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Home My WebLink Aboutbldr-3-12-25510 Wm Geidman- Permit - Appl.tif �A O CATAWBA COUNTY PERMIT BUILDING (R) Addition & Alterations C� '►�1►� P. O. Box 389 Phone: 828 -465 -8399 PERMIT NO. BLDR -3 -12 -25510 100A Southwest Blvd Newton F'AX: 828 -465 -8962 APPLIED: 03/01/2012 Newton, North Carolina 28658 Hickory FAX: 828 -322 -6814 ISSUED: 03/01/2012 1$ 4 2 SM EXPIRES: 08/28/2012 www.catawbacountync.gov Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/ APPLICANT OWNER CONTRACTOR WILLIAM GEIDMAN WILLIAM GEIDMAN NEW GENESIS VENTURES, INC. 4421 3RD ST NW 4421 3RD ST NW PO BOX 981 HICKORY NC 28601 HICKORY NC 28601 CONOVER NC 28613 - P. 828 - 312 -2709 P. 828 -312 -2709 P. (828)312 -0710 ACCOUNT: 6532 PROPERTY ID#: 371517118418 STREET ADDRESS: 4421 3RD ST NW, Hickory, NC LOT# 185 PROJECT DESCRIPTION: KITCHEN ADDITION AND KITCHEN ALTERATIONS DIRECTIONS: 3RD ST NW COMMENTS: TYPE OF USE: Addition TOTAL SQ FT # OF STORIES: 1 VALUE: 50,000.00 ZONING: NUMBER OF UNITS: 1 CODE EDITION: IRC 2012 TOTAL # OF ROOMS: FEE DESCRIPTION DATE FEE AMOUNT Permit Placard Fee 03/01/2012 $5.00 Building Alterations Fee 03/01/2012 $223.00 New Residential Building Fee 03/01/2012 $88.00 Home Ow ners Recovery Fund 03/01/2012 $10.00 TOTAL FEES $326.00 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 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 03/01/2012 10:42 Page 1 of 2 *14 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.catawbacountync. 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: Address of Project: I n 1 Parcel ID #: Applicant: J Phone #: Fax: -AO 'P VJ 5 1° Address of Applicant�-90 4/0 ` H Email: Owner: .\ j , t I ` Q Phone #: Fax: Address of Owne : a / � `�.� AA Email: General Contractor: ` UuP Pho e# Fax: State License #: License Clas ' ' F eral ID #: lo ' ' i.e., H1, P1 imited L Address of Contractor: E aiL f ,( i'ZT �t)f7r��v CZ4SJd(tl . �j Arch itect/Designer: Phone #: Fax: Address of Arch /Designer: Email: Contact Person for Project: Phone #: Fax: Address of Contact �CJ Email: i Does the Project have a Fire Alarm System? [ ] Yes No 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 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 [l * 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 must 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 a New Building or Addition that is owned by a Government/Municipal Agency AND 20,000 sq ft [ ] Yes [ ] No or more? NCDOI Approval Letter MUST be submitted to this office before Permits will be issued! Is this Project being submitted for Phased Construction? * [ ] Yes [ ] No *If yes, please check which phase? I [ ] Footing / Foundation [ ] Shell / Hull -in [ ] Up -Fit Continue to Next Page 1 Updated 04/15/2011 2 l Newton Office (828) 465 -8399 CATAWBA 184 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 Describe work to �� be done under this Permit: �`� �V1 4 Ue TYPE OF WORK ❑New Building ddition ❑ Alteration �ixed 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 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) 1 11 111 IV Protected (A) Unprotected (B)_. building is designed with specific fire rated construction methods. PROJECT DAT Total Sq Ft Heated Sq Ft Unheated Sq Ft (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 Z 4, . nry, prefab /gas, prefab /wood) Type of Heat Type of Foundation SUBCONTRACTORS NEEDED FOR PROJECT Electrical Oplumbing <Heating/ A/C ❑ NONE POWERIUTILITY 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. J � (For P n Rev'ew) w er / gent Signature �—( Date $ Est. Project cost (For Permit) Contractor /Agent Signature Date 0-U0- — *56 2 Updated 04 /15/2011 ti $ CATAWBA COUNTY PERMIT c BUILDING (R) 1� z SM BLDR - 3 - 12 - 25510 Addition & Alterations AFFIDAVIT OF WORKER'S COMPENSATION COVERAGE AND STATE PRIVILEGE LICENSE REQUIREMENTS N.C.G.S.87 -14 The undersigned applicant for Building Permit # BLDR- -12 -25510 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: 6;�,5(s —t � (�- BY (PRINT): I TITLE: SIGNATURE: DATE: SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20 SIGNATURE OF NOTARY: MY COMMISSION EXPIRES 20 OFFICML SEAL Ixrm�t 03/01/2012 10:19 Page 2 of HICKORY North caro'f^a Hickory (82)) 323 -7410 CITY OF HICKORY Hickory Fax 828 323 -7474 Life. Well Crafted. RESIDENTIAL APPLICATION FOR ZONING / GRADING PERMITS (A City of Hickory application becomes a permit upon approval by a City of Hickory Zoning Administrator.) r 7707osedland disturbance is 1 ACRE or MORE, applicant must obtain Erosion & Sedimentation Control Plan approval from Catawba County Erosion & Sediment Control. (828 -465 -8161) Parcel Identification No. ;�-7 / `` j — 1--(1 - S4/ 6 D to Physical Address: 4+a The building or land was previously used for: i C Proposed use or change to this building or land: Applicant: I ��lF' Ap licant's telephone No.: &a 3((�- b '7I0 Applicant's Address: K) q4 Applicant's Fax: ga J b `t"(( Applicant's Email � ��j �' C - Property Owner: �, l �'I/1 /]� Owner's Telephone No.: M -- 3c� 0 `c� Q � 1 Owner's Address: "I - l' ,q rD ALL BUSINESSES OPERATING IN THE CITY LIMITS MUST HAVE A PRIVILEGE LICENSE This Permit is performance- oriented. Prope ty er is responsible for taking any additional measures not shown on the approved plan to prevent a sion and offs' a edim t 'on. Applicant's Signature 7- 4 Date ✓ - �`� FOR OFFICIAL USE ONLY ZONING OVERLAY DISTRICT 20 Front Setback • Size of Lot Approved PD Rear Setback Lot of Record Approved Minor PD Side Setback Use Permitted Elevation Certificate Required /J Side Street Setback Flood Plain 1 Maximum Height ✓ -�— g � Watershed _ 1 _ 2 _ 3 �' 4 Protected Critical Other (Describe): Zoning/Grading Permit Approved: 6Lt, / Lw Date: ' / //Z Zoning Administrator Conditions of Approval: d Y 1pE �fRGSIiOM E EDEQ Zoning/Grading Permit Disapproved: Date: Zoning Administrator Reasons For Disapproval: RevO12512 Catawba County, North Carolina �I This map product was prepared from the Catawba County, NC, Geographic Information System, Catawba Countyhas made substantial (forts to ensure the accuracy oflocation andlabeling information contained on this map. Catawba Countypromotes and recommends the independent verification ofany data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall notbe held liable for any and all damages, loss or liabiliy, whether direct, indirect or consequential which arises or may arisefrom this mopproduct or the use thereof by any person or entity. Legend Selected Parcel Number: 3715 -17 -I1 -8418 1 inch = 30 feet Prepared for: 4), 49 .9 184 N 185 6 co o � 951 �, •o 0 o 0 84 co 43,8 'P 17 p0 6' 41 THIS IS NOT A LEGAL DOCUMENT ' � Thursday, March 01, 2012 10:04 AM