HomeMy WebLinkAboutELE2005-01419 (2).tif Newton PC Office 828- 465 -8399 Commercial Plan Review Application Newton PC Fax 828- 465 -8962
Hickory PC Office 828 - 465 -8399 Hickory PC Fax 828 - 322 -6814
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Effective July 1 2004 all submittals /re- submittals of commercial plans must be accompanied by a $10.00 plan processing fee
Z d Name of Project: N� $ +��t� I Project Cost: O,/ Do
�- Address of Project: 63t �Wq TO - W HtL ��'l PIN # 3'1Da -D4 3a
*The plan review section is charged with contacting the business owner, designer, contractor and contact person during the review
process in order to keep everyone updated on progress. The contact information below is vital for this function. Please include
current information, if person listed does not wish to be contacted, put in NO CONTACT beside their name and it will be the
responsibility of the applicant to notify the parties identified below. o j q
�� ���' Owner of Business: �m6 � "' � N Ph. U u2S 3 ZS3 b fax.
Q`' i r '�I� a v t✓ iu N l.L� Email:
Address:
Designer Name: G k v Ph. Fax.
Address: Email:
General Contractor: Ph. Fax.
Address: Email:
Contact Person: ''--A 'Lt � PhA Fax. U `'` 2 - '7 J
Address: Email:
Please Check the Zoning and Planning Jurisdiction that your Project is in:
[ ] OClaremont *4 Full Sets with Site Plans [ ] OLongview *4 Full Sets with Site Plans
[ ] OConover *3 Full Sets with Site Plans [ ] OMaiden *4 Full Sets with Site Plans
[
]--County *5 Full Sets with Site Plans [ ] ONewton *3 Full Sets with Site Plans
=Hickory *7 Full Sets with Site Plans [ ] OTown of Catawba *4 Full Sets with Site Plans
*Number of sets of complete plans submitted to the Permit Center.
OThese Zoning Departments require plans be submitted to their offices in ad6ition to listed above.
=A Zoning Application and Grading application( if City of Hickory) must be submitted with plans.
j *If review is required by Environmental Health, increase sets by one (1).
I *Plans may be submitted at the Newton or Hickory Permit Centers.
Please Check Fire Bureau that your Project is in:
(Hickory (] Conover [ ] Newton [ ] County (includes Claremont, Maiden, Longview, and Town of Catawba)
Does the Project have a Fire Alarm System: DQ Yes [ ] No
Does the Project have a Sprinkler / Standpipe System: [\aYes [ ] No
*Sprinkler Plan Submission to the County, Hickory, Conover or Newton Fire Bureaus' is the responsibility of the customer and must
h be forwarded to the Permit Center when completed and approved.
Will this Project require Environmental Health Review: NI"Yes [ ] No
*If yes, submit one set of plans to Environmental Health with appropriate fee (see reverse).
Type of Sewage Disposal: Is Public Sewage available on or adjacent to this project? (4Yes [ ] No
*If No, a Septic permit must be applied for prior to project review approval, if not already approved.
Type of Water Service: Is Public Water available on or adjacent to this project? Nl Yes [ ] No
*If No, a Well Permit must be applied for prior to project review approval, if not already approved.
Is this Project being submitted for Phase Construction: [ ] Yes [4No
*If yes, please check which phase: [ ] Footing / Foundation [ ] Shell / Hull -in [ ] Up -Fit
Type of Work: [\Addition [ ] Alteration [ ] New Construction [ ] Other
I Type of Use: [ ] Assembly ('.]'Business [ ] Educational (] Factory [ ] Hazardous [ ] Institutional
[ ] Mercantile [ ] Multi- family [ ] Modular Office �7ft ownhouse [ ] Storage [ ] Tower [ ] Utility
J Will Industrial Machinery be operated in this facility: [ ] Yes *If yes, list Owners name and number above*
Will electrical Medical Equipment be operated in this facility: VNo [ ] Yes *if yes, list owners name and number above*
Please list the square footages of this project: Total Heated �r Unheated
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Applicants Name 7 C' Sign
/'C� Date
t Created on 05/19/2004 3:09 PM
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