BP7943The City of Blair Building Permit Detail
Permit #: 7943 Issued: 09/10/1997
Completed : 03/25/1998
Owner: John Christoffersen
Address: 1953 Lincoln St
Blair, NE 68008
Phone: 402-426-5195
Section: Township: Range:
Subdivision: Lot: 5
24' x 22' - 2 car garage at 528 square foot.
Type: Garages -New Construction
Valuation: $2,711.69
Inspections Date By
09/12!1997 DEM Footings
09/12/1997 DEM Footings
10/07/1997 DEM Electrical Rough-ins
10/20/1997 DEM Electrical Rough-ins
10/20/1997 DEM Framing
02/17/1998 DEM Final Inspection of Project
03/25/1998 DEM Final Inspection of Project
Remarks
Contractors
SELF General Contractor
SELF Electrical Subcontractor
Permit Fee: $25.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block: 60
Fail
Pass
Pass
Pass
Pass
Fail
Pass
Permit# Issued
95 09/22/1997
BUILDING PERMIT APPLICATION
~~~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: I S~ Blair, Nebraska 68008
Permit 7 9 4 3
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195
Application Date: ~ f Z ~ ~ ~ Issue Date: ~
JOB ADDRESS ~ ~ ~ ~ L I n ~ I Yl
LEGAL
1. DESCR. LOT NO.
.~ BLK. TRACT
^ SEE ATTACHED SHEET
OWNER
2. ohh ¢ >r~r~~~ ~ MAIL ADD 6
t ~~Y ~. ZIP PHONE
zc~-~t~~
CONTRACTOR
3. MAIL ADDRESS ZIP PHONE
4. Class of Work: EW O ADDITION O REMODEL
5. Describe Work: Q Y0. ~ ~~r ~ ~ X ~~ O Finished Basement O Unfinished Basement
6. Total Sq. Footage (Including easement and Garage>: rj ~ ~ Total Finished Area:
(o
7. Valuation of Work: $ ~ ~ ~ J
Floodway O Yes O No
8. Floodplain: Fringe ~ Yes O No Dev. Permit
BFE
Elev. Cert.
9. Current Zoning: G~~
10. State Fire Marshall Required: O Yes O No
O Site Plan Attached O Complete Plans Attached
Approximate Completion Date I ~~ 3 t 19 7
Inspections Required and Fees
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No ~~ ,~u~~
13. Minimum Setbacks: Front ~ Side s Rear
14. Sidewalk Required:. O Yes O No Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septicsystems. By mysignature below, I acknowledge that payment
of the building permit application fee does not constitute issuance of this building
permit. I furtheragree that construction covered by this permit application shall not be
commenced until I have received a copy of this application form signed bythe Building
Inspector.
herebyagree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codes/ordinances of the Ciry of Blair and the
State of Nebraska. I understand that this permit is void if work is not commenced within
180 da or is not comple d within 2 years of date of issue.
;~
SIGNATURE OFOWNER/CONTRACTOR j DATE
Utilities
Sewer_
Septic _
Stop Box Card
Building
Footingel Drywall
(before finish)
Fr# i~',
! ` oti Cc.
r
2
1l
`~
-r
1( be o~~ ~c~
•R.
~
t..C
t
Electrical ,
- 7
Rough-i Fixtures
Fir- Permanent Service
Temporary Service
Mechanical
Rough-in _
Final
Plumbin _
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS
Water Service
Remote
A\C
IS YOUR PERMIT
POUNDS PRTG: Blair, NE Rev. 8196
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ °-~ ~ `~
JOB ADDRESS
LEGAL
1 • DescR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2• R MAILApD ES~,~ Zlp ~~ ~~~-I~
NTRACTOR
3. MAIL ADDRESS PHONE LICENSE NO.
4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Work:
6• Current License on File O Yes O No O NA
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13.00
101-200 Amp Fee ............................ $ 18.00
201-300 Amp Fee ............................ $ 30.00
301-400 Amp Fee ............................ $ 42.00
401-500 Amp Fee ............................ $ 55.00
501-600 Amp Fee ............................ $ 67,00
601-700 Amp Fee ............................ $ 80.00
701-800 Amp Fee ............................ $ 92.00
801-900 Amp Fee ............................ $105.00
901-1000 Amp ................................. $117,00
IF OVER 1000 Amp
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ......,..,. $ 13.00
NOTICE
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
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
law regulating construction or the performance of
construction.
d
SIGNATURE OF CONTRA OR AUTHORIZED AGENT
ELECTRICAL PERMIT FEES
Upgrade Existing Service ...... $10.00
Temporary Service ................ $10.00
Fire Alarm System ................. $10.00
Signs ..................................... $15.00
Miscellaneous Apparatus ...... $11.00
Commercial/Multi-Family and All Upgrades:
# of Circuits x $2.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
SinglelTwo Family Dwellings
sq. ft. x .045
Receptacle/Switch. Outlets
Fixtures %~ x $.75
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Power Apparatus (220 Volts)
# Apparatus x $3.00
,,,r
rf Permit Issuance Fee $15.00
DATE
TOTAL
0179
Permit
Permit Fee: $
~~~ O
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Appro ed By:
~~ -
POUNDS PRTG.~Blair, NE Rev. 12/95
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