BP8057
The City of Blair Building Permit Detail
Permit #: 8057 Issued: 02/20/1998 Type: Garages -New Construction
Completed: 06/24/1998 Valuation: $13,500.00
Owner: Dave Humphrey Permit Fee: $67.50
Address:
1635 Nebraska Issue Fee: $15.00
Deposit Amt.: $200.00
Blair, NE 68008
Receipt #:
6712
Phone: 402-426-9858
Section: Township: Range:
Subdivision: Lot: Block:
Garage 32'x24', 10' height, 2 garage doors facing east, Lester Building -metal siding.
Inspections Date By
04/30/1998 DEM
05/18/1998 KAR
06/24/1998 KAR
Remarks
Footings
Framing
Final Inspection of Project
Pass
Pass
Pass
Contractors
Dwain R. Anderson & Sons, Inc.
General Contractor
Permit # Issued
BUILDING PE~IVIIT' APPLICATION
~~ Jurisdiction of City of Blair, Nebraska
Permit"Fee: ~~ ~.~ 218 South 16th Street
Issuance Fee: ~~ Blair; Nebraska 68008 $ Q 5 7
Deposit Receipt #: Z (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: ~~ ~ "'-~ Issue Date: i
JOB ADDRESS
br~s~
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
OWNER ~ ~r MAILADDRESS
2. ZIP 2,PHONE~
l~~
CO CTOR MAILADDRESS IP Y PHONE
4. _C_ lass of Work:_ l~ NEW O ADDITION O REMODEL..
5. Describe Work: (~ _ ~~' ~ 2 ( ' ~ (~ 2 _ O Finished Basement O Unfinished Basement
cx~rs ~. e~s~ L/~~~ I ~ - - ~- .1
6. Total Sq. FOOtage (Including Basement and Garage): ~ ~ Total Finished Area:
7. Valuation of Work: $ I .~ ~Qp
Floodway O Yes O No Dev. Permit
8. Floodplain: Fringe 17 Yes O No BFE
Elev. Cert.
9. Current Zoning:
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 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 OF OWNER/CONTRACTOR DATE
invent: /~c~T ~i~~J~ /®' ,~
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POUNDS PRTG: Blair, NE
Site Plan Attached O Complete Plans Attached
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer _
Septic
Building
Footi~
Fram~-
Water Service
Remote
Stop Box Card
Drywall -
(beforefinish)
FiAal~
Electrical ~~ P__~~C~ IC
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
~ Final
Plumbing -
Ground Work
Rough-in _
Fixtures
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Rev. 9196
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FAX
To:
P~Sor~ ~ br~5.11'~C .
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Phone: ~ DZ ~g~j- ~ ~, LQ
Fax phone: ~~2- ~grj -~LpCi3
cc:
Date: 2 - 2 ~ _~18
Number of pages including cover sheet: 3
From: _
lQ~ n~,ca
Phone: (402) 426-4191
Fax phone: (402) 426-4195
REMARKS: ^ Urgent ^ For your review ~ Reply ASAP ^ Please comment
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City of Blair
218 South 1 bth
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.
Contractor/Owne Contractor/Owner
,,n
City of Blair /'~
a~l~-~l~
Date
EQUAL HOUSING
OPPOHTUNRY
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