HomeMy WebLinkAboutREHA-10-11-22513 MAYOR'S HOUSE.tif $A �� CATAWBA COUNTY PERMIT
REHAB CODE
a Alteration
P. O. Box 389 Phone: 828 - 465 -8399 PERMIT NO: REHA -10 -11 -22513
IOOA Southwest Blvd Newton FAX: 828 - 465 -8962 APPLIED: 09/08/2011
Q Newton, North Carolina 28658 Hickory FAX: 828 - 322 -6814 ISSUED: 11/14/2011
1 3 4 2 SM EXPIRES: 05/12/2012
www.catawbacountync.gov
Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/
APPLICANT OWNER CONTRACTOR
MAYOR'S HOUSE Alts. James Harvey Saunders TRIPLETT, KEITH t `
706 1st AV S 216 W 7th ST 109 ROYAL WOOD DR 1 '
CONOVER NC 28613- Newton NC 28658 -3819 LENOIR NC 28645 -
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P. (828)267 -5694 P. (704)728 -9788
PROPERTY ID #: 374109076460
STREET ADDRESS: 706 1 ST AV S, Conover, NC LOT#
PROJECT DESCRIPTION: ADDING HANDICAPPED RAMP ACCESS AND INTERIOR ALTERATIONS/ CHANGING TWO BATHROOMS INTO
HANDICAPPED ACCESSIBLE * *Conover Zoning
DIRECTIONS: CORNER OF 7TH ST SW AND 1 ST AVE S
COMMENTS: I `
FEE DESCRIPTION DATE FEE AMOUNT
Permit Placard Fee 10/25/2011 $5.00
Building Alterations Fee 10/25/2011 $373.00
TOTAL FEES $378.00
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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/buiIding
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 $500 per day.
s;
This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in the application for such
permit, and that all work shall be done in accordance with all applicable zoning, building, electrical, plumbing and mechanical ordinances of the County of
Catawba and the State of North Carolina.
A permit issued for work under this Code shall expire by limitations six months after the date of issuance if the work authorized (FOOTINGS ARE
CONSIDERED 1st INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a period
of 12 months, the permit therefore shall expire. If a project expires, a minimum fee per the current fee schedule will be charged for each
building and trade permit to reactivate the project.
* * *AN ADDITIONAL CHARGE PER THE CURRENT FEE SCHEDULE MAY BE ASSESSED
FOR EACH UNWARRANTED INSPECTION SCHEDULED. * ** I
If there are any questions, please contact the office between 8:OOa.m. and 5:OOp.m.
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�$A CATAWBA COUNTY PERMIT
REHAB CODE
REHA -10 -11 -22513
Alteration
AFFIDAVIT OF WORKER'S COMPENSATION COVERAGE
AND STATE PRIVILEGE LICENSE REQUIREMENTS
N.C.G.S. 87 -14
The undersigned applicant for Building Permit # REHA -10 -11 -22513 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:
t
has/have three(3) or more employees and have obtained workers compensation insurance to cover them.
as/have one or more subcontractor(s) and have obtained worker's compensation insurance covering them. y;
has/have one or more contractor(s) who has/have no employees and has waived and has waived in writing their right to 1
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coverage by their contractor or have their own policy or worker's compensation covering themselves
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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. I
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. I`
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.
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FIRM NAME: i iZlX�7 �y,�l f t--� i'� �. l dJ(,�
BY (PRINT): ar r TITLE:
SIGNATURE: DATE: 1 �(
SWORN TO AND SUBS RIBED BEFORE ME THIS DAY OF 20
t
SIGNATURE OF NOTARY:
MY COMMISSION EXPIRES , 20 CJ/ [� ICI A L _V
per�niE
11/14/201109:05 Page 2 of 2
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f Newton Office (826) 465 -8399 CATAWBA V COUNTY P.O. Box 389
Newton Fax ( 828) 465 -8962 Newton, NC 28658
Hickory Fax 28 322 -6814 APPLICATION FOR PLAN REVIEW www,catawbacountvnc.gov
AND /OR BUILDING PERMIT
AU submttaa bmJtta/s of commercial plan review must be acco foaled by a $10.00 plan processing he
Name of Project: Date of Appli tl
Address of Project; Parcel ID #:
6 -f T/C S" ospo C — 49 -07- C V 41
Applicar ;;S A4 . A4C!'I9 C_ l014 P hone X 7„�4 Fax: ff V 1027
Address of Appilcant: Email:
Ae
Ownes�llr�o/'tl Phonef#: Fax:
Address of Owner mail:
,"e ivy - 40 as 4s OW em, .4 ,a�� 4 co•l -r
Gen Co ham'
74 z
State Lim License Claseffl atio Federal IDM
i.e. H1 1 Limited
Add of Contractor: Email:
rom llotre� �ac�t�iNe� Co
ArchitectMesigner: Phones: Fax:
*_34F&43 g - / ax
Address of An:hiDesigner: Email;
2.? G << :" r'` ,{f drJ ��` �a r C' 2 lr / �' @ eLa� • atc� �,J«�s - r'e�s,
Contact Par for out ne #: • Fax:
t_ Email•
Address
Z _ Y e lzS' 6! -- + 'mac
Does the Project have a Fire Alarm System a s h S 'C'o I) Yes )Q No
Does the Project have a Sprinkler I Standpipe System? * ( ]Yes Jid No
*Sprinkler Plan Submission to the County. City of Hickory, Conover or Newton Fire Bureaus' is the responsibility of the
customer. Plan Approval must be forwarded to the Permit Center when complet0d d ciPPrOved.
Will this Project require Environmental Health Review? ' I I Yes PC No
re *If yes, submit one set of plans to Envirorrmental Health with appropriate fee (rage 4 of ttds application Provides
expl anstion as to when these are required and the fee amounts-1
Type of Sewage 032130sal: is Public Sewage available on or adjacent to;this project? * , /�„ Yes [ ] No
• * If No, a Septic Permit must be applied for prior to project review approval, kf not alrrady approved.
Type of Water Service: Is Public Water available on or adjacent to this reject? * �f;,,, I�j Yes []No
*9 No, a Well Permit must be applied for prior to project review approval, if not already approved.
Are you dlftrWng more than 1 acre of soil ?' JJYes No
* if yes, 5 sets of erosion control plans and one set of calculations will need to be submitted. A fee of 5200 for the fast
acre and $150 for each additional acre of disturbed soil wi l be collected at the time of plan submittal. Additional
applications will be required. Forms are at permit centers, or can be obtained from dur website(See above for website
address
Is this Project behg submitted for Phased Construction? * [ ]Yes `dQ No
*it yes, please check which phase? [ ] Footing I Foundation [ J Shell I Hull -in [ ] Up -Fit
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1 updaad 04/15/2011
Sep 08 2011 3:51PM ABINGDON SENIOR HOUSING 8283231144 page 3
Newton Office (828) 465 -$399 CATAWBA COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658
Hickory Fax (828) 322 - 6814 APPLICATION FOR PLAN �EVI EW www.catawbacountvnc.gov
A ND /OR BUILDING PERMIT
Des ribs work to be done under this Permit: Q
TYPE OF WORK
❑New Building ® Adddi iorl CRAlteration ❑ Mixed Add/Alter ❑ Demolition ❑ Accessory Structure
❑ Deck 1 Porch ❑ Re -Roof ❑ Pier ❑ Repairs ❑ Swimming Pool
❑ Footing /Found ❑ Shell -In ❑ NC Rehab ❑ Up-ft ❑ Retaining Wall
❑ Relocate Dwelli (Prior Address of Dwelling)
STRUCTURE USEIOCCUPANCY (check all that apply)
Occupancy Classification - (See Classification list on suet d, enter multiple if mixed occupancy)
❑ Condominium ❑ Modular Office ❑ Retaining', Walls (Sealed Plans)
❑ Addition ❑ Covered Deck ❑ Modular $welling ❑ Single Family (site built)
❑ Agricultural ❑ Deck only ❑ Multi- Residential ❑ Townhouse
�( Alteration I Exterior ❑ Mixed Occupancy ❑ Modular �arage
Alteration / Interior _ Hanger, Mixed Use El Pier Sealed Plans
Other.
TYPE OF CONSTRUCTION
Protected or Unprotected construction refers to whether the
(Circle) 1 II Ill IV Pro tected {A) nproteCted (B, &�WV is designed with specific fire rated construction methods.
PROJECT DATA
Total Sq Ft _ y `d 7 Heaved Sq Ft 87 Unheated Sq Ft i 9 (basement, garage, covered porches, etc)
Garage Sq Ft Bonus Rm Sq Ft (finished /unfinished) Basement Sq Ft (finishedlunfinished�
1 e Floor Sq Ft 20 V 2^w Floor Sq Ft ya ! Exterior Finish Mate6l r t'c 4r YE►_s, e-C �tX a'5 4.'1,
Tots! # R # of Units # of Stories 2 ! # Full Bathrooms !'cxr;s�
# Half Bathrooms (Toilet S Sink only) 2 • Ale # Bedrooms Building Height 2S'�
Fireplace openings 2 CgAU (masonry, prefab/gas, efab/wood) Type of Heat 6" ,�e rescw &r
Type of Foundation c leis
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SUBCONTRACTORS NEEQED FOR PROJECT Electrical Plu bing Heating/A/C ❑ NONE
POWER111TILITY COMPANY Servicing the Location: _,O& 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 M eter for this building? ❑ Yes No (If Yes, provide Number of Meter
1 hereby certify that all information in this application Is correct and all worts will cc ply 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 promises and the Bullding Services Department will be notified of an changes in the approved plans and specifications for
the project permitted herein. S !
CC), 000,CO (For PI eview O y m er 1 Agent 6pnature Date
1/ I
Est. Project oost (For errrdt) Contractor /Agent Signature Dale
2 updated 04/15/2011
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ZONING PERMIT
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CITY OF CONOVER
DATE: ZONING PERMIT NO:
APPLICANTBUSINESS NAME: PHONE NO: IgL`f
ADDRESS OF PROPERTY: 7e 4P 45 1,4 /qve
j MAILING ADDRESS (if different from project address): SG % f !%� /y ye /V& h e'yi y IV4 4 C /
QUADRANT: NE ( ) NW ( ) SE ( ) SW vl�CBD ( )
PROPERTY IDENTIFICATION NUMBER (PIN): - j' 7 6 7
PERMIT REQUESTED: O NEW CONSTRUCTION O EXCAVATION/FILLING
J REMODELING O MECHANICAL
( ) EXPANSION /ALTERATION ( ) ELECTRICAL
( ) MANUFACTURED HOME ( ) SEPTIC TANK
( ) HOME OCCUPATION ()OCCUPANCY
( )FENCING ( ) DEMOLITION (SEE BACK PAGE)
( ) UTILITY BUILDING ( ) SIGN (SEE BACK PAGE)
( ) GRADING ( ) SPECIAL EVENT
DESCRIPTION OF WORK: Cor►yc! i:cs� v �~ /9e s.c/csr 1� /c �,Sf/ �c ���G '�� G �a ,•�
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NOTES /CONDITIONS/REQUIREMENTS:
CONTRACTOR: N Gffc l 1�e y7:qjrvc j e.waele STATE LICENSE NO:
MAILING ADDRESS: �' U - C lL] X �L, v /� C la�3' PHONE NO: V_- .5' —
SUBCONTRACTOR: ELECTRICAL Tb O
s
PLUMBING i /3 J
MECHANICAL 7' fj' 6 I
INSULATION
TOTAL ESTIMATED COST: $ ,3GI C O O C7
r
ZONING INFORMATION: ZONING DISTRICT: — J— &I rl )TY (04) O EXTRA TERRITORIAL AREA (00)
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TYPE OF USE: O SINGLE FAMILY RESIDENTIAL O INDUSTRIAL
( ) MULTI FAMILY RESIDENTIAL O ACCESSORY
j COMMERCIAL O INSTITUTIONAL
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IS THIS PROPERTY WITHIN A DESIGNATED FLOODPLAIN?
NO O YES / COMM. PANEL #
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WILL THIS DEVELOPMENT /REDEVELOPMENT DISTURB >1 ACRE?
QO NO O YES (IF YES, STORMWATER PERMIT REQUIRED)
APPLICATION CONTINUED ON REVERSE SIDE
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BUILDING SETBACKS: FRONT SIDE / REAR
( ) CORNER LOT - SIDE ROAD
() I STORY X 2 STORY ( ) SPLIT LEVEL
PERCENTAGE ( %) OF LOT IN BUILDING COVERAGE:
TYPE OF DRIVEWAY PERMIT REQUIRED:
O CITY OF CONOVER OQ NC DOT ( ) NOT APPLICABLE
UTILITIES INFORMATION: UTILITY SERVICE: CITY WATER ( ) SEPTIC TANK
CITY SEWER X) GAS
O WELL (X) ELECTRICITY
CITY UTILITY FEES: O DEPOSIT O TAP FEES O SEWER CAPACITY CHARGE
UTILITY COMPLIANCE CAPACITY FORM REQUIRED?
( ) NO ( ) YES DATE COMPLETED:
DEMOLITION PLANS: WHERE IS THE DUMPSITE? G 0 _ s Te
WHICH ROADS /STREETS WILL BE TRAVELED?
WHAT TYPE OF MATERIALS WILL BE DUMPED? 00 ' %, 3 �e
SIGN INFORMATION: HEIGHT OF SIGN:
I
AREA (SQUARE FEET):
DISTANCE FROM RIGHT OF WAY: NM
TYPE OF SIGN: ( ) FREE- STANDING O BANNER (Temporary)
( ) WALL ATTACHED O OFF SITE
( ) PORTABLE (Temporary) ( ) SUSPENDED
WILL SIGN HAVE ELECTRICAL SERVICE? ( ) YES ( ) NO k
TYPE OF ILLUMINATION:
NOTES:
I do hereby certify that the foregoing statements are accurate and correct to the best of my understanding and knowledge, and
I agree to conform to all City Ordinances and Laws of the State of North Carolina regulating such work and any plans or specifications submitted.
SIGN a '�
ATURE OF APPLICANT. DATE: /
SIGNATURE OF ZONING OFFICIAL: �� ( ) DATE: T•�
An approved Permit shall expire and be canceled unless the work authorized by it shall have begun within six (6) months of its issued date. I
ZP 2011
- DD -1 61De- 9- / / -?-IyZ
Newton PC Office 828 -465 -8399 Commercial Plan Review Application Newton PC Fax 828 -465 -8962
Hickory PC ice 828 -465 -8399 Hickory PC Fax 828- 322 -6814
f Hickory DAC Office 828- 323 -7556 �/�D� _(��I _I Z`3 Hickory DAC Fax 828 - 324.5931
Effective Jul 1s' 2004 all submittals /re- submittals of comm lan s mu be accompanied b a 10.00 plan Processing
fee �
Name of Project: R VATIDO TD MA O-F!e7 POU SE Project Cost: IbD
Address of Project: 100 1 AV5 5. 601�1 P- Nc;' PIN # �'l�{I - OR -OT- &461)
*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.
*Plans may be submitted at the Newton or Hickory Permit Centers.
Owner of Business: h4LJF0Z0,d 3'%R*Y Ph. S28 • ?10 7 ' Fax. IO* S J -!- 114I
Address: 601 1l0 AVC A S f4 2 1 Email: tnr 64 ngym;1.C OM
Designer Name: M40 L• C a m ) Ph. 2 03 Fax. &M - U - 1e02
Address: VRO ftX MTM 141021 NC• 224W!'.5 Email M6ea1 & a6%- etrch ,'4& &. ccw
General Contractor: Ph. - q5✓ *7025 Fax.
L ZOO
Address: Z ?� V Email oln- 1 � - .Cb�M
Contact Person: IIII�tLT°( #�,�1;�- Ph fj2g. Z?.' 4 > Fax/ Email •+cU'd1►'�Ce- 75.ecgf
Please Check the Zoning and Planning Jurisdiction that your Project is in:
[ ] OClaremont 94 Full Sets with Site Plans [) OLongview *4 Full Sets with Site Plans
[✓]"OConover •3 Full Sets with Site Plans [ ] OMaiden e4 Full Sets with SitePlans
[ ] bounty •5 Full Sets with Site Plans [ ] ONewton Q Full Sets with Site Plans,E
(] -.Hickory e7 Full Sets with Site Plans [ ] OTown of Catawba •4 Full Sets with hSite °Plans.:::.:
=A Zoning Application and Grading application( if City of Hickory) must be submitted with plans.
*Number of sets of complete plans submitted to the Permit Center. C.IStl1l4l�1L, �) S1U
OThese Zoning Departments require plans be submitted to their offices in addition to listed above.
Please Check Fire Bureau that your Project is in:
[ ] Hickory [eonover [ ] Newton [ ] County (includes Claremont, Maiden, Longview, and Town of Catawba)
Does the Project have a Fire Alarm System: [ ] Yes [vMo
Does the Project have a Sprinkler / Standpipe System: [ ]Yes [V)'No
*Sprinkler Plan Submission to the County, Hickory, Conover or Newton Fire Bureaus' is the responsibility of the customer and must
be forwarded to the Permit Center when completed and approved.
Will this Project require Environmental Health Review: [ ] Yes [Vf No
*If yes, submit one set of plans to Environmental Health with appropriate fee (reverse side of this form lists information).
Type of Sewage Disposal: Is Public Sewage available on or adjacent to this project? HIfes [ ] No*jev - 1' 4)
*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? [%4rYes [ ] 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: [ ] Yes [ L]'f o *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.
Is this Project being submitted for Phase Construction: [ ] Yes 140
*If yes, please check which phase: [ ] Footing / Foundation [ ] Shell / Hull -in [ ] Up -Fit
Type of Work: [ ] Addition [Alteration [ ] New Construction [ ] Other
Type of Use: [ ] Assembly [vf Business [ ] Educational [ ] Factory [ ] Hazardous [ ] Institutional
[ ] Mercantile [ ] Multi- family [ ] Modular Office [ ] Townhouse [ ] Storage [ ] Tower [ ] Utility
Will Industrial Machinery be operated in this facility: [vl No [ ] Y s *If yes, list owners name and number above*
Will electrical Medical Equipment be operated in this facility: M No [ ] Yes * If yes, list Owners name and number above
Please list the square footages of this project: Total 3487 Heated Unheated
Applicants Name t AVf1( 1:MAL Sign Date
Created on 08/26/2005 5:16 PM
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Sep 08 2011 3:51PM ABINGDON SENIOR HOUSING 8283231144 page 1
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Fax Message
Abingdon Cjlen Ail[Age
Abingdon Senior Housing Service, Inc.
501 26 h Avenue North East
Hickory, N. C. 28601
Date:
From: 1 , c ;/ _ To:
Subj: _,�� a s
d s � Company:
Phone Number - 828 -267 -5694 Fax No. 3ZZ - If !y
Fax Number - - 828- 323 -1144
E -Mail - ash s -- twave.net No of Pages (Including Cover):
Message:
jw or
�r
Ploaeo contact condor if numbor of pagoo indiootod !a not received
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North Carolina Licensing Board for General Contractors
Licensee Detail
NOMSER 20039
STATUS Active
Name Triplett, Keith L-
Addre"
109 R*1 Wood Dr.
L ' er
"28645-8912T
C
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4,4,
41
ke'newe biii� �-March 17,2011
Limited
clessmCowns Building
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