BP8271The City of Blair Building Permit Detail
Permit #: 8271 Issued: 11/18/1998
Completed: 11 /30/1998
Owner: Gary Smith
Address: 1541 Grant Street
Blair, NE
Phone: 426-2599
Section: Township:
Subdivision:
tear off and replace with asphalt shingles
Inspections Date By
11/30/1998 KAR
Remarks
Contractors
McKinnis Roofing & Sheet Metal
Type: Roofing permits -All types
Valuation: $5,664.00
Range:
Lot:
Final Inspection of Project
General Contractor
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Permit # Issued
BUIL®INC PERMIT APPLICATION
/~ (~ ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 8 2 71
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
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Application Date: r J~~~ Issue Date: J ~~~~
JOBf ~ ~S Vl~ J~, l \ /V~ ~J~ ~~ v
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
1 _
2.OWNER Y' YY1l~ "\ ~ I
\,- \ Y\ C (~ RESS 1
l4 \
l ~ ZIP ~ ` ~ ~IE
`j
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CO ACT
3. ~ ~ '~ _~ b~` MAILADDRES PHO
NE
ZIP
~ nc -a~
4. Class of Work: NEW O AD TION O REMODEL
5. Describe Work: ~ ~ ~ ~ . O Finished Basement O Unfinished Basement
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6. Total Sq. Footage (InclualDg easement ana Garage): Total Finished Area:
7. Valuation of Work: $ ~j~ ~a ~~ ~ ~
Floodway O Yes O No
8. FIOOdplain: 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
~8(j~davs or is not completed within 2 years of date of issue.
SIGNATURE
-/
DATE
Comment:
O Site Plan Attached Odom lete P s Attached
Approximate Completion Date ~ ~ -; ~ r
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Buildin
Footings Drywall
(before finish)
Framin Final
g
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A\C
Final
Plumbina
Ground Work
Rough-in Final
WHEN PROPERLY ALIDATED TH S SPACE) THIS IS YOUR PERMIT
Approved By:~' -_ ~
POUNDS PRTG: BIaIr, NE ~ ~ Rev. 8198
I ~ BUILDING INSPECTION REPORT
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f Q CITE'- OF BLAIIt ^ WASHINGTON COUNTY ^ OTHER
f` LOCATION OF INSP CTION: ~~ ~ 1 ~ J'~-~~'u,V,[`'
C
NAME OF OWNER : ONTRACTOR: ~
~~--~b-,
DATEINSPECTIONREQUESTED: ~ ~ ~ PER.1vIITN0: ~~
TIME INSPECTION REQUESTED: _ ~~ ~'
r TYPE OF INSPECTION REQUESTED:
~.
E BUILDING: ~
~~
t • ^ FOOTING ^ FRAMING ^ DRYWALL FINAL
UTILITIES: ~ I,
^-SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
I
f ^ REMOTE ^ WATER SER VICE ~
~ ,
~~' ~~1/
ELECTRICAL: ~ ~„/
.. ^ ROUGH IN. ^ FIXTURES ^ FINAL ~ ^ MOTORS - h~
f
^~PERMANENTSERVICE ~ ^ TEMPORARY SERVICE
'- ~ MECHANICAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING;
I-
- -Ct-rnninrnuunDV -----I-1_nc.,_,c.czn.r----n ~,.~.' »-- -~- -- --
-DATE OF INSPECTIONMADE:~~/ -~v~/~ TIME:
i -
!' CALLED OPPD\ TO CONNECT SERVICE:
i
.. WANT OFFICE STAFF TO CALL OPPD\
- ~ +. -
^ YES ^ NO
^ YES .^N0 BLR 1
:RESULTS OF THE INSPECTION: ASSED ts~xo~s~ ^FAILED ~s~rro~s
NOTES/REMARKS: ~'