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HomeMy WebLinkAboutRBPR-07-2014-19580.TIF1$4ti sm Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2014-19580 CATAWBA COUNTY HEALTH DEPARTMENT ,hyo PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES r ti• i Residential B Plan Review -Building New. IMPROVEMENT RUTH CONST -°J 11W0�O 17 D I)i IJ�I� iJ� QQ'ifi * FISHER CONSTR CO., CARROL (DANNY FISHER), 614 N MAIN ST, SALISBURY NC 28144 13:7046336124 C:704361494917:7046337898 DANNY@CARROLFISHER.COM CARROL FISHER CONSTRUCTION COMPANY, 614 N MAIN ST, SALISBURY NC 28144 NAME TO APPEAR ON PERMIT CARROL FISHER CONSTRUCTION COMPANY SITE ADDRESS: 7369 BAY COVE CT, DENVER NC 28037 PIN # 460603331753 NAME of SUBDIVISION: PEBBLE BAY PH 5 Lot # 242 Section/Block PROPERTY SIZE: Square Feet DIRECTIONS: 16S Acres 1.03 PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Community Well DESCRIBE WORK: 2 story dwelling w/ attached 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 vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: NEW STRUCTURE DIM:: 64 x 65 # OF NEW BEDROOMS:: 4 BASEMENT? No New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: PROPOSED CONSTRUCTION BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: YES INNOVATIVE: Other described: 25% reduction PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: I:`) - ellapplication 07/31/2014 13:12 Page 1 of 4 A c CATAWBA COUNTY Case # RBPR-07-2014-19580 Public Health Department Subdivision PEBBLE BAY PH 5 d �� Environmental Health Division PIN# 460603331753 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 1842 SM NAME ON PERMIT: CARROL FISHER CONSTRUCTION COMPANY (), 614 N MAIN ST, SALISBURY NC 28144 CARROL FISHER CONSTRUCTION COMPANY ( ) Site Address: 7369 BAY COVE CT, DENVER NC 28037 Property Size: Square Feet Acres 1.03 Directions: 16S 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 r derstand that I am(sjWaly responsible for the proper identification an labeli g f II property lines and corners and making the sit o that a pe i nan a cperformed. Date: %�s� �� l 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 AREA1 MINIMUM SETBACKS FRONT: 20 SIDE: 9 REAR: 18 MAX HEIGHT: FEENAME ,DATE,_ FEE AMOUNT Authorization to Construct Fee (New/Expansion 07/23/2014 $300.00 Fee Improvement Permit Fee 07/31/2014 $150.00 I _.~TOTAL FEES $450.00 s _ FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORD ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F_9 - ehapplication 07/31/2014 13:12 Page 2 of 4 m I" = 20'-0" PEBBLE BAY El 0 s C) MAR 6 7014 $cele. l• • 70'.0• L-1 THIS IS NOT A PERMIT Case # RBPR-07-2014-19580 ti• CATAWBA COUNTY HEALTH DEPARTMENT 0 �Li� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES rF Residential Building Plan Review - Building New L • • T AUTH CONST Contractor * FISHER CONSTR CO., CARROL (DANNY FISHER), 614 N MAIN ST, SALISBURY NC 28144 13:7046336124 C:7043614949F:7046337898 DANNY@CARROLFISHER.COM Owner CARROL FISHER CONSTRUCTION COMPANY, 614 N MAIN ST, SALISBURY NC 28144 NAME TO APPEAR ON PERMIT CARROL FISHER CONSTRUCTION COMPANY SITE ADDRESS: 7369 BAY COVE CT, DENVER NC 28037 PIN # 460603331753 NAME of SUBDIVISION: PEBBLE BAY PH 5 Lot # 242 SectionBlock PROPERTY SIZE: Square Feet Acres 1.03 DIRECTIONS: 16S PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Community Well DESCRIBE WORK: 2 story dwelling w/ attached 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: 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: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 64 x 65 # OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: YES INNOVATIVE: Other described: 25% reduction PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: E9 - chapplication 07/23/2014 12:51 Page 1 of 4 SBA CATAWBA COUNTY Case # RBPR-07-2014-19580 �e Public Health Department Subdivision PEBBLE BAY PH 5 d Environmental Health Division PIN# 460603331753 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 1842 NAME ON PERMIT: CARROL FISHER CONSTRUCTION COMPANY(), 614 N MAIN ST, SALISBURY NC 28144 CARROL FISHER CONSTRUCTION COMPANY ( ) Site Address: 7369 BAY COVE CT, DENVER NC 28037 Property Size: Square Feet Acres 1.03 Directions: 16S 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 re asib.` for the proper identification and labeling of 1 prq erty lines and corners and making the site accessible so -that a comp to si a aluatio-n.P/rmed. Date: % �� Signature of Applicant or Agent I�1 An Environmental Health Specialist will contact you within 2 wor mg ays of pp kation ate. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 20 SIDE: 9 REAR: 18 MAX HEIGHT: FEENAME -DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/23/2014 $300.00 Fee :......TOTAL FEES $300.00...... FEES ARE NON-REFUNDABLE ONCE A STI'E VISI' IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - chapplication 07/23/2014 12:51 Page 2 of A THIS IS NOT A PERMIT a CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 1842 w 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 —7�6q ��t L° CW<'it" Subdivision Pccv Lot # 2.4 2 Acres 11.0-3 �A Section/Block/PhaseDriving Directions to Propertyc�,Q0 0f\ dA—\ V t%_kj%4 W _ CL AA li antOContac IRfoOrmaEoRM IT . O ❑ PP �� for .....,..., ...........,...,... _, PP O I Name W I Address 1 I 1 SGI�i S�l� V' .� 9\ lk4 00 J_. I Phone`���—( 3�—�j�Zl%Y I Celle one —7(x_4—C2©(Z—���(7 jOwner Contact Information Name Address Q ( Phone I Cell Phone Contractor Contact Information Q I Name Address�vv�.� = I Phone I Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site Q # of Bedrooms *t A Structure Dimensions # of Occupants Basement ❑ Yes �No Basement Fixtures ❑ Yes []�1 Ido Planned Future Additions or Improvements(Building Permit NOT requested at this _._ ....,_® time) cc Describe 0 Proposed Future Structure Dimensions # of Bedrooms *t if applicable Are there easements or right-of-ways recorded on this property ❑ Yes o Describe Is a icwater supply PP Y 11 available on or ad' �`acent to the_above property ** ❑ Yes ..❑,No___..._..,. ,.........,..,..._. , Check type available ❑ Community Well Semi-Public Well ❑ County/City/Township Water Line Existing watersupplyin use El Individual Well Commune Well Sem J _. 'ty ❑ .., .. Semi-Public Well ❑ County/City/Township Water Line�� UlfwOULD LIKE TO SCHEDULE A COMBINED FLAGGING.' ... .,..... AND SOIL EVALUATION'.'... ... `.. ' (SEE COMBINED EVALUATION PROCEDUES) A THIS IS NOT A PERMIT CATAWBA COUNT' HEALTH DEPARTMENT 1a W Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence Q"New Residence ❑ Addition to Residence # of New Bedrooms *� Project Description Structure Dimensions # of Occupants �4 Basement ❑ Yes Eg Basement Fixtures ❑ Yes 0 -?<01*' ❑ 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*j Total # Bedrooms *j 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/Abandonment/Re- pair 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. tlf structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. Note: You must obtain Zoning approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non -expiring under certain specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authoriza on to Construct issued by this department is valid for (5) five years from the date issued and is no . nsfer le , Signature of Owner or Agent Printed Name of Owner or Agent ` t v1� 0 ` % , ��' 6 �&tw— Date `7 �3 0 aW 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 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: 4606-03-33-1753 = '1 inch = 50 feet Prepared for: .7370 ®� • 7373 J � f 7369 -Q 2891 7365 •� ,w /0'3A 243-. .® 1753 1, AIN 11 -�• 61 a 242 jj� r � •` A01 -- r THIS IS NOTA LEGAL DOCUMENT Dat aved: 6/11/2014.- Time: 12:25:32 PM t CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4606-03-33-1753 Name: `CARROL FISHER CONSTRUCTION COMPANY Name2: Address: 614 N MAIN ST Address2: City: SALISBURY State: NC Zip: 28144-3674 Account: Calc Acreage: 1.03 Tax Map: LRK: 803093 Deed Book: 3236 Deed Page: 1007 Subdivision Name: PEBBLE BAY PH 5 Subdivision Block: Lots: 242 Plat Book: 65 Plat Page: 145 Building Number: 7369 Street Name: BAY COVE CT Site Zip: 28037 Township: MOUNTAIN CREEK Fire Dist: SHERRILLS FORD City/Tax: State Road: Total Bldgs Value: Land Value: $49,700 Total Value: $49,700 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 131 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 Zoning District: COUNTY Split Zoning Dist: N ,3ad Split Zoning Dist(1): 0 ed Split Zoning Dist(2):0 School District: COUNTY Elementary School: SHERRILLS FORD l I L4 Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011504 Census Block 2010: 4017 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Wednesday, July 23, 2014 12:25 PM —� CATAWBA COUNTY /.. F Puislic Health Department' I; -Gna-iromnertta] Health Division '` vi► 'y, PO Box 389, 100-A Southwest Blvd, Newton, NC 2865r 18281465-8270 FAX (82R) 465-8276 TDD (828) 465-8200 Applicant/Owner PEBBLE BAY OF CATAWBA LLC Site Address: ROAD B (PEBBLE BAY PH 5) DENVER NC Property Size: SF 1.02 ACRES Directions: CATAWBA-BURRIS RD/ RT BANKHEAD/ RT SALLY BROOK Improvement Permit Permit Valid For: Five years --X_ No Expiration Facility (Residential): House Case # WLS2006-01521 Subdivision PEBBLE BAY PHASE 5 Sect/BL/PbfLot # 149 PN# 911460601L64071-242 po-<'V� 15 & House Y ?Mobile Horne Multi -Family Bedrooms _4 New? C Addition? Projected Daily Flow y�fo g.p.d Water Supply Private Well? Public?x Semi -Public? ` Basement: N Basement Plumbing: N HotTub/SSppa:-/N Special Fixtures (.explain): Proposed Wastewater System: p�1hu0 �x✓ � �S�'v�/C�� Type: 3,3/61 Proposed Repair: YG1/ /I t,.2S 9n�e // f /,rA l Permit Conditions: Owner or Legal Representativ Signature; -n z / .� . �= Date: Authorized State Agent: ��G�'-/5y��—/U Date: The issuance of this permit by the Health Department does not guarantee the issuance of other permits. Tt is the responsibility of the applicant/property owner to insure that all Catawba County Platmin,2/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes, or it'site conditions are altered. The Improvement Permit is not affected by a change in o«-nership of the property. This permit was issued in compliance with the provisions of the North Carolina '1�aws and Rules for Sewage Treatbnent and Disposal Svstems' (I 5A NCAC ISA .1900). \either Catawba County nor the En-dronmental Health Specialist warrants that the septic tank system «ill continue to function satisfactorily for any given period or time. Authorization to Construct Wastewater Svstem (Required for Building Permit) See site plan and additional atiac•hnents i ) Proposed Wastewater System: Type: Wastewater Flow q.p.d New Repair Expansion Soil LTAR: g.p.d./ft2 Type of Facility: Basement: - N Basement Plumbing: N HotTub/Spa: N Special Fixtures (explain): Wastewater Svstem Requirements Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal Drainfield: Total Area: sq ft Total Length: ft Maximum Trench Depth in Trench Width ft Minimum Soil Cover Minimum Trench Seperation ft Distribution: Distribution Box Ser6nDistribution Pressure Manifold LPP Other Additional Specifications: Authorized State Agent: Date: Permit Expiration Date' I have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: Date: Form B ,ATidc ,k\Fon 1J1QS.n -i dATAWBA COLTNTY Health Departutene Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 (828,1465-8270 FAX (928) 465-8276 TDD (828)466-M0 Applicant/Owner PEBBLE BAY OF CATAWBA Site Address: ROAD B (PEBBLE BAY PH 5) DENVER NC Property S SE 11.02 ACRES Directions: CATAWBA-BURRIS RD/ RT BANKHEAD/ RT SALLY BROOK ® Improvement Permit ® Authorization To Construct SITE PLAN Case # WLS2006-01521 Subdivision PEBBLE BAY PHASE 5 SectBL/Ph/Lot it `242 PIN# 911460601164071-242 IM Well Permit lo %V1 VA #d&n /w _ 512e Sys/{ - Arl'e 3d° Scale System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that roper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site pi site conditions are altered. Authi&hed State Ag Date Form C r:\Ti dnna rk\Fonn rid'LCa��.rur