HomeMy WebLinkAboutBLDR--11-11-22759 ANNE HARRISON (2).tif $A C CATAWBA COUNTY PERMIT
BUILDING (R)
Addition
Phone: 828- 465 -8399 PERMIT NO: BLDR -11 -11 -22759
(� P. O. Box 389 APPLIED: 11/03/2011
100A Southwest Blvd Newton FAX: 828 - 465 -8962
Newton, North Carolina 28658 Hickory FAX: 828 - 322 -6814 ISSUED: 11/03/2011
I $ 4 2 sM EXPIRES: 05/01/2012
www.catawbacountync.gov
Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/
APPLICANT OWNER CONTRACTOR
ANNE 14ARRISON ANNE HARRISON ANNE HARRISON
885 20TH AV DR NE 885 20TH AV DR NE 885 20TH AV DR NW
HICKORY NC 28601 HICKORY NC 28601 HICKORY NC 2 860 1- i
t.
P. 828 - 322 -4807 P (828)322 -4807
P. 828 -322 - 4807 �°
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PROPERTY ID#: 370418323170
STREET ADDRESS: 885 20TH AV DR NW, Hickory, NC LOT#
PROJECT DESCRIPTION: ADDITION TO SINGLE FAMILY DWELLING LAUNDRY ROOM/ CLOSETS/ HICKORY ZONING
DIRECTIONS: HWY 127 N/ LF AT CLARK TIRE/ GO 2 MILES/ ON LF
COMMENTS: I
TYPE OF USE: Single Fam. Res. TOTAL SQ FT
# OF STORIES: 1 VALUE: 75,000.00
ZONING: NUMBER OF UNITS: 1
CODE EDITION: IRC 2009 TOTAL # OF ROOMS:
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F DESCRIPTION DATE FEE AMOUNT
New Residential Building Fee 11/03/2011 $97.78
Permit Placard Fee 11/03/2011 $5.00
TOTAL FEES $102.78
Catawba County has an agreement with Garbage Disposal Service, Inc. granting them an exclusive license to transport and dispose of all solid waste,
including construction and demolition debris in the unincorporated areas of the County. The approval of your application for a construction/building
permit is made specifically contingent upon your agreement not to utilize any other business or company to transport and/or dispose of solid waste from
construction site(s). Failure to comply with this provision may result in assessment of fines up to $500 per day.`
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This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in the application for such
permit, and that all work shall be done in accordance with all applicable zoning, building, electrical, plumbing and mechanical ordinances of the County of
Catawba and the State of North Carolina.
A permit issued for work under this Code shall expire by limitations six months after the date of issuance if the work authorized (FOOTINGS ARE
CONSIDERED 1st INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a period
of 12 months, the permit therefore shall expire. If a project expires, a minimum fee per the current fee schedule will be charged for each
building and trade permit to reactivate the project.
* * *AN ADDITIONAL CHARGE PER THE CURRENT FEE SCHEDULE MAY BE ASSESSED
FOR EACH UNWARRANTED INSPECTION SCHEDULED. * **
If there are any questions, please contact the office between 8:00a.m. and 5:00p.m.
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11/03/2011 13:04 Page 1 of
Newton Office (828) 465 -8399 CATAWBA COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658
Hickory Fax (828) 322 -8814 APPLICATION FOR PLAN REVIEW www.catawbacountync.aov
AND /OR BUILDING PERMIT
All submittals /re- submittals of commercial plan review must be accompanied by a $10.00 plan processing fee
Name of Project: a Date of Application:
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-- 4ddresg of Project: Parcel ID #:
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Applicant: N Phone #: Fax:
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Address of Applicant: Email:
Owner: Phone#: Fax:
Address of Owner: Email:
General Contractor: Phone#: Fax:
State License#: License Classification: Federal ID #:
i.e., 1-11, P1, Limited
Address of Contractor: Email:
Arch itectlDes ig ner: Phone#: Fax:
Address of Arch /Designer: Email:
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Contact Person for Project: Phone#: Fax:
Address of Contact Email:
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Does the Project have a Fire Alarm System? [ ] Yes [ ] No
Does the Project have a Sprinkler/ Standpipe System? * [ ] Yes [ ] No s
*Sp ' r Plan Submission to the County, City of Hickory, Conover or Newton Fire Bureau ' ' e responsibility of the
customer. proval must-be forwarded to the Permit Center when completed pproved. 3
Will this Project r4quke Environmental Health Review? * [ ] Yes [ ] No t
*If yes, submit one set of plans vironmental Health with appr ate fee (Page 4 of this application Provides c
explanation as to when these are requir d the fee amo
Type of Sewage Disposal: Is Public Sewa i able on or adjacent to this project? * [ ] Yes [ ] No
* If No, a Septic Permit must be applied for pr' o project revs proval, if not already approved.
' Type of Water Service: Is Public ter available on or adjac o this project? * [ ] Yes [ ] No
*If No, a Well Permit must be M151 for prior to project review approval, if not alre approved.
Are you disturbing re than 1 acre of soil? * [ ] Yes [ ] No
*If yes, 5 sets of sion control plans and one set of calculations will need to be submitted. A fee o 0 for the first I
• acre and $1 for each additional acre of disturbed soil will be collected at the time of plan submittal. Addi I
applica ' swill be required. Forms are at permit centers, or can be obtained from our website(See above for w e
ad ss
Is this Project being submitted for Phased Construction? * [ ] Yes [ ] No
*If yes, please check which phase? [ ]Footing 1 Foundation [ ]Shell /Hull -in [ ] Up -Fit
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Continue to Next Page I
1 Updated 04 /15/2011
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Newton Office (828) 465 -8399 CATAWBA a COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658 `
Hickory Fax (828) 322 -6814 APPLICATION FOR PLAN REVIEW www.catawbacountync.gov
AND /OR BUILDING PERMIT F
Describe work to be done under this Permit: L if vu r- L j g ,
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TYPE OF WORK
❑New Building QAddition ❑ 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 (c heck all that apply)
Occupancy Classification (See Classification list on sheet 5, enter multiple if mixed occupancy)
❑ Condominium ❑ Modular Office ❑ Retaining Walls (Sealed Plans)
❑ Addition ❑ Covered Deck ❑ Modular Dwelling ingle Family (&44.uilt)
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❑ Agricultural ❑ Deck only ❑ Multi- Residential ❑ Townhouse
❑ Alteration / Exterior ❑ Mixed Occupancy ❑ Modular Garage
❑ Alteration / Interior ❑ Hanger, Mixed Use ❑ Pier (Sealed Plans)
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Other
TYPE OF CONSTRUCTION Protected or Unprotected construction refers to whether the
(Circle) I II III IV Cy Protected (A) Unprotecte L(B) building is designed with specific fire rated construction methods.
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PROJECT DATA
Total Sq Ft ?_ Heated Sq Ft Unheated Sq Ft (basement, garage, covered porches, etc)
Garage Sq Ft Bonus Rm Sq Ft (finished /unfinished) Basement Sq Ft (finished /unfinished)
11 Floor Sq Ft 2nd 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 i
occupying the premises and the Building Services Department will be notified of any changes in the approved plans and specifications for
the project permitted herein.
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(For Plan Review) Owner if Agent Signature Date
Est. Project cost (For Permit) Contractor /Agent Signature to i
2 Updated 04/15/2011
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Affidavit of Worker's Compensation Coverage and State Privilege License Requirements
N.C.G.S. 87 -14
The undersigned applicant for Building Permit # being the
Unlicensed Contractor Owner Officer /Agent of the Contractor
do hereby aver under penalties of perjury that the person(s), firm(s), or corporation(s)
performing the work set forth in the permit:
has/ have three (3) or more employees and have obtained workers compensation
insurance to cover them,
has/ have one or more subcontractor (s) and have obtained worker's compensation
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insurance covering them, r
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has/ have one or more subcontractor(s), who has/ have no employees and has waived in
writing their right to coverage by their contractor or have their own policy of workers I'
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compensation covering themselves, k
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has/ have not more than two (2) employees and no subcontractors,
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has renewed Contractors License,
has/ have applied for permit where the cost is under $30,000 and I am therefore exempt
from Licensed General Contractor requirements specified by G.S. 87 -14, l
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has/ have applied for permit under owner exception to the licensing requirements
madating occupancy of the premise for 12 months following completion of the project,
while working on the project for which this permit is sought.
It is understood that the Inspections Department issuing the permit may require certificates of
coverage and./ or waivers of workers compensation insurance coverage prior to issuance of the
permit and at any time during the permitted work from any person, firm, or corporation carrying out
the work. SIGNATURES ARE TO BE WITNESSED BY INSPECTIONS PERSONNEL OR
NOTARIZED. '
Firm Name:
g . ✓ Title: �/ �Dln� ✓�2�v'
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Signature < !� �!��� d� �lis�o�'v Date:
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Sworn to and subscribed before me this day of , 20 E
Signature of Notary Offical Seal
My Commission Expires 20
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Catawba County Permitting Center
Unlicensed General Contractor Questionnaire
* Please answer the following questions by writing in your initials next to the ves or no.
1. Does the entire cost of the building project that you are applying for, including the price for all building, plumbing,
mechanical and electrical materials and labor, equal or exceed $30,000?
[ —OYes. Go to question 2.
[_] No. Please print your name, sign and date this form and turn into Permit Center with your building permit application.
2. Do you own the land on which this building will be constructed or altered? (Deeded ownership for the property must be fi
the same name as building owner. If you are renting the building to yourself please answer No to this question.)
[Yes. Go to question 3.
[_] No. You are not eligible for a building permit under the N.C.G.S. 87 -1 'owner's exception'
3. Have you hired, or do you intend to hire an individual to superintend and manage construction of the project?
[�'S'es. You are not eligible for a building permit under the N.C.G.S. 87 -1 "owner's exception ".
[_] No. Go to question 4.
4. Do you intend to directly control and supervise construction activities? I
[Yes. Go to question 5. I
[_] No. You are not eligible for a building permit under the N.C.G.S. 87 -1 "owner's exception ".
5. D you intend to schedule, contract with, and directly pay for all phases of construction work to be done?
[ es. Go to question 6.
[_] No. You are not eligible for a building permit under the N.C.G.S. 87 -1 'owner's exception ".
6. Do you intend to personally order building supplies and materials for the project for which the building permit is sought?
[Yes. Go to question 7.
[_] No. You are not eligible for a building permit under the N.C.G.S. 87 -1 "owner's exception ".
7. Do you intend to schedule and be present for scheduled inspections?
[ Yes. Go to question 8.
[___] No. You are not eligible for a building permit under the N.C.G.S. 87 -1 "owner's exception ".
8. Do you understand that you are responsible for compliance with all applicable federal, state and local laws and
requirements, including but not limited to: the State Building Code, Sedimentation Control Act requirements, and solid and
haza ous waste disposal requirements?
[ Yes. Go to question 9.
[_] No. You are not eligible for a building permit under the N.C.G.S. 87 -1 "owner's exception ".
9. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction,
meaning no intent to sell, rent or lease any part or all of the building and do you understand that if you do not do so, it
creates the presumption under law that you fraudulently secured the building permit?
[]Yes. You are entitled to a permit under the owner's exception. Please print your name, sign and date this form and
turn into Permit Center with your building permit application.
[_] No. You are not eligible for a building permit under the N.C.G.S. 87 -1 "owner's exception ".
Print Name 1 On Signature an Dat
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HICKORY' l
RESIDENTIAL APPLICATION
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FOR ZONING / GRADING PERMITS
Hickory Office (828) 323 -7410 (A City of Hickory application becomes a permit upon approval County Zoning Office (828) 465 -8380
Hickory Fax (828) 323 -7474 by a City of Hickory Zoning Administrator.) County Zoning Fax (828) 465 -8484
Mtrlq#istUrrtetslkt�' IOF�a�3sttcaratrtz�tstabtynrosian�l 'c5`,3dcmentatxongntratitri '
?ul Catawa Ceurttrtrsionedrm�nt C[aritroT. ( &28 4654
Parcel Identification No. I O - I 3 Z r 76 Date 11 -
Project 911 Address: O Ay e. t (y
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The building or land was previously used for: �
Proposed use or change to 4his building or land: 1 1
W\ �l a � R K51'V\
Applicant: Applicant's telephone No.: •3,, Z2
Applicant's Address: cyA Z&1 . Jf1
Applicant's Fax: Applicant's Email y"?W AQO&p . 007
Property Owner: �(�YyJ�,.� Owner's Telephone No
Owner's Address:
ALL BUSINESSES OPERATING IN THE CITY LIMITS MUST HAVE A PRIVILEGE LICENSE
This Permit is performance- oriented Property owner is responsible for taking any additional measures not shown on the
approved plan to prevent erosion and offsite sedime
Applicant's Signature iZ,2 / , /��11J7LQ�7� Date
FOR OFFICIAL USE ONLY
ZONING CENSUS TRACT
Front Setback 2 Size of Lot Approved PD
Rear Setback Lot of Record Approved Minor PD
Side Setback Use Permitted Elevation Certificate Required
Side Street Setback �� Flood Plain
Maximum Height Watershed 1 - 2 -
3 v'4 Protected Critical >/
Other (Describe):
Zoning/Grading Permit Approved: �/ IA� �1 &&, Date: 1 / Z a f � /
Zoning Administrator
Conditions of Approval: Y / D E C R9&ON ( M J J L- 7 1W EDFL)
Zoning/Grading Permit Disapproved: Date:
Zoning Administrator
Reasons For Disapproval:
Rev042611
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Catawba County, North Carolina
N This map product was prepared from the Catawba County, NC, Geographic Information System.
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 arty
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. Legend
Selected Parcel Number: 3704 -18 -32 -3170
1 inch = 40 feet Prepared for:
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THIS IS NOT A LEGAL DOCUMENT Thursday, November 03, 2011 12:31 PM
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Catawba County, North Carolina
F
N This map product was prepared from the Catawba County, NC, Geographic Information System.
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. Legend
's
Selected Parcel Number: 3704 -18 -32 -3170;
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THIS IS NOT A LEGAL DOCUMENT Thursday, November 03, 2011 12:31 PM
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CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID: -- 3704 -18 -32 -3170 °—
Name: HARRISON ANNE G
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Name2:
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Address: 885 20TH AVENUE DR NW F'
Address2:
City: HICKORY (.
State: NC
Zip: 28601 -1229
Account: 26333000
Calc Acreage: 0.92
Tax Map: 145H 09059
LRK: 51409
Deed Book: 1028 �
Deed Page: 0674 V
Subdivision Name: ESI
Subdivision Block:
Lots: Plat Book: Plat Page: Building Number: 885
Street Name: 20TH AV DR NW
Site Zip: 28601 - I SI lJ l
Township: HICKORY
Fire Code: I
City Code: HICKORY
State Road:
Total Bldgs Value: $459,700
Land Value: $117,200
Total Value: $576,900
Year Built: 1975
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood: 13
Watershed: WS -IV Critical Area
Watershed Split: NO
Voter Precinct: P36
E911 District: HICKORY
Zoning: R -2 t
Zoning2:
Zoning3:
Zoning Split. N
Zoning Overlay:
Zoning District: HICKORY
Split Zoning Dist: N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District: HICKORY
Elementary School: VIEWMONT
Middle School: NORTHVIEW
High School: HICKORY
School Split: NO
P &Z Case Number:
Census Tract 2010: 010500
Census Block 2010: 2010
Small Area Plan:
Agricultural District:
Printed: Thursday, November 03, 2011 12:31 PM
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gA CATAWBA COUNTY PERMIT
BUILDING (R)
Is z BLDR -11 -11 -22759
Addition
exemption - and the criteria for eligibility under the exemption - applies to both
residential and commercial building construction projects.
New Requirements. S_i._ '_p11 -3.76 (116 does not change the eligibility criteria under
which a property owner qualifies for the owner- contractor exemption. Instead, the
legislation amends G.S. 87 -14 to now require a property owner who wishes to act as his i
own general contractor to submit an affidavit to the local building inspector verifying his
eligibility for the owner - contractor exemption. The person executing the affidavit must 1.
attest to three facts:
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1. The person is the owner of the property on which the building is being constructed
or altered, or, if the property is owned by a firm or corporation, the person is legally
authorized to act on the firm or corporation's behalf;
2. The person will personally superintend and manage all aspects of the construction
or alteration of the building, and that he will not delegate this duty to any other
person who is not a licensed general contractor; and
3. The person will be personally present for all building inspections required under
the North Carolina State Building Code (this last requirement does not apply if the
plans for the building were drawn and sealed by a licensed architect).
The local building inspector is required to submit the affidavit to the North Carolina
Licensing Board for General Contractors for verification that the property owner is eligible
to act as his own general contractor under the exemption to G.S. 87 -1. If the Board
determines that the property owner is not eligible for the exemption, the building permit
issued for the construction project must be revoked. In addition, local building inspectors
are prohibited from conducting building inspections during construction if the property
owner is not personally present during the inspection (this prohibition does not apply if
the building plans were drawn and sealed by a licensed architect).
Application to Local Government Building Projects. These requirements do apply to
local governments that choose to act as their own general contractor on public building
construction or alteration projects. However, the legislation does not specify which
employee or official must submit the affidavit on behalf of the local government. Given the
formal requirement of submitting a verified affidavit, the individual should be:
1. Legally authorized to act on behalf of the unit of government (such as the manager,
finance officer, or public works director);
2. Capable of personally supervising the construction project (the individual does not
have to be a licensed general contractor, but should be someone with enough
knowledge and experience to properly supervise the construction project);
3. Able to be personally present at all building inspections (unless the plans are drawn
and sealed by a licensed architect); and
4. Clearly authorized in writing to undertake these activities on behalf of the unit of
government, including submitting the required affidavit.
2 Omer- Contractor Building Construction Requirements - August 2011
UNC School of Government
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11/03/2011 13:04 Page 3 of 9
CATAWBA COUNTY PERMIT
G
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` - BLDR -11 -11 -22759
Addition
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2. The person will personally superintend and manage all aspects of the construction
of the building, and that he will not delegate this duty to any other person who is not F
a licensed general contractor; and
3. The person will be personally present for all building inspections required under
the North Carolina State Building Code (this last requirement does not apply if the
plans for the building were drawn and sealed by a licensed architect). t
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S. Is the property owner required to submit any additional Information or supporting
documentation with the affidavit?
The new law does not require that the property owner submit any additional information'
or supporting documentation with his affidavit. However, a local building inspector may
ask questions, require the property owner to fill out a questionnaire or form, or request
additional information in determining whether the property owner appears to qualify for l
the exemption prior to issuing the building permit.
6. Who must sign the affidavit?
The affidavit must be signed by the owner of the property an which the building is being
constructed. An individual who is or will be occupying the structure but who does not have
an ownership interest in the property cannot sign the affidavit. If the property is owned by
a firm or corporation (including a unit of local government), the person submitting the
affidavit must be legally authorized to act on the entity's behalf.
7. If the property is owned by multiple Individuals (not a firm or corporation), do all
property owners have to sign the affidavit?
The new law is not clear on this point. The language of G.S. 87- 14(a)(1)a. does not
specifically require all individual property owners to sign the affidavit, so it is reasonable to
assume that the affidavit may be signed by only one of the property owners. For example,
if the property is jointly owned by a husband and wife, the affidavit does not have to be
signed by both spouses and may be signed by either the husband or the wife. However, if
the husband and the wife sign the affidavit, then they both must personally supervise the
building project and be personally present at all building inspections (unless the plans
were drawn and sealed by a licensed architect).
8. If the property is owned by a firm or corporation, do all partners in the firm or
corporation have to sign the affidavit?
No. The new law is clear on this point, and only requires the affidavit to be executed by a
person who has legal authority to act on behalf of the firm or corporation (including a unit
of local government). It would be wise for the person who is acting on behalf of the firm or
corporation to have this legal authority in writing.
9. if the property is owned by an individual, can that individual authorize someone else to
sign the affidavit on his behalf.'
No. G.S. 87- 14(a)(1)a. specifically requires the person submitting the affidavit to attest that
he or she owns the property on which the building is being altered or constructed. Only in
the case of property owned by a firm or corporation (including a unit of local government)
can an individual be authorized to act on the property owner's behalf.
4 Owner - Contractor Building Construction Requirements - August 2011
UNC School of Government
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11/03/2011 13:04 Page 5 of 9
� ,A CATAWBA COUNTY PERMIT
a BUILDING (R)
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BLDR -11 -11 -22759
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Addition
eligible for the exemption; (2) hire a licensed general contractor to superintend the project;
or (3) abandon the project altogether. Any resumption of construction activity on the
project will require the issuance of a new building permit (and perhaps other permits
applicable to the project).
17. floes the property owner have to be present at all building inspections?
Yes. One of the facts to which the property owner (or person legally authorized to act on
behalf of the firm or corporation owning the property) must attest in the affidavit is that he
or she will be personally present at all building inspections required by the North Carolina
State Building Code. If the person who executed the affidavit is not personally present, the
building inspector is not allowed to conduct the inspection. This requirement does not
apply if the plans for the building were drawn and sealed by a licensed architect
18. Can the property owner delegate the responsibility of supervising the building project
to someone else?
No. One of the facts to which the property owner (or person legally authorized to act on
behalf of the firm or corporation owning the property) must attest in the affidavit is that he
or she will personally superintend and manage all aspects of the alteration or construction
of the building and will not delegate this this duty to any other person who is not a general K
contractor licensed in this state. If the person who executed the affidavit becomes
unwilling or unable to personally supervise the project once construction has started, he or
she can only delegate this responsibility to a general contractor licensed in this state.
19. Are there any penalties for violating the new law?
Yes. If the Licensing Board determines that the property owner was not eligible for the
exemption under G.S. 87- 1(b)(2), the building inspector must revoke the building permit
pursuant to either G.S. 153A-362 (for counties) or G.S. 160A -422 (for cities). If the building
construction does not cease or resumes without complying with applicable state laws, G.S.
87 -13.1 authorizes the Licensing Board to apply to Superior Court for a restraining order
and injunction to stop further construction activity, and the court may order the property
owner to pay for the Board's reasonable costs associated with investigating and
prosecuting the violation. Continued construction activity by the property owner may also
constitute a violation of the requirements of G.S. 87 -1, which is punishable as a Class 2
misdemeanor. In addition, swearing falsely on the affidavit (perjury) is also a criminal
offense punishable as a Class F felony. (G.S. 14 -209)
20. If I have any questions or need more information, who can I contact?
General questions about the General contractor licensure: Building code enforcement:
new law:
UNC School of Government North Carolina Licensing N.C. Department of Insurance
Norma Houston Board for General Contractors Office of State Fire Marshall
nhouston sog unc edu (919) 571 -4183 Engineering Division
Rich Ducker (919) 661 -5880
6 owner- Contractor Building Construction Requirements - August 2011
UNC School of Government
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STATE OF NORTH CAROLINA OWNER EXEMPTION AFFIDAVIT
PURSUANT TO G.S. 87- 14(a)(1) s
COUNTY OF CATAWBA
Catawba County Building Services Division
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Address and Parcel Identification Number of Real Property Where Building is to be Constructed or Altered:
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aor ��� �� • U/ PIN# �P
(Print Full Name) 1
hereby claim an exemption from licensure under G.S. 87- 1(b)(2) by initialing the relevant provision in paragraph 1
and initialing paragraphs 2 -4 below and attesting to the following:
1. (/ I certify that I am the owner of the property set forth above on which this building is to be
constructed or altered;
OR
�G I am legally authorized to act on behalf of the firm or corporation which is constructing or
altering this building on the property owned by the firm or corporation as set forth above (name of
firm or corporation) ?
2. y I will personally superintend and manage all aspects of the construction or alternation of
the building and that duty will not be delegated to any person not duly licensed under the terms of
Article 1 of Chapter 87 of the General Statutes of North Carolina;
3. 1 will be personally present for all inspections required by the North Carolina State Building
Code, unless the plans for the construction or alteration of the building were drawn and sealed by an
architect licensed pursuant to Chapter 83A of the General Statutes of North Carolina; I
4. _�� 1 understand that a copy of this AFFIDAVIT will be transmitted to the North Carolina
Licensing Board for General Contractors for verification that I am validly entitled to claim an
exemption under G.S. 87- 1(b)(2) for the building construction or alteration specified herein. I further
understand that, if the North Carolina Licensing Board for General Contractors determines that I was
not entitled to claim this exemption, the building permit issued for the building construction or
alteration specified herein shall be revoked pursuant to G.S. 153A -362 or G.S. 160A -422.
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/l 3 Z i/
(Signature of Affiant) ate
Sworn to (or affirmed) and Subscribed before me
this the _day of N0VF1'N.8F -9— 2011 I
OFFICIAL SEAL
Notary Public North Carolina
ALEXANDER COUNTY
Signa r of Notary Public Printed CLARA A. COUL OU NE
M Commission Expires I Z/ f2
Name o Notary Public
6tAeA A L01,,L:80 uR E
My Commission Expires: G2r. 21T (Notary Stamp or Seal)
i
(NOTE: It is a Class F felony to willfully commit perjury in any affidavit taken pursuant to law—G. S. 14 -209)