Fillable Combined Building Zoning Complaince Application Revised October 2019

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Combined Building Zoning Complaince Application Revised October 2019

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TOWN OF CLAYTON
Engineering & Inspections
111 E. Second St., P.O. Box 879
Clayton, NC 27528
Phone: 919-553-5002
Fax: 919-553-1720
Project Address:
Date:
Applicant Name:
The following checklist to be completed by applicant:
[ ] Completed Application
[ ] Owner’s Consent Form (required if applicant is not the property owner)
[ ] Flood Plain Development Permit if the development request will take place within a floodplain.
[ ] Verification of received or current Wastewater Allocation
[ ] Driveway Permit Application
[ ] Lien Agent Form (required for projects that exceed $30,000) (www.liensNC.com)
[ ] Management Switch Request Form (required if Town of Clayton residential customer)
[ ] Copy of a plot plan OR site plan and/or survey to scale which identifies project boundaries, lot
dimensions, acreage, structures (size and location), setbacks, parking and circulation, impervious
surface area and percentage of lot coverage.
**For residential projects: must include 4 copies of plot plan as defined by the Residential Plot Plan
checklist located on the Engineering and Inspections web page.
**For commercial projects: must include a copy of approved and stamped sited plan.
*Please note that an incomplete plan will result in a delay in the processing of the permit.
Please submit one hardcopy and two (2) digital sets of plans if commercial. Please submit one set of
hardcopy plans if residential to include the following:
Scale Drawings: The plans have been drawn to scale (minimum 1/8" = 1') in ink.
Elevations: Elevation drawings include the front, rear, left side and right side.
Foundation Drawings: Identify all necessary structural details including but not limited to the following:
Footing sizes (thickness and width) and location, foundation type (thickness and width) and location, pier
sizes and locations, girder size and material species, floor joist size, material species, spacing and direction of
span. Locate the structural information at the specific location utilized unless the information is typical.
Choose one foundation type below:
☐ Slab / mono ☐ Crawl / raised ☐ Basement
Floor Plans: Provide a plan for each floor (and attic if planned to be finished). Identify all necessary
structural details including but not limited to the following: Beam and header sizes at each location, the
number of beam and header studs supports, ceiling joist/floor joists/rafter size, type of material, on center
spacing, and direction of span. Provide layouts if engineered systems are specified "by others".
BUILDING & ZONING COMPLIANCE PERMIT
COVER SHEET
Roof Plan: Provide a plan view indicating structural members and the location of bearing. Identify which
type of roof construction will be utilized (choose one only):
☐ Conventional (stick-framed) Roof: Identify size, type of material, rafter spacing and direction of span.
☐ Truss Roof: Include manufacturer's layout sheet and signed and sealed truss detail sheet (profile) sheets
for each type truss utilized in the design. Provide any additional details specified on the sheets of the
individual trusses. Include hanger specifications if utilized for uplift connections.
Applicant Signature: ______________________________________________
Reviewed by: _____________________________________________________
TOWN OF CLAYTON
Engineering & Inspections
111 E. Second St., P.O. Box 879
Clayton, NC 27528
Phone: 919-553-5002
Fax: 919-553-1720
Application Fee: Fees for this combined application will be paid at the time of building permit pickup.
Application Review: Staff will review application for completeness within 24 hours of submission. Applicants will
be notified to pick up incomplete applications and re-submit once the application packet is complete.
Type of Permit: Commercial: _____ Residential: _____ Commercial Property Use: _____
Applicant Name: _____________________________________________ Date: _________________
Applicant Address: _____________________ City: __________________ State: _______ Zip: _______
Subdivision/Development: ________________________________ Lot#: ___________________
Developer: ___________________________ Phone #: ______________ Email: ________________
Property Owner: ______________________ Phone #: ______________ Email: ________________
Address: ____________________________ City: __________________ State: _______ Zip: _______
Project Contact: ______________________ Phone #: ______________ Email: ________________
Address: ____________________________ City: __________________ State: _______ Zip: _______
SITE INFORMATION
Project Address: ______________________________________________________________________
Description of Proposed Work: __________________________________________________________
Floodplain Onsite: ___Yes ___ No Stream/wetland Onsite: ___Yes ___ No
*If checked “yes” please provide Flood Plain Development Permit
Type of Permit: ___ New ___ Existing ___ Addition ___ Upfit/Renovation
Property Use: ___ Single-Family ___ Duplex ___ Townhome ___ Apartment ___ Condominium
___ Mobile Home ___ Other (Library, Office, etc.)
Type of Construction: __________________________________
*Appendix B NC Building Code must be provided
Type of Occupancy: ___________________________________
*Appendix B NC Building Code must be provided
If Mobile Home: Year: ___________ Make/Model: _______________ Size: _____________
Square Footage: 1
st
Floor: ________ 2
nd
Floor: ________ 3
rd
Floor: ________ Deck: _________
Foundation Type: _________ Porch: __________ Building Height: ____________
Permit#: _______________________
Garage-Attached: ________ Garage-Detached: _______
Number of Bedrooms: ______ Total Heated Square Footage: ______ Total Square Footage: _______
Number of Bathrooms: _____ Accessory Structure Dimensions: ______________
Total Project Cost: ____________________
UTILITIES
Sewer Source: ___ Town ___County ___Septic ___ Other
*If septic system is present, a copy of the permit MUST be provided from Johnston County Environmental Health.
Water Source: ___ Town ___County ___Well ___ Other
Power: ___ Town ___ Duke If Duke, must provide Duke Energy Premise #:______________
*Town residential customers MUST include Load Management Switch Request Form.
Natural Gas: ___ Yes ___No
CONTRACTOR INFORMATION
Place an X and complete additional information for each permit type needed.
____ General Construction Permit Job Cost: ______________
Contractor Name:
_______________________________________ Phone #: _________________________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ____________ Email: _________________________________
License #: _________________________ Classification: _____________________________________
Design Professional (if applicable): ______________________________ Phone #: _________________
Architect: _______ Engineer: ________ Owner: ________ Other: _______ NC Reg#: ______________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ______________ Email: _______________________________
____ Electrical Permit Job Cost: ______________
Contractor Name:
_______________________________________ Phone #: _________________________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ____________ Email: _________________________________
License #: _________________________ Classification: _____________________________________
Design Professional (if applicable): ______________________________ Phone #: _________________
Architect: _______ Engineer: ________ Owner: ________ Other: _______ NC Reg#: ______________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ______________ Email: _______________________________
____ Mechanical Permit Job Cost: ______________
Contractor Name: _______________________________________ Phone #: _________________________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ____________ Email: _________________________________
License #: _________________________ Classification: _____________________________________
Design Professional (if applicable): ______________________________ Phone #: _________________
Architect: _______ Engineer: ________ Owner: ________ Other: _______ NC Reg#: ______________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ______________ Email: _______________________________
____ Plumbing Permit Job Cost: ______________
Contractor Name: _______________________________________ Phone #: _________________________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ____________ Email: _________________________________
License #: _________________________ Classification: _____________________________________
Design Professional (if applicable): ______________________________ Phone #: _________________
Architect: _______ Engineer: ________ Owner: ________ Other: _______ NC Reg#: ______________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ______________ Email: _______________________________
____ Sprinkler Protection Permit Job Cost: ______________
Contractor Name: _______________________________________ Phone #: _________________________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ____________ Email: _________________________________
License #: _________________________ Classification: _____________________________________
Design Professional (if applicable): ______________________________ Phone #: _________________
Architect: _______ Engineer: ________ Owner: ________ Other: _______ NC Reg#: ______________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ______________ Email: _______________________________
____ Fire Alarm Permit Job Cost: ______________
Contractor Name: _______________________________________ Phone #: _________________________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ____________ Email: _________________________________
License #: _________________________ Classification: _____________________________________
Design Professional (if applicable): ______________________________ Phone #: _________________
Architect: _______ Engineer: ________ Owner: ________ Other: _______ NC Reg#: ______________
Address: ____________________________________________ City: ___________________________
State: _________________ Zip Code: ______________ Email: _______________________________
The following documents are required prior to permit issuance:
[ ] 1 Lien Agent Form if the project exceeds $30,000 (www.liensNC.com)
[ ] Water/Sewer receipt from Town of Clayton for new buildings only
[ ] Workers Comp information provided
[ ] Any missing information from permit application provided
[ ] Cost of construction provided
[ ] All plan reviewers have signed off on approvals
[ ] Fee paid at pick-up
SIGNATURES
I/We hereby certify that all information in this application is correct and all work will comply with the
State Building Code and all other applicable State and local laws and ordinances and regulations. The
Inspection Department will be notified of any changes in the approved plans and specifications for the
project permitted herein.
I/We, the undersigned, do hereby make application and petition to the Planning Department of the Town
of Clayton to approve the subject Zoning Compliance Permit. I/We hereby certify that all activities will
be carried out in compliance with the Unified Development Code and understand that violations will
result in a Code Enforcement action and fine. I/We further certify that I/We have full legal right to
request such action and that the statements or information made in any paper or plans submitted
herewith are true and correct to the best of my knowledge. I/We understand this application, related
material and all attachments become official records of the Planning Department of the Town of
Clayton, North Carolina, and will not be returned.
_______________________________________ _______________________________
Applicant’s Signature Date
_______________________________________ _______________________________
Owner’s Signature Date
Staff Approvals:
_______________________________________ _______________________________
Inspector’s Approval Date
_______________________________________ _______________________________
Inspector’s Approval (Fire) Date
_______________________________________ _______________________________
Zoning Compliance Approval Date
_______________________________________ _______________________________
CO Final Date
Project Address: _________________________
Erosion Control Permit #: _________________
Date Received: _________________________
NWS Entry Date: _______________________
Date to Zoning (Plot Plan Stamped):___________
Date Issued: ____________________________
Revised October 2019
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Combined Building Zoning Complaince Application Revised October 2019

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Completed 15 July 2020

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