BP7574~~~ ~~r~
Permit Fee:
Issuance Fee:-
Deposit Receipt #:
°BIJILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 ~ Fax (402) 426-4195 Permit-
Application Date: ~ '~ ~ ` /
Issue Date: --~~
JOB ADDRESS ~~
/
LEGAL
1 . DESCR. L
OT No. BLK. TRACT
^ SEE ATTACHED SHEET
2.OW ~`~~~~~ ~~ AIL DRESS f ZIP ~ ~~ ~ Po~~HONE
CONTRALTO MAILADDRESS
3. ZIP PHONE
4. Class of Work: O NEW O ADDITION ~iEMODEL
5. Describe Work: ~ _ , gL O Finished Basement O Unfinished Basement
ILC~i ~£ ~~a~ ~.-
6. Total Sq. Footage pRCiadiBg BasemeRl and Garage>: Total Finished Area:
7. Valuation of Work; $ / ~ D D, [~ 4
Floodway O Yes O No
8. Floodplaln: Fringe O Yes O No Dev. Permit
BFE
Elev. Cerf.
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
14. Sidewalk Required: O Yes
Side .Rear
O No Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. 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.
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 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 OWNERICONTRACTOR DATE
Comment:
O Site Plan Attached O Co Ito Plans Attached
Approximate Completion Date -S ` ~' ~~
Ins t^,lon equjred and Fees
Utilities ~ ~
Sewer ' ater Service
..__..n A \__~ _. -nrA_
(j ;~Y~ ~~ ~~-~' `a(Y.`r Sto ,,Box/Card
B~Idi {;~ cam' rpo~ •
Footings ~ V Drywall
`5 • ~ , (before finish)
Framin b Final/ 5'Z(~~
`"~
Electrical ,,7~
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
Plumbin _
Ground Work
Rough-in _
Fixtures
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS S
By;
~/~
7574
THIS IS YOUR PERMIT
POUNDS PRTG.~Blair, NE ~~~`J ~~~ Rev. B/96
~~
;:
J~
~~
0
~ promise
Rory Haner
2054 Washington Street
Blair, NE 68008
Dear Mr. Haner,
~'
~~
~- ~ ~ ~
~ ~~
~~~
On November 3, 1997, Dale Miller, City Building Inspector, completed a
final inspection of a permit for 1538 Grant Street. On your inspection slip, Mr.
Miller indicated you should contact the office regarding an electrical code
violation he observed at this address.
To date, we have had no response from you. This code violation MUST
BE corrected no later than Friday, December 12, 1997. You will need to obtain
a permit prior to repairing this code violation. If you have any questions, please
contact Dale between 8:00 to 10:00 a.m., Monday through Friday.
Thank you for your prompt attention to this matter.
Sincerely,
G~=s-~~
Brenda Taylor
Administrative Assistant
EOU~L HOUSINU
OPPOfiTUNITY
.%
r __-------------- ,
ECTION REPORT .
' ^ WASI~NNGTON COUNTY ^ OTHER
~~ 153ff
LOCATION OF INSPECTION:
`' _ j ~ -
NAME OF OWNER: I ~ ~' '', /, r~; ~ ~ ~ ` ^ CONTRACtOR: "
i ,. ~ ^ ~;... ~. - -74;
DATE INSPECTION REQUESTED: ' ` '' ' PERMIT N0: -
TIME INSPECTION REQUESTED: ~~ ' r
TYPE OF INSPECTION REQUESTED:
.-
BUILDING: - _ ~~ ~`~
^ FOOTING ^ FRAMING ^ DRYWALL [FINAL ~ ~ A
Y
UTILITIES: •
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL: ( y
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ' /) / .o~
^ PERMANENT SERVICE ^ TEMPORARY SERVICE ~.~ .~ (~ y/
~ ~
MECHANICAL: ~ rL ~
`: ;~ ~ ~' ; Gil
^ ROUGH-IN ^ A/C ^ FINAL ~ ~' ~ ; ~~/
r ~
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: [PASSED cs~NO~s> ^ FAILED cs~NOTES~
~-' _
NOTF~S/REMARKS: ~,~~C ~~ L:J/~ ~•~~iC- C.~/~ ~~~E'
~ ~ ~. ~.~
DATE OF INSPECTION MADE:
CALLED OPPD\ '1'0 CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1- _
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