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HomeMy WebLinkAboutNCC230050_FRO Submitted_20230109ADD BU FP ZO RVR DTDR HRC ENG COMMERCIAL PERMIT APPLICATION DEVELOPMENT SERVICES DEPARTMENT 161 SOUTH CHARLOTTE STREET ASH EVILLE ■ NORTH CAROLINA • 28801 828-259-5846 1 M-F 8:30 AM — 5:00 PM TRANS PW WTR MSD AIR HEALTH Project Address: jLy�fi� ��� .1 2$?pAir Unit/Lot#: Parcel Identification # (PIN): p 73 '7 [ Civic ID: Name of Business: ❑ Owner Occupied ❑ Rental Sale/Speculative Proposed Use:�N Previous Use: V'r l # of Stories: If multi -family, # of units: If lodging, # of rooms: If vacant, length of vacancy: pOJECT INFQRMATiONu € r�res-�. .�,,..a, . K. ab:' -�" : s` zr� '.i . ,�:. r <.� ...5.. .. ,�.. .a.NYv., .. �. ... � �,.�✓.� rep' �... : „�. t --�' — ❑ 2019 Building Code ❑ 2018 Existing Buildine Code Sq Ft Check All that Apply: ❑New Construction Occupancy Type: Construction Type:.. ❑ molitiori I I 111P ❑ Al ❑ H1 ❑ M ❑ I -A ❑ Carports/Decks ❑ Addition ❑ Alteration ❑ A2 ❑ H2 ❑ R1 ❑ I-B ❑ Renovations/ Additions ❑ Uplift (First Occupancy) ❑ A3 ❑ H3 ❑ R2 ❑ II -A ❑ Heated ❑ Reroof ❑ Repairs/Replacement (No plan change) ❑ A4 ❑ H4 ❑ R3 ❑ II-B ❑ Unheated ❑ Occupancy- Existing El Change of Use ElA5 ❑ H5 I]R4 I]III-A TOTAL ❑ B ❑ 11 ❑ S1 ❑ III-B Foundation Type: ❑ Crawlspace ❑ Other: Demolition: El Interior ❑ E ❑ 12 ❑ S2 El IV -HT ElBasement ❑ Slab on Grade ❑ F1 ❑ 13 ❑ V-A Heating Source: ❑ Electrical ❑ Entire Building ❑ Structural ❑ Non -Structural ❑ F2 ❑ 14 ❑ V-B ❑ Combination ❑ Gas Width of Driveway Apron: Pik /''r+ kI� Corner Radii: Type of Driveway Apron to be ❑ Concrete Constructed in Right -Of -Way: ❑ Street -type Area to be disturbed: ❑ sq ft acres Person engaged in/conducting land disturbance: 7 MAi ow — wq wN ('014 "GZnd C O. Area after development: ❑ pervious ❑ sq ft will be: v-O 4 impervious )C_ acres Mailing Address: Pp $Dy62q City: �G State: n] Zip: D'�' Will stormwater facilities be privately maintained? I L Yes ❑ No Description of Work: 01JMvG'(I atJ A- P0-PaSO I' UNIT 7oW�JV% E, DOV01-0AA041 L,& (1A7u) Al 1'�� RVADH DOS, X 4 SUILON AND TRADE PAR„IVIIT5 i Permits Requested Contractor Business Name State License # Cost of Work ❑ Building ❑ Electrical ❑ Mechanical ❑ Gas Piping ❑ Plumbing ❑ Fire Sprinkler ❑ Fire Alarm ❑ Refrigeration ❑ Hood System * Estimated Total Cost of Work required at time of submittal TOTAL COST* OIAIJ�I�R INFORMATION REQUIRED (Owner sigriatur -equired on ail applications involving work on the real property, laid disturbance, c etnohtion, and/or other work C Involyrng,riew or ex[sting construGtloh; Property Owner Name{s): Email Address: Phone Number: IlAki 904 CONVLAW4 0 g W KW Mi MO PA044WQI,MAC+.tit .771'• tio Mailing Address: City: State: Zip: oAM 014 1,44- 2$704- Signayurn,( ff' , di e r or Autho zed Agents): D to The undersigned stat�'he/she is the person financially responsible for the land disturbing activity described in the above application for: grading permits. If the per 'on financially'responsible is not a resident of North Carolina, a North Carolina authorized agent must be designated for the purpose of receiving notice of compliance or"non-compliance with section 7-12-2 of the UDO. Applicant Name(s): Email Address: Phone Number: c v -bhvis v All � t Address: City: State; Zip: OWL-0-NE '✓1 " L 2 $$ro 3 Signature (Affidavit required for Authorized Agents): Date I hereby certify that all information in this application is correct and all work will comply with the North Carolina State Building Code and all other applicable state and local laws, including 87-14 Workers' Compensation. The Development Services Department will be notified of any changes in the approved plans orspecification s for the projectas permitted. x GENERAL CONTRACTOR INFDRMA .ION Required f cos q, !* (or undertak—) — $3"00 oir more General Contractor Name: bob Email Address: Phone Number: 90-11k- Business Name: AUd ON L-00519AIJIDU NC License #: $ Address: a NY, 1 p City: IF*k State: )4G Zip: Signiatupe4 i it F Wed for Aut r zed Agents): Date `�V