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Home My WebLink AboutHOSPICE BLUE SHEET.TIFCounty of Catawba and Municipalities Commercial/Multi- Family Check List for Certificate of OO�cupancy /Compliance Applicant Name _} 2 OUagL C k lfl�"_ND�IT OFGV Phone # �ri° 2J4; Name of Establishment SANG Type of Use: TIQ►�>;[ Permit Numbers: PU Zxlg�- 004 137 Owner(s) Name: yA Project Address: Nr3irJnO I C,�U .IJL PIN Jurisdiction: _C jl d ea j1 Max Occupancy Load (where app/ Type of Request: [ ) Plan Submittal [ ] Safety Inspection Occupancy Change [ ] is sill In &Q Th applicant has spoken with our office. The requested Use and Occupancy is permit n he� , nirT rst t identified. [ vrCatawba County- - L [ j Claremont- [ ] Conov Hi, kgry [ ] Longview- ( ] Maiden- ( ] Newton- ] Tr], n'Eff — _ Please check the following that applies:''�a. [ ] Existing Building: Includes interior renovations a d SafB i 4 "L IICensing, changes in occupancy classification or by request per municipality. See steps 1, & �'++ [gNew Building or Addition see Steps 1, 3, & 6. Step 1: Final Inspection Local Fire Department: This structure has been inspected and found t o iance all applicable Fire Codes and is approved for submittal to the local Zoning authority ha ju 4 nce of a Certificate of Occupancy. Step 2: Safety Permits: [4 B ilding Se r is e�q rq [ ] Building Services Required If Building Services is required submit,�Pt Ti krba County Permit Center for issuance of a safety inspection permit. Upon completion of the sa r e nt will be advised by the Code Enforcement Officials whether additional permits, plans or ins o r whether the intended use meets the locallstate codes and ordinances. Step 3: Final Inspection t b wldrtl�Se r es Division: [v]"Applicable [ ] Not Applicable This structuLee has beeMin c d f - to be in compliance with all applicable Building Codes and is approved for submittal,t_ a Ioc�Jg1 g a hen pa fooun'c ng jurisdiction for the issuance of a Certificate of Occupancy. Step 4: Final lit" - ion/` qu"fi - environmental Health: [ ] Applicable [ ] Not Applicable i ms struc 4as b Insp�i� and found to be in compliance with all applicable Health Codes and is approved for submrttal1 Kohl, al Zo iqq authority – ving jurisdictionTor - the issuance of a Certificate of Occupancy: - Step.5 t . ,sr� %, t4storm Water Management: [ ] Applicable [ ] Not Applicable This srte,has n ected and found to be in compliance with applicable erosionisediment control requirements and/or storm waie k -man jement requirements and is approved for submittal to the local Zoning authority having jurisdiction for the issuance ofra Certificate of Occupancy. `This does not negate or approve any requirements imposed by the North Carolina Department of Environment and Natural Resources. (NCDENR) Step 6: Planning /Zoning Verification: Return this form to the Local Zoning Authority having jurisdiction for issuance of a permanent or temporary Certificate of Occupancy /Zoning Compliance. All departments noted as "Applicable" require approval signature o t he back of this form `The Certificate of Compliance shall not be construed to grant authority to occupy the premises. The Certificate of Occupancy (CO) orthe authority to occupy the premises must be granted by the Local Zoning Authority having jurisdiction. (General Statutes 153A -340 and 160A -381). Revised 11/28/07 Effective 01/01/05 County of Catawba and Municipalities Commercial /Multi- Family Certificate of Occupancy /Compliance Catawba County Zoning , Ph. 828 -465 -8380 Fax 828- 465 -8484 Catawba County Fire Ph. 828 - 465 -8230 Fax 828- 464 -4820 City of Hickory DAC Ph. 828- 323 -7556 Fax 828 - 323 -7474 City of Hickory Fire Ph. 828 - 322 -7522 Fax 828- 323 -7476 Permit Centers Ph. 828- 465 -8399 Fax 828 - 465 -8962 Newton Fax 828- 322 -6814 Hickory Environmental Health Ph. 828- 465 -8270 Fax 828 -465 -8276 City of Newton Fire Ph. 828- 695 -4284 Fax 828- 465 -7453 City of Newton Zoning Ph. B28- 465 -7400 Fax 828- 465 -7412 City of Conover Fire Ph. 828 -464 -1295 Fax 828 -464 -1253 City of Conover Zoning Ph. 828 - 464 -1191 Fax 828 - 465 -5177 City of Clare i t Zonis Ph, 828 -459 - Fax 828- 459 -05 "a Tow of Lony i4 2GnPig, Ph. 828428 -507 Fax 828 - 428 * <. Town of Catavvbv,,on ng Ph. 828 - 241 -2215 Fax 828- 241 -9968 Building Services Plan Review Ph. 828 - 466 -5130 Fax 828 - 322 -6814 Catawba County Storm Water Engineer Ph, 828 -465 -8161 Fax 828 - 465 -8392 Revised 11128/07 Effective 0 1i01 105 Step 1: Final Inspection Local Fire De;ature t` „a [ t]Permanent Certificate of Compliance * [ ]Partial (] Temporary Certificate of Cnce *(aoteareas) � Signature, Date Step 3: Final Inspection County Building Services s''io +: Ilk- [ ]Permanent Certificate of Compliant "�-- `& - *” " Signat Date [ ]Partial (L14emporary Certifica4b Comp rote I a Date Step 4: Count Envlr the [oennanent Cerd 1 4 ce ignature/ Stamp Date Step 5; 70 on tg ater Management: [ ] H kq(y hi n�eeri� IS r 1tVater Compliance* Signature Date of Compliance* Signature Date Certificate of Compliance *(noteareas) k LAP,- Signature Date Step 6: PlanninglZoning Verification: [ ] Hickory Code Enforcement Compliance* Signature [ ]Permanent Certificate of Occupancy/Zoning Compliance* Date Signature Date [ ]Partial (or) [,"Temporary Certificate of Occupancy *(note areas) �Do:� :Tel Signature D ate "The Certificate of Compliance shall not be construed to grant authority to occupy the premises. The Certificate of Occupancy (CO) orthe authority to occupy the premises must be granted by the Local Zoning Authority having jurisdiction. (General Statutes 153A -340 and 160A -361).