BP4784~vsa L.ons[rucuuu
TYPE OF INSPECTION TROUGH FINAL AMOUNT DUE DATE PAID SUa-CONTRACTOaS
Temporary Service
Footings - c(ru
Framing
Permanent Service
Plumbing Q!!~t'E(D~- :~~5~ 1 S C// / g 00 ~ir (-~~rrl S #9~S
Electrical -I S" ! /a •O v (~1 LK EIPC'~ ~Z! c ~ ~J
Heating
Air Conditioning
SeptlclSewer Inspection
Waterlnspection
Sewer Tap
Water Tap
Remote
Finallnspection
COMMENTS: tear off pa=t of bldg. fireplace with addition
DATE
2/7/91 APPLICATION NO.: 4581 AMOUNT PAID: 12000 40.00 608
2/15/91 PERMIT NO.: 4784 ADDRESS: 1620 State St.
NAME: Luxa Construction LOCATION: Lots 24-27 Blk 15
CITY INSPECTION SLIPS
Inspection has been requested for ~_~~
Location of Building
Company
G (?n~/f% f'~oo~~l
I
Date( Time
Results of the inspection are: ~~
City Representative '
CITY INSPECTION SLIPS
Inspection has been requested for ~~~ y" S'~~
Location of Building
By~ o,~
On ~~~ q
(Ty a of Inspe tion)
At 3/k'~gl ~ ~0~~ 1 f~ 3'~
Date Time //
Results of the inspection are: ~f/( ~,.~~ (~~ L~~
'L.~ J2~ ~ ~.,~ q ~ Cif'y Representative
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COMMERICAL CHECK LIST
1. OCCUPANCY CLASSIFICATION /~',)
2. TYPE OF CONSTRUCTION ~ (~I
3. BASE AREA ~ 2.o a ~
ALLOWABLE INCREASE ..~~
ACTUAL AREA 2 ~ 7
4. ZONING (~ ~.-
5. PERMITTED USE YE S `~ NO
6. SPECIAL USE YES NO ''~ PERMIT OBTAINED
7. FLOODPLAIN YES NO / FLOODWAY YES NO
ZONE BFE
PERMIT REQUIRED OBTAINED
8. SITE REQUTREMENTS
SETBACKS ZONING UBC ACTUAL
FRONT ~ ~ ~ - ,.,
S IDE A f ~ _
W r.
SIDE B ~-~ '
_,
~ ~, ~-'
REAR r
LOT AREA '
~ {/
;~ 6 Ike ~
. }
LOT COVERAGE ~ Jay . d) ~ (~, ,
-~_ Q
9. EMERGENCY EGRESS ! UBC NFPA 101
NUMBER OF EXITS REQUIRED ~ ~ I ~
DISTANCE I ~ S.y Y
I
EMERGENCY LIGHTING /~~ n
10. FIRE PROTECTION UBC NFPA 101
SPRINKLER ~~ ~, ~~~ a
ALARM
,n ~;, ~j
11. OCCUPANT LOAD ~~, , .-~<< «,.~
12. SANITATION REQ'D SHOWN
POTS M) W t M r W t
URINALS M M
LAVATORY M~_W ~ M i W ~
13. PARKING REQ'D SHOWN
HANDICAP
/
REGULAR ~
~ .~~ ... .~
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
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w~ °_' ~1 4~i v.l.t1 P;.11.1
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j ~ ~ ~:~ X31 8 ~ ~-
RECEIVED BY /'
EMANUEI PgINTING, FFEMONT. NE !8023 V