HomeMy WebLinkAboutBLDC-2-12-25072 Union Square Pavillion.tif $A CD CATAWBA C O UNTY PERMIT
BUILDING (c)
New Building
►��7 '� P. O. Box 389 Phone: 828 -465 -8399 PERMIT NO: BLDC -2 -12 -25072
100A Southwest Blvd Newton FAX: 828 - 465 -8962 APPLIED: 02/15/2012
Newton, North Carolina 28658 Hickory FAX: 828 -322 -6814 ISSUED: 02/15/2012
SM EXPIRES: 08/13/2012
www.catawbacountync.gov
Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/
APPLICANT OWNER CONTRACTOR
CITY OF HICKORY CITY OF HICKORY NEILL GRADING & CONSTR CO, INC
PO BOX 398 PO BOX 398 PO BOX 3916
HICKORY NC 28603 -0398 HICKORY NC 28603 -0398 HICKORY NC 28603 -
P. 828 - 324 -6774 F. 828 - 324 -9632
EMAIL: jan@neillgrading.com
ACCOUNT: 50061
PROPERTY ID#: 370207592685
STREET ADDRESS: UNION SQUARE, HICKORY, NC LOT#
PROJECT DESCRIPTION: 5600 SQ FT PAVILLION/ Occupany Type changed to utility for fee purposes as this is a tent type structure per DCS / This
does include the stage or decking area / This will be submitted as a revision to the permit/ Fees for stage and decking are already
figured in the building permit feel Do not charge again per DCS
DIRECTIONS: UNION SQUARE
COMMENTS:
TYPE OF USE: New Structure TOTAL SQ FT
# OF STORIES: I VALUE: 281,394.00
ZONING: NUMBER OF UNITS: 1
CODE EDITION: IBC 2009 TOTAL # OF ROOMS:
FEE DESCRIPTION DATE FEE AMOUNT
New Commerical Building Fee 02/15/2012 $1,463.62
Permit Pla card Fee 02/15/2012 $5.00
TOTAL FEES $1,468.62
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 02/15/2012 10:49 Page 1 of 2
�B CATAWBA COUNTY PERMIT
BUILDING (C)
SM BLDC - 2 - 12 - 25072
New Building
AFFIDAVIT OF WORKER'S COMPENSATION COVERAGE
AND STATE PRIVILEGE LICENSE REQUIREMENTS
N.C.G.S. 87 -14
The undersigned applicant for Building Permit # BLDC -2 -12 -25072 being the
Unlicensed Contractor Owner 7 N 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: N %1\ l� r c�1'n� 4r C OA 5 k'VL 1 t - 1'0n
BY(PRINT): ��} -��n N`� -�CA1 TITLE: rrc)SeC�
SIGNATURE:
z r - 24!� DATE: — /�
SWORN TO AN SUBSCRIBED BEFORE ME THIS DAY OF , 20
SIGNATURE OF NOTARY:
MY COMMISSION EXPIRES , 20 OFFICL4L SE.4L
permit 02/15/2012 10:49 Page 2 of 2
V - 2.12 -Z���Z
Newton Office (828) 465 -8399 P.O. Box 389
Newton Fax (828) 465 -8962 4 - Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
Name of Project: � � Date of Application:
V/ 0/1 S V r' q J► ion �— )S = 1 a
Address of Project: P T: -
76 - Applicant: Phone M Fax:
Address of Applicant: Email:
Owner: Phone #: Fax:
Address of Owner: Email:
General Contractor: Pho e#: Fax: 3a
State License#: --7 License Classification: Federal ID #:
(i.e., 111, P1, Limited )
Address of Contractor: � q - % a' I m y 1 S' � , � Email:
Architect/Designer: r � C Phone #: Fax:
2- Ab 3a -5Z -q l
Address of ArchlDesigner: Email:
3 1(.r , ` *-5+- t� . VJ .
Contact Person for Project: Phone #: Fax:
Address of Contact Email:
Does the Project have a Fire Alarm System? [ ] Yes [ No
Does the Project have a Sprinkler/ Standpipe System? * [ ] Yes 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 completed and approved.
Will this Project require Environmental Health Review? * [ ] Yes No
*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? [ ]Footing/ Foundation [ ] Shell / Hull -in
[ ] Up -Fit
5
�o
Newton Office (828) 465 -8399 P.O. Box 389
Newton Fax (828) 465 -8962 '84 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
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)
ST RUCTURE USE /OCCUPANCY (check all that apply)
Occupancy Classificatio "' I (See Classification list on sheet 5, enter multiple if mixed occupancy)
❑ Condominium ❑ Modular Office ❑ Retaining Walls (Sealed Plans)
❑ Addition ❑ Covered Deck ❑ Modular Dwelling ❑ 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 building is designed with specific fire
(Circle) I II III IV V Protected (A) Unprotected (B) rated construction methods.
PROJECT DATA
Total Sq Ft 5`6 Heated Sq Ft Unheated Sq Ft S 60 0 (basement, garage, covered
porches, etc)
Garage Sq Ft Bonus Rm Sq Ft (finished /unfinished) Basement Sq Ft (finished /unfinished)
1s 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 5 -'e_cI
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
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) Owne Agent Signa re Date
$ g 3 3 . S� 0 2,, r , _�2
Est. Project cost (For Permit) Con actor /Agent Signature Date
6
( 0. Newton Office (828) 465 -8399 P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
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 Classificatio X 1 (See Classification list on sheet 5, enter multiple if mixed occupancy)
❑ Condominium ❑ Modular Office ❑ Retaining Walls (Sealed Plans)
❑ Addition ❑ Covered Deck ❑ Modular Dwelling ❑ 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 building is designed with specific fire
(Circle) I II 111 IV V Protected (A) Unprotected (B) rated construction methods.
PROJECT DATA
Total Sq Ft 66 00 Heated Sq Ft Unheated Sq Ft _5�� (basement, garage, covered
porches, etc)
Garage Sq Ft Bonus Rm Sq Ft (finished /unfinished) Basement Sq Ft (finished /unfinished)
1St 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 .5 - 'ez-
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
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 ne Agent Signa re Date
$ - /rig
Est. Project cost (For Permit) Co actor /Agent Signature Date
6
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID: 3702 -07 -59 -2685
Name: HICKORY CITY OF
Name2:
Address: PO BOX 398
Address2:
City: HICKORY
State: NC
Zip: 28603 -0398
Account: 90348100
Calc Acreage: 1.63
Tax Map: 005H 10001
LRK: 5500
Deed Book: 1084
Deed Page: 0535
Subdivision Name:
Subdivision Block:
Lots:
Plat Book:
Plat Page:
Building Number:
Street Name: UNION SQUARE
Site Zip: 28602
Township: HICKORY
I Fire Code:
City Code: HICKORY
State Road:
Total Bldgs Value: $38,600
Land Value: $610,600
Total Value: $649,200
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood: 35
Watershed: WS -IV Protected Area
Watershed Split: YES
Voter Precinct: P15
E911 District: HICKORY
Zoning: C -1
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: OAKWOOD
Middle School: NORTHVIEW
High School: HICKORY
School Split: NO
P &Z Case Number:
Census Tract 2010: 010800
Census Block 2010: 1047
Small Area Plan:
Agricultural District:
Printed: Wednesday, February 15, 2012 09:16 AM
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: 3702 -07 -59 -2685
1 inch = 124 feet Prepared for:
i
163 4153 5173
25.18 7 1 25 25 7 25
-_
010 -� (97) 5 50.00 3 204.91
30 r
3a� 9 07
50.66 52.75 106.75
0939 42.00
72
100.0 ° 73.00 6 50,84 125.00 7
X93 0 L
i 0934 a 1906 m 1955 CITY OF ° 6914 °
0.00 0 Y N n
49 v
.80 ° ° m
g o 0 0
7 41. 0 M v o n
12 5.00
CITY '\ n `r °
900 05 0
p HICKORY ° 0 2980 0 0 '4839 r 1 .97 -- 6819
0858 a I Co 58 9 ! 106.09 N
1857 m M 00 6826 .
5.20
L_ 159.82 n 59 94.47 m
25 73. 63 1.2 1 681
0
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RADIF
.0 ^ ^ 50 30.10 u7 LO 00 q _7 _5 51_64 2� 3
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25 7 48.25
° 707.42 26. 24.5 .,5 . 6 25 55 N
CITY OF HICKORY A
f f L41ON SQiSnRE 2685
J
1 /
(700) I n
J -
f R NORFOLK SOUTHERN RAILROAD
Plat 65-166
(102) CITY OF HICKORY
93 ° CITY o X368 1 6336 {
CITY HICKOR 1.8 HICKORY Plat 65-1 ' PI 651166 7 CI (150) (2 )
6. 199. 8 213.10 2 12 8
99.80 5 5356 3
t X22 7.33 74.66 5 is
N 100.14 ..b
Lo I I I f I 4.50 1 60'
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UNITE S: OF AM 40 r0.1
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1
THIS IS NOT A LEGAL DOCUMENT f _ 1 8 L 9 1 10 1 1.57A I f Wednesday, February 15, 2012 09:16 AM
91Z)0., Pla -12 - +Jet2- `_'3210 -1
2
� r 0
Newton Office (828) 465 -8399 P.O. Box 389
Newton Fax (828) 465 -8962 4 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
Building Data
Hazardous Occupancies or buildings that contain Group H occupancies are not permitted through EPP,
Code to be reviewed under: [ ] 2006 NC Bldg Code [ ] 2006 NC Bldg Code Ch. 34 [ ] NC Rehab Code
[ ] 2009 NC Bldg Code [ ] 2009 NC Bldg Code Ch. 34
[ ] Assembly Type A- [ ] Business [ ] Educational [ ] Mercantile
[ ] Factory/Industrial Type F- Describe the operations?
[ ] Institutional: Type I - Use Condition #: [ ] Residential Type R-
[ ] Storage: Type S - (Identify what is being stored)
Incidental Storage for other than Storage Occupancy(Identify what is being stored)
Parking Garage: [ ] Open [ ] Enclosed [ ] Repair [ ] Utility
Secondary Occupancy:
Special Occupancy: [ ] 508.2 [ ] 508.3 [ ] 508.4 [ ] 508.5 [ ] 508.6 [ ] 508.7 [ ] 508.8
Mixed Occupancy: [ ] Yes [ ] No Separated Use: [ ] Yes [ ] No Hourly Rating: [ ] 1 [ ]2 [ ]3 [ ]4
Un- separated Use: [ ] Yes [ ] No
Type of Construction: [ ] I -A [ ] I -B [ ] R -A [ ] II -B [ ] III -A [ ] III -B [ ] IV [ ] V -A [ ] V -B
Mixed Construction: [ ] Yes [ ] No Types:
Building Height in Feet: Number of Stories: [ ] Unlimited Per Section:
Mezzanine: [ ] Yes [X] No High Rise [ ] Yes [I] No Elevator: [ ] Yes [X] No
High Pile Storage { } Yes No If yes, what is the total square footage, height and items being stored?
Will hazardous materials be stored, used or handled? [ ] Yes [X] No
Gross Building Area:
Floor: Existing (S q. Ft.) New (Sq. Ft.) Sub -Total (S q. Ft.)
Basement
First Floor
Mezzanine
Second Floor
Third Floor
Fourth Floor
Totals:
Are you using an unlimited area provision? ] Yes [ ] No If Yes identify section #:
Largest Fire Area S . ft. See Article 702.1 of the IBC for definition of Fire Area.
7
A
Newton Office (828) 465 -8399 ' P.O. Box 389
Newton Fax (828) 465 -8962 4 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
Life Safety
Will the building have a sprinkler system? [ ] Yes [�No NFPA System Type: [ ] 13 [ ] 13D [ ] 13R
Will the building have a standpipe? [ ] Yes [)Q No Class of System: [ ] I [ ] II [ ] III [ ] Wet [ ] Dry
Will the building have a fire pump? [ ] Yes W No If Yes: [ ] New [ ] Existing
Will the building have a smoke detection system? [ ] Yes [�J No
Will the building have a fire alarm system? [ ] Yes [)Q No
Will the building have an atrium? [ ] Yes Vq No
Will the building have a smoke removal sys em? [ ] Yes WNo
Does the project involve any underground piping or fire sprinkler work? [ ] Yes N No
If yes, describe the type of work.
Plumbing Fixture Requirements
Occupancy Water - closets Urinals Lavatories Showers/ Tubs Drinking Fountains
Male Female Male Female Regular Accessible
Zoning Information
Type of Business: (Be specific such as office, medical clinic, retail clothing, retail optical, restaurant, etc.
Previous type of business: Proposed type of business:
Does the site have off street loading and unloading? [ ] Yes [A No
Does the site have off street parking? [)J Yes [ ] No
Does the site have both accessible and van accessible parking? V] Yes [ ] No
Does the site have a landscaping plan for screening and buffering? [P0 Yes [ ] No
Description of proposed work: Note: Failure to accurately describe work may lead to expulsion from review.
Health Department (Facility Type)
[ ] Restaurant [ ] Food Stand/ Deli Meat Market [ ] Seafood (Cooking)
[ ] School Lunchroom [ ] Commissary ] Lodging [ ] Bar Service (no food)
[ ] Child Care [ ] Adult Daycare ] Residential Care [ ] School Building
[ ] Hospital [ ] Migrant Housi [ ] Bed & Breakfast [ ] Public Pool
[ ] Local Confinement [ ] Other
Seating Capacity: Utensils: [ ] Disposable [ ] Re- usable
Water source: [ ] Municipal [ ] Community [ ] Private (Well)
Sewage: [ ] Municipal [ ] Community [ ] Private (septic system)
Catawba County Food Service Plan Review Application must be completed and submitted with this
application if establishment is a food handling establishment.
8
(0. Newton Office (828) 465 -8399 P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
Sprinkler/Standpipe S stem Specification Sheet
Project Data
Name of Facility: Phone#
Address:
Water Supply Information
Test information provided by: A 10% Safety Margin must be incorporated into the sprinkler /standpipe design
Static Pr sure Residual Pressure
Address: Actual psi/ Actual psi:
Psi — 10 0: Psi — 10 %:
Telephone #:
w:
Date tested:
Fi e Pu
(If applicable a ch rent pump test)
Pump Capacity: Churn Pressure:
Rated Pressure: Pressure g 150% flow:
On -Site Storage Tank Capacity:
Commodi Clas ' acation Information
Area Classification Description of corn odity, Stora e hei ht & arrangement of racks aisles etc
Attach Additional Sheets as ce s
Desi n Parameters
Area # System Type Area (ft') Density m/ftl) Inside Hose m Outside Hose m
Attach Additional Sheets as Necessary.
Codes and Standards
System Com onent A licable NFPA Standard/Year Edition or Other Applicable Codes or Statutes
Notes:
System Designer In ormation
Name: NICET III Certification Number or PE
Company Name: Registration Number:
Address: City:
State: Zip:
Phone #: Fax #:
Revision No.:
Form Rev. 02/2004
9
A
Newton Office (828) 465 -8399 P.O. Box 389
Newton Fax (828) 465 -8962 4 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
Catawba County Environmental Health
Contact Information for Plan Review
100A Southwest Boulevard, Newton, NC 28658
(828) 465 -8270 phone (828) 465 -8276 fax
FLI Case #
PLN Case#
Property Location
Property ID# * - - -
Street Address
City
Zip
Business Name: *
Mailing Address
Address 2
City
Zip *
Phone
Owner Name
Owner Mailing Address
Address2
City
Zip
Phone
Architect
Contact Address
Address 2
City
Zip
Phone
Contractor
Contact Address
Address 2
City
Zip
Phone
Contact Information Sheet and $200 fee required to begin plan review process
Complete and return Food Establishment Application * Required field
Applicant Signature Date
10
A
Newton Office (828) 465 -8399 ' P.O. Box 389
Newton Fax (828) 465 -8962 4 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync..qov
COMMERCIAL APPLICATION FOR
ZONING COMPLIANCE PERMIT
if. 'pP} Hickory Office (828) 323 -7410 County Zoning Office (828) 465 -8380
Hickory Fax (828) 323 -7474 (A City of Hickory application becomes a permit upon County Zoning Fax (828) 465 -8484
4
Approval by a City of Hickory Zoning Administrator.)
Parcel Identification No. 3 7- 7 b 7 61 Date :5 - /5 ' -2-0/ vZ.
Project 911 Address:
The Proposed Use For This Building Or Land Is (Specific): y 4
The Building Or Land Was Previously Used For (Specific): 1 J&? k
List Physical Changes To Building Or Land:
Is Proposed Land Disturbance Under One (1) Acre?
[x] 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 City of Hickory Engineering Department for plan approval. /
Applicant: / ' V-C i l ( Gj A� t I ,c t Q(j/l� - mac r'v� — Applicant's Telephone No. b -7
Applicant's Address: Pj 13 o k [�
Applicant's Fax: 3 24 - q 0 P. Applicant's E -mail SL) S}.; n 0 (Q Ci t \ "Ca i n ti. Cot" \
Property Owner: Owner's Telephone No.: r
Owner's Address:
Business Name If Different From Above:
(SITE PLANS SHALL ACCOMPANY ALL COMMERCIAL APPLICATIONS)
(ALL BUSINESSES RATING IN THE HICKORY CITY LIMITS MUST HAVE A PRIVILEGE LICENSE)
77.47.�,
Applicant's Signature C D ate �2
a
FOR DEVELOPMENTASSISTANCE CENTER USE ONLY
Change In Use Remodeling Accessory Structure
Change in Occupancy Home Occupation Temp. Const. Office
i New Construction Manufactured Housing Parking/Loading
Interior Renovations Other:
FOR ZONING ADMINISTRATOR USE ONLY
REFERENCE NUMBER ZONE e- 1 QUADRANT OVERLAY DISTRICT
Front Setback Size of Lot Approved PD
Side Street Setback Lot of Record Approved Minor PD
Side Setback Use Permitted Airport Ordinance
Rear Setback Trees Required Flood Zone
Maximum Height Watershed 1 2 3 4 Protected Critical
Other (Describe):
Zoning Permit Approv . p� _ - ��¢G� Date:
Zoning Ad nistrator
Conditions of Approval:
** For clarifications or to request a final zoning inspection (if required) contact Zoning Official at 828 - 323 -7487 **
Zoning Permit Disapproved: Date:
Zoning Administrator
Reasons For Disapproval:
ZONINGAPPLRevsdO7 -17 -06 Received By: Date
12
(0. Newton Office (828) 465 -8399 P.O. Box 389
Newton Fax (828) 465 -8962 Newton, NC 28658
Hickory Fax (828) 322 -6814 Express Plan Review Application www.catawbacountync.gov
CITY OF HICKORY
COMMERCIAL APPLICATION FOR GRADING PERMIT
(This application becomes a permit upon approval by the Engineering Division)
IS PROPOSED LAND DISTURBANCE UNDER 1 ACRE?
"YES ", please complete the Application for Grading Permit.
"NO ", DO NOT COMPLETE Application for Grading Permit. Please read following important information:
If proposed land disturbance is 1 ACRE OR MORE, the City of Hickory Grading Permit is NOT REQUIRED.
Applicant must obtain Erosion & Sedimentation Control Plan approval from NCDepartment of
Environment and Natural Resources
PARCEL IDENTIFICATION NO. 3 67 - 7 - 5S� - c D Co
PROJECT ADDRESS: 0/)"( SG Lx-r
%.1
THE PROPOSED USE FOR THIS BUILDING OR LAND IS: Pc.v,)
THIS BUILDING OR LAND WAS PREVIOUSLY USED FOR:
LIST PHYSICAL CHANGES TO BUILDING OR LAND: I A+
APPLICANT: Nei I 61t"& �' �'ynf�1' ` LICANT'S TELEPHONE NO.: > t 'l - '7 L1
APPLICANT'S ADDRESS: ? 'j 1 ( lit Ckch W- �2$ (-(j j
APPLICANT'S FAX: 324 0 1 ( , 32- APPLICANT'S E -MAIL:
PROPERTY OWNER: Ci v jk�90' OWNER'S TELEPHONE NO.:
OWNER'S ADDRESS:
BUSINESS NAME IF DIFFERENT F O ABOVE:
APPLICANT'S SIGNATURE:
FOA ENGINEFIZING D VISION USE ONLY
GRADING PERMIT APPROVED: / DATE:
C NDITIONS OF APPROV L: '7 k l /
S
GRADING PERMIT DISAPPROVED: DATE:
REASONS FOR DISAPPROVAL:
Received By: Date:
11