HomeMy WebLinkAboutBLD2009-00688 Temp elect - heat agreements.tif 4 % 05/06/2010 10:21 8284376362 CAROLINA SHELTER CON PAGE 03/03
_ -- — — — -- — CATAWBA CO PAGE 02103
f 2! 25/ 281 0 68:07 8283226814 M iFX
} Catawba County Building Services Division
t PO Box 359, Newton, N 28658
` POtmik Cetwter Sa8-08 -8399 Newton Fix azl sti -6962 Hickory F ax
8z8- S22�81�
SB'Qvi<Cf3 AGRERM1ENT TEMPORARY >ELF,CMICfTYY
1170 NOTE. Each separate meter m be Convected is considered a separntc request acid subjoe't to a separate fee.
Please IM the tort "q V r of cicctt•loa � a . bers to
F'� r p a '
ryL`'v"" t ;ldg # Unit # -
131 A J01 -0 0 Job Title
We do hereby releaso and a9ft to lndemnlfy, save and hold bless Catawba Cour+ty nod it ernployoes and Power
ceasing the electrical service to the above- tncnrioned premises from any and all Nobility duo to s arising hoer' Catawba Cou the completion of taGnstrucrion and the building
is not to be
being diseonnoted. Tempo►'tuY service is slatted solely ass courtesy
is is
occupied until a Certificate of occupaneY sued. Any violation of the above will autotttgticanlly'void temporary sen►1�•
The use certificate
the system before final inspection is atA c pamd to be 3 r] _._ dew or teas. I f ut ili ty connection remains in use beyond
30 days GC will be billed monthly p County Foe Schedule, The temporary use of the system is necessary to operate tae d apV and to
and pprovmd by
provide lighting for the cOmPletdon of the finish work_ Only those circuits titan c � ly i tIon purposes
the electrician and electrical Inspector will b9 energized. Any &t s t*eu lu in metal conduit. The building tyill be Constantly supervised
will be gro .imBSntpt und fault protectwd, with the exceptrott of littbtitxfi ft tb9 sy$tetna to be
and Plumbing contractors are ready
or will be sccuroty locked when it is not supervised. The elecKieisn, INAC ,
energized as attested below. of in this foray be the geneml cone %rWr or owner. The GC is repponOle
The respons aun
ible t for the rPW g m) tr
for Ad ministrative fees unless othorWW arranged and Alm to set u p a billing AMUM with Catawba Coanty k'it►aocc
Department lift renewal of Vm A� �� 1?r(J�tN ME0 ST �tCM, CCO1V'MAAICKR rdf M O V IULED MS"MO N-) service
official. (R coNr NVt7Y T WFU
A'�pun a"gay
ZOl
a SLY C. "'�M
t, hereby apply for temporary UK of the permanent . ar�••�` C4,49
electrical service to the structure identified above• I authorize a
billing of all rene vale, if regairod, to the 1'ot 'tt till si ofNottny _ �,OTA y w
Catawba County billing aceoun "s Q
Owner or GC Signet #are + Notary's Pr trod or Typed Name s O era 9�ral) a
• A c, .?
Printed Name Title My commission cv fts: W 1- ��� y a, y T"F .�►�''c
I
As electrical Contractor, l heroby cecrFlb that the electrical system of ow
leis ready () is not ready to be energized. Branch circuits will be m pTAh }.
energizer) as stated above. ciai eighty z
a PUBo
lrlectr;eal Contractor Signature - Notary's tri ted or Typed l3mm ay <9G Ga
., eial sea�'�'' •
Printed Name /� commission camires• t . _
N A
As AC contt'actor t hereby ectify that the HV'AC equipment at of acitr, ant �•,,EQ� 0�
is ready ( ) is not ready to be placed in service. I am
aware that the eleWical *%tems will be activated as stated above ia1 si5nattae fNotsry
s r
Mechanicni Contractor Signature diary's Printed at Typed Narita
Printed blame T i M commission '-1
' r•
I 5
certi that the Pltwnbin¢ equip, V o f l yr c�� C�j4s
� As plumbing conttaetor t hereby cer ti f y
( } is ready ( ? is not toady to be placed in SGM00. I stn aware a
that the cicetrical systems will be r as stated above- cis sigh re . N _ �OTAR 9'
I r �
Plumbing Contractor Sig natar ^ r Notary's P ' red or Typed Name ;
fA
Printed Nett ++ 1-1'1 tie cotttmission irQ1' r • �'
05/06/2010 10:21 8284376362 CAROLINA SHELTER CON PAGE 02/03
•22/25/2010 98:07 9283226814 CATAW13A CO PAGE 93 /b3
Catawba County Building Services Division
PO Box 389, Newton, NC 28868
permit Cerrter 828 - 485 -8399 Plan RIMSw 828-468-5134
Newton Fax 828465 -89 Hickory Fax 82$- 322.6$1
SERVICE AGREEIV}<WT I'11MMP-ARY HEAT
NOTE: Each separate meter to be ponnettW is considered a separate request and subject to a separate #Ise,
1lolepsb list the total number of gas meters to be Installed on this project___----.:
oOT- 0 Pau rAMAW'M fc r� /►� G' h°0! !T U� It 4
iaLD Jo Title PIN # Bldg # ._
in an effort to assist contractors iA completing construction projects, this office will implement the following policy. The utilization of
permanently installed gas heating euuipmett to rnaintatn environmental conditions necessary to facilitaee the installation of
environmentally sensitive muffligis, or finishes in Accordance with msnufactm+ar's instruWans is pomCdted by the North Carolina State
Administration snd Enforeement Code w;� the ibilowleg local requirements. The owner, general contractor, and mechanical aon"40
must sign this request form for Wmporai3r utility connections. The form must be filled out Completely.
The Iollowing requirements will also apply: t; d forcdrrrpllant c if ltcable�
1. to be plaited in 'opt r~ttla3t shall have fallowing itcltts insp� aPp
a Vent system (products of wnbDstim)
b. Appropriate amount of eombuWon air is provided.
e. Ciae lines shall be ptZsure tested and inspected.
d. Water lines shal l be pr More tested and inspected if geothermal or coil supplied by a hot wooer heater.
e. Condensate traps and lines in place acrd inspected. din conductors and reaewayF,
f. 131actrical ekcuits installed with appropriate disconnect, over - current, equipment grounding,
g. Refrigeration lines shall be inspected with appropriate prMure ccrtifioation rests'
h, All gas tubing shall be labeled per gas cede prior t temporary beat inspection.
ii . App roved tem porary eleetiieanl power Is a prerequisite for temporary heat ('Phis can be scheduled simultaneously with
P
temporary electrical.) ut pri val of the Code
2. No oceupm+cy of any kind (persons, furnishings, etc.) shall Wallowed during this period, withoor appro
Enforcement Official _ d or leas. if utility connection remains in use beyond
3. The use of the system before Final inspection is anticipated to be
�
30 days general coetr4eft will be billed monthly per County pee Schmdula
4. If there is any violation of. g this a ee nmte this service abalA be disconnected without prior notice t4 the pmrtioipants. This shall be
done without any obligation of responsibility on b Vw t of the Code Qf'Seial or Catawba County.
S. All processing tees are applicable as set Bottle in the Cat6twba County fee schedule.
I have mad and age to this procedure and guidelines as set fordt by Catawba COOMY mid will abide by the conditions and qualifications
undar which it is issued, i fltrther agree that iliihM to comply with the procedure may result in disconnection of gas, revocation of permit,
and/or the refusal to consider furthet'tequestm for temporary gas. t 9150 agree to have a billing account set up with Catawba County
Finance Department so that any renewal fees of temporary service coot be s atom4cally billed if needed.
1 do hereby apply for temimMry use of the permanent heating 'SAo ra ad F�.LY C
system located at the btrtlCM identified above. T, authorlxe billing D Of
of all renewav, if requlrcd, to the fo rive Cate a ci9 si Notary r �oTAR �
County billing aeeoniat number x
a
dwtrar or GC Signori Notary's F " tad or Typed Nance 1 pU
t l al)
Q'. 0
Printed Name Title m y expires: /r . ,._.._rr�l,
O ++
As mechanical contractor, l hereby eta$' that the mechanical acldtowled s
4
system (✓j is tuadY () is net ready to be placed in service. g oly
-
Zuy'sprlinted al sigttsihltm of l f �`,
rug**— 6
0 .Sd P u
Mechanical Contractor Signatere t3,,., _ or '1"W Mamie ~ '' S , +
P rinted i�iame Title M commission ex lres: q 2y 201 A1111 ►`',