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HomeMy WebLinkAboutCBPR-3-12-15016 FRMC-Med Spec Bld Plans-Appls (2).tif 9 i 4i 1 .l r%111L ' e �i � Y � V � � � `' 5 ` �Y� tea A u u o Newton Office ( 28) 465 -8399 CATA BA /84 COUNTY P.O. Box 389 Newton Fax (828 Newton, NC 28658 Hickory Fax (828) 322 -6814 APPLICATION FOR PLAN REVIEW www .catawbacountync.aov (jr, m AND /OR BUILDING PERMIT All submittals /re- submittals of commercial plan review must be accompanied by a $10.00 plan processing fee Name of Project: Date of Application: lt=n Me- ap 7 14 U1- LfS - Mr- le >$l o p �- 91Q- Q_ Address of Project: 9 Parcel ID #: 4 t S • C 111 - ez L� lc v{ ll� z b/ Applicant: f Phone M Fax: L 5 zz - S Address of Applicant: Email: 4 LU gt C Owner: Phone #: Fax: rE'b 14f A, L <�' " Lit 7 t 'Z - � ` t � - 1 Address of Owner -- 1 mail: 11A. 57; C t f ,� a4 General Contractor:� Phone #: Fax: I State License #: License Classification: Federal ID M i.e., H1, P1, Limited Address of Contractor: Email: c yo k e 4 ArchitecdDesigner: Phone #: J tom' 777- 1 z A V- Y Address of Arch /Designer: Email: Z 1 4ILI &I . [,u. a l kt !a ' Contact Person for Project: Phone #: Fa o- � L 7 a -� 4 S' Address of Contac Email: r - 7 R `� . Z 4. Does the Project have a Fire Alarm System? (_Ws [ ] No Does the Project have a Sprinkler / Standpipe System? * [(jam [ ] 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 Envir onmental Health Review? * [ ] Yes [ • Ula- * 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? * [ 4-Fes [ ] 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? * [ 44es [ ] 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 [(L 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 [' *If yes, please check which phase? [ ] Footing / Foundation [ ] Shell / Hull -in [q-Up =Fit Continue to Next Page 1 Updated 04/15/2011 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.gov I AND /OR BUILDING PERMIT Describe work to be done under this Permit: yJ P P (7 AXJ " -' X74( C L V l;/) b-tr t�,- TYPE OF WORK ❑New Building ❑ Addition alteration ❑ Mixed Add /Alter ❑ Demolition [J Accessory Structure ❑ Deck / Porch ❑ Re -Roof ❑ Pier ❑ Repairs ❑ Swimming Pool ❑ Footing /Found ❑ Shell -In ❑ NC Rehab [9-Up fit ❑ Retaining Wall ❑ Relocate Dwelling (Prior Address of Dwelling) STRUCTURE USE/OCCUPANCY (check all that apply) Occupancy Classification (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 III IV V Protected (A) Unprotected building is designed with specific fire rated construction methods. PROJECT DATA Total Sq Ft V V Heated Sq Ft U V Unheated 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 [� 2nd Floor Sq Ft (J Exterior Finish : T'al /ill ttx S 7 x Total # Rms # of Units # of Stories # Full Bathrooms - ZC.er6 # Half Bathrooms (Toilet & Sink only) I # Bedrooms Building Height � 1< (� 7 Fireplace openings kl� (masonry, prefab /gas, prefab /wood) pe of Heat U (q, Type of Foundation L S7 � SUBCONTRACTORS NEEDED FOR PROJECT KI- Electrical ❑ Plumbing � eating/ A/C [:1 NONE POWER/UTILITY COMPANY Servicing the Location: Type of Gas Service (Nat. or Propane) Is a Temporary Saw Pole Needed for this project? ❑ Yes [] --Pty � / S 7 l jk[ / Will there be more than one electrical Meter for this building? ❑Yes ❑ No (lf Yes, provide Numbed of Meters ) I hereby certify that all information in this application is correct and al I 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 ny changes in the approved plans and specifications for the project permitted herein. itV (For Plan Review) Owner/ Agent Signature Date S o � — st. Project cost (For Permit) Contractor /Agent Signature Date Fire Only Hickory [ Bldg/Fire_ County ( J COMMERCIAL APPLICATION 4 FOR ZONING COMPLIANCE PERMIT Hickory Office (828) 323-7410 (A City ofHickory application becomes a permit upon approval County Toning Office (828) 465 -8380 Hicmry Fu (828) 323 -7474 by a City of Hickory Zoning Administrator.) y Canty Zoning Fax (828) 465 -8484 Parcel Identification No. Date Project 911 Address: 4 1 S ( e 7� ' Se The Proposed Use For This Building Or Land Is (Specific): sj The Building Or Land Was Previously Used For (Specific): y � � 1 �7 � At List Physical Changes To Building Or Land: L i{ 7C� I D * 2 (JpF VA ^L 69)P 7 6 Is Proposed Land Disturbance Under One (1) Acre? eL7 U �, luk t ?_ V �� J [ ] 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: �! l t�IL'j gl, i- Applicant's Telephone No.: 7 - [ Z �� Applicant's A Z A & � r Applicant's Fax: 7 Z — �i 5 Applicant's E -mail �'�L L°�LI • r Property Owner: (e,y �7 n JC 6171 Owner's Telephone N o. - r—A Ixt lA Owner's Address: e i, 1 V C - 7 Business Name IfDifferent From Above: (SITE PLANS SHALL ACCOMPANY ALL COMMERCIAL APPLICATIONS) (ALL BUSINESSES O TING IN HICKORY CITY LIMITS MUST HAVE A PRIVILEGE LICENSE) Applicant's Signature AJ� Date U _ L FOR DEVELOPMENT ASSISTANCE CENTER USE ONLY Change In Use Remodeling Accessory Structure Change in Occupancy Horne Occupation Temp. Const. Office New Construction Manufactured Housing Parking/Loading Interior Renovations Other: FOR ZONING ADMINISTRATOR USE ONLY REFERENCE NUMBER ZONE QUADRANT OVERLAY DISTRICT Front Setback Approved PD Size of Lot Side Street Setback Approved Minor PD Use Permitted Side Setback Flood Plain Trees Required Rear Setback Elevation Certificate Required Airport Ordinance Maximum Height Watershed _ I — 2 — 3 4 Protected Critical Other (Describe): Zoning Permit Approved: Date: Zoning Administrator Conditions of Approval: ** For clarifications or to request a final zoning inspection (if required) contact Zoning Official at 828 -323 -7422 ** Zoning Permit Disapproved: Date: Zoning Administrator Reasons For Disapproval: 4 Z0NINGAPPLRevsd020707 Received By: Date CITY OF HICKORY H I CK ORY FIRE PREVENTION BUREAU ` ���ROTE OT � o 76 North Center Street, Hickory, NC 28601 0 2 Phone: (828) 323 -7522 Fax: (828) 323 -7476 ! tllG FIRE DEPARTMENT CONSTRUCTION PERMIT APPLICATION (All information must be completed before application will be processed.) N Type of System or Equipment and Work: Automatic Fire Suppression System: El Installation *X/t&-Modification Automatic Sprinkler System: ❑ Installation z O b Renovation/Modification (Bldg. Square Footage) Fire Alarm & Detection System: ❑ Installation Renovation/Modification (Bldg. Square Footage) Flam/Comb Liquids Storage Tank(s): El installation ❑ Removal or Placg out of Service ❑ Aboveground ZA ❑ Underground # of Other: Description of Work: Plans Submitted: Wes ❑ No Project Information: (Must have complete address: numerical, street name and quadrant) Project Name: Frj _ 7h L PP jcl V— -7 Project Address: `r�► • 7, t l :;, C Owner/Tenant Name: -y tl rj � (a t) k ( I l3u 7 - Telephone #: Fire Protection Contractor Information (Name of company applying for permit) Contractor: J L) k _ Telephone #: Billing Address: City: State: Zip: N.C. State License No.: Class(es): The undersigned makes applications for permits and inspection of work described and agrees to comply with all applicable state and local codes and laws regulating the work. All fees are in accordance to the Fee Schedule based on type of system or equipment and description of work. Double fees will be charged when work is started prior to obtaining a permit. Applicant Name: LVW 1Y 4 SP C Date: (Please Print Clearly) Applicant Signature: v FIRE DEPARTMENT USE ONLY: Date Received: Reference/Permit #: Account #: