BP7518The City of Blair Building Permit Detail
Permit #: 7518 Issued: 01/09/1997
Completed: 02/18/1998
Owner: Randy Cade
Address: 661 So. 17th
Blair, NE 68008
Phone: 402-426-3205
Type: Residential Additions
Valuation: $30,000.00
Section: Township: Range:
Subdivision: Lot:
Addition bathroom, addition onto garage -shop area, addition kitchen area.
Permit Fee: $60.00
Issue Fee: $15.00
Deposit Amt.: $200.00
Receipt #: 3633
Block:
Inspections Date By
01/20/1997 DEM Footings Pass
02110/1997 DEM Plumbing Rough-ins Pass
02/10/1997 DEM Electrical Rough-ins Pass
0?J10/1997 DEM Framing Pass
02/13/1997 DEM Footings Pass
02/20/1997 DEM Drywall Pass
04/09/1997 DEM Plumbing Rough-ins Pass
04/09/1997 bEM Electrical Rough-ins Pass
04/09/1997 DEM Framing Pass
04/22/1997 DEM Drywall Pass
02/18/1998 DEM Final Inspection of Project Pass
Remarks
Contractors
Jipp Construction General Contractor Permit # Issued
Judt Electric Electrical Subcontractor 153 02/06/1997
Mallory Plumbing & Heating Heating Subcontractor 157 02/06/1997
Mallory Plumbing & Heating Plumbing Subcontractor 156 02/06/1997
Mallory Plumbing & Heating Plumbing Subcontractor 155 04/03/1997
Mallory Plumbing & Heating Heating Subcontractor 154 04/03/1997
BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
Permit Fee: S ~ 218 South 16th Street
Issuance Fee: I S ~ oy Blair, Nebraska 68008
Deposit Receipt #: ~ ~ (402) 426-4191 ~ Fax (402) 426-4195
Application Date: f _ 3 '~
Permit
751
Issue Date: ~ - % ~ /
JOB ADDRESS
~ ~ ( S. 17 ~'f"~
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
OWNER ~ _ f ~ ~ ~ I ~ r ^ /ADDRESS
2. Qf~J b (.~i/ ZIP PHONE
CONTRACTOR ~ MAIL ADDRESS
3. f U`cZS~u L~Z~ ~7S S~ / s'`..5~- 'n ~IP PHONE
~l~ r ~ ~~ ~-~~~
4. Class of Work: O NEW O ADDITION O REMODEL
5. Describe Work: ~'~-l,G~ ~epV=m - ) ~J ~ ~ (p O Finished Basement O Unfinished Basement
~~~~ 0~~ - "x i~' - Cc.2Q ~ ~~ ~ X ~ f~~ ~n .
6. Total Sq. FOOtage (Including Basement and Garage): (~ ( ) Total Finished Area: ~ ( ~
GLILI
7. Valuation of Work: $ ~0 000, d~ LLS (~ i
Floodway O Yes O No Dev. Permit
8. Floodplain: Fringe O Yes O No BFE
Elev. Cert.
9. Current Zoning: ~~~
10. State Fire Marshall Required: O Yes O No
O Site Plan Attached O Complete Plans Attached
Approximate Completion Date (~1(x~ch ~) ~) ~c 7
Inspections Required and Fees
11. Special Use Permit Required: l7 Yes O No
12. Variance Required: O Yes O No r ,
13. Minimum Setbacks: Front~~ Side ~_ Rear
14. Sidewalk Required: ~ Yes O No Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature below, I acknowledge that 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.
1/~ /9
SIGNATURE OF OWNERICONT CT DATE
Comment: d~~~~~ ~~~i ~~~~,
D~La ~ r~ ~ 6F ,~3~~p~ ~~,1 /lam-~c.~~y5
Utilities
Sewer
Septic
Building
Footings ~
Framing!
Electrical
Rough•in~ Fixtures
Finals- Permanent Service
Temporary Service
.- K~ ~~ ~~~ ~~" ~~
Mechanical -~1G1.~~(~~1
Rough-in ~ A\C ~
Final
~ ~' ~~ ~n
Plumbin `YI1G ~~~~u
Ground Work/
'Rough-in i Final
PROPERLY VALIDATE~'(iN THIS SPACE T) H1S~-Yf~UR PERMIT
Approved
Water Service
Remote
Stop Box Card
Drywall ~
(before finish) I ~ I
Final ~
POUNDS PRTG: Blair, NE ~/ /~C~`Y ~~G'~ «~ Rev. 6/96
.ELECTRICAL PERMIT APPLICATION
° Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 0 4 5 7
(402) 426-4191 Permit
/ Cf ~S
Application Date: ~ ~O ! Permit Fee: $ ~a
JOB ADDRESS
Sr
LEGAL
1 • DESCR. LOT ND. BLK. TRACT
17 SEE ATTACHED SHEET
2 0 ER MAIL ADDRESS ~ ZIP PHONE
,3• C T TOR MAILA~~~ ~~ P ,NCE ENO_
4• Class f ork: O NEW RESIDENTIAL O NEW COMMERCIAL R MODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Work:
6• Current License on File O Yes O No O NA
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00
101-200 Amp Fee ............................ $ 18.00 Tem ora Service $10.00
p ry
p ..............•.......•.....
201-300 Am Fee $ 30.00
Fire Alarm System ................. $10.00
p ...........•.••....•........
301-400 Am Fee $ 42.00
401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11 00
601-700 Amp Fee ............................ $ 80.00
701-800 Amp Fee ...........•.....•.•.....••• $ 92.00
801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades:
901-1000 Amp $117.00
.•• # of Circuits x $2.00 s~~^? ~ ~
IF OVER 1000 Amp
Amp Fee
vo
1st 1000 Amp Fee $117.00 ~°~ J
Each additional 100 Amps ........... $ 13.00 Am Fee + Circuit Total
p
NOTICE New Residential: (Finished Area)
I hereby certify that I have read and examined this SinglelTwo Family Dwellings
application and know the same to be true and correct. All sq. ft. x .045
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state or local Receptacle/S itch Outlets WSJ
Fixtures x $.75
law regulating construction or the performance of
construction.
Residential/Commer ial Appliance ~ p~
# Fixect Outlets ~ x $3.00
c ~ Power Apparatus (220 Volts)
# A
aratus x $3
00
pp
.
NATURE
CTiOR,OR AUTHO
ED AGENT
~
~
Permit Issuance Fee ............. $15.00
DATE
TOTAL ,f'
WHEN PROPERLY VALIDATED (IN THIS PACE) THIS IS YOUR PERMIT
Comment: Approved By:
'L.
POUNDS PRTG.~Blair, NE Rev. 12/95
,MECHANICAL PERMIT APPLICATION
. Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
/ ~ (402) 426-4191
`~`~ ~ -7
Application Date:
JOB ADDRESS
=~.~ ~ ~ -_
LEGAL LOT NO.
1 • DescR. BLK. TRACT
O SEE ATTACHED SHEET
2 OWN MAIL ADDRESS
~_ 21P PHONE
MA L ADDRESS
~
3• CO ~
f2~ ~ ~ P
~~~~ LICE G
~~ !
`
~
E /
~ `
~
?
4• Class of Work: O NEW RESIDENTIAL O NEEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS
5• Describe Work: ~~
~'i,.lyiic~ y i ,
Comments:
MECHANICAL PERMIT FE ES
Forced Air Systems
Per Unit Commercial/Residential (New) ............. ......................... $25.00
Air-Conditioner Unit
Per Unit Commercial/Residential (New) ............. ......................... $10.00
Refrigeration Units/Coolers
Per Unit Commercial (New or Replacement) ..... ......................... $10.00
NOTICE
I hereby certify that I have read and examined this Forced Air Systems/Air Conditioner pd
application and know the same to be true and correct. All Unit Replacement ~~
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not.
Per Unit Commercial/Residential (Replacement)
........................ $10.00
The granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state or local
law regulating construction or the performance of
construction. `~~--0' ~
Permit Issuance Fee ............. $15.00
as
~~~ v.
TOTAL
SIGNATURE OF CONTRACTOR OR AUTHORI AGENT
°~ ~°~'7 Current License on File des O No O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SPA~THIS IS YOUR PERMIT
Comment:
Approved By:
~~
~~
hermit Fee: $
POUNDS PRTG: BIaIr, NE Rev. 12/95
. PLUMBING PERMIT APPLICATION
-- Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~` ' 'J
c>c C~
JOB ADDRESS
LEGAL
1 • DescR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2. OWN MAILADDRESS ZIP PHONE
~~ M ~ E~ ~~
,3• CONT LI NSE ~ ~~~
~ 2~ '
4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS
5• Describe Work:
Comments:
PLUMBING PERMIT FEES
Type of Fixture No.
Kitchen .................................. $8.00 x
Bath .......................................
$8.00 x ~ ~ O CG
Rough-In Bath ....................... $4.00 x
Utilit
y .................................... $5.00 x / ~ O v
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Water Service ........................ $10.00
NOTICE Sewer .................................... $10.00
hereby certify that I have read and examined this Groundwork ........................... $10.00
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority Lawn Sprinkler System .......... $10.00
to violate or cancel the provisions of any other state or local
Sprinkler System ...................
$30.00
law regulating construction or the performance of
construction. (Commercial)
~,_, o'
~
~
Permit Issuance Fee ............. $15.00 /
-
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
TOTAL e~' ~
~~
~f ~3 ~~
~
~
Da E Current License on File es O No O NA
WHEN PROPERLY VALIDATED (IN THIS PAC IS YOUR PERMIT
Comment: Approved By:
Permit Fee
POUNDS PRTG: Blair, NE Rev. 12195
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ " ~ -~
Permit Fee: $ ~3'
JOB ADDRESS r^
(~ l~ I s . ~ ~'~.
1 LEGAL
DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET
2. OWNER ~~~ ~ MAIL ADDRESS ZIP PHONE
3. CONTRALTO MAIL DDR S PHONE
llo~~ ~~ ~~- ~ ~ok 3C ~~•Cc~h
~~~-s~ LICENSE NO.
4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL EMODELING/ADDITIONS O REPLACEMENTS
5. Describe Work: ~m ~ ~~ I ~l ~~~~~
Comments:
PLUMBING PERMIT FEES
~ ~~. ~ ~
~ ~ sh wc.~she~r--
Type of Fixture No.
(5~- ~~ ~l K ~~'~ r
- ~ Kitchen .................................. $8.00 x _~ ~ • C~C"7
Bath ....................................... $8.00 x
Rough-In Bath ....................... $4.00 x
Utility ..................................... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Water Service ........................ $10.00
NOTICE Sewer .................................... $10.00
hereby certify that I have read and examined this Groundwork ........................... $10.00
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority
Lawn Sprinkler System ..........
$10.00
to violate or cancel the provisions of any other state or local
Sprinkler System ...................
$30.00
law regulating construction or the performance of (Commercial)
construction.
Permit Issuance Fee ............. $15.00 ~ ~ • C)C~
SIGNATURE OF CONTRA TOR OR AUTHORIZE AGENT
TOTAL ~ ~ ~ l~ \
J~.J
DATE Current License on File ~ es O No DNA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: I Approved By: ~ y~/ ~ I
/.~,~
POUNDS PRTG: Blair, NE / Rev. 12195
MECHANICAL PERMIT APPLICATION
' Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~~ ~"
Permit Fee: $
2S~6C~
JOB ADDRESS ~ I ~ 5 ' I ~ ~ N
1
L~
LEGAL
1 • DescR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER ~ ^ ~ ` ~ ~ ~ ~ MAIL ADDRESS
I.JI ZIP PHONE
MAII~AD JRES i
r3. CONTRACTOR~
n ~ ~ O f ` ~ ~ ~
~ ~~ ~ ~ ~ ~NE~~I ~ ~rn I ^
'~
, ~L/ - ~ N0~_
IO
!
`/l I
~
t
•i
.
1
4. Class of Work:
COMMERCIAL EMODELI
O NEW RESIDENTIAL O NEW
/ADD
IT
IO
N
N
G
S O
REPLACEMENTS
5. Describe Work: ~(Yl~~ Kl ~ ~ 1~ ~
Comments:
MECHANICAL PERMIT FEES
J~ l,~ ~ ~~ , ~1~G~'1- ~21.,~~
ISO ~ I~~ ~~ Q' ~?~, I Forced Air Systems
Per Unit Commercial/Residential (New) .............. ........................ $25.00
Air-Conditioner Unit
Per Unit Commercial/Residential (New) .............. ........................ $10.00
Refrigeration Units/Coolers
Per Unit Commercial (New or Replacement) ...... ........................ $10.00
NOTICE
I hereby certify that I have read and examined this
a
lication and know the same to be true and correct
All Forced Air Systems/Air Conditioner
' U ~~
pp
. Unit Replacement
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not.
Per Unit Commercial/Residential (Replacement)
........................ $10.00
The granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state or local
law regulating construction or the performance of
construction.
Permit Issuance Fee ............. $15.00 ~.
~ ~~ ~ U
TOTAL oZ.S ' ~ ZS
SIGNATURE OF CONTRA TOR OR AU ED AGENT
Current License on File Yes O No O NA
DATE ~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment:
Approved By:
POUNDS PRTG: Blair, NE ~ Rev. 12195
J/PP CONSTRUCTION C®.
~ 575 S.E. 1sf Sfreet
~~
Blair, Nebraska 68008
(402) 426-2465
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