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Home My WebLink AboutRBPR-07-2014-19547.TIFLAKE NORMAN WATER SURFACE £LEVA TION OF 756.1�� PER DUKE ENERGY ON 2/17/1017 40 IPF31I 110 55pp. 1 760 9},�� gg CONTOUR <52 7 0 ]b].9 760 4 ] .641.2 3s00 ib ;<j�c 71.�..n•nd .38,•E 116.32 EX. I" PIPE 30' BUFFER \50' BUFFER I co la�,e 21.0 T-� 3 �0 INS I I 21.0 T-� n l 20 g• W / m� / UlP 0 1vFlre• S'b c �( RONr �� \ p / / \ 9 / 6 P N 700 00, EK 1/2?0' PIPE 01,12 PIPE C4 IL ' TO EP rn 3702 EX. 3/4" PIPE THIS IS NOT A PERMIT Case # RBPR-07-2014-19547 CATAWBA COUNTY HEALTH DEPARTMENT 01 . 1 n.f PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Modular�� • .� T IMPROVEMENT - AUTH CONST - NEW WELL .R1 Applicant NOEL BERG, 971 MESA VERDE, YUMA CITY CA 95993 H:5306327179 HOME:5306327179 Contractor SYNERGY HOMES, 201 ABSHER PARK RD, STATESVILLE NC 28625 13:7048384031 Owner FRANCIS JOSEPH WILT, 70867 NORTH AV, ARMADA MI 48005 H:586-784-8552 C:856-453-2051 HOME: 586-784-8552 Paid By TERRY PATOKA, , C:7042016532 NAME TO APPEAR ON PERMIT Noel Berg SITE ADDRESS: 4226 CANDLEWOOD DR, SHERRILLS FORD NC 28673 PIN # 461703022001 NAME of SUBDIVISION: Lot # 19 Section/Block PROPERTY SIZE: Square Feet Acres 0.47 DIRECTIONS: 150E/ LEFT SLANTING BRIDGE RD/ LEFT DRENA LN/ LEFT CYPRESS / RIGHT CANDLEWOOD PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: REVISED: 1 story off frame modular W/ unfinished basement with 2 bedrooms ONLY. 9/3/2014 -es 1 story off frame modular W/ unfinished basement 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: Single Family Residence DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 54x30 with 30x10 deck on rear # OF NEW BEDROOMS:: 2 BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED? Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: 25% reduction APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: REPLACE WELL?: NO 1-1"9 - ehapplication 09/03/2014 11:35 Page I of 4 baa CATAWBA COUNTY Case # RBPR-07-2014-19547 Public Health Department Subdivision Q ' Environmental Health Division PIN# 461703022001 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig42 SM NAME ON PERMIT: ( NOEL BERG), 971 MESA VERDE, YUMA CITY CA 95993 ( Noel Berg) Site Address: 4226 CANDLEWOOD DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.47 Directions: 150E/ LEFT SLANTING BRIDGE RD/ LEFT DRENA LN/ LEFT CYPRESS / RIGHT CANDLEWOOD 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 accessib o thh t a complete ite aluation can be performed. Date: �'/ — % Signature of Applicant or Agent _ An Environmental Health Specialist will contact you within 2 worki�ys of applicatic t�date. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/18/2014 $300.00 Fee Improvement Permit Fee 07/18/2014 $150.00 Well Permit & Inspection Fee 07/18/2014 $300.00 TOTAL FEES $750.00 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) 1:9 - ehapplication 09/03/2014 11:35 Page 2 of 4 EX 112' PIPE -- EX • PIPE PR0POSEO WELL / sUF�R / 54� - - - DECK 16.0'1 M N N , M PROPOSED HOUSE 3 33.9' 54.0' °�-r-�---�PROPO 1 1 30' fROWT S£78ACK 1 i i IEX fly' PIPE EX. REBAR N 734257"W 100.00' w CANDLFWOOD DR 60' r' " A 1842 SM Applicant Contractor Owner Paid By THIS IS NOT A PERMIT Case # RBPR-07-2014-19547 CATAWBA COUNTY HEALTH DEPARTMENT M..71elt PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Modular IMPROVEMENT - AUTFI CONST - NEW WELL NOEL BERG, 971 MESA VERDE, YUMA CITY CA 95993 H:5306327179 HOME:5306327179 SYNERGY HOMES, 201 ABSHER PARK RD, STATESVILLE NC 28625 13:7048384031 FRANCIS JOSEPH WILT, 70867 NORTH AV, ARMADA MI 48005 H:586-784-8552 C:856-453-2051 HOME:586-784-8552 TERRY PATOKA, , C:7042016532 D NAME TO APPEAR ON PERMIT Noel Berg SITE ADDRESS: 4226 CANDLEWOOD DR, SHERRILLS FORD NC 28673 PIN # 461703022001 NAME of SUBDIVISION: Lot # 19 Section/Block PROPERTY SIZE: Square Feet Acres 0.47 DIRECTIONS: 150E/ LEFT SLANTING BRIDGE RD/ LEFT DRENA LN/ LEFT CYPRESS / RIGHT CANDLEWOOD PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 1 story off frame modular W/ unfinished basement 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: Single Family Residence DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: NEW STRUCTURE DIM:: 64 X 66 # OF NEW BEDROOMS:: 4 PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED? Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: 25% reduction APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: REPLACE WELL?: NO 1:9- happli,:alion 07/18/2014 16:10 Page I of �apA CATAWBA COUNTY Case # RBPR-07-2014-19547 4Q Public Health Department Subdivision d Environmental Health Division PIN# 461703022001 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 I$ 2 srn NAME ON PERMIT: ( NOEL BERG), 971 MESA VERDE, YUMA CITY CA 95993 ( Noel Berg) Site Address: 4226 CANDLEWOOD DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.47 Directions: 150E/ LEFT SLANTING BRIDGE RD/ LEFT DRENA LN/ LEFT CYPRESS / RIGHT CANDLEWOOD 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 accessi so at a c4site evaluation can be performed. Date: 7.—/ 1, —/ Y Signature of Applicant or Agent L An Environmental Health Specialist will contact you within 2 worZng days of a ication date. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME DATE ','FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/18/2014 $300.00 Fee Improvement Permit Fee 07/18/2014 $150.00 Well Permit & Inspection Fee 07/18/2014 $300.00 TOTAL FEES 5750.00 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) 1-1) - ch,ippliralion 07/18/2014 16:10 Page 2 of 4 AWBA THIS IS NOT A PERMIT It. ry CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I Improvement Permit W Authorization to Construct A Septic Repair F Septic Malfiniction M Septic Expansion F New Well Perrnit911eplacement Well n Well Abandonment El Well Repair r] Existing System Inspection (Pre -Approval Required) El Application is for New Construction ff Existing Facility El Property Address 4226 Candlewood Dr, Subdivision Sherrills Ford, NC 28673 Lot # 19 Acres A9 Section/Block/Phase Driving Direct ions to Property Hwy 150 to slating Bridge Rd. to left on Drone Ln.lo left on Cypress to left on Candleviaod lint on right. NAME TO APPEAR ON PERMIT? [I Owner 0 Applicant n Contractor Applicant Contact Information Name Noel Berg Address 971 Mesa Verde, Yuma City CA, 95993 Phone 530-632-7179 Cell Phone same Owner Contact Information Na me FA 1/�L) < /'hr )7"/7 bi Im )L —I' A d d ress /—j 7'y Phone 5W, I,- '799"�-- �c 55*2- Cell Phone Contractor Contact Information Name synergy Homes AddMS201 Absher Park Rd., Statesville NC 28625 PIl0lle704 -838-4031 Cell Phone WHO WILL BE THE PRDIARY CONTACT? Owner n Applicant F101 Contractor Description of Existing Structures on Site NIA # of Bedrooms *-'I Structure Dimensions N of Occupants Basement n Yes r-1 No Basement rixtitres 0 Yes 0 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 InLlSt attach SUPPOl'ting documentation, 0 Yes 0 No Does the site contain any jurisdictional wetlands? 0 Yes 0 No Does the site contain any existing wastewater systems? 0 Yes ONO Is any wastewater going to be generated on the site other than domestic sr -wage? VY 10'N . es No Is the site subject to approval by any other public agency? 0 Yes 0 No tVethere any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well F1 Cot' 0 niminity Well Ll Seini-Public Well F1 County/City/Township Water Line Is a public water supply available? Yes No If applying for tin Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems call be ranked in order of your preference) 0 Accepted 0 Alternative Conventional 0 innovative "Other c;)S'�D(educk0 Any CATAWBA THIS IS NOT A PER"T COUNT), CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Propose(] Facility Type El Primat-y Residence 9 New Residence [J Addition to Residence ft of New Bedrooms *-I'A Project Description New modular I off frame Structure Dimensions 64x66 ff of Occupants 2 Basement ff Yes n No Basement Fixtures 0 Yes 9 No Accessory Sfructare(s) Describe NIA of New Bedrootins *"f if applicable Structure Dimensions # of Occupants Accessory Dwelling [] Yes n No Plumbing FlYes FJNo Describe Plumbing Needed ❑ Multi -Family Residence # Units, NIA #Bedroorris per Unit*"r Total f/ Bedrooms *'I' Structure Dimensions 0 Food Service Specify Type NIA # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees Per Shift # of Shifts Dining Area (Sq. Ft.) El Business Specific Type Of Business NIA — Retail Floor Space 4 of Employees per Shift 11 of Sliffis El Other Facility Type Specify N[A If Church # of Seats Kitchen E) Yes EJ No If Dayeare Specify Occupancy Application for Well Consti,tictioii/Abindonraeiit/RepillI Proposed Well Type Individual Well n Send -Public Well ❑ Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug ❑ UnImown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Coniniercial 1, Additional information may be required to determine design flow from certain facilities. This value will be determined during considtition 1viti) on-site staff. 'Any room that will be intended for sleeping at file time of construction or far future emsideratioi) should be noted as a bedroom and counted on all applications. The number of bedroonis will be confirmed by rooms identified oil house plans as a bedroom at file time of building permit issuance. This may prevent (lie need for septic system size increase in the Nature. f If structure is plumbed but no bedrooms, calculated design flow is required, '-" If No, n well permit must he issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RE TIUP WILL ViCUR AN ADDITIONAL CHARGE (SEE FE E SCHEDULE) Improvement Permits issued as a result of this infornintioll 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 ftll Permits are transferrable. Permits cony be revoked if the inrornintion 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 coi reel, Authorized county and state officials are granted right of entry to conduct necessity inspections to determine compliance with applicable laws and miles, I iinderstand that Jam 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 perforilied. 0 Signature ol`Owner otAgent pate,/,%t Printed Name of Owner or Agent '3i AE'Ir' 5p' BUFFER / �I I'C6 EX. REBAR EX. 1/2 -PIPE N A 1 inch = 50 feet 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: 4617-03-02-2001 = Prepared for: C (I Eta i t 4236 9Z9 !t e% I Z v THIS IS NOT A LEGAL DOCUMENT Date Save ,:6/11/2014 is �0 ime: 3:36:01 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4617-03-02-2001 Name: WILT FRANCIS JOSEPH Name2: WILT DEBORAH HAWKER Address: 70867 NORTH AVE Address2: City: ARMADA State: MI Zip: 48005-4512 Account: Calc Acreage: 0.47 Tax Map: LRK: 800498 Deed Book: 3037 Deed Page: 0663 Subdivision Name: Subdivision Block: Lots: 19 Plat Book: 39 Plat Page: 33 Building Number: 4226 Street Name: CANDLEWOOD DR Site Zip: 28673 Township: MOUNTAIN CREEK Fire Dist: SHERRILLS FORD City/Tax: State Road: 2666 Total Bldgs Value: Land Value: $108,600 Total Value: $108,600 Year Built: Year Remodeled: Last Sale Date: 2/1/1996 Last Sale Amount: $37,500 Neighborhood: 129 Watershed: WS -IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O,FPM-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011504 Census Block 2010: 5030 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Friday, July 18, 2014 03:36 PM yds Q�D 5 -?d