HomeMy WebLinkAboutMEC2005-00879.tif — P.O. Box 389 MECHANICAL
Newton, NC 28658
¢, -c Phone: (828)465 -8399
PERMIT
Fax: (828)465 -8962
PERMIT NO.: MEC2005 -00879
Web Site: www.catawbacountyne.gov ISSUED: 05/03/2005
1 Pa Po es / Online Permit Center APPLIED: 05/03/2005
P �
EXPIRES: 11/03/2005
SITE ADDRESS: 8896 BEACH BLUFF CT SHERRILLS FORD NC
ASSESSOR'S PARCEL NO: 461904901337
TYPE OF WORK: NEW CONSTRUCTION
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: OUTSIDE YARD GAS LINE
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
ROBERT SIMPSON BLOSSMAN GAS OF NORTH CAROI
8896 BEACH BLUFF CT 1424 SHELTON AVE
SHERRILLS FORD NC 28673 STATESVILLE
SWT #6564
Equipment Fees
Type of Equipment Quantity Type By Date Amount
New Installation of Appliance
PRMT RAG 05/03/2005 $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.
`%r
05/02/20 04: 704- 871 -1087 BLOSSMAN GAS PAGE 02
' (828) 5 -8399 Office Number CATAWBA A COUNTY P.O. Boa 389
(528) 5. 896.,2 Fax Number � i x Newton. NC 28658
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(Plea print or type) APPLICATION FOR PERMIT Date S
er-.trical Plumbing _ ✓ Mechanical. _Fire Sprinkler TOTAL Sg. F`!'G.
0 " Bu.ilding Permit # Proe
prty ID # / 0-;c of Structure xxt w,
Phys al Street Address Jf `1. ge',' c / LS> !� �� Si�1ri f/.�'
Own /Business Telephone ( 1
A. tress
'any 5'n" Zip
Subc tractor &2S,.naA 6i,r jf`/Uo� �rnJ %A __ wi<a -P<r
IAc LtraeA In I.ICrnne Bank)
A ress /ro 1 �c L r ��14�eSli,� /1rG, license A dQZ93 .
/ Zip
Gen. 1 Contractor ' 'c.lephone f 1
Luca n of Structure or Project (Physical Dir ections, Road Numbers and Name. Etc.) .
k J r Qr - --. —
ELE CAL Panel #1 Amps Panel #2 Amps Panel #3 Amps Panel #4 Amps
New Panel Pole Service Wire Mechanical unit only (No Service Change)
Sub Panel _ __ Senricc Change 1�zterior wiring (No Service Change)
Saw Service Load Control Other (list:`
Sign Service Mobile Home
'If re than one panel list. size of each` 1'OTAI, ! It
PI,LJ F3ING
_ Total Number of Full or Partial Bath /Toilet Rooms Fire Sprinkler system (New /Addition)
(Including ones for future use) Gas f inc /Pressure Test only
_ Mobile home (new set -up only) Other (list.)
Water Heater (Electric, Gas)
IEEE $
ME ICAL (Check One) New Installation — Change out existing system (additional wiring -NO / YES)
# Feat Pump or Furnace with. A/C Water Heater (F1cctric, Gas)
# Furnace (Oil. Gas, or Electric) Gas Line Pr e.SSU Test
# Air Conditioner Other (I g ist) — l_. � 7 5 /v „� o
Unit Heaters/ Gas logs
'Lis umber ( #) of units installcd $
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"All ecs c veered by Inspection DepartmenL, [2 �2�8_LE E'FF� charged for work t'+rf.rd prior to obtaining permit. The
unU signed makes application for pennits and inspection of work described and l ia rp" to romply with all appllcablc Slate.
Cou .�. codes and laws regulating (he xvcrk.
PRIi NAME ,i�� �� �t7u?'� r SIGNATURF
t.ir.ens. n er Owner
IicaIiorz5 rornplctt -d ouI o / olllcc bj con tracIon not h tir{a a bil1ir7,r? , (Wo. clr7t must be, notarized.
1 Notary Public, do hereby certify that , personairrr•
app ed before me this day and acknowledged the due execution of the forcgoing instrument Witness my hand
and fficial seal, this t)- c
day of - - __ __- .� 19 _ - - - --
Notary Public
r1AY -02 -2005 18 15 704 971 1087 99% P.03