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SAFE-1-12-24530 Word of Life Ch- Proj Dropped-DV.tif
$A C CATAWBA COUNTY PERMIT SAFETY Commerical PERMIT NO: SAFE -1 -12 -24530 C� ♦ P. O. Box 389 Phone: 828 -465 -8399 100A Southwest Blvd Newton FAX: 828 -465 -8962 APPLIED: 01/23/2012 Newton, North Carolina 28658 Hickory FAX: 828 - 322 -6814 ISSUED: 01/23/2012 84 SM EXPIRES: 07/21/2012 www.catawbacountync.gov Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/ APPLICANT OWNER CONTRACTOR WORD OF LIFE CHURCH CLAUDETTE FRANKLIN NO GENERAL CONTRACTOR 637 MAIN AV SW 2660 GLENN ST HICKORY NC 28602- NEWTON NC 28658 P. (828)291 -2277 P. 828464-7136 ` 0 e ' 7 7�c PROPERTY ID#: 370206299442 -- STREET ADDRESS: 637 MAIN AV SW, Hickory, NC LOT# PROJECT DESCRIPTION: SAF'EZY INSPEC ON/ World of Life Church/ Previous Use/ Business Ofc /Laundry DIRECTIONS main av V COMMENTS: TYPE OF USE: TOTAL SQ FT # OF STORIES: VALUE: ZONING: NUMBER OF UNITS: CODE EDITION: TOTAL # OF ROOMS: FEE DESCRIPTION DATE FEE AMOUNT Permit Placard Fee 01/23/2012 $5.00 Safety Ins pection Fee 01/23/2012 $79.00 TOTAL FEES $84.00 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 8:00a.m. and 5:00p.m. permit 01/23/2012 12:07 Page 1 of 1 Catawba County, North Carolina, Disbursem Voucher Vendor No.: Date: 1/25/12 Timothy W. Hertzer� Word of Life Church �► 61523 rd St NW Hickory, NC 28601 1 842 DESCRIPTION AMOUNT SSAFE -1 -12 -24530 Safety Inspection/ Project Dropped /No inspections made. $84 minus $26 (Admin Fee) $58.00 Refund 58.00 SUB -TOTAL 7% SALES TAX FREIGHT TOTAL 58.00 Fund Cost Center Object Project Amount For Accounting Use Only 110 430100 662000 58.00 TOTAL 58.00 The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. djk (Signature - Appropriate Official) (Processed By) (Signature - Appropriate Official) (Checked By) 2 Newton Office (828) 465 -8399 CATAWBA 42 COUNTY P.O. Box 389 Newton Fax (828) 465 -8962 APPLICATION FOR SAFETY PERMIT Newton, NC 28658 Hickory Fax (828) 322 -6814 www.catawbacountync.gov (Please Print or Type) Date: 11 -2- 3 b 2 Physical Street Address: ✓ /-7 4 �N uee t V Cit : L �O�'� State: N (—Zip Code: a z *YOU WILL BE ASKED TO GIVE DRIVING DIRECTIONS AT THE TIME OF ISSUING THE PERMIT* BUSINESS NAME: O 0 ) l vve r, A APPLICANT: Le Telephone (m )-Y1 - ,V— 7 Email: WO o /UC Fax (_) a X A 0 , Gok Address: w City: ) A4 koA ly State: , 6— Zip Code: v Contact Person: Z Telephone ( mail sq '1' e- 'T OWNER: C1 9 C2 o 1NM— Telephone (_) Email Fax (_) Address: © Gew City: z Ikl CW State: l V (C--Zi Code: b S INSPECTION REQUESTED BY: ❑ Bldg Inspector Lessee /Owner ❑ Fire Prevention ❑ Zoning ❑ A -L -E ❑ Other Requested By: (Individuals name) PREVIOUS USE: PROPOSED USE: TOTAL SID FT: Fire District: Zoning District: TYPE OF WORK PLANNED: ❑ Alteration ❑ Addition hg of Use ❑ Interior Demo ❑ Rehab (MUST HAVE SAFETY INSP) (If plans [other than REHAB] have already been started by an architect or an engineer, a Safety Inspection is NOT required) ❑ SPECIAL EVENT: DATES/ TIMES: 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 specificationa Y the project permitted herein. _I;--_ oZ Owner/ Applicant Pri ed Name Owner/ Applicant Signatur Date OFFICE USE ONLY / Property ID# ❑ Building ❑ Fire Only ❑ Zoning Created on 04/13/2010 r � Fire Only Bldg/Fire v` Hickory [ ] County [ ) HICKORY A � I V A 5 COMMERCIAL ZONING APPLICATION ``:i (A City of Hickory application becomes a permit upon Hickory Office (828) 323 - 7410 approval by a City of Hickory Zoning Administrator)- - Hickory Fax (828) 323 -7474 County Zoning Office (828) 465 -8380 7 9 .- County Zoning Fax (828) 465 -8484 — / L23 h 2 Parcel Identification No. 1 7 d Date Project 911 Address: / C V L`e The Proposed Use For This Building Or Land Is (Specific): CA L, JZ The Building Or Land Was Previously Used For (Specific): 1 611 S1, , &5;5 List Physical Changes To Building Or Land: / V Q /L e' Is Proposed Land Disturbance Under One (1) Acre? (If applicable) [ ] Yes, Please complete the City of Hickory Application for Grading Permit [ ) No, Approval for Erosion & Sedimentation Control Plan from NC Department of Environment and Natural Resources must be forwarded to Ci of Hickory Engineering Department for plan approval. Applicant: A Z Applicant's Telephone No.: b Applicant's Address: l Applicant's Fax: Applicant's E -mail �C� L f j (j /Ct (� Ova C' e >.kh Property Owner: ' Q ;i 42 C O L t , //8 Owner's Telephone No.: Owner's Address: 0 Business Name If Different From Above: 7 _ (ALL BUSINESSES OPE TING N THE HI KORY CITY LIMITS MUST HAVE A PR VILEG LICENSE) Applicant's Signature Date FOR DEVELOPMENT ASSISTANCE CENTER USE ONLY Change In Use Remodeling Accessory Structure Change in Occupancy Home Occupation Temp. Const. Office New Construction Manufactured Housing Parking/Loading Interior Renovations Other: FOR ZONING AD IN STRATOR USE ONLY REFERENCE NUMBER ZONE C — QUADRANT OVERLAY DISTRICT Front Setback Approved PD Size of Lot Rear Setback Approved Minor PD Use Permitted Side Setback Flood Plain Trees Required Side Street Setback Elevation Certificate Required Airport Ordinance Maximum Height Watershed _ 1 _ 2 _ 3 _4 Protected Critical Other (Describe): Zoning Approved: �� �L� �� Lf .� ( �' �1 ��IL -C Date: Zoning Administrator Conditions of Approval: _ '4-- , *No building, structure or zoning lot for which a zoning compliance permit has been issued shall be used or occupied until the Planning Director has, after final inspection, issued a certificate of zoning compliance.* Zoning Disapproved: Date: Zoning Administrator Reasons for Disapproval: CommercialZoningApplica tion04261 1 j, eaNz�) sa F a - IV h ve -5 yv, lRgjeL� c�Ro/�yec�. �a��s, SBA C� CATAWBA COUNTY, NC ] 0 South West Blvd Newton, Q , Newton, NC 28658 - PERMIT RECEIPT Phone: (828)465 -8399 Monday, January 23, 2012 �► Y rY 1 84 2 sM www.catawbacountync.gov Permit Number: SAFE -1 -12 -24530 Invoice Number: SAFE -1 -12- 282984 Permit Type: Safety Work Class: Commerical Receipt Number: Site Address: 637 SW MAIN AV, Hickory, NC APPLICANT OWNER WORD OF LIFE CHURCH CLAUDETTE FRANKLIN 637 SW MAIN AV 2660 GLENN ST HICKORY NC 28602- NEWTON NC 28658 (828)291 -2277 CONTRACTOR: NO GENERAL CONTRACTOR FEES FEE DESCRIPTION DATE FEE AMOUNT Permit Placard Fee 01/23/2012 $5.00 Safetv Inspection Fee 01/23/2012 $79.00 TOTAL FEES $84.00 PAYMENTS PAYER: TIM HERTZER WORD OF LIFE CHURCH Date Payment Type Check Number Amount Change 01/23/2012 Check 1769 $84.00 $0.00 Memo: Total Payment: $84.00 pcnuitr�ccipt ;bc(i�Scl�d- hc:i6 -A<i 3- s?66- 1056�s0at03c7; ipL 01/23/2012 12:06 Page 1 of 1 T \ C N ^ N PJ , 9 c T � O L \ I < Lo • W CO W cc LO z W G Y ' - o� 6 1 Ln 9¢O v .. r CO Er lox Ti. 2 ru rm r' S n �• Ir t .a y ru R 3 I ❑ _ m Z cD .-a V C NN M 0 QV LJ1 Z Z V co N C N ❑ 7 O J'R Z CO E A U CY O � O � Y CM v Q' U CA O C� I ❑ s