HomeMy WebLinkAboutCBPR-3-12-14923 Applicationl.tif *_4 PJ A
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 qov
All submittals /re- submittals of commercial P lans must be accomp by a 10.00 plan processing fee
Name of Project: Date of Application:
Address of Project: U 3�5�i Z
/or A/. Parcel IDM
Applicant:
Phone #: Fax:
Address of Applicant: Rf yG y 28 2
2 Email:
Owner: v al'a - Phone#: Fax:
Address of Owner:
Email:
General Contractor:
7 Phone#; Fax:
State License #: License Classification:
Federal ID #:
i.e., H1, P1, Limited
Address of Contractor:
Email:
Architect/Designer:
- Phone #: Fax:
Address of Arch /Designer: PG�C 2
Z 2 Email:
tv
2151 _rl
Contact Perso or Project: rOUk
JEmail: hone#: Fax:
Address of Contact 2 —`t , `(- 282'7
Does the Project have a Fire Alarm System?
[ ]Yes 4No
Does the Project have a Sprinkler / Standpipe System?
[ ]Yes o
* Sprinkler Plan Submission to the County, City of Hickory, Conover or Newton Fire Bureaus' is the responsibility of the
customer. Plan A roval 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?
*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 [ ]Yes No
• 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?
*If yes, please check which phase? [ ]Yes No
[ ] Footing / Foundation [ ] Shell / Hull -in [ ] Up -Fit
Continue to Next Page
1 Updated 04 /15/2011
Newton Office (828) 465 -8399
CATAWBA * COUNTY
Newton Fax (828) 465 -8962 APPLICATION FOR BUILDING PERMIT P.O. Box 389
Hickory Fax (828) 322 -6814 Newton, NC 28658
www.catawbacountync qov
Describe work to be done under this ermit:
Ncvq. S
TYPE OF WORK
❑New Building El Addition El Alteration
❑ Mixed Add /Alter 0 Demolition
0 Deck / Porch ❑ Re -Roof 0 Pier ❑Accessory Structure
❑ Repairs 0 Swimming Pool
0 Footing /Found 0 Shell -In 0 NC Rehab
❑ Up -fit 0 Retaining Wall
11 Relocate Dwelling
STRUCTURE USE /OCCUPANCY (check all that a I (Prior Address of Dwelling)
PP Y)
Occupancy Classification (See Classification list on sheet 5, enter multiple if mixed occupanc
El Condominium El Modular Office ❑Re Y)
taining Walls (Sealed Plans)
0 Addition 0 Covered Deck
❑ Modular Dwelling 0 Single Family El Agricultural El Deck only y ( site built)
❑
El Alteration /Exterior El Mixed Occupancy Multi- Residential 0 Townhouse
0 Modular Garage
0 Alteration / Interior 0 Hanger, Mixed Use
El Pier (Sealed Plans)
Other
TYPE OF CONSTRUCTION
(Circle) I if III IV Protected or Unprotected construction refers to whether the
OJECT DATA
Protected (A) Unprotected building is designed with specific fire rated construction methods.
PR
Total Sq Ft_ 23_ i_ Heated Sq Ft z3 =g
Garage Sq Ft Unheated Sq Ft_ 1� (basement, garage, covered porches, etc)
—� Bonus Rm Sq Ft
1ST Floor S Ft Z31 ,� —� (finished /unfinished) Basement Sq Ft
Sq 2 Floor Sq Ft z 31 & —_ (finished /unfinished)
Exterior Finish Material 132 �c
Total # Rms 2 # of Units
# Half Bathrooms (Toilet & Sink only) # of Stories Z #Full Bathrooms
i #Bedrooms h`
Fireplace openings m Building Height e�usr,Nc,
—�
(masonry, prefab /gas, prefab /wood) Type of Heat �xrS7,N�
Type of Foundation sc oa CIti 2A0c
SUBCONTRACTORS NEEDED FOR PROJECT: 0 Electrical 0 Plumbing
POWER/UTILITY COMPANY Servicing the Location: `: �Y 0 Heating/ A/C El NONE
project? Type of Gas Service (Nat. or Propane)
Is a Temporary Saw Pole Needed for this
p 1 ? El � No
Will there be more than one electrical Meter for this building? 0 Yes
I hereby certify that all information in this application is correct and all work will comp y with the State Building Codes and all other
provide Number of Meters )
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) Owner /Agent Signature
$ Date
Est. Project cost (For Permit
Contractor /Agent Signature
Date
2
Updated 04/15/2011