HomeMy WebLinkAboutRBPR-07-2013-17692.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17692
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Accessory Structure
IMPROVEMENT
Owner DAVID SMITH, 2032 WELLINGTON AV, NEWTON NC 28658
H:828-695-8115 C:828-312-4297 HOME: 828-695-8115
NAME TO APPEAR ON PERMIT
David Smith
SITE ADDRESS: 2032 WELLINGTON AV, NEWTON NC 28658
NAME of SUBDIVISION: WELLINGTON PHASE I Lot #
PROPERTY SIZE: Square Feet Acres 2
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PIN # 362914227725
30 Section/Block
DIRECTIONS: Startown Rd / rt Rocky Ford Rd/ rt Wellington Av (approx 1/2 mile) 5th house on right / corner of Wellington Ave &
Dublin Ln
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: pvt accessory building 16 x 24
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: ACCESSORY STRUCTURE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF single family dwelling
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 60 x 80
NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 16 x 24
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An
Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well
Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility.
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.1 I understand that I am solely responsible for the
projperjdentification and labeling of all property lines and corners and making the site acRRssible sp tha om site evaluation can be performed.
Date: —I,i�— L o 13 Signature of Applicant or�ent �,
An Environmental Health Specialist will contact you within 2 workigig days of application date.
If you need further information or assistance please call 828-466-7291
AREA2
MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 5 MAX HEIGHT:
L.9 - chapplirauon 07/18/2013 12:25 Page 1 of 4
A CATANVBA COUNTY Case # RBPR-07-2013-17692
4¢ I Public Health Department Subdivision WELLINGTON PHASE I
d� "1 t
Environmenal Health PIN#
lth Di362914227725
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
184 2 a+
NAME ON PERMIT: DAVID SMITH, 2032 WELLINGTON AV, NEWTON NC 28658
Site Address: 2032 WELLINGTON AV, NEWTON NC 28658
Property Size: Square Feet Acres 2
Directions: Startown Rd / rt Rocky Ford Rd/ rt Wellington Av (approx 1/2 mile) 5th house on right / corner of Wellington Ave & Dublin
Ln
FEENAME DATE FEE AMOUNT
Improvement Permit Fee 07/18/2013 $150.00
TOTAL FEES $150.00
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
E9 - ebpplicalicm 07/18/2013 12:26 Pa. -e 2 of
C�ll� THIS IS NOT A PERMIT
couc.Tr .a. CATAWBA COUNTY HEALTH DEPARTMENT
No,,, C�„—� Application for Environmental Services Page 1
Improvement Permit 4 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 Z'0 3 Z �JVL-L)J/(',-7z-,A/ A-v��- Subdivision W )6119—i-,
l�j�vJZ�7�/ dVC, Lot # Z -o ;'2— Acres 2..
Section/Bl,k/Phase
Driving Directions to Property ► MX- /N RI E, }k=\ OAJ—C<o L,c_ )L_-4 MZ I(,
liz?
c-xTAg2 %`F t:—;-), 'L )dJ �7-,rV - D "A-6 L)
NAME TO APPEAR ON PERMIT? I] Owner ❑ Applicant ElContractor
Applicant
Contact Information
Name T- � n, � 7-A
Address'Z.O'3 2 t.AAC_ L'7,,�a/
Phone 5'r2uq'-%q S- _,5� II Y I Cell Phone
Owner Contact Information
Name Sm7
Address
Phone I Cell Phone
Contractor Contact Information
Name P, AkO Aa -n
Address
Phone I Cell Phone
WHO WILL BE THE PRIMARY CONTACT? "4 Owner ❑ Applicant ❑ Contractor
Description of Existing Structures on Site 40 o5:e 4 6 N —6Ln-6 �e
# of Bedrooms *t__3 Structure Dimensions 20 001 # of Occupants
Basement ❑ Yes W No Basement Fixtures ❑ Yes No
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to
the property in question. if the answer to any question is "yes", applicant must attach supporting documentation.
❑ Yes 1-1 No Does the site contain any jurisdictional wetlands?
Yes ( No Does the site contain any existing wastewater systems`?
❑ Yes Owo Is any wastewater going to be generated on the site other than domestic sewage?
VYes t❑ No Is the site subject to approval by any other public agency?
❑ Yes Q No Are there any easements or right of ways on this property? Describe
Existing water supply in use IN Individual Well ❑ Community Well ❑ Semi -Public Well
❑ County/City/Township Water Line Is a public water supply available`? ** ❑ Yes ❑ No
If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s):
(systems can be ranked in order of your preference)
0 Accepted 11 Alternative 0 Conventional ❑ Innovative 11 Other 0 Any
i
CATA � BA THIS IS NOT A PERMIT
COUNTY CATAWBA COUNTY HEALTH DEPARTMENT
=r Application for Environmental Services
North Carol
Proposed Fa e
❑ Primary Residence Residence A it n to Residence # of New Bedrooms
Project Description 2 _M �'�fi iIJ1�
Structure Dimensionsf ccu a
� No Basement Fixtures] Yes `1sFe�/
Basement C=
Accessory Structure(s) Described v V_n-hF i2 -v) I6,Yl i 6VG .
# of New Bedrooms* j if applicable Structure Dimensions
# of Occupants Accessory Dwelling ❑ Yes N No
Plumbing ❑ Yes [gyp No Describe Plumbing Needed
U Multi -Family Residence # Units #Bedrooms per Unit*I
Total # Bedrooms *t Structure Dimensions
H 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
Page 2
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.
)' 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.
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE)
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified
conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not
transferable-, Improvement Pen -nits and Well Permits are transferrable. Permits may be revoked if the information on this application,
site plans or intended use changes for the proposed facility.
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. 1
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.
Signature of Owner or Agent L A Date-? -za n
Printed Name of Owner or Agent
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 emplovees, 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: 3629-14-22-7725
1 inch = 60 feet
Prepared for:
I 1998
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Date: 7/18/2013 Time: 12:00:13 PMTS
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID:
3629-14-22-7725
Name:
SMITH DAVID JAMES
Name2:
SMITH MELINDA WINTERS
Address:
2032 WELLINGTON AVE
Address2:
City:
NEWTON
State:
NC
Zip:
28658-8700
Account:
Calc Acreage:
2
Tax Map:
003AJ 02030
LRK:
2911
Deed Book:
2369
Deed Page:
0536
Subdivision Name:
WELLINGTON PHASE I
Subdivision Block:
Lots:
30
Plat Book:
22
Plat Page:
168
Building Number:
2032
Street Name:
WELLINGTON AV
Site Zip:
28658
Township:
JACOBS FORK
Fire Dist:
NEWTON RURAL
City/Tax.-
ity/Tax:State
StateRoad:
Total Bldgs Value:
$156,100
Land Value:
$32,100
Total Value:
$188,200
Year Built:
1988
Year Remodeled:
Last Sale Date:
6/13/2002
Last Sale Amount:
$151,000
Neighborhood:
98
Watershed:
Watershed Split:
NO
Voter Precinct:
P34
E911 District:
COUNTY
Zoning:
R-20
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay: ED
-0
Zoning District:
COUNTY
Split Zoning Dist:
N
Split Zoning Dist(1):
0
Split Zoning Dist(2):
0
School District:
COUNTY
Elementary School:
STARTOWN
Middle School:
MAIDEN
High School:
MAIDEN
School Split:
NO
P&Z Case Number:
Census Tract 2010: 011702
Census Block 2010: 1005
Small Area Plan:
STARTOWN
Agricultural District: Proximity
Printed: Thursday,
July 18, 2013 11:59 AM
***Op. Permit and/or Cert. Op. 'Regquui'red (0^e completed prior to final) N- J G Q 3 1 J
CATAWBA COUNTY HEALTH DEPARTMENT
Lot Eval
Owner/Agent
Address
Lot Size
(704) 65-8270
Improve. Permit Repair Per Cert. of Comp. Permit Koper. Permit
l jNY �gPs N PYr�aJ� Phone
Zl%}Z /fJe111 -C le-, Subdivision
/U ec j /tJv--i Section/Block/Phase Lot#
Directions : /D G_i [ �/ �s �%� A.1(%�//
C
4A -)&71_,1A 607' J -4V) K/ .Er r .q rrir�.c�t o 7'
Facility: House --,X-- Mobile Home Business Other: Tax Map #
Multi -family Other Zoning Approval #
Bedrooms Seats Employees Application Rate GPD Flow
Hot Tub or Spa yes/no Special Fixtures 100% Repair Area yes/no REPAIR NOTICE:
Basement yes/no Basement Plumbing yes/no REPAIRS MUST BE WITHIN 30 DAYS OR
Water Supply: Private Public DAYS FROM DATE OF PERMIT.
Type of System: Trench a Bed Pump Pump/Panel Panel LPP Other
Tank Size: Septic Tank Pump Tank
Nitrification Field: Total Square Feet 4ele) Depth of Stone / Z Bed Size
Trench Width .36 Total Length of All Trenches 266 Number of Trenches Z
Individual Trench Length/ /Z42:�_/ / / Feet on Center Maximum Trench Depth
Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months)
Topo % Slope Sketch of lot Evaluation Site - System Design - Final
Texture DO -NOT— — --
3X INSTALL
Structure'— "— WHEN WET
Clay Min. A�
Soil Wetness
Soil Depth
Restric. Hoz. at
Available space yes/nol
O!v
Comments:
verall Class S PS U I ,, _ p
,� �
Septic Tank Contractors
MUST contact the
Sanitarian BEFORE
changing permit.
**NO GUARANTEE ORRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OFTHI ERMIT**
aaaa*a+aaa+++aaaa+a aaa+ aaaaa+a+aa aa+aaaa+a+aa++a+a+++aaa+aaa+aa+a+aa+++aa as a+a++aa+++++a
Permit Date %( C_ (Improveme Permi d ter 60 o ths)
Ow er Agen OA, Sanitarian
Insta ed j -S DaS vita ani
(Nod a changes/information,. in red or by sketch on bac) v
*******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN*******
ADDITIONAL $25 CHARGE.
White - Office Blue - Building Inspection Completion Yellow - Owner/Agent Green - Building Inspection IP
CATAWBA COUNTY PERMIT
ZONING AUTHORIZATION (R)
Accessory Structure IVR PIN#
PERMIT NO: ZONR-07-201 �-040056
P. O. Box 389
Phone: 828-465-8380 APPLIED: 07/18/2013
100A Southwest Blvd FAX: 828-465-8484 ISSUED: 07/18/2013
Newton, North Carolina 28658 EXPIRES: 04/08/2014
www.catawbacountync.gov
Owner DAVID SMITH, 2032 WELLINGTON AV, NEWTON NC 28658
H:828 -69S-81 I SC:828-312-4297
**NO PEOPLES OFT ACCOUNT ASSIGNED **
PROPERTY ID#: 362914227725 CENSUS TRACT: 011702
STREET ADDRESS: 2032 WELLINGTON AV, NEWTON NC 28658 LOT#: 30
PROJECT DESCRIPTION: pvt accessory building 16 x 24
FLOOD ZONE? OWNER TYPE:
100 YEAR FLOOD ZONE PLAIN? LAND OWNER:
FLOOD PLAIN, STRUCTURE? No
FRONT SETBACK: 30.00 SIDE SETBACK: 10 REAR SETBACK:
FRONT SETBACK 2: SIDE STREET SETBACK: 20 MAX HEIGHT:
SETBACK COMMENT:
REQUIRED SETBACKS FRONT: 30 REAR: 5 SIDE: 10
1. Before an inspection can be made by the Building Inspection Office, the applicant must pull a string to designate the side
and rear
property lines where the structure is being placed or constructed.
2. Accessory structures shall only be located in side or rear yards.
3. Accessory structures shall not be attached in any way to the principle structure.
4. Accessory structures shall only be used for private residential purposes.
INVOICE#: 07-13-298647
FEE DESCRIPTION DATE FEE AMOUNT
Residential Zoning Fee 07/18/2013 $25.00
TOTALYEES '_ -_ __. - $25.00
The applicant herebv certifies that all information and attachments to this Certificate of Zoninu Comniliance are true and correct, and
acknowledges that this permit was issued on the basis of the information required herein., The applicant further acknowledges that any
construction, alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure
into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the
expense of the applicant.
f '
APPLICANT NAME (PRINTED) APPLICANT XGNATURE ZONING APPROVED BY
***** ZONING FEES ARE NON-REFUNDABLE *****
COMPANY NAME
9
F19 eri„it 07/18/2013 12:24 ISSUED BY: Pat Queen Page t of 1