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BP7343 The City of Blair Building Permit Detail Permit #: 7343 Issued: 09/03/1996 Completed: 11 /19/1998 Owner: Gene Salsbury Address: 570 N. 19th Street Blair, NE 68008 Phone: (402) 426-8179 Section: Township: Range: Subdivisi on: Lot: Adding Chimney -Steel Inspections Date By 11/19/1998 KAR Remarks Contractors SELF Type: Miscellaneous building permits Valuation: $400.00 Final Inspection of Project General Contractor Permit Fee: $15.00 Issue Fee: $15.00 Deposit Amt.: Receipt #: Block: Pass Permit # Issued ~~ ` ~ mss' ~~// ~_~ l Lc (~ ~ r ~ ~s~'z BUILDING PERMIT ~- ~IG~ATI N~ii -gam ~ Jurisdiction of City of Blair, Nebraska `~°~~ g~'`~~~`~O~-~~ Permit Fee;: o ~ ~ 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 7 6 6 Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Application Date: ~ ~ 9 ~ Issue Date: JOB ADDRESS ,, ~© ~©. ~ ( ..~. LEGAL 1 . DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2 OWNE r~~ MAIL_ADDRES~ ~ J ZIP ~~~P~NE CONTRAC OR MAIL ADDRESS 3. ZIP PHONE 4. Class of Work: O NEW O ADDITION O REMODEL 5. Describe Work: ~ O Finished Basement O Unfinished Basement 6. Total Sq. Footage (~RO~i,aing BasemeRl ana Garage>: Total Finished Area: 7. Valuation of Work: $ ~,0 0 0 ~ o-r, Floodway O Yes O No 8. Floodplain: Fringe f7 Yes O No Dev. Permil 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 13. Minimum Setbacks: Front O No O No 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. 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 raska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin 180 da or's not completed ' '2 years of date of issue, 5'~ " SIGNATURE OF OWNER/C TRACTOR DATE ~~' cc~~ ~~~, r~~~~. POUNDS PRTG.-Blair, NE u~l~,v~-. (~~- - ~-t O Site Plan Attached O Complete Plans Attached Approximate Completion Date ~I ~ ` ~ ~ Inspections Required and Fees Utilities Sewer Septic Building Footings Framing Electrical Rough-in Final Temporary Service Mechanical Rough-in _ Final Plumbin _ Ground Work Rough-in Water Service Remote Stop Box Card Drywall (before finish) Final Fixtures Permanent Service A\C Final I WHEN PROPERLY VALIDATED (IN THIS SPACE)-THIS IS YOUR PERMIT Gnnrnvorl.Fly r Rev. 8196 ~~ BUILDING PERMIT APPLICATION lJC' G ~' Jurisdiction of City of Blair, Nebraska Permit Fee: G o 218 South 16th Street Issuance Fee: ~ ~ ~ Blair, Nebraska 68008 7 3 4 3 Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Application Date: ~/~// ~ Issue Date: ~< ~~~~ JOB ADDRESS LEGAL 1. DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET OWNER 2. MAIL ADDRESS ZIP PHONE -- ~' ~ CONTRACT 3. MAIL ADDRESS ZIP PHONE 4. Class of Work: O W O ADDITION O REMODEL 5. Describe Work: - O Finished Basement O Unfinished Basement 6. Total Sq. Footage (IROIBdIBg Basement and Garage): Total Finished Area: 7. Valuation of Work: $ ~ ~ p - ~ ~ Floodway O Yes O No 8. Floodplain: Fringe O Yes O No Dev. Permit 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 copyof 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 day r is not co leted within 2 years of date of issue. SIGNATURE OFOWNER/CONTRACTOR DATE Comment: ~~-~~ j(M 1~~ ~~~ rn~ ~i nn,~. ~ ~~ ~ ~r0 f?c~ tS ~~IIL~-vf~'~le~, J ~~ (~,~ fir! ~' ~;~ r~~ ~ POUNDS PRTG: Blair, NE O Site Plan Attached ~~ O~~ plete Plans Attached Approximate Completion Date / `~ Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card B ildi ~~' n u Footings Drywall (before finish) Framing Final Electrical Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in A\C Final Plumbin _ Ground Work Rough-in _ Final WHEN PROPERLY VALIDATED (IN THIS~~) THIS IS YOUR PERMIT Rev. 8/96 . --- - --- ~' -BUILDING INSPECTION REPORT ~~f CITY OF BL;AIR ^ WASHINGTON COUNTY ^ OTHER _ _ ~j LOCATTONQFINSPECTION: ~~~ ~ -~~ ~~~~ "~ ~ 1 ~~~~ ~~~4~~-~ ~~ coNTRACTOR: i~ ~:~t`~-~ . NAME OF OWNER: L - ." ~ ~ t3~: I DATE INSPECTION REQUESTED: 1 ~ ~ ~ ~ ~~~~~ PERMIT NO: TIME INSPECTION REQUESTED: ~(~~ ~~~`('}`~~ ~ iJ REMOTE ^ WATER SERVICE ELECTRICAL: ROUGH W ^ FIXT'URES . ^ FINAL ^ MOTORS PERMANENT SERVICE - ^ TEMPORARY SERVICE - MECHAMCAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: --- . ^ GROUNDWORK ^ ROU~FI,-IN ^ FINAL RESUI:TS OF THE INSPECTION:SSED (s~xoTES> ^FAILED (s~xo~s> TYPE OF INSPECTION REQUE BUILDING: FOOTING ^ FRAMING UTILITIES: ^ SEWER TAP ^ SEWER 3TED: ,- ^DRYWALL . /~Z] FINAL ^ SEPTIC ^ WATER TAP _ IIATEOFINSPECTION"MADE ~/ l /- /~ .TIME: -T,t' ~ ~ ~~-- f ~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO f WANT OFFICE-STAFF TO CALL OPPD\ ^ YES ^ NO _ BCR_1_