HomeMy WebLinkAboutBLD2008-01131 TEMP HEAT AGREEMENT.TIF• - Y
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Catawba County Building Services Division
_ PO Box 389, Newton, NC 28658
Permit Center 828.465.6399 Plan Review 828. 466 -5130
Newton Fax 828. 465.8962 Hickory Fax 828- 322.6814
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 j a blri t l e Stul stycR PIN # 3 % /S/978 °'/7a Bldg# 7a3 Unit#
In atroffort to assist connectors in completing construction projects, this office will implement the following policy. The utilization of
permanently installed gas hearing equipment to maintain environmental conditions necessury to facilitate the installation of
eavixonmentally sensitive materials, or finishes in accordance with manufacturer's instructions is permitted by the North Carolina StatC
Adilinustration and Enforcement Code with the following loco) requirements. The owner, general contractor, and mechanical contractor
must sign this request farm for temporary utility connections. The form must be filled out completely.
The following requirements will also apply:
1. 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.
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. Condensate traps and Lines in place and inspected.
f. Electrical circuits installed with appropriate disconnect, ova-current, equipment grounding, conductors and raceways.
g. Refrigeration litres shall be inspec :ed with appropriate pressure certification tests.
It. 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. ('Phis can be scheduled simultuneously with
temporary electrical.)
2. No occupancy of any find (persons, furnishings, etc.) shall be allowed during dais period, without prior approval of the Code
Enforcement Official.
1 The use of the system before iimri inspection is anticipated to bo 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 Couuty.
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 farther agree that failure to comply with the procedure may result in disconnection of gas, revocation of permit,
and/or the refusal to consider turther requests for temporary gas. I also agree to have a billing account set up with Catawba County
Finance Depurtmcrtt so that any renewal fees of temporary service can be automatically billed if needed.
1 do hereby apply for temporary Use of the permanent heating
system located at the structure identified above. I authorize billing
of all renewals, if required, to the following active Catawba
County billing account num y . �y--�
Owner or GC Signature A-e / r al ta
/� /,, i?i(/SiNrs-5
Printed Name Cr �O W r�LTD AJ Title &,91&1,9 n/ a G
As mechanical contractor, I hm-by cerufy that the mechanical
system ( ) is ready ( ) is not ready to be placed in service.
Mechanical Contractor Signature 14lr ti^ t �w-
Printed Name & t",C t 5t° ,- n it ride
Date of acknowledgment
Official signature of Notary
Notary's Printed or Typed Name
My commission expires:
Date
4 0al Seal)
Notary 's Printed or Ty(red Name
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