BP4649T)ATTCT: T~fTf~TT
TYPE OF INSPECTION ROUGH FINAL AMOUNT DUE DATE PAID SUB-CONTRACTORS
Temporary Service '
Footings s-II--; - -
Framing
Permanent Service
Plumbing ~`-~-5 ~~ o`' ~ ~ ~~ ~~ ~
Electrical ~:7~p l~a° ~ ~v ~~ ~~ e
~~
Heating ~
Air Conditioning
Septic/Sewer Inspection p.('Kj /(-2~dfIU QO }'~C.~Y1
Water Inspection ~,QC3 fl-I(,~-9b ~~17/() ~CJ1~~' ~ ~c~lli l'~-~`~~`---
Sewer Tap
Water Tap -
Remote
Final Inspection
GUMMENTS: build a new home
DATE
~ APPLICATION NO.: 4450 AMOUNT PAID; .70,000 100.00 83263
5/4/90 PERMIT NO.: 4649 ADDRESS:
NAME: LOCATION:
Rouse, Mick Lot 3, Blk 8 Oak~~ Park 1st
r
Y INSPECTIONS
Inspection has been requested for ~~~ ~.
Loca~ti,o}n of [3uilding
By ~ ~~ _~ for "~-~ I ~~
Name of Company Type of Inspection
At ~ ~~~ ~ Results of the Inspection are:
D`ate' Time
Mileage Left
~ ^f.~
Mileage Return
r^`,
,,~,
F'County Building Inspector
CITY INSPECTION SLIPS
Inspection has been requested
By ~ ~ti C~-x.-
~~ ~~~
Name o ompany
On ~~~~1-
Type d Inspection
At ~T~~C~ ~ la ~ ~ ~~-c
Date Time
Results of the Inspection are:
~~ ~~~
City Representative
CITY INSPECTION SLIPS
Inspection has been requested for ~~ ~~2leJl
Location of Building
Name of Company
On ~xL! L r e~ C-"~-2~w,U4~~r'l~h ~ as ~t.~1~ (~~1 ~'V Ct-(:~t.~~~.
Type of Inspection ~-2~~~
Date T" e
Results of the Inspection are: ~1` ~~
City Representative
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CHECK LIST FOR ISSUING RESIDENTIAL QUILDING PERMITS
Site
1. Zoning _ - ~ ~ Flood Plain: Yes No `~
-_
2. Permitted Use ~,.~-.~
3. Special Use Special Use Permit Issued
4. Location on Lot (Setbacks)
a. Front Yd. Required '~-.,5~ Shown ?
b. Rear Yd. Required ;~jj Shown a /~
c. Side Yd. Required ~'~ Shown ~ ~/~
5. Variance Required: YES ~ ~ .~ NO
6. Lot Area Required Actual
7. Lot Coverage Allowed Actual
8. Other Structures on Lot v ,Adjacent Lot ,.-
9 . U t i 1 i t i e s ~ et ~. ~~~ti-~, _ .f ~ ~ -^ ~ ~~. , : `~.,
Quilding Plans
1. Floor Plan
a. Room Sizes t~
b. Emergency Egress . /
2. Foundation Plan /~
3. Framing Plan r/ -~
a. Cross Sections ~
b. Stairs ~/
4. Elevations and Grading _ ~g ~ ~'~~_~,~~
5. Electrical ~~~~,~ ~~,,C // ~ ~. ~~ ~~~~
6. Mechanical ~"'"~
7. Plumbing ,/
O..
CITY OF gLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
~c'a h r-~ I-~-e t1'`~0 r~
ADDRESS
CITY, STATE, ZIP CODE
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THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
RECEIVED 0V
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CITY OF BLAIR, NEBRASKA
i
_._........__. CITY CLERK'S OFFICE ~ ~~~~~~~
Phone 426.4191
Accl. No. Dale
19
Received of:
c~ ~ I~ ~._,n ~ 1~~ ~i:= T~
Address
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Thank You Please keep Ihls copy for reference.
Recd by ~ ao~aa
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