Loading...
HomeMy WebLinkAboutRBPR-07-2013-17739.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17739 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Accessory Structure IMPROVEMENT A&_r-eCAe"\N4 Tidt El: .f� Owner KAYE GALES, 2240 ROBINSON RD, NEWTON NC 28658-9519 C:828-308-1745 NAME TO APPEAR ON PERMIT Kaye Gales SITE ADDRESS: 2240 ROBINSON RD, NEWTON NC 28658 PIN # 371114446548 NAME of SUBDIVISION: LONNIE CLINE PROPERTY Lot #20-26 BLK A SectionBlock PROPERTY SIZE: Square Feet DIRECTIONS: x Acres 1.01 PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 12 x 32 Storage Building 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: STRUCTURE TYPE: FACILITY TYPE: ingle Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 55 x 50 NUMBER OF EXISTING BEDROOMS: 2 NEW STRUCTURE DIM:: 12 x 32 BASEMENT? No New Structure ACCESSORY STRUCTURE OTHER DESCRIPTION: # OF OCCUPANTS PROPOSED CONSTRUCTION BASEMENT FIXTURES? No N PLUMBING REQUIRED? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES 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. 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 AREA2 MINIMUM SETBACKS FRONT: 50 SIDE: 5 REAR: 5 MAX HEIGHT: Fl - chapphcation 08/01/2013 17:35 Page 1 of 4 yy� CATAWBA COUNTY Public Health Department Environmental Health Division ® PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 sM NAME ON PERMIT: KAYE GALES, 2240 ROBINSON RD, NEWTON NC 28658-9519 Site Address: 2240 ROBINSON RD, NEWTON NC 28658 Property Size: Square Feet Acres 1.01 Directions: x FEENAME Improvement Permit Fee TOTAL FEES Case # RBPR-07-2013-17739 Subdivision LONNIE CLINE PROPERTY PIN# 371114446548 DATE FEE AMOUNT 07/26/2013 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I-_9 - chapplication 08/01/2013 17:35 Page 2 of 184 THIS IS NOT A PERMIT Case # RBPR-07-2013-17739 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Accessory Structure IMPROVEMENT IM A Owner KAYE GALES, 2240 ROBINSON RD, NEWTON NC 28658-9519 C:828-308-1745 NAME TO APPEAR ON PERMIT Kaye Gales SITE ADDRESS: 2240 ROBINSON RD, NEWTON NC 28658 PIN # 371114446548 NAME of SUBDIVISION: LONNIE CLINE PROPERTY Lot 420-26 BLK A Section/Block PROPERTY SIZE: Square Fect Acres 1.01 DIRECTIONS: x PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 12 x 32 Storage Building 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: STRUCTURE TYPE: FACILITY TYPE: Accessory Structure DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 55 x 50 NUMBER OF EXISTING BEDROOMS: 2 NEW STRUCTURE DIM:: 12 x 32 BASEMENT? No New Structure ACCESSORY STRUCTURE OTHER DESCRIPTION: # OF OCCUPANTS PROPOSED CONSTRUCTION BASEMENT FIXTURES? No 2 PLUMBING REQUIRED? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES 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. 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 a d labeling of all property lines and corners and making the site accessible s that a complete site evaluation can be performed. Date: ,,G,?�j �f1/ Signature of Applicant or Agent _��� (Ati Environmental health Specialist will contact you within _ working days o9application date. If you need further information or assistance please call 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 50 SIDE: 5 REAR: 5 MAX HEIGHT: L9 — I,aPi;I:..an,n 07126(2013 10:55 Page t of 4 CATAWBA COUNTY C , z Public Health Department Q �oo Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 su NAME ON PERMIT: KAYE GALES, 2240 ROBINSON RD, NEWTON NC 28658-9519 Site Address: 2240 ROBINSON RD, NEWTON NC 28658 Property Size: Square Feet Acres 1.01 Directions: x FEENAME Improvement Permit Fee TOTAL FEES Case# RBPR-07-2013-17739 Subdivision LONNIE CLINE PROPERTY PIN# 371114446548 DATE FEE AMOUNT 07/26/2013 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) LTJ - chapplicati"m 07/26/2013 16:59 Page 2 of'4 (% 4 nTHiS IS NOT A PERMIT CATA�IIBA CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I 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_,V 1-102Z�jnzfGYt Mrd Subdivision Lot # Acres "� Sect ion/BlocVPbase Driving Directions to Property fd,5S 11007 C- 7' - V7 fir , /r . c' Y! A4lam, ' es���r� NAME TO APPEAR ON PERMIT? ❑'Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name �.i r� � // Address2S_c2( Phone Ce I l Phone Owner Contact Information Name Address Phone �'''/Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? [Owner ❑ Applicant ❑ Contractor # of Bedrooms *t Z_ Structure Dimensions # of Occupants G Description of .Existing Structures on Site _ 6i X .1470 n' Basement ©Yes ❑ No Basement Fixtures 0 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 6d No Does the site contain any jurisdictional wetlands? P -Yes ❑ No Does the site contain any existing wastewater systems? ❑ Yes H'No Is any wastewater going to be generated on the site other than domestic sewage? t8'Yes ❑ No Is the site subject to approval by any other public agency? ❑ Yes A2,90 Are there any easements or right of ways on this property? Describe , Existing water suPP!y in use Individual Well Community Well Semi -Public Well ❑ County/Cityf 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 0 Alternative 0 Conventional 0 Innovative 0 Other Er --A n CATA�A THIS IIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT N- . Application for Environmental Services Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *t Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No ❑ AccessoryStructure(s) Describe�t✓lr���a(" # of New Bedrooms *f if applicable Structure Dimensions i_.1 11.3 �-- # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes [:]No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*T Total # Bedrooms *+ 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/A band on men t/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. f 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 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. Signature of Owner or Agent Date Printed Name of Owner or Agent _� , .�r Catawba County, North Carolina This map product %%-as prepared from the C:ata%%ba County, NC, Cieospauai Int6nnation System. Catawba County has made substantial eflurts to ensure the accuraeN (if location mid labeling infortnation conwined on this map, Catawba Count promotes and recommends the independent verification of any data contained on this trap product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall nut 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 uny person or entity. i Selected Parcel Number: 3711-14-44-6548 1 inch = 50 feet Prepared for: 5794 O 6475 TR 2 0 O O 217.80 THIS IS NOTA LEGAL DOCUMENT 1.87A 7367 TR 1 Date: 7/26/2013 Time: 10:27:14AM N i O' C3't CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3711-14-44-6548 Name: GALES KENNETH LARRY Name2: GALES KAYE H Address: 2240 ROBINSON RD Address2: City: NEWTON State: NC Zip: 28658-9519 Account: Calc Acreage: 1.01 Tax Map: 169H 02003 LRK: 57846 Deed Book: 2498 Deed Page: 0682 Subdivision Name: LONNIE CLINE PROPERTY Subdivision Block: Lots: 20-26 BLK A Plat Book: 6 Plat Page: 86 Building Number: 2240 Street Name: ROBINSON RD Site Zip: 28658 Township: HICKORY Fire Dist: HICKORY RURAL City/ Tax: State Road: 1146 Total Bldgs Value: $86,300 Land Value: $16,500 Total Value: $102,800 Year Built: 1942 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 87 Watershed: Watershed Split: NO Voter Precinct: P35 E911 District: HICKORY Zoning: R-1 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: HICKORY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BLACKBURN Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011102 Census Block 2010: 3008 Small Area Plan: Agricultural District: Printed: Friday, July 26, 2013 10:45 AM