EX #12-24 - Hawthorne, Rick and Tiffany

J
1-e
Post Office Box 549
101 Veterans Memorial Drive
Kitty Hawk, NC 27949
3/22124
Rick & Tiffany Hawthorne
280807 Kings Crown Ct
Humble TX 77346
RECEIVED
Phone [phone]
Fax [phone] APR 19 2024
www.townolkitbhawk m
Exemption Number —12-24 Ex
DCM-EC
RE: EXEMPTED PROJECT (Statutory Exclusion) - MAINTENANCE AND REPAIR OF EXISTING STRUCTURES • [G.S.
113.103(5)(S)(5) and 115A NCAC M01103(a)]
PROJECT ADDRESS — 4909 N Virginia Dare Tri
AREA OF ENVIRONMENTAL CONCERN - Ocean
Dear Mr. & Mrs. Hawthorne:
I have reviewed the information submitted to this office in your inquiry concerning the necessary filing of an
application for a minor development permit under the Coastal Area Management Act. After making a site inspection
on 3/22/24,1 have determined that the activity you propose is exempt from needing a minor development permit as
long as it remains consistent with your site drawing and materials list submitted on 3122/24, and meets the conditions
specified below. If your plans should change and your project will no longer meet these conditions, please contact
me before proceeding.
MAINTENANCE AND REPAIR — [G.S.113.103(5)(B)(5) and 15A NCAC 71(.0103(a)] - Maintenance and repairs
(excluding replacement) necessary to repair damage to structures caused by the elements are specifically excluded
from the definition of development under the conditions and in the circumstances set out In G.S. 113A-103(5)(b)(5).
Individuals required to take such measures within an AEC shall contact the local CAMA representative for
consultation and advice before beginning work.
Structures may be repaired in a similar manner, size and location as the original structure. No expansions or
additions are permissible. The repairs are limited to 50% of the market value of the existing structure and the
following specific conditions.
1. The project consists of the replacement of existing deck, as shown on the attached drawing and materials
list.
2. The proposed repairs shall be consistent with all other applicable local ordinances and North Carolina
Building Code standards.
3. Value of house $254,200; 50%cost of house $127,100; Cost of work $10,000; Value work left
in 12 months $117,100
This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State,
Federal or Local authorization and N.C. Building Permits. This exemption expires 90 days from the date of the letter
Rob Testerman, LPO Issued: 3122/24
P.O. Box 549
Kitty Hawk, NC 27949 Expires: 6/20124
CC: Lisa Doepker, NC DEQ

Property Address
Property Owner
Mailing Address
(ZIP)
Phone: {j �S �Sd (, Fax: {_) Cell: (/3 ' 3Y Z - 52 9 Z
I own Ot Kitty Hawk
Planning & Inspections Department
101 Veterans Memorial Drive, PO Box 549
Kitty Hawk, NC 27949
Phone: [phone] Fax: [phone]
Revised April 2022
REFV
APR 1 9 2024
RESIDENTIAL BUILDING PERMIT APPLICATION
yA 7/?i?r /%CQIL ON# DGIA-EC
Email:
Lien Ailent Details Submitted: O Yes O No
Authorized Agaw&gntp=r
O Owner O Builder r Contractor- tkenseN
Name: DA'(f6�- 4PPt-!�-
Mailing Address: A- SNOLOS C! N6 1trfE`Z%s (3T (\'fC
(ZIP)
(City) (state)
Phone: (_) Fax: [_) Cell: (�)
Email: ® 6 eAl . C6 /11
Sub-contregWr Information: An affidavit will need to be signed by each subcontractor prior to beginning work.
Contractor NC License No. Phone #
Electric
Plumbing
HVAC
Fuel Piping
Irrigation
No work shall be covered or concealed until approved by the KRty Hawk Building Inspector

General Description of Work: °lK A4611P Z LOWC-4CGS S ?,�f
Class Work:
Single Family ❑ Two Family ❑ Accessory Bldg.
❑ Pool ❑ Other
Type of Occupation:
O Rental/Spec ❑ Permanent/ 2na Home
Type of Action:
❑ New ❑ Addition ❑ Remodel ❑ Repair/Replace
❑ Moving ❑ Demo ❑ Other
Estimated Cost of Construction
(includes value of all labor and all materials):
Building-$— Electrical - $
Plumbing -$ Mechanical -$
`Gas • $ Other - $
Total Cost of Construction - $ � d 0 0 v
Height:
No. of Bedrooms: Existing_ Proposed_
No. of Baths: Full Half
Foundation Type:
Roofing Material:
Exterior Finish:
Fireplace: ❑ Y O N
If yes: ❑ Wood ❑ Gas ❑ Other
Utilities (please circle ones:
Water: Dare Co. / Weil
Electric: Underground/Overhead
Amperage
Phase —
Voltage
Flood Zone:
Base Flood Elevation
�V =1�
APR 1
CM-E
Square Footage: Existing RMosed
Heated Living Space: sqn
Unheated Space: sqn
Porch: sq
ft
Deck: sqn
TOTAL: sq ft
Staff to Complete FIRM Data.•
Map Panel #: Base Flood Elevation (BFE):
Effective Date: Regulatory Flood Protection Elevation:
.... ,..
STAFF 1L�EnNLY
DWI.Complete Applidallon D Y O N , Workers Comb Form r -
ReCeivedBy_:: 9—.,; Date bfCIfn let#Ap0lldetion LlenAgenClnfu.Submltled;-

Town of Kitty Hawk
Planning & Inspections Department
101 Veterans Memorial Drive, PO Box 549, Kitty Hawk, NC 27949
Phone [phone] Fax [phone] REC. EIVEE
GENERAL CONTRACTOR SIGN OFF FORM
GENERAL CONTRACTOR INFORMATION
Qualifier's Name: __ - A�f AnoP6
Business Name:
Business Address: L16L l S LN! POW 9Cl
Business Phone (Includes Area Code): ZS Z- ZUZ
NC General Contractor License N:
General Contractor License Limit:
General Contractor's Email Address:
Surety Bond (Project Over $30,000):
PROJECT INFORMATION
Property Owner:
Property Address of Job: L% 10 1 A! VA JL
E
APR 19 1024
DCM-EC
PO 7
(V L
I the undersigned have read and understand the General Statutes pertaining to General
Contracting in North Carolina. I hereby affirm or swear I am licensed and qualified to
assume all responsibility and liability of a General Contractor upon this project. If I
resign or am no longer affiliated with this project, I will notify the local authority (Town of
Kitty Hawk Building Inspections) immediately by phone or in person and in writing within
three (3)�yyvo-rr ilng days.
Signature Date
RevisedApri12022

1)
2)
Town of Kitty Hawk
Planning & Inspections Department
101 Veterans Memorial Drive, PO Box 549, Kitty Hawk, NC 27949
Phone [phone] Fax [phone]
APR 19 2024
DCM—EC
BUILDING INFORMATION REQUIRED FOR NEW CONSTRUCTION,
ADDITONS & DECKS
1 story1'/2 story 2 story _ 3 story
Siding: Brick veneer _; vinyl/aluminum siding _; wood : EIFS
Foundation: Continuous ; Piles ; Slab
Piles: X
Trench footing size _
Pier footing size —X.
Block size _X�X
Maximum pier height:
Exterior girder size: _
Interior girder size:
►:l
wide X _ deep; concrete thickness: _ inches
deep; concrete thickness: inches
Cap block size —X_X_
Total # rows of piers
with a
with a
House width
clear span; Species
clear span; Species —
4) Crawl Space_ Access door size —X_; Ground vapor barrier: YesT- No
5) Floor system: Double sheathing
Tongue & Groove
151 floor joist size X_, _ in. o/c. with a clear span
Species: Southern Pine _; Spruce/Fir _; Lumber grade
c 2nd floor joist size X_ in. o/c. with a clear span
Species: Southern Pine _; Spruce/Fir _; Lumber grade
3rd floor joist size ^X`, in. o/c. with a clear span
Species: Southern Pine _; Spruce/Fir _; Lumber grade
6) Ceilings: joist size _X in. o/c. with a clear span
Species: Southem Pine Spruce/Fir _; Lumber grade
Cathedral ceiling: YES_ NO_
Revised April 2022

7) Roof System: Slope / Type: Gable_,; Hip_; Other _ R E C E I �a E D
� ww .
Trusses: YES! NO_; in. O.C. with a clear span APR 1 9 2024
Ridge Board size X
Rafter size: X in. O.C. with a clear span -
Species: Southern Pine ; Spruce/Fir ; Lumber grade
NOTE: If all framing members (floor, ceiling joist and rafters) are not of the same size, then all
rooms shall be listed on a separate sheet, specifying the above framing members sizes and
clear spans for each room.
8) ATTIC Area: sq. ft. Insulation: Batts r Blown -in _.
Access: Fixed stairs Pull down Access Hole
# roof vents w/ so. in. net free area/vent
# soffit vents w/ sq. in. net free area/vent
TOTAL net free area of attic ventilation sq. in. provided
9) Structural steel I -Beam: Yes
No
Size: X
_ clear span
10) Garage: Yes: _ No: _
Door width_:
Header size
X
Room over the garage: Yes _ No _; Proposed use:
Floor joist size X in. o.c. with a clear span
Species: Southern Pine ; Spruce/Fir ; Lumber grade
11) Type of heat: ; Location of Unit:
# of Units: ; # of Returns
# of Mini -Splits ; # of Mini -Split Heads _
12) Type of water heater: Electric: _; Gas: ; Location:
13) Fireplace: Yes /No ; Masonry: or PreFab:
Fire place opening X ; flue liner size X
Hearth Extension: 16 in. 20 in. Other inches
"14) Deck: Yes: Dimensions: y�X / 7-- Height above grade: 9 i
IN Girder size: 2 X(? with a ILI t-clear span between posts
Revised April 2022

Floor joist size L X_ L_, in. o.c. with a _L1 Zclear span
Species: Southern Pine ✓ ; Spruce/Fir ; Lumber grade 2LZ z fi
16) Detached Accessory Bldg. Yes: No: Dimensions: X
APR 19 2024
'...i I,.'jV -EC
*NOTE: If Decks are not the same size, then all Decks shall be listed on separate sheet, specifying
the above framing members sizes and clear spans for each deck.
Submitted by: ( '
Reviewed by:
Date: Zl 2D Z</
Date:
Revised April 2022

Town of Kitty Hawk
Planning & Inspections Department . C � ,—
L.
101 Veterans Memorial Drive, PO Box 549, Kitty Hawk, NC 27949
Phone [phone] Fax [phone]
APR 1 9 2024
AFFIDAVIT OF WORKERS' COMPENSATION COVERAGE
N.C.G.S. § 87-14
The undersigned applicant for Building Permit being the:
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 workers'
compensation covering them,
has/have one or more subcontractor(s) who has/have their own policy of
workmen's compensation covering themselves,
� has/have not more than two (2) employees and no subcontractors,
while working on the project for which this permit is sought. It is understood that the
Inspection Department issuing the permit may require certificates of coverage of worker's
compensation insurance prior to issuance of the permit and at any time during the
permitted work from any person, firm, or corporation carrying out the work.
Firm Name:
Signature:
Title:
Date: 5/2 l / Z d Z
Revised Aprf12022
CM --EC

Town of Kitty Hawk
Planning & Inspections Department
101 Veterans Memorial Drive, PO Box 549, Kitty Hawk, NC 27949
Phone [phone] Fax [phone]
I M& needed �r Phc�Ilis
HOMEOWNER AUTHORIZATION FORD
]E�- 22 2LA
Property Owner(s):
Property Owner(s) Mailing Address:
I hereby give authorization to:
(Contractor's Name)
to apply and obtain all permits on my behalf.
-_...o____ert,_y__Owner'-.__.._.m.s_____.__-_Signature_-_)_ ---
(Prop
(Property Owner's Signature)
(Date)
(Date)
Physical address of property where work is to be conducted:
Revised April 2022
APR 19 2024
CM -EC

Town of Kitty Hawk
Planning & Inspections Department RECEIVE®
101 Veterans Memorial Drive, PO Box 549, Kitty Hawk, NC 27949
Phone [phone] Fax [phone] APR 19 2024
RESIDENTIAL BUILDING GUIDE
� \i-Ec
This guide contains planning and zoning related topics that may apply to your project. Additional regulations may also
apply. Please consult with staff if you have any questions.
AS -BUILT SURVEY: A residential "as -built" survey shall be required for the certificate of occupancy. It shall include, but
not be limited to: the residential structure, accessory buildings, gravel, drives, walkways, pools, any roof over hangs,
upper floor fireplace or chimneys, eaves, bay windows, or green house windows, cantilevered decks, cantilevered Irving
areas, porches, decks, stairs or steps, gutters, landing area and similar fixtures and flood zone lines, flood zone and base
flood elevation. The "as -built" survey must provide lot coverage calculation. Please reference the checklist "Information
Required on a Residential As -Built Site Plan" for a complete list of requirements.
HEIGHT CERTIFICATION: Maximum height of structure is 35 feet or less measured from the average of the four
corners of the structure at finished grade. Cupolas, domes, ornamental towers, similar architectural features, and
architectural elements housing mechanical equipment are allowed to extend up to 4 feet above the maximum building
height when not used for human occupancy. This information can be provided on the as -built plan, in the notes of an
elevation certificate, or by a certified letter from the engineer/surveyor.
LOT COVERAGE: The proposed project and long term plans for your lot may not exceed 30% lot coverage, Lot
coverage includes, but is not limited to, the following: structure, accessory buildings, gravel, wooden decks, drives,
walkways, pools; cantilevered decks and living area, stairs, landing areas, etc. Lot Coverage calculations must be
shown on "as -built" survey to obtain a certificate of occupancy.
STRUCTURES IN REQUIRED YARD SETBACK: Only structures 30 inches or less above finished grade are
allowed in any yard setback. Absolutely no living space including cantilevered living space, are allowed in any yard
setback.
Exceptions:
1) Side Yard Setbacks: 2 feet of eaves, bay windows, or chimneys with no living space and not extended to grade.
HVAC units and stands can encroach 5 feet. Fire walls are allowed to encroach into side yard setbacks per North
Carolina Building Code.
2) Front Yard Setback: 4 feet of uncovered deck, including cantilevered decks, and steps.
3) In ground pools and aprons may encroach 5 feet from side and rear property lines.
If any unapproved encroachments are shown on the "as -built" survey you will not receive a certificate of
occupancy until the matter is resolved.
MINIMUM SETBACK REQUIREMENTS:
House Size
Front Yard Required
Side Yard Required
Rear Yard Required
3000 & under
25 ft.
10 ft.
25 ft.
3001-3600
25 ft.
12.5 ft.
25 ft.
3501-4000
25 ft.
15 ft.
25 ft.
4001-5000
25 ft.
17.6 ft.
25 ft.
6001-6000
25 ft.
20 ft.
25 ft.
6001 & over
25 ft
25 ft.
25 ft.
PARKING: Parking in the Beach and Village Residential zoning districts shall be at a rate of one parking space for every
two occupants authorized by the septic improvement permit issued by the Dare County Department of Environmental
Health or one parking space per 600 square feet of total heated space, whichever is lesser. A minimum of two parking
spaces will be required for any single-family residence. This parking shall be on -site and each parking space shall be a
Revised Aprf12022

minimum of 9 feet 6 inches in width by 18 feet long. A drive isle of a minimum of 10 feet wide is required in Beach
Residential, but not in Village Residential. Stacking of vehicles in areas other than a drive aisle shall be IjVed to 2
vehicles per stacked lane. Driveways and parking spaces are required to be concrete, asphalt or turf ston MA24
Residential and the driveway entrance to a public or private road shall not exceed 20 feet in width. Village districts may
use grass or gravel for driveway/parking surfaces, but any surface will be counted as lot coverage.
ELEVATIONS AND ELEVATION CERTIFICATE: The Town of Kitty Hawk requires a 1 foot freeboard above Base'
Flood Elevation in the VE & AH Zones; 1 foot freeboard above the highest flood depth number specified on the
FIRM; 3 feet freeboard above BFE in the AE Zone, or an elevation of 8 foot NAVD, whichever Is higher; and an
elevation of 8 foot NAVD requirement in X & Shaded X Zones. All building utilities including electrical, heating,
ductwork, ventilation, plumbing, air conditioning, and fuel piping, must be elevated or protected to the freeboard level and
all portions of the building below the freeboard must be constructed using materials resistant to flood damage. This
includes your heat pump stand. If the garage floor is below the freeboard level, the garage must meet the opening
requirements for enclosures. An elevation certificate will be required for all construction prior to the rough inspection and
before the certificate of occupancy will be issued. The elevation certificate form must have the date of December
2019 in the bottom left corner.
EVERYTHING MUST BE FLOOD RESISTANT: Everything below Regulatory Flood Protection Elevation must be
flood resistant. This includes but is not limited to: floor joist, OSB boards, studs, insulation, HVAC ductwork, electrical
wiring, plumbing, gas lines, etc. Nails must be galvanized. All wood must be decay resistant.
HABITABLE FLOORS: Single family residential structures shall comply with the following requirements:
1) the structure shall not have more than 1 full kitchen and food preparation area, unless approved
for an attached ADU (Accessory Dwelling Unit)
2) the structure shall not exceed a total height of 35 feet from finished grade.
FENCES: The construction of a residential fence shall not have any portion of the fence taller than 6 feet from finished
grade and shall not be placed in any right-of-way.
CONDITIONAL USE RMIT PE: A conditional use permit and application is needed if you are proposing a home in a
commercial zoning district.
ON -SITE REQUIREM_ENT$: Before beginning construction, a dumpster or similar device shall be placed on site for the
disposal of scrap lumber and material. The site shall remain free of blowing debris. A construction entrance must be
established prior to construction to protect the existing pavement of town or state roads where applicable. Temporary
toilet facilities must be provided on site. However, temporary facilities are not needed on site for crews on a job site for
no more than one (1} working day and having transportation readily available to nearby toilet facilities. All construction
signs, temporary toilet facilities, construction debris, and temporary poles shall be removed upon completion of any
construction and prior to the issuance of the Certificate of Occupancy.
SURETY BOND FOR ROAD DAMAGE: A surety bond shall be provided, in the amount of $5,000.00 payable to the town,
for any damage to public rights -of -way or town property, including streets, waterlines, and utilities which may occur during
construction. These matters must be settled prior to issuance of certificate of occupancy.
�N) APROVED RIGHTS -OF -WAY: If the new construction is located on an unimproved Town right-of-way, you
must obtain a municipal waiver that you acknowledge that public services such as, but not limited to, garbage
collection, law enforcement protection and security, fire protection, emergency medical services, solid waste
collection, public water utility lines and connections, as well as other government or public services which
require access to the above referenced property by a vehicle may be restricted or unavailable.
ROADSIDE SW�ILES AND CULVERTS: If there is an existing roadside swale, no Swale can be filled or reduced in
volume by any means. A driveway that crosses a swale must have a culvert that is a minimum of 15 inches in diameter.
UTILITIES: All utilities shall be placed underground.
CAMA OR ARMY CORPS OF ENGINEERS PERMIT: If any structure is located adjacent to a navigable waterway (ditch
or canal), the proper CAMA approval to perform the work must be secured prior to issuance of a building permit. No
Revised April 2022

wetlands can be filled without proper approval from the Army Corps of Engineers. If wetlands have been or will be filled, a
copy of your wetlands permit will need to be provided prior to obtaining your building permit.
EROSION & SEDIMENTATION CONTROL PLAN: An Erosion and Sedimentation Control Plan is required for ALL land
disturbing activities in areas of greater than 5,500 square feet of disturbance. The filling of a lot or the runoff from the
structure shall not displace water or soil onto adjacent property.
LAND DISTURBQNCg: if the proposed ground disturbance is 5,500 square feet or less, a Land Disturbance Permit will
be required. Cutting down trees on an undeveloped lot will also require a Land Disturbance Permit.
I have read the above and understand that they may apply to my project failure to meet any of the above
conditions shall result In my certificate of occupancy being delayed until the item is corrected.
Signature of Homeo edContractor/Agent Date
RE C VV I
APR 1 9 2024
D (- W-' C
Revised Aprf12022