HomeMy WebLinkAboutBLDR-2-12-25431 Will Eckerd Wall Repair.tif $A C CATAWBA COUNTY PERMIT
BUILDING (R)
Repairs
P. O. Box 389 Phone: 828 -465 -8399 PERMIT NO: BLDR -2 -12 -25431
100A Southwest Blvd Newton FAX: 828 - 465 -8962 APPLIED: 02/28/2012
Newton, North Carolina 28658 Hickory FAX: 828 -322 -6814 ISSUED: 02/28/2012
1 S 4 2 SM EXPIRES: 08/26/2012
www.catawbacountync.gov
Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/
APPLICANT OWNER CONTRACTOR
WILL ECKERD KEN TATE PROPERTIES LLC TRACY WARLICK
4852 BROOKRIDGE DR PO BOX 11244 1930 PLAZA DR
HICKORY NC 28601- HICKORY NC 28603 HICKORY NC 28601 -
P. (828)612 -4886 P. 828 -612 -4886 P. (828)234 -8542
PROPERTY ID#: 372420816968
STREET ADDRESS: 3581 SPRINGS RD NE, Hickory, NC LOT#
PROJECT DESCRIPTION: CAR RAN INTO HOUSE/ DAMAGING WALL
DIRECTIONS: JUST PAST THUNDERBIRD DRIVE IN ON LEFT ON SPRINGS RD
COMMENTS:
TYPE OF USE: Alteration / Exterior TOTAL SQ FT
# OF STORIES: I VALUE: 15,000.00
ZONING: NUMBER OF UNITS: 1
CODE EDITION: IRC 2009 TOTAL # OF ROOMS:
FEE DESCRIPTION DATE FEE AMOUNT
Building Repairs Fee 02/28/2012 $118.00
Permit Pla card Fee 02/28/2012 55.00
TOTAL FEES $123.00
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 constructionibuilding
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 Ist INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a period
& 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 02/28/201111:18 Page 1 of I
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Newton Office (828) 465 -8399 CATAWBA Ikj 1 84 COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 APPLICATION FOR BUILDING PERMIT Newton NC 28658
Hickory Fax (828) 322 -6814 www.catawbacountync.gov
All submittals/re- submittals of commercial plans must be accompanied by a $10.00 plan processing fee
Name of Project: Date of Application:
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Address of Applicant: Email:
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Owner: J Phone #: Fax:
Address of Owner: Email:
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General Contractor: - lAk Phone #: Fax:
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State License #: License Classification: Federal ID #:
i.e., H1, P1, Limited
Address of Contractor: Email:
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Arch itectlDesigner: Phone #: Fax:
Address of Arch /Designer: Email:
Contact Person for Project: hone #: ax :,
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Does the Project have a Fire Alarm System? [ ] Yes [45No
Does the Project have a Sprinkler I Standpipe System? * [ ] Yes [CtNo
* 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 completed and approved.
Will this Project require Environmental Health Review? * [ ] Yes [- o
•
* 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? * [ ] Yes [ ] 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? * [ ]Yes; [ ] 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
Is this Project being submitted for Phased Construction? * [ ] Yes [ ] No
*If yes, please check which phase? I [ ] Footing I Foundation [ ] Shell I Hull -in [ ] Up -Fit
Continue to Next Page
1 Updated 04 /1 51 201 1
e�
Newton Office (828) 465 -8399 CATAWBA ' 4 COUNTY P.O. Box 389
Newton Fax (828) 465 -8962 APPLICATION FOR BUILDING PERMIT Newton NC 28658
Hickory Fax (828) 322 -6814 www.catawbacountync.gov
Describe work to be done under this permit: VA:Nt(AS
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 Dwelling 0 Single Family (site built)
❑ Agricultural ❑ Deck only ❑ Multi- Residential ❑ Townhouse
❑ Alteration / Exterior ❑ Mixed Occupancy ❑ Modular Garage
❑ Alteration / Interior ❑ Hanger, Mixed Use ❑ Pier (Sealed Plans)
Other
TYPE OF CONSTRUCTION Protected or Unprotected construction refers to whether the
(Circle) I I I III IV V Protected (A) Unprotected (B) building is designed with specific fire rated construction methods.
PROJECT DATA
Total Sq Ft 106 Heated Sq Ft Unheated Sq Ft (basement, garage, covered porches, etc)
Garage Sq Ft (Z Bonus Rm Sq Ft (finished /unfinished) Basement Sq Ft (finished /unfinished)
Is' Floor Sq Ft 2 2-d 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 AL
SUBCONTRACTORS NEEDED FOR PROJECT ❑'Electrical ❑ Plumbing ❑ Heating / A/C ❑ NONE
POWERIUTILITY COMPANY Servicing the Location: Type of Gas Service (Nat. or Propane) 0
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 Services Department will be notified of any changes in the approved plans and specifications for
the project permitted herein.
(For Plan Revigw) Owner / Agent Signatu Date
Est. Project cost (For Permit) C ntractorlAgent Signature Date
2 Updated 04 /15/2011
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 Owner Officer /Agent of the Contractor
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 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 compensation
covering themselves,
has /have not more than two (2) employees and no subcontractors,
has /have paid the licensing tax for General Contractors as
required by the Revenue Act of the State of North Carolina (if
project cost exceeds $5,000 and is not owner of the property),
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,
has /have applied for permit under owner exception to the licensing
requirements mandating 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 Permit Center 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
B / 2A 1Jp,auck )) Title:
Signature: C�, CV Date: 2� Z8 I
Sworn to and subscribed before me this day of 20
Official Seal
Signature of Notary Notary Public
My commission expires 20
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
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: 3724 -20 -81 -6968
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SPRINGS ROAD
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THIS IS NOT A LEGAL DOCUMENT l2 0l Tuesday, February 28, 2012 11:04 AM
Y L: 9.55 i 6 r
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID: 3724 -20 -81 -6968
Name: KENN TATE PROPERTIES LLC
Name2:
Address: PO BOX 11244
Address2:
City: HICKORY
State: NC
Zip: 28603 -6402
Account: 190856
Calc Acreage: 1.42
Tax Map: 1419 04006
LRK: 50550
Deed Book: 2671
Deed Page: 1561
Subdivision Name:
Subdivision Block:
Lots:
Plat Book:
Plat Page:
Building Number: 3581
Street Name: SPRINGS RD NE
Site Zip: 28601
Township: CLINES
Fire Code: ST. STEPHENS
City Code: COUNTY
State Road: 1453
Total Bldgs Value: $20,500
Land Value: $92,200
Total Value: $112,700
Year Built: 1936
Year Remodeled:
Last Sale Date: 06/23/2005
Last Sale Amount: $86,000
Neighborhood. 58
Watershed:
Watershed Split:
Voter Precinct: P29
E911 District: COUNTY
Zoning: HC
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay: MUC -0
Zoning District: COUNTY
Split Zoning Dist: N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District: COUNTY
Elementary School: SNOW CREEK
Middle School: ARNDT
High School: ST STEPHENS
School Split: NO
P &Z Case Number:
Census Tract 2010: 010301
Census Block 2010: 2026
Small Area Plan: ST STEPHENS /OXFORD
Agricultural District:
Printed: Tuesday, February 28, 2012 11:04 AM