HomeMy WebLinkAboutCBPR-6-11-11374 PLAN REVIEW - PERMIT APPLS.tif Newton Officq (828) 465-8399 CATAWBA COUNTY P.O. Box 389
Newton Fax (828) 465-8962 APPLICATION FOR BUILDING PERMIT Newton, NC 28658
Hickory Fax (828) 322-6814 www.catawbacountync.go
All submittals1re-submiffals of commercial plans must be accompanied by a $10.00 Dian grocessing fee
Name of Project: Date of Application:
1 �,Q
Address of Project: Parcel ID #:
Phone #: Fax:
A I* ant: 46A-SSkk 1 424 4u
Address of Applicant: Email:
T,0- -beii, SMW4 — S \04FAJ
Owner Phone# Fax�
cy"WIFIN Awa)41,95- 7,
Address of Owner: Email ,
lc3m� 'KIM—SAw
General Contractor: Phone#: Fax:
C--(L __�e_deral ID #:
sification:
License Clas
State License#:
(i.e., 1111, P1, Limited)
Email:
Address of Contractor:
Arch itect/Des! g ner: Phone#: Fax:
Email:
Address of Arch/Designer:
cerise Clas ification.
H 1, P1,
Llmitedl
Phone#: Fax-
Contact Person for Pr ct:
=
Email:
Address of Conta6t
Yes No
Does the Project have a Fire Alarm System? Yes KNo
Does the Project have a Sprinkler I Standpipe System?
*Sprinkler Plan Submission to the County, City of Hickory, Conover or Newton Fire Bureaus' is the responsibility of the
e
customer. Plan Approval must be forwarded to the Permit Center when complet d and approved. ]Yes KNo
Will this Project require Environmental Health Review? *
*If yes, submit one set of plans to Environmental Health with appropriate fee (Page 4 of this application Provides
explanation as to when these are required and the fee amounts.).
Type of Sewage Disposal: Is Public Sewage available on or adjacent to this project? KYes ]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? * " Yes No
*If No, a Well Permit must be applied for prior to project review approval, if not already approved.
Are you disturbing more than 1 acre of soil? * [ I Yes I No
*If yes, 5 sets of erosion control plans and one set of calculations will need to be submitted. A fee of $200 for the first
acre and $150 for each additional acre of disturbed soil will be collected at the time of plan submittal. Additional
applications will be required. Forms are at permit centers, or can be obtained from our website(See above for website
address) — — [ ] Yes KNo
IS this Project being submitted for Phased Construction? *
*If yes, please check which phase? oting Foundation Shell / Hull-in Up-Fit
Continue to Next Page
Updated 04/09/2010
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Newton Office (828) 465 -8399 CATAWBA * 4 COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 APPLICATION FOR BUILDING PERMIT Newton NC 28658
Hicko Fax 828 322 -6814 42=.catawbacoun nc.ciov
TYPE OF WORK
❑New Building ❑ Addition ❑ Alteration ❑ Mixed Add /Alter ❑ Demolition
❑ Accessory Structure
❑ Deck / Porch ❑ Re -Roof ❑ Pier ❑ Repairs ❑ Swimming Pool
❑ Footing /Found ❑ Shell -In ❑ NC Rehab ❑ Up -fit
❑ Retaining Wall
❑ Relocate Dwelling (Prior Address of Dwelling)
STRUCTURE USE/OCCUPANCY (check all that apply)
Occupancy Classification _ I (See Classification list on sheet 5, enter multiple if mixed occupancy)
❑ Condominium ❑ Modular Office ❑ Retaining Walls (Sealed Plans)
❑ Addition ❑ Covered Deck ❑ Modular Dwellin
❑ Single Family (site built)
❑ Agricultural ❑ Deck only ❑ Multi- Residentia
❑ Townhouse
❑ Alteration / Exterior ❑ Mixed Occupancy ❑ Modu r
❑ Alteration / Interior ❑ Hanger, Mixed Use ealed Plans)
Other
TYPE OF CONSTRUCTION Protec d Un construction refers to
(Circle) 1 11 111 IV V Protected pr tef�d whet u d ng is designed with specific fire rated
tion methods.
PROJECT DATA ��
Total Sq Ft Heated Sq Ft Unheated Ft (basement, garage, covered porches, etc)
Garage Sq Ft Bonus Rm Sq Ft (finished /unfinished) Basement Sq Ft (finished /unfinished)
1St Floor Sq Ft 2 nd Floor Sq Ft Exterior Finish Material
Total # Rms # of Units # of Stories # Full Bathrooms
# Half Bathrooms (Toilet & Sink only) # Bedrooms Building Height
Fireplace openings (masonry, prefab /gas, prefab /wood) Type of Heat
Type of Foundation
SUBCONTRACTORS NEEDED FOR PROJECT ❑ Electrical ❑ Plumbing ❑ Heating/ A/C ❑ NONE
POWER/UTILITY COMPANY Servicing the Location: Type of Gas Service (Nat. or Propane)
Is a Temporary Saw Pole Needed for this project? ❑ Yes ❑ No
Will there be more than one electrical Meter for this building? ❑ Yes ❑ No (If Yes, provide Number of Meters )
I hereby certify that all information in this application is correct and all work will comply with the State Building Codes and all other
applicable State and local laws and ordinances and regulations. I understand that a Certificate of Occupancy is required prior to
occupying the premises and the Building Service Depe ent wil be notified of any changes in the approved plans and specifications for
the project permitted herein.
(or Plan Review) ner / Agent Signature Date
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Est. Project cost (For Permit) Contractor /Agent Signature Date
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2 Updated 04/09/2010
• (828) 465 -8399 Office Number
Catawba Coun tF ❑CAL ❑WITH ISSUED PERMIT #
(828) 465 -8962 Newton Fax Number Application for Pe mit TO A NUMB ( a
(828) 322 -6814 Hickory Fax Number www.catawbacountync.gov �' r
P.O Box 389 Newton, NC 28658
(Please print or type) zo
Type of Permit ® ElectAcal ❑ Plumbing ❑ Mechanical ❑ Fire Date 16 June 2 011
Active Building / Mobile Home Permit # Property ID # (if known) 3 6 2 9 115 5 5 211 g6,AAAA V
* If no active Building or Mobile Home permit please list driving directions from a major intersection:
Use of structure: ❑ Mobile Home ❑ Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned N Gov't Owned ❑ Accessory
Physical 911 Address of Project 4119 Startown Rd. Newton, NC 28658
OwnerorBusiness Catawba Co. Board of Education Telephone (828) 464 -3562
Address P.O. Box 1010 Newton, NC 28658
Subcontractor Owner Telephone (8 2 8) 464-3562
Address P.O. Box 1010 Newton, NC 28658 License#
General Contractor NA Telephone
Design Professional NA Telephone
Address NC Reg #
Power /Utilfil Company Servicing the Location: Duke Energy Type of Gas Service (Nat orPmpane) NA
Describe work to be done under this Permit Installation of a keyed 600 amp breaker for
external emergency genera connnection.
ELECTRICAL (List each panel separately) Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Building Wiring ❑ Pole Service ❑ Wire Mechanical unit only (No Svc Chg) Total#
❑ Additional Service (existing bldg) ❑ Service Chg. Amps ❑ Interior Wiring (No Service Change)
❑ Addition of Sub Panel ❑ Load Control ❑ RV Service
❑ Saw Service ❑ Mobile Home N Other (List) External Power Connection
❑ Sign Service ❑ Modular Home Total Electrical Cost $ 2 0 , 0 0 0
❑ Service Repair ❑ Swimming Pool (Size _x_) (Work you will perform) _Bonding _Associated Wiring
PLUMBING (Include all future rooms that may be roughed in)
❑ Full Bathrooms Total # installed
❑ Half Bathrooms (Toilet & Sink only) Total # installed ❑ Gas Line /Pressure Test only
❑ Mobile home (new set -up only) ❑ Modular Home
❑ Water Heater (Electric, Gas) ❑ Other (List)
MECHANICAL (Check One) ❑ New Installation ❑ Change out existing system
❑ Heat Pump or Furnace with A/C Total #_ El Gas Line/ Pressure Test El Other (List)
[] Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total # ❑ Mobile Home
❑ Air Conditioner Total # _ ❑ Unit Heater Total #
❑ Water Heater (Electric/Gas) Total # _ ❑ Modular Home
FIRE (Check permit type applicable)
❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping
❑ Fire Alarm /Detection System ❑ Hazardous Materials ❑ Standpipe Systems
❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures
❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other
"All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permit. "The undersigned makes application for
permits and inspection of work described and agrees to comply with all applicable State, County cod a regula . g the work.
PRINT NAME S. Shawn S igmon SIGNATURE
(Subcontractorl License er /Owner
G: \BLD \PERMCTR \FORMS- FEES - HANDOUTS \Blank Applications \Building Services \Trade Applic ion New Revised 06-
07.DOCCreated on 3/23/2006 12:16:00 PM
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