BP8194The City of Blair Building Permit Detail
Permit #: 8194 Issued: 06/24/1998
Completed: 07/17/1998
Owner: Anderson Andy (C.L.)
Address: 1738 Butler Street
Blair, NE 68008
Phone: 402-426-3102
Sec#ion: Township: Range:
Subdivision: Lot:
Split Rail Fence - 4' , 100 total feet.
Inspections Date By
07/17!1998 KAR
Type: Fences -All types
Valuation: $500.00
Final Inspection of Project
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Remarks
Contractors
DDK Fence
General Contractor
Permit # Issued
, BUILDING PERMIT APPLICATION
1 .rJ ~ U~p Jurisdiction of City of Blair, Nebraska.:
Permit Fee: 218 South 16th Street
Issuance Fee: "-~ Blair, Nebraska 68008 819 4
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: ~~~ ~~ ~ ~~~~~ Issue Date:
JOB ADDRESS ~ ~~ ~~ 1 ~ ~~~~
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
2.OWNER 1` ~ ~ M~ ADCD-REY~ ZIP
I l.~ / ' ,P,HOrNE, a ~ ~ ~~
`
~'
y
G
MAIL ADDRESS ZIP
CON ACTOR P
HO
NE
4. Class of Work: O NEW O ADDITION O REMODEL
5. Describe Work: ~~ .~ ~ ~I ~ L - ~ ~u ~~, O Finished Basement O Unfinished Basement
~~~~
6. Total Sq. Footage tlRa~d~Rg Baeement aRd Garage): Total Finished Area:
~~~ ' (SZ:
7. Valuation of Work: $
Floodway O Yes o Dev. Permit
8. Floodplain: Fringe O Yes o BFE Elev. Cert.
9. Current Zoning: ~ m
10. State Fire Marshall Required: O Yes ~'No
11. Special Use Permit Required: O Yes ~No
12. Variance Required: O Yes ~No
13. Minimum Setbacks: Front ~~ Side 1 Rear a //y~~
14. Sidewalk Required: O Yes O No Waiver Approved ~L~
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature below, I acknowledge chat payment
of the building permit application fee does not constitute issuance of this building
permit. I further agree that construction covered by this permit application shall not be
commenced until I have received a copy of this application form signed by the Building
Inspector.
I hereby agree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codeslordinances of the City of Blair and the
State of Nebraska. I understand that this permit is void if work is not commenced within
180 days or is not completed within 2 years of date of issue.
y `1'Y
SIG ATURE OF OWNER/CONTRACTOR DATE
Comment:
~~~~~~~
~~~
t~,Site Plan Attached Comple PI ns Attached
Approximate Completion Date ~ "°~~ !~~
Inspections Required and Fees
Water Service
Remote
Stop Box Card
Drywall
(before ti ish)
F~
Fixtures
Permanent Service
A\C
Final
Utilities
Sewer
Septic
Buildin4
Footings
Framing
Electrical
Rough-in
Final
Temporary Service_
Mechanical
Rough-in
Final
Plumbin4
Ground Work
Rough-in
WHEN PROPERLY V
N THIS SPACE) THIS IS YOUR PERMIT
Rev. e198
POUNDS PRTG: Blair, NE
CITY OF BLAIR
Application for Building Permit
PLOT PLAN
Address ~ ~ ~~ ~~iT/r'~ Date ~`~ ~ `~~
Legal Description: Lot Block Addition
Please-show all measurements of existing and contemplated structures,
also show distances between structures, etc,, and property lines,
Is this a corner lot?
a
0
s~
w
Pro ert L1ne
~o U
3~
~~ 5~
Indicate North
_ _Center Line_of _ _ _ ,j Street_ _
Applicant
BUILDING INSPECTION .REPORT
CITY OF BLAIR ^ WASHINGTTON COUNTY ^ OTHER
LOCATION OF INSPECTION: t I ~~ toJ ~,,L•'~ ~ - ~ ~ -
~y'~ ~~
NAME-OF OWNER: ~~~'~~~,~ ~~"L, CONTRACTOR: ~ 1 J ~C... [~°~Pi+' ~~
_ i ~'1, {~
DATE INSPECTIONREQUESTED: --'~ ~?i . PERMITNO: ~~ 9 `-'~
TIME INSPECTION REQUESTED: -~t-~ ~~
TYPE Oli INSPECTION REQUESTED;
BUILDING:
~y ~, I'~ ~svlr,l ~ ~{~~~'L~.~.
FOOTWG ^ FRAMING ^ DRYWALL ~ [~,~INAL
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE' ^ WATER' SERVICE .
ELECTRICAL:
^ ROUGH W ^ FIXTURES ^ FINAL- ~ ^ MOTORS
PERMANENT SERVICE ~ • ^ TEMPORARY SERVICE
MECHANICAL:
ROUGH-IN CI A/C ^ FINAL ~ __._ ._.---~- -
PLUMBING: -- ,_ _
------ ~,.__.L - -
^ GROUNDWORK ^ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTIONS ,PASSED. (sEENOTES~ []FAILED ~s~NOTES~
NOTES/REMARKS: ~~C~'~E-' ~~J ~ ems'/~~- `'_
~.~~] ~ ~ ~
RATE OF IIVSPECTION.MADE: ~ ~ TIME: ~ ~ ~ _ .
~ -
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^NO
WANT OFFICE STAFF TO CALL OPFD\ ^ YES ^N0 BLR 1