BP7884The City of Blair Building Permit Detail
Permit #: 7884 Issued: 07/29/1997 Type: Residential -New Construction
Completed: 11/26/1997 Valuation: $120,000.00
Owner: Kurt Davis Permit Fee: $550.00
Address: 13469 US HWY 75 Issue Fee: $15.00
Deposit Amt.: $200.00
Blair, NE 68008 Receipt #: 5275
Phone: 402-426-9246
Section: 34 Township: 19 Range; 11
Subdivision: Lot: TL 86 Block:
Modular 2 bedroom home with drive under one car garage, walk-out basement and 2 rear decks.
Inspections Date By
08/20/1997 DEM Footings Pass
09/04/1997 KAR Footings Pass Partial
09/16/1997 DEM Electrical Temporary Service Pass
09/19/1997 DEM Septic -Laterals & Drainfields Pass
10/15/1997 KAR Plumbing Gourndwork Pass
10/28/1997 DEM Electrical Permanent Service Fail
11/03/1997 DEM Electrical Permanent Service Pass
11/14/1997 DEM Deck Pass
11/14/1997 DEM Plumbing Rough-ins Pass
11/14/1997 DEM Mechanical Rough-ins Pass
11/14/1997 DEM Electrical Rough-ins Pass
11/14/1997 DEM Framing Pass
11/26/1997 DEM Final Inspection of Project Pass
Remarks
11/20/1997 LB Current Address PO Box 35, Blair
Contractors
Bart Moore Subcontracting, Inc. General Contractor Permit # Issued
Henton Trenching, Inc. Plumbing Subcontractor 8 09/17/1997
Huntel Systems Electrical Subcontractor 5 09/04/1997
Mallory Plumbing & Heating Heating Subcontractor 6 10/31/1997
Rays Plumbing Plumbing Subcontractor 7 10/15/1997
~UILDINC PERMIT' APPLICATION
Permit Fee: S. Jurisdiction of City of Blair, Nebraska
~, ~~ •7U ,~~ 218 South 15th Street
Issuance Fee: ~ Blair, Nebraska 68008 7 S ~ 4
Deposit Receipt #: X21 (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: ~ ~Z f~~ Issue Date:
JOB ADDRESS
i 3 ~~ (~ `l U ~ ~ ~v~ : 7~
LEGAL
1. DESCR. LOT NO ~j / -
p ~J BLK. TRACT ~ ~ ~ ~ r ' ~+
N 1 ^ SEE ATTACHED SHEET
2.OWNER ~~r T G ~a~\ ~av` MAILADDRESS ZIP PHONE
.~. CONTRACTOq ~ ~ rn«~ P. V ~I/~ D~ S~ ~ l ~/~,(/ 1 ~ c P ~!J 0 w ~ ~ C1.0-oN~ ~~
4. Class of Work: ~ NEW O ADDITION O REMODEL
5. Describe Work: ~ ,, mC~-(~1,~0.2- _ Z (~~~~ O Finished Basement Unfinished Basement
6. Total Sq. Dotage pRCmdiRg easement aid Garage): Total Finished Area: ~~
7. Valuation of Work: $ 12~ ~ Old - C~~
Floodway O Yes O No Dev. Permit
8. FIOOdplain: Fringe O Yes O No BFE
Elev. Cert.
9. Current Zoning:
O Site Plan Attached O Com lete Plans Attached
Approximate Completion Date ~ ~On
Inspections Required and Fees
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No ~
13. Minimum Setbacks: Front d ~ Side ~-~ Rear
14. Sidewalk Required: O 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.
hereby agree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codes/ordinances 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.
SIGNATURE OFOWNER/CONTRACTOR DATE
Comment: /r,~~~ ~~,~ ` ~-C-~-J G~"~C~'sJ ~
~ ~ ~'~ ~'~~~~ L!~
~~~/~c~ /lam ._ ~-/ ~
Utilities
Sewer _
Water
Septic/~'~1 ~~G Remote
Stop Box Card
Buildin
Footings ~ p~~
(before finish)
Framing `~ Final ~~~Z `' ~ 7
Electrical ~~")~ ~-/ y,
J~" ~~~ /~ °y ~~ ~ ~
Rough-i~
Fin Fixtures
Permanent Servjo~
', Temporary Service
Mechanical (/ltit_C ~ ~ ~ ` ~~ t v
Rough-' A~~
F,~ael~
~7-~r C
Plumbing
Ground W
~ Roug~iA~ Final
WHEN PROPERLY VALI~TED (IN THIS SP~E~T~i- IS IS YOUR PERMIT
POUNDS PRTG: Blair, NE lsL~~~L` J'l ~J l~ `~~ v r /U-~~ ,p ~' Rev. 8198
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
A lication Date: ~ ~'
Pp
Permit 016 5
Permit Fee: $ ~l
JOB ADDRESS ~`
LEGAL
1 • DESCR. LOT ND. BLK. TRACT O SEE ATTACHED SHEET
2 OWN MAIL ADDRESS ZIP PHONE
3 CDNTRAC~ MAIL ADDRESS PHONE LICENSE ND.
4• Class of Work: NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Work: ~ ~~ ~~ { ~ ~ ~~
6• Current License on File 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 ......... •......
201-300 Amp Fee ............................ $ 30.00 $
Fire Alarm S stem 10.00
y .................
301.400 Amp Fee .........•.•.•.....•......•. $ 42.00
401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00
501-600 Amp Fee $ 67.00
••••••••••••••••••••••••••••
Miscellaneous Apparatus ......$11.00 f~- d o
601-700 Amp Fee ...............•............ $ 80.00
701-800 Amp Fee .....••...•....•....•...••.. $ 92.00
801.900 Amp Fee ............................ $105.00 Commercial/Multi-Family and Al~~grades:
901-1000 Amp $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee ~ ~c~
1st 1000 Amp Fee ..•...•...••........... 117.00
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
NOTICE New Residential: (Finished Area)
I hereby certify that I have read and examined this Single/Two 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
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ifi
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n or not.
The granting of a permit does not presume to give authority Receptacle/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures x $.75
law regulating construction or the performance of
construction. Residential/Commercial Appliance
# Fixed Outlets x $3.00
Power Apparatus (220 Volts)
# A
aratus x $3
00
pp
.
U~ 0 ONTRACTOR OR ORIZED AGENT
~~ Permit Issuance Fee ............. $15.00 l ~ - (.~ d
DATE
TOTAL
L~Z~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS)(OUR PERMIT
Approved By:
~ ~ J flev. 12195
POUNDS PRTG.~Blair, NE
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ ~ ~ ~ ~ _a
Permit Fee: $ ~®"~
JOB ADDRESS I ~ ~~ ~ ~ ~ ~ ~/' ^ '`
V V
LEGAL
1 • DescR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER MAIL ADDRESS
Kul ~ ~- v I S ZIP PHONE
,3• CONTRACTOF~~ ~ ~ ~ ' ~ ~~ AIL ADDR SS
``"
//
~` ~ ~~ P,kJONF~ `
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-
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4• Class o
f
W
ork: EW RESIDENTIAL O NEW COMMERCIAL O REM
O
D
E
L
IN
G/ADDITIONS O RE
P
LACEMENTS
5• Describe Work:
Comments:
MECHANICAL PERMIT FEES
Forced Air Systems o~ S • U~
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
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.
P
it I
F
$15
00
~
~ 5
erm
ssuance
ee .............
. -
TOTAL ~d •~ ~
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
~Q ~ 3 ~ _~ •~
Current License on File Yes O No
O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 1,8~+lOUR PERMIT
Comment:
Approved By:
POUNDS PRTG: Blalr, NE ~ f/ Rev. 12/95
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ V ~ ~ ~ _ ~ 7
~•~~
Permit Fee: $
JOB ADDRESS / ,~ ~~ ~ / / ~ ~ ~ ^ d ~~
V ~
1 LEGAL
DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET
2. OWNER ~~~~ /~~,'/r`~ MAIL ADDRESS ZIP PHONE
3. CONTRACTOR ~ /7~ MA~ DDRESS ~~(/ ~ PH ~~// ~~ LICENS~O.
4• Class of Work: EW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS
5• Describe Work:
Comments:
PLUMBING PERMIT FEES
Type of Fixture No.
Kitchen .................................. $8.00 x ~ ~ • C7l]
Bath ....................................... $8.00 x a. I ~ • C~ f7
Rough-In Bath ....................... $4.00 x ~ ~'• C~ a
Utility ..................................... $5.00 x
Water Heater ......................... $3.00 x ( 3.O ~
Outside Water Faucet ........... $3.00 x 3 °~.O ~
Water Service $10.00 "'
NOTICE Sewer .................................... 10.00
_ ---
I hereby certify that I have read and examined this Groundwork ........................... $10.00 ~ I U • Uy
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.
X
/~ Permit Issuance Fee $15.00 ~ ~• U~
SIGNATURE CO TRA R OR AUTHORIZED AGENT
TOTAL C'~~-
DATE Current License on File es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS,~OUR PERMIT
Comment:
Approved By:
POUNDS PRTG.-Bleir, NE /~ Rev. 12195
BUILDING PERMIT APPLICATION
Permit Fee: S"_ Jurisdiction of City of Blair, Nebraska
S. ~~ 7U ~~~ 218 South 16th Street
Issuance Fee: ~ Blair, Nebraska 68008 7 $ $ 4
Deposit Receipt #: ~Z-'i• (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: ~ ~ z~ ~ ~ Issue Date:
JOB ADDRESS +~~ / ~ U~ 17(~
1' ~ ~ n f~ J~
1. DESCR, LOT NO ~ ~ BLK. TRACT ~ - I ~ ~ ~+
l ~ 1 ^ SEE ATTACHED SHEET
2.OWNER ~ur~ G ~an\ ~Q,U~ MAILADDRESS ZIP PHONE
3.CONTRACT~r ~ rnocn~ P- ~ r „MAI4ADDRES~ ^ ~ ~I /
~-U /~ ~ ~P ~ ~i\`, ~ ~ PHON~r !~
O REMODEL
4. Class of Work: ~ NEW O ADDITION
5. Describe Work: ~ ~ _ ~~~~0.2 _ Z ~~~CSYY~ O Finished Basement Unfinished Basement
~~~
6. Total Sq. footage (Including Basement and Garage): (
TOtal FInlShed Area: ~~~
7. Valuation of Work: $ ~ 20 ~ O~ - ~~
Floodway O Yes O No Dev. Permit
8. Floodplain: Fringe O Yes O No BFE
Elev. CeA.
9. Current Zonirig:
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No
13. Minimum Setbacks: Front Side 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 further agree 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.
1 hereby agree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codes/ordinances of the City of Blair and the
State of Nebraska. I understand thatthis permit is void if work is not commenced within
180 days or is not completed within 2 years of date of issue.
SIGNATURE OF OWNERICONTRACTOR DATE
Comment:
O Site Plan Attached O Complete Plans Attached
Approximate Completion Date ~ ~on'~~
Inspections Required and Fees
Utilities
Sewer_
Septic /
Water Service
Remote
Stop Box Card
Bui din
Footings ~ Drywall -
(before finish)
Framing `~ Final -
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A\C
Final
Plumbing
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By;
POUNDS PRTO: Blair, NE Rev. e198
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~~ ~~
Permit Fee: $ ~~°~~
JOB ADDRESS
~3~) l~G (,(~ ~ ~L ~~
LEGAL
1 • DescR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
OWNER MAIL ADDRESS ZIP
2 PHONE
.
,3. CONTRACT MAIL ADDRESS PHONE
n ~ 7 ~ ~ ~~C.t i~ ~I/L
~"~ LICENSE NO.
~~ ~-q~
4. Class of Work: NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS
5. Describe Work:
r
.
Comments:
PLUMBING PERMIT FEES
Type of Fixture No.
Kitchen .................................. $8.00 x
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
I 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 I '
•
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 ~ ~'~
~--
/ SIGNATURE OF CONTRACTOR OR AUT 0 Y ED AGENT
TOTAL
~~~~
DATE Current License on File es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS I~'1(OUR PERMIT
Comment:
Approved By;
POUNDS PRTG.•Blal~, NE L ~~ Rev. 12/95
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218 South 16th
Blair, Nebraska 68008
402-426-4191
Fax - 402-426-4195
BUILDING PERMIT DEPOSIT AGREEMENT
A $200.00 refundable deposit is being collected at the time of your building permit
application for all permits in excess of $10,000.00. However, the City reserves the right
to not refund this deposit if any of the following conditions occur during the construction
period: 1) water is connected without a meter by either the plumber, owner or general
contractor, 2) all required inspections have not been obtained (this includes drywall prior
to taping) as per attached checklists (Both Rough-In and Final), 3) occupancy or utilization
occurs prior to a final inspection, and 4) all permits have not been obtained. If any or all
of these situations occur during construction, you may forfeit your deposit.
I, hereby agree to the above conditions, and understand that should any or all of the above
situations occur, the building permit deposit may be forfeited or discounted upon the
discretion of the City of Blair, Building and Inspections Department.
~~ C on 7~ 4 LT~~n _ C „
Contractor/Owner Contractor ner
~a~-~~
Date
EOUALHW5INO
OPPORNNfTY
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LOCATION: Knit Dpvl~
J&L TESTING SERVICE
RR #2 BOX 227
BI,AIR NE, b8008
(402} d26 - 485i
DA`fE:
HOLE i
HOLE 2 HOLE 3
TIIVIB FILL RB.ADIN LOSS FII,L READIN LOSS FILL RF.ADIN LOSS
7:00 6" 6" ~ 6"
7:30 6" 2 4 6" 1 5 6" 2.5 3.5
8:00 6" 3 3 6" 1 5 6" 3 3
8:30 6" 4 2 6" 2 4 6" 3.5 2.5
9:00 6" 3.75 2.25 6" 2 4 6" 3.5 2.5
9:30 6" 4 2 6" 1.75 4.25 6" 3.75 2.25
10:00 6" 4 2 6" 2 4 6" 4 2
10:30 6" 3.75 2.25 6" 1.75 4.25 6" 4 2
11:00 4 2 1.75 4.25 3.75 2.25
TOTAL LOSS iSr.S 34.75 zo
~(~SSCa FT
SOII. ABSORPTION TEST DATA REPORT
PROPERTY WHERE SOIL TESTED:
OWOer' Knrtlmvia
SOII. TYPE: SittyClay Silty Clay Loam
Bitty Loam clay Loam X
DAtea of Teat: Jane 13.1997 to Jme 14.1997
PERCOLATION TEST DATA FILE
j,~, d6
Address: i
~y--y-ii
B
Sandy Loam
seaay clay
Weather: Pecip:None Temp: 66°
PER.GOLATIQ2J REA DINGS RESULTS
START END filapsed Wader Level Percolation
Time{Ht-Mr-) Wader Level Time(FTr-Dditt) Tune (Min) Dtop (In) Ratea(b~Iirt 1n)
7:00
Al1~L 6" 11:00
AM 240 19.5 12.31
7:00
A.]YL 6" II:00
A.IVL 240 34.75 6.91
7:W
AbL 6" 11:00
AIi+L 240 20 12.00
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PERCOLATION RATE IN NIINUTES PER INCII
J1~L TEiSTING Sum of perctation rates: ~~ . ~1
RRtt2 BOX 227 Average ofrates: 1 ~.+~~
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