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Home My WebLink AboutRBPR-07-2012-15989.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2012-15989 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Mr -EXPANSION ed Home IMPROVEMENT- AUTH_CONSS Applicant IRA LAFONE, 4069 PONY DR, CONOVER NC 28613 0:8284656955 k' (�_ 'cc(3� Owner GEORGE LAFONE ESTATE, 4024 PONY DR, CONOVER NC 28613-7518 Q q 111'V)Oro NAME TO APPEAR ON PERMIT Ira LaFone SITE ADDRESS: 4069 PONY DR, CONOVER NC 28613 PIN # 374316745171 NAME of SUBDIVISION: P L LAFONE ESTATE Lot # 2 Section/Block PROPERTY SIZE: Square Feet Acres 3.59 DIRECTIONS: Hwy 16 / Left C & B Road / Left Pony Dr / property on Right PRIMARY CONTACT: A plicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well Public water is **NOT** available for this property. DESCRIBE WORK: 7/23/12 per SB must apply for expansion permit home is 3 br. permit is for 2. Single Wide Mobile home - Class E Change out - Previous mobile home was damaged in storm - Single Wide must have minimum 36 sf deck on Front / Must be parallel to road / must screen or remove towing tongue / must have vinyl underpinning ** ok to have Class E mobile home due to Storm and Fire Damage (non -conforming change out) APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF previous Single wide already removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 26 x 80 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 3 PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: single wide mobile home 26 x 80 with decks # OF NEW BEDROOMS:: 3 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. —I� j� ll Date: �" � Signature of Applicant or Agent C/`'f/6t_ c /of UX -C 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 AREA2 ************************************************************************************************************ MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: Ei - ehapplicauon 08/03/2012 11:51 Page 1 of 4 PAYOR LaFone, Ira PAYMENTS CATAWBA COUNTY IOOA SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 PHONE: 828.465.8399 www.catawbacountync.gov TRANSACTION NUMBER: TRC -249402-03-08-2012 PAYMENT DATE: 08/03/2012 PAYMENT TYPE: Cash INVOICE NUMBER FEE NAME 08-12-288823 Authorization to Construct Fee (New/Expansion) Fee TOTAL PAYMENTS RECEIPT Friday, August 3, 2012 FEE AMOUNT $150.00 $150.00 RBPR-07-2012-15989 CASE TYPE: Residential Building Plan Review WORK CLASS: Manufactured Home SITE ADDRESS: 4069 PONY DR, CONOVER NC 28613 Applicant IRA LAFONE, 4069 PONY DR, CONOVER NC 28613 C:8284656955 **NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner GEORGE LAFONE ESTATE, 4024 PONY DR, CONOVER NC 28613-7518 E9 - receipt 08/03/2012 1 l :50 Page 1 of 1 THIS IS NOT A PERMIT Case # RBPR-07-2012-15989 CATAWBA COUNTY HEALTH DEPA-TMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home IMPROVEMENT Applicant IRA LAFONE, 4069 PONY DR, CONOVER NC 28613 0:8284656955 Owner GEORGE LAFONE ESTATE, 4024 PONY DR, CONOVER NC 28613-7518 NAME TO APPEAR ON PERMIT Ira LaFone SITE ADDRESS: 4069 PONY DR, CONOVER NC 28613 PIN # 374316745171 NAME of SUBDIVISION: P L LAFONE ESTATE Lot # 2 Section/Block PROPERTY SIZE: Square Feet Acres 3.59 DIRECTIONS: Hwy 16 / Left C & B Road / Left Pony Dr / property on Right PRIMARY CONTACT: Applicant SEWI=R TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Private Well Public water is *`NOT"` available for this property. DESCRIBE WORK: Single Wide Mobile home - Class E Change out - Previous mooile home was damaged in storm - Single Wide must have minimum 36 sf deck on Front / Must be parallel to read / must screen or remove towing tongue / must have vinyl underpinning "" ok to have Class E mobile home due to Storm and Fire Damage (non -conforming change out) APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF previous Single wide already removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 26 x 80 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 3 PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: single wide mobile home 26 x 80 with decks # OF NEW BEDROOMS:: 3 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 pians 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. f Date: 7- % %, �/ Signature of Applicant or Agent't, An Environmental Health Specialist will contact you Within 2 working days of applic0on date If you need further information or assistance please call 328-466-7291 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAE,: 30 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES D 'TE FEE AMOUNT 07/1 /2012 $150.00 $150.00 L.4 - ehapphcation 07/17/2012 09:01 Page 1 of THIS IS NOT A PERMIT a CATAWBA COUNTY HEALTH DEPAR MENT Application for Environmental Services Page 1 1842 sm Improvement Permit ❑ Authorization to Construct ❑ Sepric Repair ❑ Septic Malfunction ❑ i 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 yD Lo9 ��,�ti �c Subdivision V Lot # Acres Driving Directions to Property Section/Block/Phase CS ZJ NAME TO APPEAR ON PERMIT? ❑ Owner tKApplicant ] Contractor Applicant Contact Information Name -'E�o c- I-, Address L� J� ?o�� Phone �li�S (oy Cell Phone Owner Contact Information Name 6ecw-v 1'S" %.�� Address e.lD Zt-( 7advy �� Phone Cell Phone Contractor Contact Information Name Address Phone I Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner �,)plicant ❑ Contractor Description of Existing Structures on Site M o t > iL& (a�, 4-�) # of Bedrooms *-j 3 Structure Dimensions # of Occupants Basement ❑ Yes ® No Basement Fixtures ❑ 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 \U] No Describe Is a public water supply available on or adjacent to the above property * * ❑ Yes E No Check type available ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Existing water supply in use 14 Individual Well ❑ Communihf Well ❑ Semi -Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) W J Ca C 0 V W m H �^ G THIS IS NOT A PERMIT d �p CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type [ p Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms "1 3 Project Description dtiLo j: E(Qc.�•� _ Structure Dimensions 26 X �o of Occupan s Basement ❑ Yes ® No Basement Fixtures ❑ Yes ,� No ❑ Accessory Structure(s) Describe # of New Bedrooms *f if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per nit* j Total # Bedrooms * I 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 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 i uture consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be con firmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need fo • 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 cn this property. Any representation by you of house or structure location should conform to applicable setbacks. CHANGE WORK ORDER REQUIRING REDESIGN AND/ �)R 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, )ut 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 transferrable Signature of Owner or Agent cam/ - -e Printed Name of Owner or Agent :T- i H L '2- Q_ I-. c& rD rn Date -7 7�/,� Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. N 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 liat-ility, whether direct, indirect or consequential which arises or may arise from this map product or the use therrof by any person or entity. Selected Parcel Number: 3743-16-74-5171 1 inch = 100 feet Prepared for: PLAT 48-45 4.46A 5334 2 Plat 7 - 41 G) N0 3.59A 8 5171 3 R-20 X5742 6A 41 I\ 5.77A 2635 \ THIS IS NOT A LEGAL DOCUMENT J R-20 Time: 8:23:28 AM , g�� I CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3743-16-74-5171 Name: LAFONE GEORGE EMORY ESTATE Name2: . Address: 4024 PONY DR Ad'dress2: City: CONOVER State: NC Zip: 28613-7518 Account: 159752484 Calc Acreage: 3.59 Tax Map: 2300 00069 LRK: 65882 Deed Book: 2009E Deed Page: 0492 Subdivision Name: P L LAFONE ESTATE Subdivision Block: Lots: 2 Plat Book: Plat Page: Building Number:: 49 Street Name: PONY DR Site Zip: 28613 Township: CLINES Fire Code: CONOVER RURAL City Code: COUNTY State Road: Total Bldgs Value: $35,900 Land Value: $81,700 Total Value: $117,600 Year Built: 1900 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 67 Watershed: Watershed Split: Voter Precinct: P33 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: LYLE CREEK Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: R -407,R-2004-14, R-489 Census Tract 2010: 010202 Census Block 2010: 1026 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Proximity Printed: Tuesday, July 17, 2012 08:23 AM Qc'?cx M v� ova GL 41 CATAWRA COUNJrY HEALTH DEPAFUMENr 0 00 9.6 Lot Evalua ion Improvement Permit X Repair Permit Completion erbd Owner/Agent; of �j �,Phone ` Address + 1 Subdivision �-I � - Section/Block Lot # Lot Size If I AFI Directions: P P'Vyy 1'P kT-: I A4 T -r' go" -'Y -•,t] 141 Pop, A OAQVK unarm -/ l -.nn Ho\,Q9l ✓ T Faci]ity: House-- Mobile Home Business= Other; Zoning Approval yes/no # Multi -family= Other 100% Repair Area yes/no'�p /9 ° Bedrooms Baths Seats -- Ffnployees GPD Flow Application Rate Garbage Disposal" Special Fixtures jUa REPAIR NUnCE: REPAIRS MUST BE WrIIHIN 30 Basement yes A& Basement Plumbing yes/ DAYS OR OARS FROM DATE OF PERMIT. Water Supply: Private Public jo tw c ��,r,rt �tyr�,t�r*yer* � :..:.: � .: �*::�reir*�tic�.c � � w � � � �t•,ta•*yt,t��t�ac:*yeir�re�lr:�r*yr�r****�r�rsyet Type of System: Trench Bed System Other (Specify) Tank Size: Septic Tank 000 q6,Pum Tank Nitrification Field: Total Sq/� Square/ Feet _T �V\AaDepth of Stone Bed Size �— Trench Width 3 (9J Total Length of All Trenches 1,o 46�Number of Trenches Individual Trench Length/ % / /_/ Ot on Center Maximum Trench Depth Distance to Nearest Well T )� X/ Evaluation: Approved Disapproved *�#�#max*#�rrs�#�*��Ir*,r�•ir�,r�#�**#•r#*#*#*##**#*�***rr***��x***�e•t**•�•�r*�********:***** Sketch of Lot Evaluation Si�te- System Design- Fin 1 fes/ Iy N(yy� lk�1AlV.4)afoA i • - � - - - _ - (- - - - - - ''.- ��07.� "tea �C..� � �;• �� \ op�J�M bls- e-'Crn' -U�q t w � ;,95-, �0�0-cl )COO-', Awa �� Permit Date 1 (Lot Evaluation and Improvement Permit void after 3 mon hs Omer/Agent ��(�� ; , Sanitarian�•c�j�L'�U�/li� ) Installed By ��Cl/v(�' l�yt Date •�% Sanitarian (Nobe any changes/ informatidn ifi roe orb on bj'ck) 3CJ--': o ' S!,(.8% �� TopoS U Drainage S U Depth S U Restrictive Hoz . SU Space Q PS U Soil S U i III Lkkm s: Sandy Clay, Silt, Clay, silty Clay .6-.4 .siva clays: Sandy, Silty, Clay .4-.2 WHITE - OFFICE COPY j.. YELLOW - OWNER/AGENT COPY