement Fixtures M Yes ❑ No Planned Future Additions or Improvements (Building Permit NOT requested at this time) Describe Proposed Future Structure Dimensions # of Bedrooms *t if applicable Are there easements or right-of-ways recorded on this property ❑ Yes 1A No Describe Is a public water supply available on or adjacent to the above property ** ❑ Yes 0 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 N County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence Addition to Residence # of New Bedrooms Project Description "Z Dn ��,.. ��iu. --'0- G'vv G*BCk Structure Dimensions 114 11 0 = # of Occupants 0 Basement ❑ Yes ® No basement Fixtures ❑ Yes ® No ❑ Accessory Structure(s) Describe # of New Bedrooms "I if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units Total # Bedrooms *T ❑ Food Service Specify Type #Bedrooms per Unit*"r Structure Dimensions # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes [:]No 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 I 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. j If structure is plumbed but no bedrooms, calculated design flow 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 tr nsferable Signature of Owner or Agergent V �- — Printed Name of Owner or Date `�7_- /5-- 1,–z— I 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 N contained on this map. Catawba Count}, 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: 3762-15-52-1947 1 inch = 60 feet Prepared for: I Q c9_ 1 9870 1122',, 50 0 } 167.3 5o THIS IS NOT A LEGAL DOCUMENT 3 � (31 V 1.9`47 2 280,0 1 156 Date: 7(13/2012 1 1.76A 38`•22 2093 t r_. MP Time: 12:07:07 PM 150 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3762-15-52-1947 Name: BROWN DOUGLAS RANDALL Name2: BROWN MARLA JILL Addre,s5: PO BOX 566 Address2: City: CLAREMONT State: NC Zip: 28610-0566 Account: 7834300 Calc Acreage: 0.77 Tax Map: 4208 01002 LRK: 68862 Deed Book: 1571 Deed Page: 0034 Subdivision Name: E V CLONINGER ESTATE Subdivision Block: A Lots: 2&3 Plat Book: 14 Plat Page: 79 Building Number: 2980 Street Name: CLONINGER DR Site Zip: 28610 Township: CLINES Fire Code: City Code: CLAREMONT State Road: Total Bldgs Value: $168,300 Land Value: $21,900 Total Value: $190,200 Year Built: 1990 Year Remodeled: Last Sale Date: 8/1/1988 Last Sale Amount: $5,500 Neighborhood: 118 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P6 E911 District: CLAREMONT Zoning: R-1 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: CLAREMONT Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CLAREMONT Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010102 Census Block 2010: 3055 Small Area Plan: Agricultural District: Printed: Friday, July 13, 2012 12:07 PM �• �z` CATAWBA c0( mvy HgALTH DEPARTmEmr Lot Evaluation Improvement Permit .1/ 'Repair Permit Completion Permit Owner/Agent J)W_ _e? R A,,0(,,1, Phone AAS-Ij - y Address (,(%�y;�w , ,� Subdivision -- \'.C,Ltl�fivy�= Section/Block Lot # Lot Size 31, .$g 0_. Directions- /j ?D I ,�, /1�-,1� ► Q IT Facility: House ✓ Mobile Home Business Other: Zoning Approval yes/no #%ccrn o��lcz:�,c Multi -family Other ; 100% Repair Are yes/no Bedrocros_ 2 Baths Seats employees GPD F1ow36O Application Rate Garbage Disposalo Special Fixtures /V `, ; REPAIR DICE: REPAIRS MUST HE WITHIN 30 Basement/no Basement Plumbinc��sPno ; DAYS OR DAYS FROM DATE OF PERMIT. Water Supply: Private Public 1— Type -of .System: Trench ✓ Bed System Other ( Specify) Tank Size: Septic Tank j C G Q c� ' ' Pump Tank Nitrification Field: Total Square Feet of D Depth of Stone Bed Size Trench Width 36, � � Total Length of All Trenches .300./y Number of Trenches -3 Individual Trench Lengthlbb / 0O/ )00/ / Feet on Center- Maximum Trench Depth O V Distance to Nearest Well Jr'D Lot Evaluation: Approved f Disapproved Sketch cf Lot Evaluation Site - Sys Design - Finale t4 � G ,ZZ ctr'j"o 1 3 'X.CL1.(.CliYLl+.tti L Y\ m ctf I Io 4 4 "vJe16, +.4s+t. Permit Ll3te j6.. a Ll_ SW`j '(Lot Evaluation and Improvement Permit void after 36 months) Owner/Agen�f, / / Sanitarian Installed By �� G Date Sanitarian (Note any changes/znformati n red or by sketch,bn back) Topo (OPS U DrainageSPS U Depth S PS U Restrictive -Hoz. SPS U Space S PS U Soil S(ESY U I LoamtS: Sandy Clay, Silt, Clay, Silty :Clay 6- 4 IVa Clays: Sandy, Silty, lay > 4-.2 " WHITE OFFICE COPY 'YELLOW OWNER/AGENT COPY $�5c) J-�-o I