HomeMy WebLinkAboutMEC2005-02064.tif \ P.O. Box 389 MECHANICAL
4 Newton, NC 28658
4 V PERMIT
�, d I Phone: (828)465 -8399
\ v`� Fax: (828)465 -8962 PERMIT NO.: MEC2005 -02064
Web Site: www.catawbacountync.gov ISSUED: 10/20/2005 gPPLIED: 10/20/2005
P Pages / Online Permit Center
8 4 2 P 1? EXPIRES: 04/20/2006
SITE ADDRESS: 1339 11TH ST NW HICKORY NC
ASSESSOR'S PARCEL NO: 279312861839
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SO. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS: OLD LENOIR RD/ RT 12TH AV NW/ (GEITNER RD) LEFT 11TH ST NW /
HOUSE ON L EFT
PROJECT DESCRIPTION: INSTALLED 1 SET OF GAS LOGS & GAS LINE
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
MICHAELA IERY PIEDMONT NATURAL GAS CO INC
1339 11TH ST NW PO BOX 1149
HICKORY NC 28601 -2213 HICKORY
SWT #6526
Equipment Fees
Type of Equipment Quantity
Type By Date Amount
New Installation of Appliance
PRMT PSQ 10/20/2005 $45.00
Total: $45.00
This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in the application for
such permit, and that all work shall be done in accordance with all applicable zoning, building, electrical, plumbing and mechanical ordinances of
the County of Catawba and the State of North Carolina.
A permit issued for work under this Code shall expire by limitations six months after the date of issuance if the work authorized (FOOTINGS ARE
CONSIDERED 1st INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a
period of 12 months, the permit therefore shall expire.
* * *AN ADDITIONAL CHARGE PER THE CURRENT FEE SCHEDULE MAY BE ASSESSED FOR EACH UNWARRANTED INSPECTION
SCHEDULED. * **
If there are any questions, please contact the office between 8:00a m. and 5:00p.m.
OCT- 18- 2005(TUE) 14;17 Piedmont Natural Gas Hky Oper. (FAX)8283273323 P.001 /001
(828)'465 -8399 Office Number ' Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
I (828) 465 -8962 Ngwlon Fax Number Application for Permit TO THIS NUMBER (_ )
(828) 322-6814 Hickory Fax Number
www.catawbacountync.gov
(Please print or type) &ck _ a 0 t P.O Box 389 Newton, NC 28658
Toe of Permit ❑ Electrical ❑ Plumbing Mechanical ❑ Fire Date
Active Building / Mobile Home Permit # Property ID # (if known)
t no active Building or Mobile Home perm' please list driving directions from a major intersection:
Use of structure: ❑ Mobile Home kinglo family ❑ Mull] family Commercial El Industriat/Factory ❑ Clu rch Owned El Gov`t Owned C) ccosso Ary
Physical 911 Address of Projec f � �� `�'� C*k /y' 1A) iG,o&n=
Owner or. Business g\;r-\NheA o Q Telephone ��X 90 -5�71�
Address 5 A,,.
Subcontractor PIEDMONT NA iP.AT, GAS Telephone (s 2g) X22 -161
Address P.O. BOX 1149. HICKORY, NC 28603 License# 17588
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL Li
( st each panel separately) Panel # 1 Amps Panel If 2 Amps. Panel # 3 Amps Panel # 4 Amps
Q New Building Wiring ❑ Pole Service ❑ Wire Mechanical unit only (No Svc Chg) Total#
❑ Additional Service (existing bldg) ❑ Service Change Amps ❑ Interior Wiring (No Service Change)
❑ Addition of Sub Panel ❑ Load Control ❑ RV Service
❑ Saw Service ❑ Mobile Home ❑ Other (List)
❑ Sign Service ❑ Modular Home
❑ Service Repair Total Electrical Cost $
PLUMBING
❑ Full or Partial Bathfroilet Rooms.(Includes future.)
Total number being installed ❑ Gas Line /Pressure Test only
❑ Mobile home (new set -up only) ❑ Modular Home
❑ Water Heater (Electric, Gas) p Other (List)
MECHANICAL (Check One) Now Installation [3 Change out exiting syste
[3 Heat Pump or Furnace wi A/C Total #_ was Lin re u e Te Other (List) g
❑ Furnace (Oil, Gas, or Electric) Total # _as Los Total #
❑ Air Conditioner Total # g ❑Mobile Home
❑ Unit Heater Total #
❑ Water Heater (Electric/Gas) Total # _ ❑ Modular Home
FIRE (Check permit type applicable)
❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping
❑ Fire Alarm/Detection System ❑ Hazardous Materials ❑ Standpipe Systems
❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures
O Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other
"All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permik•'The undersigned makes application for
permits and Inspection work described and agrees to comply with all applicable State, co u ty cod and laws regulaling the work
l
RINT NAME A L SIGNATURE
Subcontractor) ccnse H Ider/0wner
G: \DLD \Web Pago Bld Srvs L Permit ctr \Blank application4;\2004 -06 TRAD ¢nPPLNCWREVI9Ell.D0CCreated on 06/09/2004 1:07
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