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BP7632 Permit #: 7632 Issued: 04/22/1997 Completed: 04/15/1998 Owner: R.J. Builders Address: 2247 Meadow Drive Blair, NE 68008 Phone: 402-426-8460 The City of Blair Building Permit Detail Type: Residential -New Construction Valuation: $110,000.00 Section: Township: Range: Subdivision: Lot: 27 -Larsen Residential 1 story ranch, 3 bedrooms, 2 car garage Inspections Date 04/29/1997 04/29/1997 05/12/1997 05/19/1997 06/06/1997 06/06/1997 06/06/1997 06/27/1997 06/27/1997 06/27/1997 09/05/1997 09/12/1997 09/15/1997 11/14/1997 02/27/1998 03/02/1998 03/02/1998 04/15/1998 Remarks By DEM KAR DEM KAR DEM DEM DEM DEM DEM DEM DEM KAR DEM DEM DEM DEM pEM DEM Electrical Temporary Service Footings Electrical Temporary Service Plumbing Gourndwork Sewer Lines Water Tap Water Service Framing Electrical Rough-ins Plumbing Rough-ins Electrical Permanent Service Electrical Permanent Service Electrical Permanent Service Final Inspection of Project Final Inspection of Project Temporary or Final Occupancy Final Inspection of Projec# Final Inspection of Project Contractors R.J. Builders, Inc. Beebe Refrigeration, Htg. & A/C, Inc. Blair Plumbing Dick's Electric Co. Henton Trenching, Inc. General Contractor Heating Subcontractor Plumbing Subcontractor Electrical Subcontractor Plumbing Subcontractor Permit Fee: $515.00 Issue Fee: $15.00 Deposit Amt.: $200.00 Receipt #: 4452 Block: Fail Pass Pass Pass Pass Pass Pass Pass Pass Fail Fail Fail Pass Fail Fail Pass Fail Pass Permit # 15 14 13 341 Issued 06/26/1997 05/16/1997 04/29/1997 05/04/1998 ~- . ~ Jurisdiction of City of Blair, Nebraska Permit Fee: ~.~ 1`-~. >~-% ``"`~~~C~.Cti 218 South 16th Street Issuance Fee: 1 `~ ~-'~ Blair, Nebraska 68008 Deposit Receipt #: ~~~--- (402) 426-4191 ®Fax (402) 426-4195 Permit Issue Dater Application Date: L~ ~ ~ i~ ~y( ~~ ~~ JOB ADDRESS LEGAL 1. DESCR. LOT N0. -.. r~ ~ BLK. TRACT ~,,.~,~~ C~-` ~~{ ~ ~ Y~ C'l%~ ~ ~ ~~~ ~ SEE ATTACHED SHEET OWNER MAIL ADDRESS ZIP PHONE 2. ~_S f~~.i I C~k.,y~S ~ i/~~ a- 1 ~~r~ ~`f• L ~~C• ~4(~~CU CONTRACTOR MAIL ADDRESS 3 ~ ZIP PHONE . ~ ~~~ 4. Class of Work: NEW O ADDITION O REMODEL ff ~s. 5. Describe Work: ~~<~~~,~~~.(_~ ~,~~ ~ ,~ ~ ~~`1C,G~ D Finished Basement nfinished Basement 6. TOtal Sq. FOOtage (Including Basement and Garage): ~~ Cy~i ~~P ~ Total Finished Area: j ~ C~ , 7. Valuation of Work: $ ~ ~ ~ (~~~ ~ , Floodway O Yes O No Dev. Permit 8. Floodplain: Fringe O Yes O No BFE Elev. Cert. 9. Current Zoning: ~ `Site Plan Attached omplete Plans Attached ~ Approximate Completion Date ~ ° f `~ ~ 10. State Fire Marshall Required: O Yes ®No In pections Required and Fees 11. Special Use Permit Required: O Yes O No ~~ tiliti - 12. Variance Required: O Yes O No Sewer Water Service .. ~ 13. Minimum Setbacks: Front ~ Side ~ Rear ~ ~ Septic Remote - 14. Sidewalk Required:Yes O No Waiver Approved Stop Box Card ~~~'-- Buildina NOTICE / Footings- prywaN' Separate permits are required for electrical, plumbing, heating, ventilating and air (before finish) conditioning, and septicsystems. By mysignature below, I acknowledgethat payment f th b ildi it li ti f thi b ildi f d t tit t i o e ng perm ssuance o s u ng u app ca on ee oes no cons u e Framing Finaf permit. I further agree that onstruction covered by this permit application shall not be commenced until I,h ' e cei ed a cop of this application form signed by the Building ~~ ~ %% I ~ ~' ~ -. -~ Electrical .~~ C,.~'~ ~,`~ ~' ~-~ r <-- ,, nspector. ,.° ~ Iherebyagr bt rfor a to ~e ~Vorkinaccordancewiththespecificationsset forth abo ~ ac tl ce to codes/ordinances of the City of Blair and the Rough-ink Fixtures State~,~g~ r ka.l d st t fthispermitisvoidifworkisnotcom encedwithin Finat~ PermanentServic~ iSO~ s or s rho ` p e ' hin 2 years of date of issu . __ j 1 Temporary Servi ... ® ~" McChanlCal >..~ SIGNATURE OF OWN a 9 TRACTOR ATE Rev. 6/96 POUNDS PRTG: Blair, NE L ' ~ ~_' ~.'V '~ ~'I L '~ ~a L ~~ ~ ~ ~ L Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 ~ =~'r3 Application Date ~ ~~ ~" ~"~ ~-„ ~-, ~- n` '~ ~ (~ ~~~~ '3 Permit Fee: $ ~ ~ -~ ` ~~ JOB ADDRESS ~~gg 1 • LEGAL DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET OWNER ~ MAIL ADDRESS ZIP ~ .HONE --~ 3• CONTRACT R MAIL ADDRESS PHONE LICENSE N0. 4• Class of Work: ,,NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS 5• Describe Work: ~~ ~ ry _ ~ ~' ~ ~ c7 ~, Comments: PLUMBING PERMIT FEES Type of Fixfure Mo. Kitchen .................................. $8.00 x Bath ....................................... $8.00 x Rough-In Bath ....................... $4.00 x Utility ..................................... $5.00 x Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x Water Service ........................ $10.00 ~ ~ ~ ° (-~~-~ NOTICE Sewer .................................... $10.00 ~ ~ ~=~ E (_~-~, I hereby certify that I have read and examined this Groundwork ........................... $10.00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Lawn Sprinkler System .......... $10.00 to violate or cancel the provisions of any other state or local Sprinkler System ................... $30.00 law regulating construction or the performance of (Commercial) construction. // Permit Issuance Fee ............. $15.00 _rF ~_ ~°-~ ~ f~ 1,:~~ IGNATURE OF CONTRACTOR OR AUTHO IZED AGENT `~ } r C ~_ C T®TAL . DATE Current License on File Yes ®No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~ " ~~ POUNDS PRTG: Blair, NE Rev. 12/95 i, ~~ , ~ r , Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Comments: MECHANICAL PERMIT FEES Forced Air Systems ~a ~ ~ Per Unit Commercial/Residential (New) ...................................... $25.00 Air-Conditioner Unit /~ ~~~ Per Unit Commercial/Residential (New) ...................................... $10.00 Refrigeration Units/Coolers Per Unit Commercial (New or Replacement) .............................. $10.00 N®TIC I hereby certify that I have read and examined this Forced Air Systems/Air Conditioner application and know the same to be true and correct. All Unit Replacement provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Per Unit Commercial/Residential (Replacement) ........................ $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SIGNATURE OF CONTACTOR OR AUTHORIZED AGENT Permit Issuance Fee ............. $15.00 ~~~r ~ ~ 1'®TAL ~--~ r Current License on File ®Yes ®No ®NA DATE WHEN PR®PERLY VALIDATED (IN THIS ACE) TH YOUR PERMIT Comment: Approved Oy: w _. POUNDS PRIG: Blair, NE Rev.12195 Application Date: ~ ' ~ ~ ~,9 Permit Fee: $ ~~ ~ '~°~~ JOB ADDRESS °~ /~ R,,~ LEGAL 1 • DESCR. LOT NO. BLK• TRACT O SEE ATTACHED SHEET OWNER ~ -~ '1 MAIL ADDRESS ZIP PHONE 3. CONTRACTOR ~ „~ MAIL ADDRESS ~ 1 PHONE ~ 1 / „ LICENSE NO. ~ ~ry~~~ i, ~~~ ~ _ ~ _ C ~r 7 4• Class of Work: NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS 5• Describe Work: ~~ ~ ~`~. Comments: PLUMBING PERMIT FEES Type of Fixture No. Kitchen $8.00 x ~ ~• ~~~ ~~~ Bath ....................................... $8.00 x ~~ ~ ~ C_ % ~~~ Rough-In Bath ....................... $4.00 x ~ ~~~ ~~' C. Utility ..................................... $5.00 x Water Heater ......................... $3.00 x ~ ~- ~-'~~ Outside Water Faucet ........... $3.00 x ~ ~~• CA Water Service ........................ $10.00 N®TIC Sewer .................................... $10.00 I hereby certify that I have read and examined this Groundwork ........................... $10.00 ~ ~ ~J' ~4~ ~~-> application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Lawn Sprinkler System .......... $10.00 to violate or cancel the provisio of any other state or local Sprinkler System ........ .. . $30 00 law regulating constru or the performance of .. . ..... (Commercial) . construction. 6 ~ ~' Permit Issuance Fee ............ $15.00 _ ~~~._~ '-1 ~ ~ r r / _ i NATU, OF ONTRAC OR OR AUTHORIZED AGENT `~ DATE Current License on File OYes O No ®NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS !OUR PERMIT Comment: Approved By: ,,~~ ,per, ~° POUNDS PRTG -Bleir, NE / / - Rev.12/95 Application Date: ~ ~~~~ ~ 7 Permit Fee: $ ~~~~ JOB ADDRESS y~ _ ~~ / LEGAL LOT N0. BLK. TRAC,~ '~ ~° 1 ' DESCR. ~ ~ ,~?~~ ~..,., _. ~'/,~___ .~ ., ...%., . , ~ ,~;~.. _D O SEE ATTACHED SHEET New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 101-200 Amp Fee ..................:......... $ 18.00 201-300 Amp Fee ............................ $ 30.00 301-400 Amp Fee ............................ $ 42.00 401-500 Amp Fee ............................ $ 55.00 501-600 Amp Fee ............................ $ 67.00 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 901-1000 Amp ................................. $117.00 IF OVER 1000 Amp 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 N®TIC I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. I, SIGNATURE OF CONTRACTOR OR AUTH IZED AGENT . ~~'~ ~ DATE ELECTRICAL RMIT F S Upgrade Existing Service ...... $10.00 Temporary Service ................ $10.00 /®a 1~ ~`~ Fire Alarm System ................. $10.00 Signs ..................................... $15.00 Miscellaneous Apparatus ...... $11.00 Commercial/Multi-Family and All Upgrades: # of Circuits x $2.00 Amp Fee Amp Fee + Circuit Total New Residential: (Finished Area) Single/Two Family Dwellings ~ la? tt ~ sq. ft. x .045 ~`~ °~ Receptacle/Switch Outlets Fixtures x $.75 Residential/Commercial Appliance # Fixed Outlets x $3.00 Power Apparatus (220 Volts) # Apparatus x $3.00 Permit Issuance Fee ............. $15.00 !~ ~ ~ TTA~ / '' a , WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Appr ed By: , . ,~ rv~rvus rn i ~.~niav, nr. qev. 12/85 1 ® CITY OF$LAIR'°~~ ^ WASHINGTONCOUNTY ^ OTHER ~ LOCATION OF INSPECTION:~~'~~ !~--'~~~C~t_C I ~~1.~~ i \•f~~ V~~ NAME OF 0\VNER: I~ , ~• ! ~...1 ELI ! t~ Y ~~ ~~'. CO~ITRACCOR: ~ ~',. JJ ~ ~~.~I_ ! t - - ~' ~ DATE INSPECTIONREQUFSTED: PERMITNO: 0 ~~~ ''. TTME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: - BUILDING: `` ~~ ~~ ~l~,c.~XU-.3,~ ^ FOOTING ^ FRAMING ^ DRYWALL FINAL UTILITIES: ^ SEINER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS " ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ' MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL - PLUMBING: t~~,~~~ ^ GROUNDWORK ^ ROUGH-IN ^ FINAL _ ~ I RESULTS OF THE INSPECTION~ASSED(sEExorES) °.^PAILED(seExoTES) NOTES/RIiMARKS: INSPECT ' i 0 DATE OFINSPECTIONMADE: -TiME: G CALLED OPPD\ TO CONNECT SERVICE: - ~^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ i ~ ^ YES ^ NO BLR 1 1~ LJ 1L1111V l7f 11V ~.CL' V l llllV IS,t~.Y V1S, 1• ~ CITY OF BLAiR, -,~ ^ WASIIINGTON COUNTY ^ OTHE/R /~1 ~ LOCATIONOBINSPECTION: ~2~ ~ f-~~ ~{i i!;'~~~J ? )/- ~ n ) r NAMEOFOWNER: ~.I ~1..ir ~~~~~ CONTRACTOR: ri 1 ~(.,' t ~C~~~S DATE INSPECTIONREQUESTED: ~-%~~ %~~S PERMIT NO: ~ti-J[._. TIME INSPECTION REQUESTED: ~~~ /~/~ TYPE OF INSPECTION REQUESTED: Jar , BUILDING: \~/ ^ FOOTING ^ FRAMING ^ DRYWALL ~('f FINAL J\ UTILITIES: +f ^ SEWER TAP ^ SEINER ^ SEPTIC ^ WATER TAP ^REMOTE ^WATERSERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^-MOTORS -~^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: •- ^ ROUGH-IN ^ A(C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS~OFTHEINSFEC~TiON: -^PASSED(sEExo~[FS) ~C]TY OFBLAIIt°,^--WASFIINGTONCOUNTY ^ OTHER LOCATIONOF-INSPECITON: ~%`~ ~ ~ %~,~~~~~ ~f~~- i NAME OF OWNER: t`. V 2~1L{/G/-~r~CONTRACCOR: • ~~ ~'`tt{~~L DATE INSPECTIONREQUESTED:~ ' ~~ PERMITNO: /C''~ TRdEINSPECTiONREQUESTED: `~ ~©~ TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ pRYWALL ~ AL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP r~ ^REMOTE ^ WATER SERVICE ~ h~1 ~~'~ n 0~_--~ ELECTRICAL: /~~~~~~~-`~~- ~~_. ^ ROUGH IN ^ FIXTURES ^ FINAL ^L MvOTORS ^ PERMANENTSERVICE ^ TEMPORARYSERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL, .PLUMBING: ~:'.•`i;` i ^.GROUNDWORK ^ ROUGH-IN ^ FINAL / RESULTS OF THE INSJP~~/7,~/jO/`N: ^fP~ASSED IsEExo/ns) ,~J FAILED (sEE x~~or""FS)\ ~ - NOTES/REMARKS: ~/t ~~/ ~~~/ ~% ~~J`•-•~-J ~ . INSPE(1'SB2• ~~1~% i~~~/ // /~--r/7 DATE OF INSPECTIONMADE~ ~~~~{~ TIME: a `-C~- CALLEDOPPD\ TO CONNECISERVICE: ^YES ^NO. - - WANT OFFICE STAFF TO CALL OPPD\ :. ~ ^ YES ^ N0. -BLR f --' ,:.~-~~,ii~u iirar~Lilviv-tt1+:YVtt'lr-- --_ { ' IDCLTYOFBLAIIt,'°^WASHINGTONCOUNTYy7^OTHER Y) IACATIONOFINSPECIgT~ON: ~'`~ ~~7 f /~~~~~'~ ""'~' NAME OF OWNER: 11 `~J CONTRACPOR: L. ~ ~~ 3 DATEINSPECTIONREQUESTED:~~ ~ PERMITNO:_ ~~ - TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: ~ BUILDING: - _ ^ FOOTING ^ FRAMING ^ DRYWALL 1i FINAL ' UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP - - ^REMOTE ~ ^WA ~R~S~~~~E~RyyICE ~c~f~-!'E C- ~G~..z.~ ~v l~/~Z ~ ~/.SI.~~/G/ eft e'rxl~ ~ ~ ~ .ELECTRICAL: ~.1 L~~ +~ /IG L7 1 ', ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^PERMANENTSERVICE ^TEMPORAR YSERVICE MECHAMCAL: ' ^ ROUGH-IN ^ A(C ^ FINAL ' PLUMBING: ~ ;~ ^ GROUNDWORK ^ ROUGH-IN ^ FINAL DATE OF INSPECTION MAD TIME: ,~C/~c~`~ CALLED OPPD\ TO CONNECT' SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES . - ^ NO ~ BLR 1 RESULTS OF THE INSPEC N: ^ PASSED (sEExo~s) FAH,.ErD (sEaxorES) NO KS: J~ ~~/- C ~ .,r~/tt i G~CG' INSP G DATEOF.INSPECTIONMADE: ~ G - TIME: /=~y CALLEDOPPD\ TO CONNECT SERVICE: ^Y1S ^NO WANT OFFICESTAFF TO CALL OPPI)\ ^ YES ^ NO BLR 1 ~ ~~ r~ ' i ., ~ ~ ~~ r z `\ ~~ ~j '. 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