HomeMy WebLinkAboutB4-411 TEMP HEAT-ELEC APPLS.PDF07/13/2004 15:22 FAX
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PO Box 389, Newton, NC 28658
Plan Review # 828-46=513
Newton Fax # 828-465-8375
Hickory Fax 9 828-322-6814
SERVICE AGREEMENT TE<) RY ELECTRICITY
1, :u5c��L a--QD --.do hereby apply for temporary u se o f the perin a nf - n t 3YA11w-clec tri ca U ser v i ce,
(Size of service)
(Address of site) (Building number) (Unit number)
We do hereb release and aerce to indemnifv save and hold harmless Catawbi Cainli aud d'S
disconnected, Tomporary service is issued solely as a courtesy for the completion of construction and the building is not to b
occupied until a certificate of occupancy is issued, Any violation of the, above will automatically void temporary servicc,
The use of the systern before final inspection is anticipated to be—��r — days or less. If utility connection remains in use beyond 30
a eftr&I contractor will be
The building, ill be constantly supervised or will be sectucly locked when it is not supervised, The electrician, HVAC, and Plumbing
Coroacto read systems to be energized as attested below,
— print Name keW
The responsible agautfacOw-purpoax,ef sIghfagjhjsfiwua-uaayEp
shall coordinate this inspection with building service officiaL (A CONTINUITY TESTER SHALL BE FURNISHED BY
ELECTRICAL CONTRACTOR AT 71ME OF SCHEDULED INSpECTION.)
Witnos&l Notary
_____,__ xr._____ _____®___
t In r iay fy that the H A equipment installed at 1- C�.4I1
� ttitr tar I
t r t its s I aware that the electrical systems W1 be acttya edd ds st t d gyp
w`-
�~� �� wit �
F lease I�rant a I iti��._ Notary
_-____a ._a_____ _______________- —----- a_ ---------- .a_.___ ______®_ .._.__. _d__.._.
As p ittrnbing contrac r 1 hereby certify that t the Plumbing equipment ihstalred at �� g �
is ready j i or ready to e placed in ice. I am aware that the electrical systemswill actiyttt d a sta ab yg.
Plu n Contractor � Witness 1 i*tacary
l f'c
---
Thi& agfeernent is tt until: _..__
GENERAL CONTRACTOR IS RESPONSIBLE FOR AD I TI ' UNLESS OTHERWISE ARRANGED.
PIN # PER IT — � ��%VaS ttut tttrrxo
Hood S' stcrn nitre tact Detector System
—� 9 ire 4lrrsz Systeaz
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15 March 2004r a(iiARW �`,
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07/13/2004 15:24 FAX
duel. U-1 Cl4 LL; 19a
City of Hickcir237474
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F.?
PO Box 389, Newlti�' , NC 28658
Telephone #787846541399
Plan Review # 828-466-5130
Now" Fwt-#-828-4658VS-
Hickory Fax # 828-322-6814
SERVICE AGREEMENT TEMPORARY HEAT
NOTE: Each se-,,parate meter to be
0
In an effort to assist contractors in completing construction projects, this office will implaursdE the telluddrig4tolicy. Thr, utibZ9604-G�
permanently inStaffed' heating equipment to maintain environmental conditions necessary to facilitate the installation of
environmentally sensitive materials, or finishes in accordance with manufacturers instructions is permitted by the North Carolina State
Ad--s4raftewand following local -requirements. The owner, general contractor, and mechanical
contractor must sign this request form for temporary utility isaturections. The form must be filled out conifilctely,
The following requirements wjU also apjrjya
1. All heating units to be placed ire operation shall have apphebja�
a. Vent system (Products of combustion)
bAppropriate amount of combustion air is provided.
c: Gas lines shall be pressure tested and inspected,
d. Water lines shall be pressure tested and inspected if geothermal or coil supplied by a hot water heater-
e- Condausaw traWgred Jmas in -place. -and hwpcctv&.
f. Electrical circuits installed with appropriate disconnect, over -current, equipment grounding. conductors and
raceways-
g, Refrigeration lines shall be inspected with appropriate pressure certification tests.
hAll gas tubing shall be labeled per gas code priar tea teamoureye beatinspection, , -
L Approved temporary electrical power is as prerequisite for temporary beat, (This can be scheduled simultaneously
with temporary electrical.)
No occuparreyof-any kind (persons, furnishings, etc.) shall be allowed during this period, without prior approval of the Code
Enforcement Official.
3, The use af the daysroriess 1ruthilty connection remains in use
beyond 30 days general contractor will be billed monthly per County Fee Schedule
4, If diare is any violation Of this agreement, this service shall be To, thepftodcipadftThe
shall be done without any obligation of responsibility on the put of the Code Official or Catawba County,
5. All processing fees are applicable as set forth in the Catawba County fee arb"Ad"'I
I have read and agree, to this procedure and guidelines as set forth by Catawba County and will abide by the conditions and
qualifications under which ith; issued. I further
revocation of permit, and/or the refusal to consider further requests for temporary gas,
----- -- - --- - - ----------------
heating
r use of the permanent
(size/type system)
ly
(Building number) t number) Date)
(Owner/General Contractor)
Title
Witrxv;sormicro uiryLAO-V�-� Date�^'� 9WCA
--------- --- - ------- -'-- -------------------------------- - -------------------- - ----- --'- --------
do hereby Ls2v,I �- y apply for temporary use of the permanent utility service identified above,
(Printed N c f a hanical ontracts)r)
Signat a
C-1
Witness or Notary
Date
lift
PIN to
pd
Pgrizat #
"6
15 March, 2004 r y
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PUBOG
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07/13/2004 15:25 FAX FA002/002
07/1,2/2004 15:33 FAX Onni
TX REPORT
TRANSMISSION OK
TX/RX NO 4924
DESTINATION THL 8284658=375
DESTINATION ID
ST, TIRE 07/12 15:32
rTffF rSV (IT, FIT
PAGES SENT
RPSULT (7
Dual 12 04. 1J-1; 19a' Cilt!d of 'Hickortt 8283237474 P. 2
Catawba County Building Services Division
PO Box 389, Newton, NO 28658
-i 'relephone # 62e-465-8399
Plan ElOVIOW # 6Z6-466-5130
Nawtm Fox r a2j�--465-p�
HICKOry Fax # 828-322-6814
SERVICE AGREEMENT TEMPORARy HKAT
07/13/2004 15:23 FAX Q 002,/002
07/12/2004 15:31 FAX Q, a a i
— - -------- -
T1 REPORT
TRANSMISSION OR
TX/RX NO 4923
DESTINATION TEL 8284658375
DHSTINATION ID
ST, TIME 07/12 15:30
TINr TISE 01 1 16-
PAGES SENT
RESULT
7'U1 12 04. 11: 18a, 'Cit!d of Htcklalrij 9283237474
Catawba County, Btffkfing Servfees- Dfvls�
PO Box 389, Newton, NC 28658
Telephaw# &28-465-SOW-
Plan Review # 828-466-5130
Nawton Fax-# 8M-465--&V-5
Hickory Fax # 828-322-6814
Vc"V-e�c hereby apply for temporary use of the porrnanent'11'1�'Iectrical sarvice
(Name) (Size ot"SmVice)
4e scruenare located at
(Address of site)
<NOTE; Each separate wder w be, energUad u,,b,,)
We do hereby refease and agree to indemnify, save and hold harmless Catawba Counqvand-it�mea@� WWIPWMPF"�awr
from any and all liatit Unyduc to or wising from Catawba County causing the electrical service to the above -mentioned prtrnJses being disconnected, Yernporary service is issued solely as a courtesy for the, completion of ustruction and the building is not to be
occupied until a certificate of occupancy is issued. Any violation of the above will aurtimaticoally void temporary servicv,
The use Of rhe $Yrteru befOn! final imPection is anticipated to b.--LLC;,-)- da s or less. If utilit connec
--------------- - - -- ---------- ------ ----------- _ - - -------------------------------- I ---------------------- -- ..... -
ify that tho HVAC equippscut instafed at
1am aware that nw,:rc��