HomeMy WebLinkAboutMEC2005-00472.tif �� T �� P.O. Box 389
I o Newton, NC 28658 MECHANICAL
PERMIT
P hone: �� 1K Phone: (828)465 -8399
Fax: (828)465 -8962 PERMIT NO.: MEC2005 -00472
\ _ i
\ � Web Site: www.catawbacountync.gov ISSUED: 03 /10/2005
2 Popular Pages/ Online Permit Center APPLIED: 03/10 /2005
4 EXPIRES: 09 110/2005
SITE ADDRESS: 5005 SHERRILLS FORD RD CATAWBA NC
ASSESSOR'S PARCEL NO: 378003214122
TYPE OF WORK: NEW CONSTRUCTION
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: INSTALLED OUTSIDE GAS LINE FROM TANK TO HOUSE/ *fee included with
building permit fee*
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
WAYNE MARTIN SUBURBAN PROPANE / STATESVIL
6397 HUDSON CHAPEL RD PO BOX 5847
ATAWBA NC 28609 -9510 STATESVILLE
SWT #6588
Equipment Fees
Type of Equipment Quantity
Type By Date Amount
PRMT PQ 03/10/2005 $0.00
Total: $0.00
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 OF $121.00 MAY BE ASSESSED FOR EACH UNWARRANTED INSPECTION SCHEDULED. **
If there are any questions, please contact the office between 8:00a m. and 5:00p.m.
I
03/09/2005 14:44 8283286010 SUBURBAN PROPANE y PAGE 01
(828) 465.8399 OMce Number CATAWBA a COUNTY' P.O. Box 31119
(828) 46$- 8962'Fax Number Newton. NC 28318
(Please print or type) APPLICATION FOR PERMIT Date
Electrical Plumbing y Mechanical _ Fire Sprinkler _ TOTAL SQ. I±TG.
Building Permit # Property ID # Use of Structure
Physical Street Address SODS ,S'� // x
Owner /Business 1e14'V ✓E /N4975i Telephone IJA ') .?Vl - Y 3g
Address �Ods aS''fl�Ge,
�(l 64k z , 6A P `' "° stole z,,,
Subcontractor
+� '�' '�� Telephone L�°A
Us Linea h+ Llmee Book)
Address 1,2V5' �gt,.SIE,� B•r6•✓�/ AW ,a .&% License # - 2 /' 27 / —
LIly 51111e Zip General General Contractor Telephone
Location of Structure or Project (Physical Directions, Road Numbers and Name. Etc.)
oA/ l�shu•�, /v ,�� o� /`�� • r/, // ,� g D G LeAr e1wrl .-'164.1, i
.... f3..;' S• kf��t; �:: A: bF$' rr'< tY• xKf : > :£Efi4aai :3' >s's. > > : : :< : :. :: : : :; #. ..`ras> fi :`' . S :: t. :: S.v
ELECTRICAL Panel # i Amps Panel #2 Amps Panel #3 Amps Panel #4 Amps
New Panel Pole Service Wire Mechanical, unit only (No Service Change)
Sub Panel Service Change Interior wiring (No Service Change)
Saw Service Load Control Other (list)
Sign Service Mobile Home
*if more than one panel list size of each TOTAL FEE $
..... .......... ..... <.:? <. .4..,. :v. > :3.,........J..3.,3 .. �...,.<... 33,`•"%:#>:' r': 3ilw: 3i4:' r"<" �: 3;`.? ak';•'•: Y4: 3%:.> �:EY :L<".3�3:, :.1'.... :t.....<,
.:....., �...,,.. ,..,.,.. >.....,....<......<..,. '. <.4x :..<,,..<.. .
PLUMBING
Total Number of Full or Partial Oath /Toilet Rooms Fire Sprinkler system (New /Addition)
(Including ones for future use) Gas Line /Pressure Test only
Mobile home (new set -up only) `- Other (list)
Water Heater (Electric. Gas)
TOTAL FEE $
MECHANICAL (Check One) —New Installation _Change out existing system (additional wiring -NO / YES)
#_ Heat Pump or Furnace with A/C Water Heater (Electric. Gas)
# Furnace (Oil, Gas. or Electric) _✓ Gas Line /Press re Tes
# Air Conditioner Other (List) l L'o iu
Unit Heaters/ Gas logs
'List number ( #) of units installed TOTAL FEE $
.e.. >.Y : :,... <_......: ...'... ...¢,.4 ....:`�V . ..ti ;, ::,: �.. • :. ...::.. x..: �s: L' �' �' �: lf$. � :4,�4!�'�csNS`i :ith.;$;:�;'�5 %; ES�'<.;3.,. ......�.........,
.�...,... ....: r : ... ...... ... . °. :.., r... : :,;.. .<.,
**All fees entered by inspection Department, char for work started prior to obtaining pertnit.•• The
undersigned makes application for permits and inspee ono work described and agrees to comply with all applicable State.
Cuunty, codes and laws regulating the work.
PRINT NAME — W1 lv iY�fl/� SiGNATURF
_. .. -. -_ ,c mse Holder/
Applications completed out ul'the ol17ce by contractors not having a billing account must be notarized. t
1. a Notary Public, do hereby certify that personally
appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand
and official seal, this the
day of 19 s
Notary Public
i
t
MAR -09 -2005 14:23 8283286010 9e% P.01
t