HomeMy WebLinkAboutBLDR-11-11-22870 Permit-Appls.tif $A C CATAWBA COUNTY PERMIT`
BUILDING (R)
New Building E
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V P. O. Box 389 Phone: 828- 465 -8399 PERMIT NO: BLDR -11 -11 -22870
IOOA Southwest Blvd Newton FAX: 828 - 465 -8962 APPLIED: 11/08/2011
r� Newton, North Carolina 28658 Hickory FAX: 828- 322 -6814 ISSUED: 11/08/2011
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8 4 SM EXPIRES: 05/06/2012
www.catawbacountync.gov
Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/
APPLICANT OWNER CONTRACTOR ^—
KEVIN LAIL KEVIN LAIL KEVIN LAIL
927 9TH AV DR NE 927 9TH AV DR NE 927 9TH AVE DR NE
HICKORY NC 28601 HICKORY NC 28601 HICKORY NC 28601 -
P. 828 - 781 -2921 P. 828 - 781 -2921 P. (828)781 -2921
EMAIL: gatewaylighting @charter.net
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PROPERTY ID#: 371414441060 4
STREET ADDRESS: 931 30TH AV LN NE, Hickory, NC LOT# 26
PROJECT DESCRIPTION: NEW SINGLE FAMILY DWELLING/ 2 STORIES/ 4 BEDROOMS/ 3 BATHROOMS/ 1 HALF BATH/ ATTACHED i
GARAGE/ PREFAB GAS FIREPLACE
DIRECTIONS: N Center St/ Turn right onto 29th Ave NE / Turn left onto Falling Creek Rd / Take the 1 st left onto 30th Ave Ln NE
Destination will be on the right
COMMENTS:
TYPE OF USE: Single Fam. Res. TOTAL SQ FT
# OF STORIES: 2 VALUE: 290,000.00
ZONING: NUMBER OF UNITS: 1
CODE EDITION: IRC 2009 TOTAL # OF ROOMS: 8
FEE DESCRIPTION DATE FEE AMOUNT
Permit Placard Fee 11/08/2011 $5.00
New Residential Building Fee 11/08/2011 $1,401.07
Temp Saw Pole Fee 11/08/2011 $39.00
TOTAL FEES $1,445.07
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.
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:OOa.m. and S:OOp.m.
{ >crunt 11/08/2011 15:59 Page I of 2
CATAWBA COUNTY PERMIT
BUILDING (R)
Is z BLDR - 11 - 11 - 22870
New Building
AFFIDAVIT OF WORKER'S COMPENSATION COVERAGE
3 k
AND STATE PRIVILEGE LICENSE REQUIREMENTS
N.C.G.S. 87 -14
The undersigned applicant for Building Permit # BLDR -11 - - 22870 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 insurance covering them.
has/have one or more contractor(s) who has/have no employees and has waived and has waived in writing their right to
coverage by their contractor or have their own policy or worker's compensation covering themselves
has/have not more that two (2) employess and no subcontractors.
has renewed Contractor 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.
has/have applied for permit under owner exception to the licensing requirements mandating occupancy of the premise
for 12 months following the completion of the project, while working on the project for which the permit is sought. }
It is understood that the Inspections Department issuing the permit may require certificates of coverage and/or waivers of worker
compensation insurance coverage prior to issuance of the permit and at any time during the permitted work for any person, firm or
corporation carrying out the work.
SIGNATURES ARE TO BE WITNESSED BY INSPECTIONS PERSONNEL OR NOTARIZED.
FIRM NAME:
BY (PRINT): �e (� �'C TITLE: Q UJ e
SIGNATURE: DATE:
T --
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20
SIGNATURE OF NOTARY:
MY COMMISSION EXPIRES 20 01 SE::dL
11/08/2011 15:59 Page 2 of 2
Newton Office (828) 465 -8399 CATAWBA 1 4 COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658
Hickory Fax (828) 322 -6814 APPLICATION FOR PLAN REVIEW www.catawbacountvnc,Qov
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: - Date of Application:
KeU Lo I N eW "o I I I% 1
Address of Project: Parcel ID #:
C `131 30+'' Au e. Lt-4 Ale VAl Cko p- 39 V-A - VA Y+ - 1 0 6 0
Applicant: � P-U' l ( Phone # • Fax:
0 I -dial
Address of Applicant: qa l CA+h P e ---D Email: �� `C : l i +� c�wek�n y
I� ka LrA I
Owner: - e v . i ' , I Phone #: Fax:
Address of Owner: Email:
40 General Contractor: � J ` � � � � o � /) Phone #: Fax:
YV F�
State License #: License Classification: Federal ID #:
i.e., H1, P1, Limited
Address of Contractor: Email:
t
Arch itect/Designer: Phone #: Fax:
Iry d -S Res �den -��al ye ►5ti ass -ci4g6
Address of ArchlDesigner: C kO � Email: r
Contact Person for Project: Phone #: Fax:
S pM+e c
PAS 1 � cc, �`�-
Address of Contact Email:
r.
Does the Project have a Fire Alarm System? [ ] Yes [t,*]'No
I
Does the Project have a Sprinkler / Standpipe System? * [ ] Yes K No
* Sprinkler Plan Submission to the County, City of Hickory, Conover or Newton Fire Bureaus' is t esponsibility of the
customer. Plan Approval must be forwarded to the Permit Center when completed and a ed.
Will this Project require Environmental Health Review? * [ ] Yes [^o
•
*If yes, submit one set of plans to Environmental Health with appropriate fee age 4 of this application Provides
explanation as to when these are required and the fee amounts.. g
Type of Sewage Disposal: Is Public Sewage availa o r adjacent to t his project? * ['Yes [ ] No
• *If No, a Septic Permit must be applied for prior to project r ew approval, if not already approved.
Type of Water Service: Is Public Water avail eon or adjacent to this project? k4Yes [ ] No
*If No, a Well Permit must be applied for prior project review approval, if not already approved.
Are you disturbing more than 1 preof soil? * [ ] Yes [WNo
* If yes, 5 sets of erosion control ns and one set of calculations will need to be submitted. A fee of $200 for the first
• acre and $150 for each ad ' ' pal acre of disturbed soil will be collected at the time of plan submittal. Additional
applications will be regyir'ed. Forms are at permit centers, or can be obtained from our website(See above for website
address
Is this Pro' trt being submitted for Phased Construction? * [ ] Yes [^o
*If yes, please check which phase? [ ] Footing 1 Foundation [ ] Shell 1 Hull -in [ ] Up-Fit
i
i
Continue to Next Page
F
1 Updated 04/15/2011
Newton Office (828) 465 -8399 CATAWBA COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658
Hickory Fax (828) 322 -6814 APPLICATION FOR PLAN REVIEW www.catawbacountvnc.gov
AND /OR BUILDING PERMIT k
Describe work to be done under this Permit: (kw kes, dew- �sl A4n V
TYPE OF WORK
9,
2New 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)
t
Occupancy Classification (See Classification list on sheet 5, enter multiple if mixed occupancy)
❑ Condominium ❑ Modular Office ❑ Retaining Walls (Sealed Plans)
❑ Addition Y
❑ Covered Deck ❑Modular Dwelling []'S ngle Family (site built)
❑ Agricultural ❑ Deck only ❑ Multi- Residential ❑ Townhouse
❑ Alteration / Exterior ❑ Mixed Occupancy ❑ Modular Garage
❑ Alteration / Interior ❑ Hanger, Mixed Use ❑ Pier (Sealed Plans)
t
Other
TYPE OF CONSTRUCTION t
Protected or Unprotected construction refers to whether the
(Circle) I II III IV Protected (A) Unprotect C(JB)
Q3
building is designed with specific fire rated construction methods.
PROJECT DATA
Total S Ft 3 Heated S Ft a'� b3 Unheated S Ft (` F
Sq q q V (basement, garage, covered porches, etc)
Garage Sq Ft 5 y 3 Bonus Rm Sq Ft n4 (finished /unfinished) Basement Sq Ft ( VA - (finished /unfinished)
1 sc Floor Sq Ft a o 0 0 2 nd Floor Sq Ft 9 6 3 Exterior Finish Material 6 X2 Ck
Total # Rms g # of Units # of Stories a # Full Bathrooms
t
# Half Bathrooms (Toilet & Sink only) # Bedrooms L A Building Height a3 t
Fireplace openings P F64 6 (masonry, prefab /gas, prefab /wood) Type of Heat f)k+U(Q-1� CAS r
r
5
Type of Foundation 1 OC
SUBCONTRACTORS NEEDED FOR PROJECT [Z Electrical PPlumbing Heating/ A/C ❑ NONE
POWER/UTILITY COMPANY Servicing the Location: Dkii Type of Gas Service (Nat. or Propane) 1�
Is a Temporary Saw Pole Needed for this project? [Yes ❑ No r
(
Will there be more than one electrical Meter for this building? ❑ Yes SZNo (If Yes, provide Number of Meters )
1'
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 Services Department will be notified of any changes in the approved plans and specifications for
the project permitted herein.
(For Plan Review) Ow er / Agent Si nature Date
1 0 0 D 11 ( I
Est. Project cost (For Permit) ontracto Agent Signature Date =
2 Updated 04/15/2011
(
E.
STATE OF NORTH CAROLINA OWNER EXEMPTION AFFIDAVIT
PURSUANT TO G.S. 87- 14(a)(1)
COUNTY OF CATAWBA
Catawba County Building Services Division
1 09. -1� (. 2-Z t
Address and Parcel Identification Number of Real Property Where Building is to be Constructed or Altered:
' 3 o 4 h AyC LrJ ^JC— 4"C PIN#
(Print Full Name)
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
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. ✓ 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;
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.
i
(Signature of Affiant) Date
Sworn to or affirmed and Subscribed before me
this the day of �Itl 7rfL 201 L
OFFICIAL SEAL
Notary Public North Carolina -
Signature of Notary Public Printed ALEXANDER COUNTY
61AP A 6W 4_W uP_,N6__ CLARA A. COULBO FINE
Name of Notary Public M Commission Expires /Z
My Commission Expires: lo J:v 2� (Notary Stamp or Seal)
(NOTE. It is a Class F felony to willfully commit perjury in any affidavit taken pursuant to law—G. S. 14 -209)
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Catawba Coun ty g Permittin Center
Unlicensed General Contractor Questionnaire
* Please answer the following questions by writing in your initials next to the yes or no
1. Does the entire cost of the building project that you areapplying for including the rice for all building, plumbing,
9pro 1 Y � 9 p�
mechanical and electrical materials and labor, equal or exceed $30,000?
[ J Yes. 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
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.
[--J 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?
[ Yes. You are not eligible for a building permit under the N.C.G.S. 87 -1 "owner's exception ". t
[ ) No. Go to question 4.
t
4. Do you intend to directly control and supervise construction activities?
[�] Yes. Go to question 5. t
[_] No. You are not eligible for a building "
g g permit under the N.C.G.S. 87 -1 "owner's exception". (
5. Do you intend to schedule, contract with, and directly pay for all phases of construction work to be done?
[V] Yes. 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. D 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. Dq you intend to schedule and be present for scheduled inspections?
1 i
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
haz rdous waste disposal requirements?
[ I 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 ". g
9. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction, g
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
cre s 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 Nam V ^� �' l
Signature Date ( /
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Minor Site Erosion Control Affidavit g
This affidavit must be submitted at time of Building Permit application for houses, modular homes, attached and
detached garages, and residential and commercial additions to existing buildings.
Parcel Identification Number (PIN): i I L A — `1 y 1 ® 60
Building Permit Number: V-)Lnk
Subdivision: N o &+!n cke eK
Phase/Unit: Lot: Block:
Job Site Address: 9a l 0+b A ue LnN Nip '
Company Name:
Company Address:
City: State: Zip:
Company Phone: Ot er Pho e: 7N - OC)
C 0.c
My signature hereon signifies that I am the person responsible for compliance with the Soil
Erosion and Sedimentation Control Ordinance. I acknowledge that County inspection staff may
issue Stop Work Orders and will issue summons's to appear in Court for deliberate violations of
erosion control requirements. I acknowledge that Best Management Practices (BMP's) must be
used to control soil erosion on my job site which includes, at a minimum, all of the following:
• Installation and daily maintenance of silt barriers (i.e. silt fences, etc.) in those areas
where water exits the job site;
• Installation and daily maintenance of a stone (1 '/z "-3 '/2 " diameter stone)
driveway construction entrance to minimize the tracking of mud into the street;
• Removal of mud from the street or adjacent property immediately following any
such occurrence without washing the mud into the storm drainage system;
• Maintenance and removal of mud from detention ponds and sediment basins;
• Conduct no land disturbing activities within 30 feet of the banks of streams, lakes,
wetlands, etc.(i.e. "state waters ");
• Beginning with a request for any type of slab inspection, or any inspection
thereafter, or within 21 days of land disturbance, whichever is earlier, temporary
vegetation and/or mulch on all disturbed areas shall be provided and maintained
daily.
R
Signature: Date: 1 I g
Printed Name: K i N (�°�' ' Title:
I
IF
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 any
data contained on this map product by the user. The County of Catawba, its employees, agents and s;
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: 3714 -14 -44 -1060
1 inch = 81 feet Prepared for:
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THIS IS NOT A LEGAL DOCUMENT _ �e o N
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82 Tuesday, November 08, 201103:29 PM
17
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID: 3714 -14 -44 -1060
Name: LAIL KEVIN WAYNE
Name2: LAIL AMANDA C
Address: 927 9TH AVE DR NE
Address2:
City: HICKORY
State: NC x
Zip: 28601 -4072
Account: 39731700
Calc Acreage: 0.35
Tax Map: 214H 01059
LRK: 63801
Deed Book: 1974
Deed Page: 0425
Subdivision Name: NORTH CREEK
Subdivision Block:
Lots: 26
Plat Book: 24
Plat Page: 170
Building Number: 931
Street Name: 30TH AV LN NE
Site Zip: 28601
Township: HICKORY
Fire Code:
City Code: HICKORY
State Road:
Total Bldgs Value:
Land Value: $37,500
Total Value: $37,500
Year Built:
Year Remodeled:
Last Sale Date: 04/01/1996
Last Sale Amount: $15,500
Neighborhood: 6
Watershed:
Watershed Split:
Voter Precinct: P38
E911 District: HICKORY
Zoning: R -2
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: COUNTY
Elementary School: CLYDE CAMPBELL
Middle School: ARNDT
High School: ST STEPHENS
School Split: NO
P &Z Case Number:
Census Tract 2010: 010302
Census Block 2010: 2006
Small Area Plan:
Agricultural District:
Printed: Tuesday, November 08, 2011 03:29 PM
I3a��
H ICKORY
RESIDENTIAL APPLICATION
FOR ZONING / GRADING PERMITS
• � it 1
Hickory Office (828) 323 - 7410 (A City of Hickory application becomes a permit upon approval
hickory Fax (828) 323 -7474 by a City of Hickory Zoning Administrator.) County Zoning Office (828) 465 -8380
County Zoning Fax (828) 465 -8484
_.3" zi,_ �:. ,. -yT �k EjFF ,CTYf QY��f LTlLT' rr'�''`ti`
Parcel Identification No. 3q i A t� " 4 � - ( 6 LD Date ,1 I
Project 911 Address: 9 3 1 3o k-1. A g e �-ri N W1 (3?, (3
n "
The building or land was previously used for: K,�S 1 (� er� `_
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Proposed use or change to this building or land: N e- w Pe S 1 J e Ni) G I OMI- ,
s
Applicant: U 1 y� a, ' ' Applicant's telephone No.: - 7S I - ,I I
Applicant's Address: C U e ap, N V 'l C-V,0
Applicant's Fax: 3 a 5 0 5 c�- Applicant's Email
Property Owner: ��QV y ✓� (q t Q
Owner s Telephone No.: �� " al
Owner's Address: Ga- l G-'V f yo e -W- (\J
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 i
approved plan to prevent erosion and offsite sedimentation.
Applicant's Signature Date I I I
FOR OFFICIAL USE ONLY
ZONING CENSUS TRACT
ZG Front Setback 1 5 Size of Lot Approved PD
_ Rear Setback Lot of Record t
� Approved Minor PD s
�— Side Setback Use Permitted Elevation Certificate Required
16 Side Street Setback ),I Flood Plain I
_ Maximum Height 0 Watershed _ 1 _ 2 _ 3 _4 Protected Critical
Other (Describe):
�.�� Zoning/Grading Permit Approved: ��� //./ /1 � o Date:
Zoning Administrator
Conditions of Approval: Ij 11JC - 6ppsom
ti
i
Zoning/Grading Permit Disapproved: Date:
Zoning Administrator s
Reasons For Disapproval: l
Rev042611