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THIS IS NOT A PERMIT Case # RBPR-12-2014-20500
G CATAWBA COUNTY HEALTH DEPARTMENT EIP o ".g0
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PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �•
/842 sm Residential Butene Plan Review - Building New o 1.a
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IMPROVEMENT AUTH_CONST 0 o ,
Contractor *HIGGINS BUILDING GROUP, INC. (BENJAMIN HIGGINS), 446 9TH ST SE, HICKORY NC 2860
B:828-994-2100 C:828-217-6682 (BEN)F:(828)855-3304 BEN@HIGGINSBUILDINGGROUP.COM
Owner RODERICK HARGROVE,4131 1ST STREET PL NW, HICKORY NC 28601
H:8288552799 HOME:8288552799 OTHER:828-322-2160
NAME TO APPEAR ON PERMIT
RODERICK HARGROVE
SITE ADDRESS: 1550 46TH AV NE, HICKORY NC 28601 PIN # 371520812982
NAME of SUBDIVISION: Lot# 3& PT 4 Section/Block
PROPERTY SIZE: Square Feet Acres 3.84
DIRECTIONS: go north on McDonald Prkway, turn right onto 16th St PL NE, turn left onto 46th AV NE lot will be on your left.
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY• •is WATER SUPPLY: Public Water
DESCRIBE WOR Revised 7/25/16 - Requiring a new IP due to the increase in house size from the original IP issued in June •
2014. ,--
New single family dwelling 166x96 w/ 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: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 5
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 166x96
#OF NEW BEDROOMS:: 5
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
I:)-ehapplication 07/25/2016 10:15 Page I oro
s5A CATAWBA COUNTY Case a RBPR-12-2014-20500
•
f ,� Public Health Department Subdivision
< y Lnvironmental Health Division PINK
II QVY 371520812982
PO Box 389. I00-A Southwest Blvd.Newton,NC 28658
NAME ON PERMIT: ( RODERICK HARGROVE),4131 1ST STREET PL NW, HICKORY NC 28601
( RODERICK HARGROVE)
Site Address: 1550 46TH AV NE, HICKORY NC 28601
Property Size: Square Feet Acres 3.84
Directions: go north on McDonald Prkway, turn right onto 16th St PL NE, turn left onto 46th AV NE lot will be on your 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 identificati n and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed.
Date: I I11f , 1� Signature of Applicant
contact
yAgent �� Cat n
/ 4n nvironmental Health Specialist will contact you wit m 5 wm� 'rig s o appli date.
If you need further information or assistance please call 828-466-7291
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f� 1F,iFENAME , `IP'I,¢" )pR-i"•—^-7 I9. n .it , - iyIfP
_DATE "'I'Lr FEEAMOUNT]q
Authorization to Construct Fee (New/Expansion) 12/05/2014 $300.00
Fee
Improvement Permit Fee 07/25/2016 $150.00
t II 11, '.'iTOTAI FEES lI''' ;i l li'NI I , 'll�, r
{ b ul Vlllllll:,tl1 , , $4so 00
Ili, ' • .
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)
E9-chapplication 07/25/2016 10:15 Page 2 of 4
6A CATAWBA COUNTY
�' �.{�! $ rz. IOOA SOUTHWEST BLVD
2 �'t ' Y 40. a NEWTON, NORTH CAROLINA 28658 INVOICE/RECEIPT
d s. °�saPe PHONE: 828.465.8399
"U Iroir� Monday, July 25, 2016
X847, ski www.catawbacountync.gov
Invoice Number: 07-16-330845 Invoice Date: 07/25/2016
RBPR-12-2014-20500
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 1550 46TH AV NE, HICKORY NC 28601
Owner RODERICK HARGROVE,4131 IST STREET PL NW, HICKORY NC 28601
H:8288552799
Contractor *HIGGINS BUILDING GROUP, INC., 446 9TH ST SE, HICKORY NC 28602-
6:828-994-2100C:828-217-6682(BEN)F:(828)855-3304 BEN@HIGGINSBUILDINGGROUP.COM
ACCOUNT: 5000025
PAYOR: `HIGGINS BUILDING GROUP, INC.
FEES
RBPR-12-2014-20500 FEE AMT DUE AMT
Improvement Permit Fee 07/25/2016 $150.00 $150.00
FEES: S150.00 $150.00
TOTAL FEES: $150.00 S150.00
invoicereceipl 07/25/2016 10:14 Page 1 of 1