HomeMy WebLinkAboutBLD2008-01025 TEMP HEAT AGREEMENT.TIFn Catawba County Building Services Division
Q , PO Box 389, Newton, NC 28658
'Z Permit Center 828 - 465 -8399 Plan Review 828- 466 -5130
Newton Fax 828 - 465 -8962 Hickory Fax 828 - 322 -6814
I 4 SERVICE AGREEMENT TEMPORARY HEAT
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 this project
BLD200 '� Job Title D I'>;I�a' # �"l'4dI - 7b703s - Bldg# Unit If
In an effort to assist contractors in completing construction projects, this office will implement the following policy. The utilization of
permanently installed gas heating equipment to maintain environmental conditions necessary to facilitate the installation of
environmentally sensitive materials, or finishes in accordance with manufacturer's instructions is permitted by the North Carolina Stem
Administration and Enforcement Code with the following local requirements. The owner, general contractor, and mechanical contractor
must sign this request form for temporary utility connections. The form must be filled out completely.
The following requirements will also apply:
L All heating units to be placed in operation shall have the following items inspected for compliance if applicable.
a Vent system (Products of combustion)
b. Appropriate amount of combustion air is provided.
a 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. Condensate traps and lines in place and inspected.
I. Electrical circuits installed with appropriate disconnect, over - current, equipment grounding, conductors and raceways.
g. Refrigeration lines shall be inspected with appropriate pressure certification tests.
h. All gas tubing shall be labeled per gas code prior to temporary heat inspection.
i. Approved temporary electrical power is a prerequisite for temporary heat. (This can be scheduled simultaneously with
temporary electrical.)
2. No occupancy of any kind (persons, furnishings, eta) shall be allowed during this period, without prior approval of the Code
Enforcement Official.
3. The use of the system before final inspection is anticipated to be days or less. If utility connection remains in use beyond
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 obligation of responsibility on the part of the Code Official or Catawba County.
5. All processing fees are applicable as set forth in the Catawba County fee schedule.
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 it is 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. I 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 heating
system located at the structure identified above. I authorize billing
Date of acknowledgment
of all renewals, if required, to the following active Catawba
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County billing account number
Official signature of Notary
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Owner or GC Shmatur _
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Notary's Printed or Typed ame
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Printed Name L y
My commission expires:
(Official Seal)
As mechanical contractor, I hereby certify that the mechanical
system (,�is ready ( ) is not ready to be placed in service.
Date of acknowledgment
Official signature of Notary
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Mechanical Contractor Signature
Notary's' Printed or Typed Name
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Printed Ne Agjga A nC Ql-- i✓u��l/5 e RCS a-�'
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My commission expires: