HomeMy WebLinkAboutMEC2005-01282.tif 06/3012005 14:47 3268786 SHELL H AC PAGE 02
j IHr- �.i- ctD�:• 11 51 1-4-41HWI:44 k.UUra1 KH, C.c 40:z' t"oG
i d'L0) Y00-tlJL'm urt►ce Ivtxnoer %oatav iwa %Ovul lkr r NA .mLL U vvi I M 155VC r U tmmi I v
�► S) 486• I& Newton Fax Numbe Application for Permit TO NUM BER
92$) 322 -6914 *kory Fox Number'
I
www.catewbwourytync.gov
(p a Pdntor fypa) P.0 Box 389 Newton, NC 28858
ly x of Permit p Electrical p Plumbing Mechark;al p Fero Dab •.�" 27 -0
A the s l in / II H P It it P ID If known
� ul d g Mob H errr) noperty ( )
'if no active building or Mobile Nome permit please Ilst driving ddreotlons from a mayor Irdeenotlon: _
,
Ua e of structure: ❑ wbblls lams ®)note temIly ❑ IWlil temlry ❑ Comnardsl ❑ In"fi& Factory ❑ Owrch Owrod ❑ QWt Owned ❑ Aaowwry
i
� P eica1911 Address of Project S E _24 N. C.
I Ovyner or Business 0 cis S I£' 2 Telephone 2 5'L -2 35
Addr - 3 2- z 4
4 contractor S A - L c Telephone 328 -75 7�
Address P, Q 6orc 367o License # 1 S81 q
G�nsral Contractor -- Telephone --
Doleign Professioml Telephone
Address NC Reg A
ELECTRICAL Panel e 1 Amps Panel # 2 Amps Panel 0 3 Amps an 4 4 Amps
p New Panel ❑ Pole Service Wire Mechanical unit only (No Svc C hg) Total#
Cl Sub Panel i p Service Change Amps____ ❑ Interior Wiring (No Service Change)
❑ saw Sarvlct 0 Lo Co ❑ Modular Home
❑ Sign Service ❑ Mobile Home ❑ Ober (Li
'Li ot each panel installed sapskFalely'l separately' ❑ RV Service Total Electrical Cost g
l PLUMBING
1 C1 Full or Partial BaWailet " s.(IndudaR future.) ❑ Fire Sprinkler System ([] New ❑ Addition)
Total number being Install C] Gas Uno/Pressure Tool only
C3 Mobile tome (now set -u ty) Q Modular Nome
❑ Water Heater (Electric, G ) ❑ Other (List)
i
MECHANICAL (Check One w Installation Achange out ex� � system
�[Hoat Pump o um aus A/C Total M,1 l>d4ss Line/ P sacra Test Other (Lust
I O urnace (011, as, or Tote) s p a L og o Total # y , 7 �,
1 C3 Air Conditioner That M [j Unit Heater Totals i '
[I Water Heater (Eleoldc/Gae) rotor N _ p Modular Horne
1 �
FIRE (Crieck permit type app e) �
❑ Fire bdingulshing System Q Compressed Gases ❑ Spraying & Dipping
p Fire Alalmi'bot S yet e ❑ Haznrdous Materials ❑ Standpipe systems
j ❑ Fire Pumps & Related Eg4ment C3 Industrial Ovens ❑ Temp. Merrtbrano structures
❑ Flammable b Combustible Liquids Q PVT Fire Hydrants ❑ Other
AN ees wintered try orm enter, n er tar war sta p or t0 obtaining perm e u reigned makes app - at Tor
pe ks an4 Inspection of w describadfAnd &gross b oompty wtlh all applkable State, County codes an laws mgul4nq the work.
p {NT NAME AW a CtL SIGNATURE
I% rifmcbrj r oenNa d(Jwryr
.3 DLD\W *b r&ae el8 8rvs 4 Pwmtt Ctr \blank Appl; cation* \3004 -06 ipUDY ;xDPLNSNft�vJStU•DOG�soac�d on 06i0j1200+ 1.07
Pil t
I
I
i
i
JUN -30 -2005 15 :45 3288766 88% P.02
05/30/2005 14:47 3288795 SHELL H AC PAGE 03
I
i REVORNTIAL APPLICATION
0011 ZONING I GRADING PERMITS
Ockovy Unlic4 (121) 22 - UID I (A Qty of Hickory applicason bccomu ■ pumi) upon approve) canny Z4olaa oNk. (123) 443 -8310
Hi:rory Fax (121) )1}7474 ; try 1 City of Hickory Caning Admiaistrat*(,) ciumy 20441 F"(6= 465-U&
`�1rr I
ffDropoYed farad disrurbonce i, I CRE'or MORE, the Ciry of;Flickory GPA DING E `H�MM W NCB" lj 1X2IX-1
Applicant mudr obtain Erosion & edimentation Control Plar) approval front NC Dear o Eavironri nr jtdJQYrGeJ.::
4 Parcel Identification No. _ Date
�, 5 � - (1
� }'ro }ut 911 Addrers: �
I � r--
I
The building or land was preciously used for:
I
Proposed use or change to thO building or land: I (1 j I j RQa - Rt [ MCE ' l Ale,
I
Applicant: A le , Applicant's telephone No:
1 Applicant Address 1 C
Applicant's Fax: ^ O 60 Applicant's ErnAil
Prope o wner - . Owner's Telephone No.:
OWRCT a Address:
C
Business matte if different fr m above.
ALL BUSINESSES OP WI TING IN THE CITY LIMITS MUST 1LkVI9 A PRIVILEGE LICENSE
° parr• rkis Permit u perforMranee -oni rated. Property owner it responsible for taking art) additional weraswes not shown on the
approved plan to prevent srosly� and o aiti redimewation.
Applicant'sSienature --
I
VOK OM IAL VSI Mr
- - ZONING CBNSUS TRACT
front Sttbeck Size of Lot Approved PD
Side Street Setback Lot of Rocoid Approved Minor PD
Side Setback Use Permitted Watershed Protection Area
_ Rear Setback Trees Required Flood Zone
Other (Dowribe): _— ---- _ -
ZmioglOrading Permit APprove}i. Date:
i Zoning Administrator
Condiuons of Approvti: _
I
Zon:ng,'Oradiag Pern)lt Disapproved: mate: --
Zoning Administrator
j Reason For Dii approval:
I kc „WyJ-26-04 Received B y: Data
I
TOTAL P.01
I
J111 -30 -2005 15:45 3288785 99% P.03