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Home My WebLink AboutRBPR-07-2014-19537.TIFTHIS IS NOTA PERMIT Case # RBPR-07-2014-19537 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST Applicant AMERICAS HOME PLACE (WAYNE HOOKER), 1206 GREENLAND DR, STATESVILLE NC 2861, C:3367053235F:7048724408 WAYNEHQAMERICASHOMEPLACE.COM Buyer C\E f %Cw DEANNA MARTIN, 8777 N MAPLE, TUSCON AZ 85737 H:5206689903 05203732669 I-IOME:5206689903 Contractor *AMERICA'S HOME PLACE/ STATESVILLE (CHAD HOLLOWAY), 1206 GREENLAND DR, STATESVILLE NC 28677 B:704-872-4400 C:704-746-7094 MOBILE FOR CHADF:704-872-4408 CKHOLLO WAY®AMERICASHOMEPLACE .COM Owner CURT ABEE, 1922 BRIARWOOD DR, HICKORY NC 28602-5497 H:828-228-8838 HOME:828-228-8838 NAME TO APPEAR ON PERMIT DEANNA MARTIN SITE ADDRESS: 5172 OLD SHELBY RD, HICKORY NC 28602 PIN # 266904940572 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Feet Acres 13.38 DIRECTIONS: HWY 10 W, LEFT ON GREEDY HWYM, TURN LEFT ON OLD SHELBY RD, 4.5 MI DOWN ON RIGHT. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY : Private Well DESCRIBE WORK: "IP/AC REDRAW- Property lines have changed since permits were originally issued. 12/11/14 (es)" 45 x 65 new home and 20 x 22 detached garage 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: Single Family Residence DESCRIPTION OF I None EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 45 x 65 & 20 x 22 # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: YES OTHER: INNOVATIVE: Other described: 25% Reduction PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: 1.9-chapplicaoon 12/22/2014 12:02 Page I of CATAWBACOUNTY Case# RBPR-07-2014-19537 ~� Public Health Department Subdivision < Environmental Health Division PIN# 266904940572 PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 NAME ON PERMIT: DEANNA MARTIN Americas Home Place ( Wayne Hooker) Site Address: 5172 OLD SHELBY RD, HICKORY NC 28602 Property Size: Square Feet Acres 13.38 Directions: Exit 128, go rt 7 mi 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 Welt Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 1 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 accessibl so that athat a complete site can be performed. Date: 2 / cW Signature ofApplicant orAgent Z An Environmental Health Specialist will contact you within 2 4orking days of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/17/2014 $150.00 Fee Improvement Permit Fee 07/17/2014 5150.00 Authorization to Construct Fee (New/Expansion) 08/18/2014 $150.00 Fee Improvement Permit Fee 08/18/2014 $150.00 Re -Trip or Redesign Fee 12/11/2014 $70.00 TOTAL FEES $670.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - ehapplicauon 12/11/2014 11:26 Page 2 of 4 6—r (63) ' 2M Catawba County Environmental Health Parcel: 266904940572, 5172 OLD SHELBY RD HICKORY, 28602 1 in=150ft This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of IocaUon and labeling information contained on this map or data on this report. Catawba County promotes and recommends the independent verification of any data contained on this map/reparl 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/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 11/04/2014 PAYOR Americas Home Place CATAWBA COUNTY IOOA SOUTHWEST BLVD NEWTON, NOR'I'H CAROLINA 28658 PHONE: 828.465.8399 Americas Home Place (Hooker, Wayne) PAYMENTS w%vw.catawbacountync. gov TRANSACTION NUMBER: TRC -406168-I1-12-2014 PAYMENT DATE: 12/11/2014 PAYMENT TYPE: Check 020965 VADL-T63333450 DOB -7/18/57 XP -7/18/20 INVOICE NUMBER FEE NAME 12-14-312822 Re -Trip or Redesign Fee TOTAL PAYMENTS : RBPR-07-2014-19537 RECEIPT Thursday, December 11, 2014 FEE AMOUNT $70.00 $70.00 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 5172 OLD SHELBY RD, HICKORY NC 28602 Applicant AMERICAS HOME PLACE, 1206 GREENLAND DR, STATESVILLE NC 28677 C:3367053235F:7048724408 WAYNEhIQAMERICASHOMEPLACE.COM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Buyer DEANNA TUSCON, 5172 OLD SHELBY RD, HICKORY NC 28602 H:5206689903C:5203732669 Owner CURT ABEE, 1922 BRIARWOOD DR, HICKORY NC 28602-5497 H:828-228-8838 Contractor *AMERICA'S HOME PLACE/ STATESVILLE, 1206 GREENLAND DR, STATESVILLE NC 281 B:704-872-440OC:704-746-7094 MOBILE FOR CHADF:704-872-4408 CKHOLI.OWAYQAMERICASHOMEPLACE .COM E9 -receipt 12/112014 11:26 Page 1 of I Applicant THIS IS NOT A PERMIT Case # RBPR-07-2014-19537 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST �& FEI Ja AMERICAS HOME PLACE (WAYNE HOOKER), 1206 GREENLAND DR, STATESVILLE NC 286; C:3367053235F:7048724408 WAYNEH@AMERICASHOMEPLACE .COM Contractor AMERICA'S HOME PLACE/ STATESVILLE (CHAD HOLLOWAY), 1206 GREENLAND DR, STATESVILLE NC 28677 B:704-872-4400 C:704-746-7094 MOBILE FOR CHADF:704-872-4408 CKHOLLOWAY@AMERICASHOMEPLACE .COM Owner CURT ABEE, 1922 BRIARWOOD DR, HICKORY NC 28602-5497 H:828-228-8838 HOME: 828-228-8838 NAME TO APPEAR ON PERMIT Curt Abee SITE ADDRESS: 5172 OLD SHELBY RD, HICKORY NC 28602 PIN # 266904931993 NAME of SUBDIVISION: Lot # 2 Section/Block PROPERTY SIZE: Square Feet Acres 48.13 DIRECTIONS: Exit 128, go rt 7 mi on left PRIMARY CONTACT: Contractor SEWER TYPE GALLONS PER DAY: 360 WATER SUPPLY DESCRIBE WORK: 45 x 65 new home and 20 x 22 detached garage 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: Single Family Residence DESCRIPTION OF None EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 45 x 65 & 20 x 22 # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: YES OTHER: INNOVATIVE: Other described: 25% Reduction Septic Tank Private Well 2 PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: I -Q - chappliralion 07/17/2014 16:41 Page 1 of A CATAWBA COUNTY Case # RBPR-07-2014-19537 LQ GI Public Health Department Subdivision E Q,e Environmental Health Division PIN# 266904931993 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig Z SM NAME ON PERMIT: ( CURT ABEE), 1922 BRIARWOOD DR, HICKORY NC 28602-5497 ( Curt Abee) Site Address: 5172 OLD SHELBY RD, HICKORY NC 28602 Property Size: Square Feet Acres 48.13 Directions: 5172 Old Shelby Rd 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 nd lab ling of all property lines and corners and making the site accessible,so that a complete %js to evaluation can be performed. Date: ��/ % / �i Signature of Applicant or Agent Y�ti— nm n 1 H I h S ecialist will contact ou within 2 wo�da s of application date. An Envlro eta eat p y g y pp If you need further information or assistance please call 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME DATE FEE_ AMOUNT Authorization to Construct Fee (New/Expansion) 07/17/2014 $150.00 Fee Improvement Permit Fee 07/17/2014 $150.00 TOTAL FEES $300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I.O - charplicatuon 07/17/2014 14:23 Page 2 of 4 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 Acontained 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. p �-Q plQ✓� Selected Parcel Number: 2669-04-93-1993 .l inch = 100 feet l��i Prepared for: CrUA -7 THIS IS NUT A LEGAL DOCUMENT — u�>� avea: 11zw-.zlq. �4 Time:— 312:43 PM THIS IS NOT A PERMIT -W _ •cn kTY-ECATAWBA COUNTY HEALTH DEPARTMENT Applic tion for Environmental Services Page 1 Improvement Permit J 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 J�� 72 f,/a� Sil�°�d� /�r� Subdivision Lot # Acres `�p Gni Section/Block/Phase Driving Directions to Propertyyi�— I NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑-Co tnto ractor Applicant Contact Information Name Am exp i ca,, e__ �� c -C—, Address / � ��e P.� l b . ,� /ae � �i ,- / 4,_ //) l �7 �?l 7 7 Cell Phone' 7 Z y Z Owner Contact Information Name QE�rf/��l ,%%�%i�E.4 �µsCOn Address ;F'7 7 -7 °/V /yI,^ -4 Z, 95- 7 .7 .7 Phone ,/`�j ,� 6 99�� .3 I Ce11'Phone ,��0 ,7 7 3 2 / G, Contractor Contact Information Name yy1 Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant []Contractor Description of Existing Structures on Site # of Bedrooms Structure Dimensions _ # of Occupants Basement ❑ Yes 7No Basement Fixtures Q Yes 0'10 TheA icant shall notify the local health .,.department upon submittal of this application if anyy of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. 0 Yes ��o . Does the site contain any jurisdictional wetlands? El Y 0 es 1 �o Does the site contain any existing wastewater systems? 13'Y es ;'No Is any wastewater going to be generated on the site other than domestic sewage? Yes No Is the site subject to approval by any other public agency? ® Yes 0 N Are there any easements or right of ways on this property? Describe Existing water supply in use dividual 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 i�der of your preference) �, ��JL3v/o 13c. �t'esay Accepted lyAtternative U Conventional 11 Innovative 0Other El Any THIS IS NOT A PERNIIT COUNTY � =�--sCATAW�-__ CATAWBA COUNTY HEALTH DEPARTMENT NT Application for Environmental Services Page 2 Nloncn Cmotno Proposed Facility Type ❑ Primary Residence New Residence❑ Addition to Residence # f New Bedrooms *t Project Description J4 ',� - �r i7h I gJi �e hed aSe r,,AodMca: &S� Structure Dimensions # of Occupants 2— Basement ❑ Yes �No Basement Fixtures EJ Yes 0 No ❑ Accessory Stru ct,,,ure(s) ..:..-.._..�Descr. es ®,,..,,..,,.,.....®,,..__. .:....:.W.._,u�.......:..._... _._..,.:....y......:.,.....:.:..��.....o,_.._.::.:_.....�_.,.�..,�.�._..��_.._...,,. e # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑, Multt-Far._ml.:,.y Residence # Units �... :„ �#Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions ❑ Food Service,.Specify Type .... _ ...... -,_._.... ....::._Y.-.....,_ # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business -- �.._ .......�. e 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 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 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 1,1a -91-c ,41� Date -�,1,7/l Printed Name of Owner or Agent Ala -1 inch = 200 feet 1 28 3.57 Prepared for: 1160 (913) _ 7 (295 154 \ 2 4.5' - O\ ` 11 THIS IS NOT ALEGAL DOCUMENT D to av d: 6/1j-12014 Tim : 1:42:32 P 17I'A 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: 2669-04-93-1993 -1 inch = 200 feet 1 28 3.57 Prepared for: 1160 (913) _ 7 (295 154 \ 2 4.5' - O\ ` 11 THIS IS NOT ALEGAL DOCUMENT D to av d: 6/1j-12014 Tim : 1:42:32 P 17I'A CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 2669-04-93-1993 Name: ABEE CURT R Name2: Address: 1922 BRIARWOOD DR Address2: City: HICKORY State: NC Zip: 28602-5497 Account: Calc Acreage: 48.13 Tax Map: 003 B 07003 LRK: 2538 Deed Book: 2915 Deed Page: 1476 Subdivision Name: Subdivision Block: Lots: 2 Plat Book: 60 Plat Page: 154 Building Number: 5172 Street Name: OLD SHELBY RD Site Zip: 28602 Township: BANDYS Fire Dist: COOKSVILLE City/Tax: State Road: 1002 Total Bldgs Value: Land Value: $217,500 Total Value: $217,500 Year Built: Year Remodeled: Last Sale Date: 5/30/2008 Last Sale Amount: $250,000 Neighborhood: 89 Watershed: WS-1II Protected Area Watershed Split: NO Voter Precinct: P2 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP -O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BANOAK Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011802 Census Block 2010: 2009 Small Area Plan: PLATEAU Agricultural District: Proximity Printed: Thursday, July 17, 2014 01:42 PM 3� z 3k() gid PAYOR: Americas Home Place CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 PHONE: 828.465.8399 Americas Home Place (Hooker, Wayne) PAYMENTS www.catawbacountync.gov TRANSACTION NUMBER: TRC -366074-18-08-2014 PAYMENT DATE: 08/18/2014 PAYMENT TYPE: Check 019874 Wayne Hooker VADL T63333450 exp 7/18/20 INVOICE NUMBER FEE NAME 08-14-309744 Authorization to Construct Fee (New/Expansion) Fee 08-14-309744.. ,Improvement Permit Fee TOTAL PAYMENTS: RBPR-07-2014-19537 RECEIPT Monday, August 18, 2014 FEE AMOUNT $150.00 `=$150.001 $300.00 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 5172 OLD SHELBY RD, HICKORY NC 28602 Applicant AMERICAS HOME PLACE, 1206 GREENLAND DR, STATESVILLE NC 28677 C:3367053235F:7048724408 WAYNEH@AMERICASHOMEPLACE .COM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner CURT ABEE, 1922 BRIARWOOD DR, HICKORY NC 28602-5497 H:828-228-8838 Contractor AMERICA'S HOME PLACE/ STATESVILLE, 1206 GREENLAND DR, STATESVILLE NC 286' B:704 -872-4400C:704-746-7094 MOBILE FOR CHADF:704-872-4408 CKHOLLOWAY@AMERICASHOMEPLACE .COM E9 - receipt 08/18/2014 15:10 Page 1 of 1