HomeMy WebLinkAboutBLD2008-00522 TEMP POWER AGREEMENT.TIFCatawba County Building Services Division
i PO Box 389, Newton, NC 28658
Permit Center 828- 465 -8399 Plan Review 828- 466 -5130
Newton Fax 828- 465 -8375 Hickory Fax 828- 322 -6814
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SERVICE AGREEMENT '1'h;MPORARY Hf:A'f
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Please list the total number of gas meters to be installed on [his pm,jerl _ /
131_1)2001� Job Title d Z PIN #
__ Bldg # _ 1!nit # _
In an effort to a ssist contractors in completing construction projects. this office will implement the following policy- The utilization of
permanently In- sudled gas heatng equipment to maintain envt I onmental conditions necessary to facilitate the Inset l lraion of
em Gonmcnta l la sensitive mater ials. or finishes in accordance with manufacturer's instructions is permitted by the North Carolina State
Administration and Fn forcc ment Code with the following local requirements. The owner. general con rector, and mechanical contractor
must sign this request form for temporary utility connections. The form must be filled out completely
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The following requirements will also apply:
1, All heating units to be placed in operation shall have the following items inspected for compliance it applicable,
a- Vent ... win (Products ofcombustion)
b. Appropriate amount ofcombustion air is provided.
C, Gus lines shall be pressure tested and inspected.
it Water lines shall be pressure tested and inspected if geothermal or coil supplied by a hot water heater.
e. Condensate traps and Tines in place and inspected.
f Cicctneal circuits installed with appropriate disconnect, over current, equipment grounding. conductors and raceways.
Retngeration lines shall be inspected with appropriate pressure certification tests.
h. All gas tubine shall be labeled per gas code prior to temporary heat inspection.
i. Approved tentporary electrical power is a prerequisite for temporary heat ('Ihis can be scheduled simultaneously smith
temporary electrical.)
2. No occupancy of any kind (persons, furnishings, etc I shall be allowed during this per without prior approval of the Code
Enforcnncnt Official.
3- The use of the system before final inspection is anticipated to be_ days or less. If utility connection remains in use heyond
30 days general contractor will be billed monthly per County Fee Schedule,
4- If there is any violation of this agreement, this service shall be disconnected without prior notice to the participants, This shall be
done without any ohligatlon of responsibility on the part of the Code Official or Catawba County.
i All processing fees are applicable as set forth in the Catawba County fee schedule
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I have read and agrce to this procedure and guidelines as so forth by Catawba County and will abide by the conditions and qualifications
under which it a issued I further agree that failure to comply with the procedure may result in disconnection of gas, revocation of permit.
and /or the refusal to consider further requests for temporary gas. 1 also agree to have a billing account set up with Catawba County
Finance Department so that any renewal fees of temporary service can be automatically billed if needed.
I do hereby apply for temporary use of the permanent heatin€
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system locat ed al the structure identified above. I authorize billing
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of all renewals, if required, to the following active Catawba
County billing account number _ _
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Owner or OC Signature L� .LsA
Notary's Printed or 'I yped Name
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Printed Name 1: �N /t Title N1/L.
My commission expires:
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As mechamcal contractor, I hereby certify that the mechanical
system ( ) n ready f 1 is not ready to be placed in service-
Dale of acknowled n m
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Official sgnamr, of Near v
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Mechanical Um tractor Signature t -
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Notary's Primed or Typed Name
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Printed Name - Title � 4 0 kJ4Z _
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My commission ex P 6 .i j () j
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