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HomeMy WebLinkAboutBLDC-12-11-24007 N Hickory Clinic-Permit-Appls.tif $A C CATAWBA COUNTY PERMIT BUILDING (C) pp C Addition & Alterations f - vow, S A _ P. O. Box 389 Phone: 828 -465 -8399 PERMIT NO: BLDC -12 -11 -24007 100A Southwest Blvd Newton FAX: 828 - 465 -8962 APPLIED: 12/30/2011 1 4 r1 SM Newton, North Carolina 28658 Hickory FAX: 828 - 322 -6814 ISSUED: 02/29/2012 !r EXPIRES: 08/27/2012 www.catawbacountync.gov Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/ APPLICANT OWNER CONTRACTOR NORTH HICKORY CLINIC Catawba County HICKORY CONSTRUCTION COMPANY 210 29TH AV NE 100 SOUTHWEST BLVD PO BOX 1769 HICKORY NC 28601- NEWTON NC 28658- HICKORY NC 28603 P. (828)326 -3891 P. (828)465 -8971 P. 828 - 322 -9234 F. 828 -322 -5138 EMAIL: cmoss @hickory- construction.com ACCOUNT: 16681 PROPERTY ID#: 371413032530 STREET ADDRESS: 210 29TH AV NE, Hickory, NC LOT# 4 -7 PROJECT DESCRIPTION: ADDITION OF 3,296 SQ FT COST $400,000/. ALT INTERIOR COST $100,000/ HICKORY ZONING DIRECTIONS: 1.0.1 mi /215 mHead toward 1 st Ave NE on N Center St. . 2.0.1 mi /203 mTurn right onto 2nd Ave NE. . 3.2.5 mi/4.1 kmTum left onto 2nd St NE (NC -127). . 4.0.3 mi/436 mTurn right onto 29th Ave NE. . 5.Your destination on 29th Ave NE is on the right. The trip takes 3.1 mi /5.0 km and 7 mins. COMMENTS: TYPE OF USE: Addition TOTAL SQ FT # OF STORIES: 1 VALUE: 500,000.00 ZONING: NUMBER OF UNITS: I CODE EDITION: IBC 2009 TOTAL # OF ROOMS: FEE DESCRIPTION DATE FEE AMOUNT Permit Placard Fee 12/30/2011 $5.00 Temp Mechanical Agreement Fee 12/30/2011 $121.00 New Commerical Building Fee 12/30/2011 $1,812.80 Building Alterations Fee 12/30/2011 $373.00 Temp. Ele ctrical Agreement Fee 12/30/2011 $121.00 TOTAL FEES $2,432.80 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 1 st 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. pennit 02/29/2012 16:21 Page 1 of 2 $A CATAWBA COUNTY PERMIT BUILDING (C) Addition & Alterations P. O. Box 389 Phone: 828- 465 -8399 PERMIT NO: BLDC -12 -11 -24007 100A Southwest Blvd Newton FAX: 828 - 465 -8962 APPLIED: 12/30/2011 Newton, North Carolina 28658 Hickory FAX: 828 -322 -6814 ISSUED: 02/29/2012 I g t} Z SM EXPIRES: 08/27/2012 www.catawbacountync.gov Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov /cap/ APPLICANT OWNE R CONTRACTOR NORTH HICKORY CLINIC Catawba County HICKORY CONSTRUCTION COMPANY 210 29TH AV NE 100 SOUTHWEST BLVD PO BOX 1769 HICKORY NC 28601- NEWTON NC 28658- HICKORY NC 28603 P. (828)326 -3891 P. (828 )465 -8971 P. 828 -322 -9234 F. 828 -322 -5138 EMAIL: cmoss @hickory- construction.com ACCOUNT: 16681 PROPERTY ID#: 371413032530 STREET ADDRESS: 210 29TH AV NE, Hickory, NC LOT# 4 -7 PROJECT DESCRIPTION: ADDITION OF 3,296 SQ FT COST $400,000 / ALT INTERIOR COST $100,000/ HICKORY ZONING DIRECTIONS: 1.0.1 mi/215 mHead toward 1 st Ave NE on N Center St. . 2.0.1 mi /203 mTurn right onto 2nd Ave NE. . 3.2.5 mi/4.1 kmTurn left onto 2nd St NE (NC -127). . 4.0.3 mi/436 mTurn right onto 29th Ave NE. . 5.Your destination on 29th Ave NE is on the right. The trip takes 3.1 mi/5.0 km and 7 mins. COMMENTS: TYPE OF USE: Addition TOTAL SQ FT # OF STORIES: 1 VALUE: 300,000.00 ZONING: NUMBER OF UNITS: 1 CODE EDITION: IBC 2009 TOTAL # OF ROOMS: FEE DESCRIPTION DATE FEE AMOUNT Permit Placard Fee 12/30/2011 $5.00 Temp Mechanical Agreement Fee 12/30/2011 $121.00 New Commerical Building Fee 12/30/2011 $1,812.80 Building Alterations Fee 12/30/2011 $873.00 Temp. Ele ctrical Agreement Fee 12/30/2011 $121.00 TOTAL FEES $2,932.80 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 02/29/2012 15:57 Page 1 of y,A CATAWBA COUNTY PERMIT BUILDING (C) Is SM BLDC -12 -11 -24007 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 # BLDC -12 -11 -24007 being the Unlicensed Contractor Owner i/ / 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: 1/ 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. J 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: A A ` BY (PRINT): TITLE: SIGNATURE: DATE: SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20 SIGNATURE OF NOTARY: MY COMMISSION EXPIRES , 20 0FF1C1.41. SE,4L pC 02/29/2012 15:57 Page 2 of 2 Fire Only_ Hickory [ ] Bldg/Fire _ County[ ] HICKORY COMMERCIAL ZONING APPLICATION (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 County Zoning Fax (828) 465 -8484 Parcel Identification No. 74 13v 2,5 o �D Project 911 Address: 7[Q 2g 1 V,1!5 L� Kogy /V C The Proposed Use For This Building Or Land Is (Specific): MoD iCkL- 0 FrJCE The Building Or Land Was Previously Used For (Specific): MJ5121 CAL. / � C) F List Physical Changes To Building Or Land: _hDITIO N I Alf A L;,-. 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 City of Hickory Engineering Department for plan approval. Applicant: ey),(, MIL A 4 Itt,&( Applicant's Telephone No.: Applicant's Address: 610 fAP - &ko V,-- - CHOAC a AA 5 / �eY' A[G 2 ffG o - Applicant's Fax: _� 31( - eM 2!f 4, Applicant's E- mail dMar -/n [ /!C1/I0Cafgj 64V °Ql e4 M n/� Property Owner: CatayAq_(4/ —ey 14E0i ay- &JUrwO wrier's Telephone No.: _T/[ pl Owner's Address: _ Business Name If Different From Above: (ALL BUSINESSE OP RATING IN T E HICKORY CITY LIMITS MUST HAVE A PRIVILEGE LICENSE) Applicant's Signature Date i FOR DEVELOPMENT ASSISTANCE CENTER USE ONLY Change In t1 Remodeling Accessory Structure Change in Occupancy Home Occupation Temp. Const. Office New Construction Manufactured Housing Parking/Loading _ / Interior Renovations Other: FOR ZONING ADMINISTRATOR USE ONLY REFERENCE NUMBER ZONE O- QUADRANT vE OVERLAY DISTRICT _ Front Setback Approved PD /• 7,Q[�5 of Lot Rear Setback Approved Minor PD Use Permitted Side Setback Flood Plain ,/ Trees Required 1 , Side Street Setback Elevation Certificate Required A 4 Airport Ordinance Maximum Height Watershed _ 1 _ 2 _ 3 _4 Protected Critical Other (Describe): Zoning Approve Date: D 1 - DSf- a 2 ©/�2 Zoning Administrator Condi tions of Approval: 7 w T� 0 2.4 - 1 ' !ter *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: CommercialZoningApplication0426 11 10 0 Newton Office (828) 465 -8399 CATAWBA 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:A tiJEId hil2bir R) kCMOVAI Date of Application: Fo .; 0 41)y lly FAmll-y C4 1✓ C 12 — Z 9 —1 Address of rot : ".00000� ANONNEEn— Parcel ID #- 2 r V, Mckv AIC Z loO /— d .3 71 q 1303 253 0 Applican - u q K 1 Phone #: S'q Fax: it 1 S - 1 Address of Applicant: mail: ,5 'try Qf Lod S u-cte- NC 2$60 2- 1 000 44 nc r- Owner: Phone #: Fax: Address of Owner: Email: J Z General Contractor: Phone# F t vl rc,cc_ 3 - - 138 State License #: I License Classification: Federal ID #: i.e., H1, P1, Limited ) o%,1 C , li Address of Contracto • ^^ Email: \ � 0 NC .�1J C Architect /Designer: Phone#: Fax: M k ak . u� q Z Ad ress of Arch /Designer: Email: Contact Person for Project: Phone #: ax: zss- z- -3891 zL - - 2 Address of Contact Email: U E CN 4AA 40WCJ h(OA A C.af 1 Does the Project have a Fire Alarm System? Kyes [ ] No Does the Project have a Sprinkler/ Standpipe System? * [ ] Yes �-fNo *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 [A 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? * [y 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 / Foundation [ ] Shell 1 Hull -in Continue to Next Page 1 Updated 04/15/2011 Y' Newton Office (828) 465 -8399 CATAWBA!� ( ) 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: NEB✓ Awineft/ AUL) kfAbyd - Tlonl of fy ice L D h! Cf TYPE OF WORK ❑New Building ❑ Addition ❑ Alteration 2 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 60-,A N L" S.j (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 C Protected (A) U building is designed with specific fire rated construction methods. PROJECT DATA iv4w- `jG �3 Total Sq Ft 3f Geated Sq Ft (basement, garage, covered porches, etc) Garage Sq Ft Bonus Rm Sq Ft (finished /unfinished) Basement Sq Ft (finished /unfinished) 1 Floor Sq Ft 21d 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 SUBCONTRACTORS NEEDED FOR PROJECT Electrical Plumbing [ Heating / A/C ❑ NONE POWER/UTILITY COMPANY Servicing the Location: D OLC 64ckc- �1 Type of Gas Service (Nat. or Propane) Is a Temporary Saw Pole Needed for this project? ❑ Yes ErNo Will there be more than one electrical Meter for this building? ❑ Yes [�'l\lo (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 Departrrjent will be notified of any changes in the approved plans and specifications for the project permitted herein. or PIa Review 0 / Agent Signature Date Est, Project cost Q (For r it) Contractor /Agent Signature Date V 0 D 4 ()')1 0 0- 2 Updated 04/15/2011 4U- - � 1 00500.: File Favorites Help Home ( Back Add to Favorites � +. Property Manager - , F,lotifications � EnerGov GIS J �- Tasks Add/EdtPlans - - - — �My Home Page Permit Search j Permit Number: BLDC -l2 -11 -24007 -�. Project Details _.. _. Permit Into Additional Into Add Fees History InspectionslActiaities 3 Citations I Plan Cases 1 Documems Add /Edit Permits General Property Information Building Information, IMPORTED INFO PERMIT CONTROLS Print /Previews Cashier Rep... Property Manager j Describe Work t.. I I_� _v - j Driving Dir, t'. - � Add /Edit Inspections _ Census Category " r + , , ELEC REQUIRED j Permit Search PLUMB REQUIRED FQ'! MECH REQUIRED Plan Search Owner Type IY++ eTj Disturbed Acres Permit Reports Inspection Zone FwEi T - ] 1 i � �7 IFFF Code Edition Ind. License Search Census Trace 0'10407 ESTIMATED VALUE ]00000 #100, 06 O �. Scheduled Inspections Bin dumber AA_tq� Pickup Plans I ,.. - ..: Water Company Gas Company 7�+ Power Company E] Storm Damage? Y t Fayorites System Setup Permit Mgmt. Plan Mgmt 4✓ Inspections [+ Code Mgmt �.! Ind. License Cashier Module Copy PermH 1 Stop Work ( �sa EEanoel Cbse File Favorites Help - AddlEdit Plans Home Back -: Add to Favorites fl, Property Manager > y , Notitkations FnerGov GIS _V Tasks 1My Home Page Permit Search Permit Plumber. BLDC -12 -11 -24007 Project Details N ; .�.... P ermit Assig Info 1 Additional Info Add Fees ! - History Ins ections;Activities Citations Plan Cases j Documents Add/Edit Permits PrintlPreview Cashier Rep... Fees • Property Manager Fee Groups • Add/Edit Inspections Permit Search �ee Nane Fee Ltmd J Amount A Plan Search °A Permit Reports . �g Ind. License Search Scheduled Inspections - - - - - - F0 Valuss Add _ Pertrut Caietrirtor Fees Invoices Drag a cndxmn heade here to group by that: coiumn .... . - - -i Fe Name Da Fee Type � Amount F Permit Placard Fee rt r , r Temp Mechanical Agreement Fee 12(30(2011 Calculated $121 00 New Commerical Building Fee 12)302011 Calculated System Setup - —! $1,812.80 y P Building Alterations Fee 1213OJ2011 Adjustable $873.00 i Permit Mgmt. -� Temp. Electrical Agreement Fee 12/3012011 Calculated $121,00 [� PA Plan Mgmt. '.. Inspections I [+� Code Mgmt. Ind. License ( Cashier Modtde CopyPermk Issue Stop Work � Save Cancel C bse File Favorites Help .Home Back Add to Favorites. \ Property Manager Aar, Notifications EnerGov GIS 1/ Tasks - AddlEdit Plans My Home Page Permit Search Permit Number: BLDC -12 -11 -24007 Protect Details + -' Add/Edit Permits Permit Info Additional Info Add Fees I History I InspectionsActivities j Citations I Plan Cases, Documerds I F &e_e al Property Information Building Information IMPORTED INFO PERMIT CONTROLS J PrintjPreview Cashier Rep... _A Property Manager _ I Describe Work q- Driving Dir q, ' AddjEdit Inspections C - ..m. Permit Search P _I Plan Search 0, Note: Changes made tothis permit will affect attacheclfeea. Permit Reports In Fees i SQL Function Fees Ind. License Search C Drag a colur n header here ro gawp by that column � Scheduled inspections III Fes Old Arcounr New A mount W 4 ... -.. -- . -.. r ' Building Alterations Fee P :- Favorites - Auto-Update Fee Amounts? System Setup 1 i Would you like for the system to automatically update the fees for this permit as shown above? If you answer no, you can go �.� Into the invoice screen and update any fees manually. Permit Mgmt. i —_ —. Yes No � Plan Mgmt. W Inspections [ Code Mgmt. Ind. License Cashier MocUe Colry Pe rtr e � I Issue Stop W � Save Cancel � Cbse Donna Ketchersid From: Donna Ketchersid Sent: Wednesday, February 29, 2012 4:30 PM To: 'abeam @hickory- construction.com' Subject: PERMIT FOR NORTH HICORY CLINICQ Attachments: Permit. pdf Aaron, After you left I corrected an error in the computer which changed the alterations fee from $873 to $373. Please throw the one I gave you away and give this one to your accounting person. Thanks, Donna Donna Ketchersid Catawba County Permit Center TCickory Office 76 ?f Center St., TCdory, TCC 286o1 re Cep Crone: 828-465-7957 Eax: 828 -322 -6814 dketchersid @cataw6acountunc Aov