HomeMy WebLinkAboutCBPR-3-12-15107 Valley Hills Mall Entr Doors Appls.tif F.0[.0MCA
MAR 1 •2012
Newton Office (828) 465 -8399 CATAWBA ' 4 COU TY P.O. Box 389
Newton Fax (828) 465 -8962 APPLICATION FOR BUIL G P�RLV1lI IyP on, 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 Date of Application:
Address of Projec : Parcel ID #:
Applicant: Phone #: Fax:
Address of Applica : Email:
Owner: Phone #: Fax:
Address of Ow ner- Email:
D iv 05 'o l' " 1 d 2
General Contractor: Phone #: Fax:
State License #: License Classification: Federal ID #:
i.e., H1, P1, Limited)
Address of Contractor: Email:
Arch itectlDesigner: Phone #: Fax:
Address of Arch /Des' ner: Email:
Contact Person for Project: --- / Phone #: Fax:
/ lG llTl .25 - qV. , - - gig^
Address of Contact � / E ail: ryz
Does the Project have a Fire Alarm System? [' ] Yes N No
Does the Project have a Sprinkler I Standpipe System? * [ ] Yes [,i`] 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 N 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 [k] 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? * M 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
§ 1s this Project being submitted for Phased Construction? * [ ]Yes [,b No
*If yes, please check which phase? [ ] Footing 1 Foundation [ ] Shell / Hull -in [ ] Up -Fit
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1 updated 04/15/2011
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: X -ok ', 62-r
TYPE OF WORK
❑New Building ❑ Addition 2] 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 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 61) III IV V Protected( Unprotected (B) building is designed with specific fire rated construction methods.
PROJECT DATA
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)
1 st 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
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 0 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 Buildi . ervices Department will be notified of any changes in the approved plans and specifications for
the project permitted herein. J
(For Plan Revipw) Owner / Agent Signature Date
$�=�Ooo
Est. Project cost (For Permit) Contractor /Agent Signature Date
2 Updated 04/1512011
Fire Only_
Bldg/Fire _ Hickory[ ]
County[ ]
HICKORY =
COMMERCIAL APPLICATION
FOR ZONING COMPLIANCE PERMIT
Hickory Office (828) 323 -7410 (A City of Hickory application becomes a permit upon approval
Hickory Fax (828) 323 -7474 by a City of Hickory Zoning Administrator.) County Zoning Office (828) 465 -8380
_ County Zoning Fax ( -8484
Parcel Identification No. .S Z/ /n 7-E4 2 Date f�� /�
Project 911 Address: A6U �,>,, ?Q _S� / 0���� a
The Proposed Use For This Building Or Land Is (Specific)
The Building Or Land Was Previously Used For (Specific): EeZD1 /
List Physical Changes To Building Or Land: 61,
Is Proposed Land Disturbance Under One (1) Acre?
[ ] 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: z Applicant's Telephone No.: S -
Applicant's Address: rcl 70
Applicant's Fax: �,2 �,2� -`�'Q� Applicant's E-mail �
Property Owner: �� �rsr Owner's Telephone No.:
Owner's Address: / 6C
Business Name If Different From Above: /
(SITE PLANS SHALL ACCOMPANY ALL COMMERCIAL APPLICATIONS)
(ALL BUSINESSEfERATIN C�I HE HICKORY CITY LIMITS MUST HAVE A PRIVILEGE LICENSE)
Applicant's Signature �'� /jj Date
FOV DEVELOPMENT ASSISTANCE CENTER USE ONLY
Change In Use 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 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 _ 1 _ 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:
ZONINGAPPLRevsd071007 Received By: Date