HomeMy WebLinkAboutRBPR-07-2013-17716.TIF1842 SM
THIS IS NOT A PERMIT Case # RBPR-07-2013-17716
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Manufactured Home
IMPROVEMENT - AUTH CONST - NEW WELL
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Applicant CRAIG ISENHOUR, 2015 CRAIG RD, CATAWBA NC 28609
0:8285147866
Contractor CMH HOMES INC DBA CLAYTON HOMES # 72, 2026 NORTHSIDE DR, STATESVILLE NC 28625
B:704 -873-2547F:704-872-1166
Owner JOANNE ISENHOUR, 5981 BRIDGES ST, CATAWBA NC 28609
Paid By ABEE'S CLEARING & GRADING, , `� 1 au} ` 13
C:7042393693
NAME TO APPEAR ON PERMIT
Craig Isenhour
SITE ADDRESS: 6001 BRIDGES ST, CATAWBA NC 28609 PIN # 379103031743
NAME of SUBDIVISION: Lot 4 Section/Block
PROPERTY SIZE: Square Feet Acres
DIRECTIONS: 10 E/ RT HUDSON CHAPEL / RT BRIDGES ST/ PROPERTY ON LEFT
PRIMARY CONTACT: Contractor SEWER TYPE: )Septic Tank
(ii)GALLONS PER DAY: �WATER SUPPLY: Yrivate Well
DESCRIBE WORK: new DW mobile home 28 x 64
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? No
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:
STRUCTURE TYPE:
FACILITY TYPE: Mobile Home
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS:
NEW STRUCTURE DIM:: 28 x 64
New Structure
PRIMARY RESIDENCE
OTHER DESCRIPTION:
# OF OCCUPANTS:_
PROPOSED CONSTRUCTION
# OF NEW BEDROOMS:: a
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE:
OTHER: INNOVATIVE
Other described:
CONVENTIONAL:
ANY: YES
APPLICATIONS WELL CONSTRUCTION
PROPOSED WELL TYPE: ndividual Wel REPLACE WELL?: NO
FJ - ell app) icat oil 07/24/2013 08:19 Page t of
SBA CATAWBA COUNTY Case # RBPR-07-2013-17716
Public Health Department Subdivision
J ?� ^yC Environmental Health Division PIN# 379103031743
PO Box 389, 100-A Southwest Blvd. Newton, NC 28658
Ig 2 W
NAME ON PERMIT: CRAIG ISENHOUR, 2015 CRAIG RD, CATAWBA NC 28609
Site Address: 6001 BRIDGES ST, CATAWBA NC 28609
Property Size: Square Feet Acres 1.44
Directions: 10 E/ RT HUDSON CHAPEL / RT BRIDGES ST/ PROPERTY ON LEFT
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.
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. I 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.
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
MINIMUM SETBACKS FRONT: SIDE: REAR: MAX HEIGHT:
TOWN OF CATAWBA ZONING
FEENAME
Authorization to Construct Fee (New/Expansion)
Fee
Improvement Permit Fee
Well Permit & Inspection Fee
TOTAL FEES
DATE FEE AMOUNT
07/23/2013 $150.00
07/23/2013 $150.00
07/23/2013 $300.00
$600.00
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
1.1) - rliapphCaurm 07/24/2013 08:19 Pape 2 of 4
THIS IS NOT A PERMIT Case # RBPR-07-2013-17716
CATAWBA COUNTY HEALTH DEPARTMENT 0 0
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Manufactured Home
T
IMPROVEMENT - AUTH CONST - NEW WELL
0
Applicant CRAIG ISENHOUR, 2015 CRAIG RD, CATAWBA NC 28609
C:8285147866
Contractor CMH HOMES INC DBA CLAYTON HOMES # 72, 2026 NORTHSIDE DR, STATESVILLE NC 28625
B:704 -873-2547F:704-872-1166
Owner JOANNE ISENHOUR, 5981 BRIDGES ST, CATAWBA NC 28609
Paid By ABEE'S CLEARING & GRADING, ,
C:7042393693
NAME TO APPEAR ON PERMIT
Craig Isenhour
SITE ADDRESS: 6001 BRIDGES ST, CATAWBA NC 28609 PIN # 379103031743
NAME of SUBDIVISION: Lot # Section/Block
PROPERTY SIZE: Square Feet Acres
DIRECTIONS: 10 El RT HUDSON CHAPEL/ RT BRIDGES ST/ PROPERTY ON LEFT
PRIMARY CONTACT: Contractor SEWER TYPE:
GALLONS PER DAY: WATER SUPPLY:
DESCRIBE WORK: new DW mobile home 28 x 64
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? No
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:
FACILITY TYPE: Mobile Home
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS:
PRIMARY RESIDENCE
OTHER DESCRIPTION:
# OF OCCUPANTS:
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 28 x 64
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE:
OTHER: INNOVATIVE:
Other described:
CONVENTIONAL:
ANY: YES
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: REPLACE WELL?: NO
I'Q - ehapplical ion 07/23/2013 12:05 Page 1 of
CATAWBA COUNTY Case # RBPR-07-2013-17716
Public Health Department Subdivision
d o Environmental Health Division PIN#
a, 379103031743
PO Sox 389, 100-A Southwest Blvd, Newton, NC 28658
1842 5%,
NAME ON PERMIT: CMH HOMES INC DBA CLAYTON HOMES #72,2026 NORTHSIDE DR, STATESVILLE NC 28625
Site Address: 6001 BRIDGES ST, CATAWBA NC 28609
Property Size: Square Feet Acres
Directions: 10 E/ RT HUDSON CHAPEL/ RT BRIDGES ST/ PROPERTY ON LEFT
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. I understand that I solely responsible for the
proper identification nd labeling of all property lines and corners and making the site essi so that a co to s' luation cabe performed.
Date: `�J3 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:
SIDE:
FEENAME
Authorization to Construct Fee (New/Expansion)
Fee
Improvement Permit Fee
Well Permit & Inspection Fee
TOTAL FEES
REAR: MAX HEIGHT:
DATE FEE AMOUNT
07/23/2013 $150.00
07/23/2013 $150.00
07/23/2013 $300.00
$600.00
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
P,9 - ehapplicalion 07/23/2013 11:48 Page 2 of 4
C,THIS IS NOT A PERMIT
c U, Y CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services Page I
Improvement Permit � Apffiorization to Construct ff Septic Repair D Septic Malfunction D
Septic Expansion [0New Well Permit [&keplacement Well R Well Abandonment ❑
Well Repair El Existing System Inspection (Pre -Approval Required) R
Application is for New Construction Existing Facility ❑
Property Address 01 T-� f- i Subdivision
Lot # Acres
Section/Block/Phase
Driving Directions to Property C (C) ; 0 r-, 1 (7)
P70P.V-1-6�1
J
NAME TO APPEAR ON PERMIT? F-1 Owner VApplicant ❑ Contractor
Applicant Contact Information
Name
Addi-es—,-'
s
Phone r&fl Phone gag - 6/4 - '79&2 2,o
Owner Contact Information
JName
Address�
10
Phone !'Cetl Phone
Contractor Contact Information
Name -47tola
Address le &2c,
Cell Phone _C 'Rone C) 4�)
WHO WILL BE THE PRIMARY CONTACT? 0 Owner 0 Applicant 19<011tractOr
Description of Existing Structures on Site
9 of Bedrooms *t Structure Dimensions 4 of Occupants
Basement F] Yes F] 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 9,N0 Does the site contain any jurisdictional wetlands?
• Yes 19"'N'o Does the site contain any existing wastewater systems?
• Yes Er&o Is any wastewater going to be generated on the site other than domestic sewage?
Dyes ISV'No Is the site subject to approval by any other public agency?
0 Yes [9<o Are there any easements or right of ways on this property? Describe
Existing . water I supply in use Individual Well n Community Well F1 Semi -Public Well
❑County/City/Township Water Line Is a public water supply available? Yes R/N 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 0 Alternative 0 Conventional 0 Innovative 0 Other Any
,TA. THIS IS NOT A PERMIT
counr+ CATAWBA COUNTY HEALTH. DEPARTMENT
Application for Environmental Services
Proposed Facility Type
Primary Residence ByNew Residence ❑ Addition to Residence # of New Bedrooms *t
Project Description Ahi C'_
Structure Dimensions c_!�$ x iP4 # of Occupants
Basement ❑ Yes [1.'No Basement Fixtures ❑ Yes(✓�No
[l 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 #Bedrooms per Unit*t
Total # Bedrooms *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 Retail Floor Space
# of Employees per Shift # of Shifts
❑ Other Facility Type Specify
If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy
Page 2
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.
t 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 Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,
site pians 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. I
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 rJ ' J�7 p/ J moi/ Gvle.e Date Q3 -I/
Printed Name of Owner or Agent J E,e n iz , Ak e P �
-
N
1 inch = 100 feet
37
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: 3791-03-03-1743
Prepared for:
30 5,738
10) / /
1.82A
1970
,(450);
M l00 i f / 1.44A
'f 1743
rQ)
THIS IS NOTA LEGAL DOCUMENT
t t
ate:17/23/201� J
Time: 11:34:44 AM (
SC
5(
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID:
3791-03-03-1743
Name:
ISENHOUR JOANNE MOSTELLER LFI
Name2:
Address:
5981 BRIDGES ST
Address2:
City:
CATAWBA
State:
NC
Zip:
28609-8815
Account:
Calc Acreage:
1.44
Tax Map:
018 Y 03013
LRK:
19013
Deed Book:
2571
Deed Page:
1603
Subdivision Name:
Subdivision Block:
Lots:
Plat Book:
Plat Page:
Building Number:
6001
Street Name:
BRIDGES ST
Site Zip:
28609
Township:
CATAWBA
Fire Dist:
CATAWBA RURAL
City/Tax:
State Road:
1825
Total Bldgs Value:
Land Value:
$15,900
Total Value:
$15,900
Year Built:
Year Remodeled:
Last Sale Date:
11/1/1986
Last Sale Amount:
$4,000
Neighborhood:
126
Watershed:
WS-IV Protected Area
Watershed Split:
NO
Voter Precinct:
P21
E911 District:
CATAWBA
Zoning:
R-A
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay:
Zoning District:
CATAWBA
Split Zoning Dist:
N
Split Zoning Dist(1):
0
Split Zoning Dist(2):
0
School District:
COUNTY
Elementary School:
CATAWBA
Middle School:
MILL CREEK
High School:
BANDYS
School Split:
NO
P&Z Case Number:
Census Tract 2010: 011501
Census Block 2010:
2000
Small Area Plan:
Agricultural District: Proximity
Printed: Wednesday, July 24, 2013 08:15 AM