BP7788The City f lair uilir~ Permit etil
Permit #: 7788 Issued: 06/18/1997
Completed: 10/10/1997
Owner: R.J. Builders
Address: 833 N. 24th Street
Blair, NB 68008
Phone:
Section: Township:
Subdivision:
Construction of new home
ilnspections Date By
10/10/1997 DEM
Remarks
Co#ractors
R.J. Builders, Inc.
Type: Residential -New Construction
Valuation: $110,000.00
Range:
Lot:
Final Inspection of Project
General Contractor
Permit Fee: $600.00
Issue Fee: $15.00
Deposit Amt.:
Receipt
Biock:
Pass
Permit Issued
4. Class of Work; ~W ADDITION O REMODEL
5. Describe Work: ~~~ ,) ,,~, , ~ O Finished Basement finished Basement
6. Total Sq. FOOtage (Including Basement and Garage): ~ Total Finished Area:
~~
7. Valuation of Work: $ ~~ , ~~~~
Floodway O Yes No Dev. Permit
8. Floodplain: Fringe O Yes O No 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 ,~
r .'
13. Minimum Setbacks: Front ~~ Side ~ Rear~~
14. Sidewalk Required: Yes O No Waiver Approved
N071C
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septicsystems. 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 rece'ved a copy of this application form signed by the Building
Inspector. r
I hereby agree to p rfi pro osed work'n accordance with the specifications set
forth above an i~ c ance ith the c /ordinances of the City of Blair and the
State ofN~~ .I tlerst d#th, th' it is voidifworkisnotcommencedwithin
180 s ~ omple I rs of date of issue.
Comment:
`i,~~'
,,~-~~~ ~
~~ ~ `~
® Site Plan Attached ~ ,/O,,m~ete Plans Attached
Approximate Completion Date r
Inspections Required and Fees
Utilities
Sewe `°~r~ '~"~'~ Water Service ~~ ~~~` '1~ ~`~
Septi Remote
Stop Box Card
Building
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Rough~ Fixtu
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Plumbinq~, ~~.~-~-~~ ~r ~~
WHEN PROPERLY VALIDATED fIN-THIS S
PERMIT
POUNDS PRTG: Blair, NE Rev. 8/96
Application Date: l ~ ~
PLUMBING PERMIT FEES
JOB ADDRESS ~) •
/V~ .
LEGAL LOT NO. BLK. TRACT
1 • DESCR. O SEE ATTACHED SHEET
OWNER MAILAD ESS • ZIP PHONE
3. CON A TOR . q MAIL ADDRESS _ PHONE LICENSE NO.
4• Class of Work: NEW RESIDE IAL O NEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS
5• Describe Work: ~! /1 ~°®
Comments:
~~5~[«T
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.
`..
,~
,~
SIG TURE OF CONTRACTOR OR AUTHORIZED AGENT
._l ~. '~
DATE
Type of Fixture No.
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 P ~~
Water Service ........................ $10.00
Sewer .................................... $10.00
Groundwork ........................... $10.00
Septic Tank & Laterals .......... $10.00
Lawn Sprinkler System..........$10.00
Sprinkler System ................... $30.00
(Commercial)
Permit Issuance Fee .............$15.00
Permit Fee: $
~ ~~ ~vc
1~~~~
TOTAL ~ ~
Current License on File OYes O No ®NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Ap d By: y
POUNDS PRTG: Blair, NE Rev.12/95
Application Date:
`~/3,/~7
Permit Fee: $
JOB ADDRESS C ~
LEGAL
1 • DESCR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
OWNER MAIL ADDRESS
2 ZIP PHONE
,
3, CONTR R MAIL ADDRESS
~ PHONE
~-- LICEN N0.
r
4• Class of Work: O NEW RESIDENTIAL ONE COMMERCIAL O REMODELING/ADDITIONS D REPLACEMENTS
5• Describe Work:
Comments:
PL UMBING PERMIT FEES
Type of Fixture No.
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
~ ~ c~
Water Service ................. ....... $10.00 ~
S 10
00 ~ c
NOTICE ewer ............................. ....... $
.
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
construction. (Commercial)
,d~
'
Permit Issuance Fee ............. $15.00 ~~
~.~ /
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
TOTAL ~~"
DATE Current License on File es O No ® NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
comment: Approved By:
POUNDS PRTG: Blair, NE Rev.12/95
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JOB ADDRESS
LEGAL
DESCR. LOT N0.
~ ~ BLK. TRACT gg J ~ ,~ ~'1 ~~ O SEE ATTACHED SHEET
4~~ r. ~ 6 ~~~~
OWNER )
MAIL ADDRESS ZIP PHONE
3 CONTRALTO ~A ~°` ~a p MAIL ADDRESS PHONE .~/ LICENSE N0.
4• Class of Work: NEW RESIDENTIAL ~ NEW COMMERCIAL O REMODELING/ADDITIONS ®UPGRADE SERVICE
5• Describe Work:
6• Current License on File es ®No ®NA
New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES
1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ......$10.00
101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00 ~ (~ ~~-~
201-300 Amp Fee ............................ $ 30.00
301-400 Amp Fee $ 42.00
Fire Alarm System ................. $10.00
401-500 Amp Fee ............................ $ 55.00 Signs ................................,.... $15.00
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00
701-800 Amp Fee ............................ $ 92,00
801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
N®TIC New Residential: (Finished Area)
I hereby certify that I have read and examined this SinglelTwo Family Dwellings
application and know the same to be true and correct. All ~ sq. ft. x .045 ~ ~~ ~ ~ .
provisions of laws and ordinances governing this type of
k
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n or not.
The granting of a permit does not presume to give authority Receptacle/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures x $.75
law regulating construction or the performance of
construction.
c
Residential/Commercial Appliance
# Fixect Outlets x $3
00
.
Power Apparatus (220 Volts)
# A
t
$3
O®
SIGNATURE OF CONTRACTOR'~CIY` _ ppara
us X
.
~j
~~
Permit Issuance Fee ............. $15.00
DATE
1'®TAL `°~~~
WHEN PROPERLY VALIDATED (IN TWIS SPACE) THIS IS YOU PERMIT
Comment: Approved 6y: ~~
POUNDS PRTG: Blair, NE j ~ Rev. 12/95
JOB
RJ BUILDERS, INC. ~_
407 South 16th Street SHEET NO.
BLAIR, NEBRASKA 68008 cn~cu~nTEOBV oa,c
(402) 426-8460 wrt
FAX (402) 426-3790 CHECKED BY
.omiNicm.f raMw SMek120541Paddedl f~rrs ®Inc.. Groton, Mass.01471. TO0rder PHONE TOIUn[[rwNZw~wov ~ .ter
~~~
City of Blair
218 South 16th
Blair, Nebraska 68008
402-426-4191
Fax - 402-426-4195
BUILDING PERMIT DEPOSIT AGREEMENT
A $200.00 refundable deposit is being collected at the time of your building permit
application for all permits in excess of $10,000.00. However, the City reserves the right
to not refund this deposit if any of the following conditions occur during the construction
period: 1) water is connected without a meter by either the plumber, owner or general
contractor, 2) all required inspections have not been obtained (this includes drywall prior
to taping) as per attached checklists (Both Rough-In and Final), 3) occupancy or utilization
occurs prior to a final inspection, and 4) all permits have not been obtained. If any or all
of these situations occur during construction, you may forfeit your deposit.
I, hereby agree to the above conditions, and understand that should any or all of the above
situations occur, the building permit deposit may be forfeited or discounted upon the
discretion e City of Blair, Building and Inspections Department.
Contractor/Owner
City of Blair
Date
EOUAI MOUSING
OPPORTUNITY
"~ promise ..
^ CTTYOFBCAIR ^ WASHINGTONCOUNTY ^ OTHER
LOCATION OF INSPECTION: _~ ~ 'S /~I ~ ~ y ~~-
NAME OFOWNER: ~~. J. ~ f•U /C'CrL,S'~J CONTRACTOR: i\ -~ ~~^-~' ~~/7 j
DATE INSPECTION REQUESTED: ~~~ ~U `/ r PERMIT NO: ~ ~ x x
TIME INSPECTIONREQUPSTED: ~ • / ~
TYPEOFINSPECTIONREQUESTED: ~~ i~.
I ~/~
BUILDING: _.. lI` YV" 1.
^ FOOTING ^ FRAMING ^ DRYWALL \/ FINAL 1 ~ ~J~
UTILITIES: {~~
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP _ I++
^REMOTE ^WATER SERVICE i'
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
^ PERMANINTSERVICE ^ TEMPORARYSERVICE
MECHAMCAL: ~~~ ~~~
t.J,~r~~,e ~rl~
^ Roucx-IN ^ A/c ,^ FznrAL ~~~i~ ~°~'''T E ~
~~~
PLUMBING: ~~ t~1421=~
^ GROUNDWORK ^ ROUGH-W ^ FINAL I '
RESULTS OF THEINSPEC'T~IO~N: /~ AS-SE~DfseENOTES) _ ED-fSEEN0TE5) i,
NO~,ES/REMARKS: ~~~~-~%G,JS /'D,t~ GYC ~t4~/~° X11.5 t
~!
'BaSPECTb .~ ~
/~ G
DATE OF INSPECTION MADE: 17ME: ~/~/ G
CALLED OPPD\ - TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1
_~..-s.. ..y_~.~~.-.a::z~`..uyr~~-i-ac`:. i-v ~cvas-v'.a:v`s
~]J]TYOFBLADt ^ WASHINGTONCOUNTY ^ OTfiER
// ~ /~~y"+,~
LOCATION OP INSPECIION: ~~ ~ ~/ ~~'"
~~ `'?
NAME OF OWNER: " "~ ' ~ l~ ~-~~-j~-CONTRACTOR;
DATE INSPECTIONREQUESTED: ~ ~~ % 7PERMITNO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILrr~DING:
~POOTING ^ FRAMING ^ DRYWALL ^ FINAL
UTILITIES;
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
ROUGH IN ^ FIXTURES ^ FINAI; ^ MOTORS
^ PERMANINT SERVICE ^ TEMPORARY SERVICE
MECHANICAL:
~OUGH-IN ^ A/C ^ FINAL -
PLUMBING:
^ GROUNDWORK k] ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION~ASSED(s~xorES) ^FAILED~sEExorFS)
NOTES/REMARKS:
l ai ~`'
DATE OF INSPECTION MADE /~ ,/ TIME: -~ `-/'~
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1
[`~C]TY OF BLAIR ^ WASHINGTONCOUNTY ^ OTHER
LOCATION OFINSPECf,IQON: ~ 3 ~' ~~ ~ (~ ~~(~~(~/~`
NAME OF OWNER: 9' ~ ~~~'~t~^,""^~~l/~'"]CONTRACTOR: !'-j '~`~(`e~~/~11.~
DATE INSPECTION REQUESTED: , -.~,~ 1~{~ ~PERMITNO: ~~R~ /1~
1TME INSPECTION REQUESTED: ~ 1 ~ 7 f ' . ~ I ~ ~~~f l f~~
rjL.
TYPE OF INSPECTION REQUESTED: ~"j'lJ_. F'l.S~-"`
BUILDING: 111
^ FOOTING ^ FRAMING ^ DRYWALL `y_(I FINAL
UTILITIES: ry
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER T`~"~" "
-^ REMOTE ^ WATER SERVICE
ELECTRICAL: -=L~iL ;
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTOR /J
^ PERMANENT SERVICE ^ TEMPORARY SERVICE ~1~Yf/'s~~`/
MECHANICAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: PASSEDfs~xons) FAIL' FEnotES)
NOTES/RFMARKS: ~ ~ -~ ~ `~ ~~~
7 G
TIME: ~' ~
CALLED OPPD\ ~ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALLOPPI)\ ^YES QNO BLR1
_ tea.-,--_~ __-,.-...-a~c-Yw.,i` :.~v-.a.-a.v~'"iWiJi."l/i4Y-.•.-f_
~/1JCITYOFBLABt ^WASHINGTONCOUNTY ^O))THII,t/f
f~ /J ~ILOCATIONOFINSPECTION: ~> ~ ( ~ L%~ f `~~ ' n
NAME OF OWNER: ~\ I L~(..1,!'~9 ~ CONTRACTOR: ~-7~ ~ZC'f U ~(y~S
DATE INSPFGTTONRF(]I1F.CTED~ ~ -~~ PFRMiTNfI• / J 6
TIME INSPECTION REQUESTED: I /~ •
TYPE OF INSPECTION REQUESTED: -
BUILDING:
/
^ FOOTING ICl I~RAhID~IG ^ DRYWALL ^ FINAL
~1
I
UTILITIES:
I
_. " ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
~fIT~ ~Los~r o.~i
^ REMOTE ^ WATER SERVICE /
/
"
S~~LG ~
I ~// yj
ELECTRICAL: -~
/
~/
.~ .LEss /~
"'°
['\~ROUGHIN ^FIXTURES ^FINAI:
I ^MOTORS
^ PERMANENT SERVICE ^ TEMPOR ARY SERVICE
E
CHANICAL:
M
~~~~
ffff
,,
TROUGH-IN ^ A/C ^ FINAL
,
//
P
L
UMBING:
/
^ GROUNDWORK [/ROUGH- IN ^ FINAL
RESULTS OF THE WSPECTION: D (sEExorES) ,FAILED
DATE OP INSPECTION MADE: ~ ~ o TIME: --~ ~4~ ~
CALLED OPPD\ TO CONNECT' SERVICE: ^ YES ^ NO
WANTOFFICESTAFFTOCALLOPPD\ ^YES ^NO BLR1
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