BP8273The City of Blair Building Permit Detail
Permit #: 8273 Issued: 09/28/1998
Completed: 10/09/1998
Owner: Corwin and Shirlene Hayes
Address: 812 N. 16th Street
Blair, NE 68008
Phone: 426-4485
Section: Township: Range:
Subdivision: Lot:
reroofing asphalt, tear off overlay
Inspections Date By
10/09/1998 KAR
Remarks
Final Inspection of Project
Type: Roofing permits -All types
Valuation: $6,057.00
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
McKinnis Roofing & Sheet Metal General Contractor Permit # Issued
BUILDING PERMIT APPLICATION
' ~" ~j~j Jurisdiction of City of Blair, Nebraska
Permit Fee: I ~ ' 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 8 2 7 3
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: C~ ~~~C~ ~ Issue Date: C~ ~~~ ~~
JOB ADDRESS } (7
e
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
OWNER 3 MAILADDRESS ~ -1 ~
_ ~ ~A ~ PHONE
~/
NTRA TO
3. L ` vt vt ` S ~ MAILADDR ~ ~ ~ ZIP ~ PHONE
~ 5
4. Class of Work: '~ NEW O A ITION O REMODEL
5. Describe Work: 0 ~ ~ .- c) +° l7 Finished Basement O Unfinished Basement
~ `3'
6. Total Sq. Footage (IRCIudiRg Basement ana Garage): Total Finished Area:
7. Valuation of Work: $ Q
Floodway O Yes
8. Floodplain: Fringe O Yes O No
O No Dev. Permit
BFE
Elev. Cert.
9. Current Zoning:
10. State Fire Marshall Required: O Yes
11. Special Use Permit Required: O Yes
12. Variance Required: O Yes O No
O No
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, l 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 copyof this application form signed bythe Building
Inspector.
I hereby agree 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 thatthis permit is void if work is not commenced within
mays or ~ not completed within 2 dears of date of issue.
TURE OF OWNER/CONTRACTOR DATE
Comment:
O Site Plan Attached ~ ~ O ~on~gle~ Plans Attached
Approximate Completion Date ``~~ X
Inspections Required and Fees
Utilities
Sewer
Septic
Building
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in
Final
Plumbing
Ground Work
Rough-in
WHEN PRO RLY V
tPP .. /I
Water Service
Remote
Stop Box Card
Drywall -
(beforefinish)
Final -
Fixtures
Permanent Service
AIC
Final
N THIS SPACEI THIS IS YOUR PERMIT
POUNDS PRTG: Blair, NE - ~~ ~ C~-'~ ~-~ / Rev. Bl96
---T
--.BU: ----,--
~, ILDING INSPECTION REPORT
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OTHER
OUNTY ^
CITY OF BI:AIR ^ WASHINGTON C
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INSPECTION
1 :
LOCATION OF
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CONTRACTOR:
-
NAME'OF OWNER: + ~
.
.
~ ~--~
~
~~) _'•` -` c.', ~ PERMIT NO:
T _
~ ~ ~ ~~
DATE INSPECTION REQUESTED:
r^
TIME INSPECTION REQUESTED: ~~, ~~~ •~-
~kk TYPE OFINSPECTION REQUESTED:
I ~~
BUILDING: x
FOOTING ^ FRAMING ^ DRYWALL [FINAL
I
~ UTILITIES:
~. ^ SEWER TAP ^ SEWER. ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
i
^ ROUGH`IN ^ FIX'T'URES ^ I'I1~iAL ^.MOTORS
_ ~ ^ PERMANI~IT SERVICE ^ TEMPORARY SERVICE - -
1VIECHAMCAL:
~.
-_^ ROUGH=IN ^ AlC ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL
:RESULTS OFTIIEINSFECTION~ - ~- - SSED(s~xo~s) ^FAILE(1(sESrro~rFS) -
. NOTES/REMARKS:
.~ ~ ~
_ .,, ~
~ _ INSPECTOR: '_ ~9 ~~7
. ~ ~ ~ -. TIME: •,> -,
• ';- DATE OF INSPECTION I~IADE: ,
f
- ' - CALLED OPPD\ TO CONNECT SERVICE: ^ YES ' ^ NO "
.~
'. ~ [
~ __ iWANT OFFICE STAFF TO CALL OPPD\ __ . _ ^ Y~~^ N0~_. BLR 1 __