BP7798R~~ / ~ ~1 33 k 5-2 9~
The i ®f Blair Building Permit ®e it
Permit #: 7798 Issued: 06/23/1997
Completed: 05/01 / 1998
Owner: Bill Rasmussen
Address: 2002 Arbor Circle
Blair, NE 68008
Phone:
Section: Township:
Subdivision: ARBOR
New home with unfinished basedment.
Inspections Date
06/27/1997
06/27/1997
07/14/1997
09/12/1997
09/12/1997
09/24/1997
09/24/1997
09/24/1997
09/24/1997
1 012 3/1 9 9 7
1 2/1 911 9 9 7
05!01/1998
Remarks
By
DEM
DEM
DEM
DEM
DEM
KAR
KAR
IG4R
KAR
DEM
DEM
DEM
Contractors
Pat Mallette Construction
Beebe Refrigeration, Htg, & A/C, Inc.
Blair Plumbing
Dick's Electric Co.
Henton Trenching, Inc.
Range:
Lot: 8
Type: Residential -New Construction
Valuation: $147,000.00
Permit Fee: $663.00
Issue Fee: $15.00
Deposit Amt.: $200.00
Receipt #: 4989
Electrical Temporary Service
Footings
Plumbing Gourndwork
Water Service
Sewer Lines
Plumbing Rough-ins
Mechanical Rough-ins
Electrical Rough-ins
Framing
Electrical Permanent Service
Final Inspection of Project
Final Inspection of Project
General Contractor
Heating Subcontractor
Plumbing Subcontractor
Electrical Subcontractor
Plumbing Subcontractor
Block:
Pass
Pass
Pass
Pass
Pass
Fail
Fail
Fail
Fail
Pass
Fail
Pass
Permit # Issued
79 09/04/1997
77 07/14/1997
76 06/26/1997
78 09/11/1997
,~'`- ~'` - '`~J Jurisdiction of pity of Slair Nebraska
Permit Fee: `'~ "~~
~- (,, r~r> 218 youth 16th Street
Issuance Fee: ---~ Slair, Nebraska 68008 °~
e .~'
Deposit Receipt #: ~' ~ (402) 426-4191 ®FaX (402) 426-4195 Permit
~'; `~ ~
Application Date: ~ Issue Date:
JOB ADDRESS
LEGAL
1. DESCR. LOT N0. BLK. TRACT _
r ~i ;~ - _
^ SEE ATTACHED SHEET
OWNE MAIL ADDR SS ZIP PHONE
CDN C OR _ " MAIL ADD S ,~ _ .~ P. PHONE
4. Class of Work: EW O ADDITION ®REMODEL
5. Describe Work: ~ ~ -v ~`~~~ ~ O Finished Basement Unfinished Basement
6. TOtal Sq. FOOtage (Including Basement and Garage): ~- .k--= Total Finished Area: f ;~-
~`%-~E>
7. Valuation of Work: $ - ~~ ~? ~'~ --~"-
Floodway O Yes O No Dev. Permit
~. FIOOdplain: Fringe O Yes O No BFE
Elev. Cerf.
9. Current Zoning: ®Site Plan Attached ~ , t~ll~lete Plans Attached
/
Approximate Completion Date -
10. State Fire Marshall Required: O Yes O No
Inspections Required and Fees
11. Special Use Permit Required: O Yes ®No
Utilities
Sewer ,l'n-~f.,~c~ water Service 1°~~`~~--
12. Variance Required: O Yes O No ,
~i~ / ~ Rear ~
13. Minimum Setbacks: Front - <~ Side Septic Remote
14. Sidewalk Required:es O No Waiver Approved Stop Box Card
6uildina
NOTICE Footings Drywall
Separate permits are required for electrical, plumbing, heating, ventilating antl air (before finish)
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 Framin Final
permit. I further agree that construction covered by this permit application shall not be
commenceduntillhavereceivedacopyofthisapplicationformsignedbytheBuilding
I
t g
Electrical ~ ~°~C>-'
~~'
nspec
or.
I hereby agree to perform the proposed work in accordance with the specifications set Rough-in Fixtures
forth above and in accordance with the codes/ordinances of the City of Blair and the
State ofNebr~s a. understandthatthispermitisvoidifworkisnotcommencedwithin Final Permanent Service
180 days ris n~ com lete it 'n 2 years of date of issue,
<- _ Temporary Service
~ /' '~' ~'
'~
U Mechanical ~~~ ~.~
°
S~
RE OF 0 ER/CONTRACTCR DATE
/ N
~'
Rouah-in
air.
Final
,r~'~ `~
Plumbing - - c~~.~.,~ ~!~~ °~ ~-.
Ground Work
Rough-in
Final
WHEN PROPERLY VAL AT - (IN THIS
~nnroved BY: _ ~//~
PERMIT
flev. e/96
POUNDS PRTG: Blair, NE
~~~~
o~
~~a
P
' p/"OfY115G
December 24, 1997
Mallette Construction
Rt 1, Box 268A
Blair, NE 68008
RE: Final inspection of new home constructed on Lot 8, Arbor Heights
Dear Pat,
On December 19, 1997, Dale Miller did a final inspection on the above residence.
At that time, the inspection failed; however, occupancy was granted.
This letter is to confirm the final inspection slip that indicated this. project must be
completed no later than Friday, May 1, 1998. Once this project is complete, please contact
our office for a re-inspection. At such time the re-inspection has passed, your building
permit deposit will be refunded.
If you have any questions, feel free to contact either Dale or myself. Thank you in
advance for your cooperation in this matter.
Sincerely,
Brenda Taylor
Administrative Assistant
Enc
218 S.16T ST ET, LAIR, NE 68008-2010 (402) 426-4191 • (402) 426-4195 g'AX
Application Date: ~ ` ~~`~ ~~
Permit -
Permit Fee: $ ~ ~ ~ ~ ~ ~'
~• uescnue vvorrc: ~~?C~~.~-~~:~~
6• Current License on File O Yes ®No ®NA
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®TICE
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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
~"~
DATE
ELECTRICAL PERMIT F
Upgrade Existing Service ...... $10.00
Temporary Service ................ $10.00 /C~ `~'
$10
00
Fire Alarm System
.................
.
..
............................... $15.00
Signs
...
.
Miscellaneous Apparatus ...... $11.00
Commercial/Multi-Family and All Upgrades:
# of Circuits x $2.00
Amp Fee
Amp Fee a- Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
~ ~° sq. ft. x .045 ~ ~ ~ ~~
Receptacle/Switch Outlets
Fixtures x $.75
Residential/Commercial Appliance
# Fixect Outlets x $3.00
Power Apparatus (220 Volts)
# Apparatus x $3.00
Permit Issuance Fee ............. $15.00 ~ ~ ~ ~
TTA~ yy
I ~~ '
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved Oy
. ~
>UNDS PRTG.-Blair, NE Rev. 12/
ly L'. _..d - ~L~~ ~) \ I~.. ~ ~-~ L 0~~~ ~ Yr ~1 Y , ~"~ ~ ~ ~ ~ rr lr _\d ~Id ~ 1\•\
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
,/ /
~
Application Date. Permit F ee. $
JOB ADDRESS
~~ ~ .
LEGAL
1 • DESCR. LOT N0. BLK• TRACT
O SEE ATTACHED SHEET
2. OWNER MAIL ADDRESS ZIP PHONE
3• CON MAILP~ RESS 0 LICENSEN
Op
~
4• Class of Work: O 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 e
~~ ~ ~
Bath ....................................... 8.00 x
Rough-In Bath .......................
$4.00 x ~~G
Utility .....................................
$5.00 x p~
Water Heater .........................
$3.00 x ~> c~
Outside Water Faucet ........... $3.00 x
Water Service ........................ $10.00
NOTICE Sewer .................................... $10.00
I hereby certify that I have read and examined this Groundwork ........................... $10.00 _~ ~~ oG
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
SIGN RE OF RACTOR OR AU , 0 ED A NT
T®TAL
DATE Current License on File es O No ® NA
WHEN PROPERLY VALIDATED (IN THIS SIDE IS YOUR PERMIT
Comment: Approve y
POUNDS PRTG: Blair, NE Rev.12/95
Application Date:
PLUMEINC PERMIT FEES
JOB ADDRESS ~ (r ~ /y ~ ~~ {
~ `f
~bR
LEGAL
1 • DESCR. LOT NO. BLK. ACT
T
O SEE ATTACHED SHEET
2. OWNER ` ~ ~ _ ~~ MAIL ADDRESS ZIP PHONE
3• CONTRAC /~ MAILADD/R~ESS j }~ i PHONE ~.~/ ~ / LIC~E"JNSE N
4• Class of Work: EW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS ®REPLACEMENTS
5. Describe Work: ~ ~ ~ ~,(
Comments:
NOTICE
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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
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
Water Service ........................ $10.00 ~_ / C~
Sewer ....................................
~ C7 .
$10.00 j
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: $ ` ~-°
TOT~4L .~ ~
Current License on File es O fVo ®NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS UR PERMIT
Comment: Approved By:
POUNDS PRTG: Bleir, NE Rev.12/95
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date:
~~ ~:~
Permit Fee: $
,~-,
LEGAL
~ • DescR. LOT NO. ~°°~`' BLK• TRACT '~
s_ ~-~ ~* `>~-~ ~-°° ~ ~° ~
O SEE ATTACHED SHEET
OWNER ~'"~ ~ f °~ MAIL ADDRESS 1 ~ ~ Z ~
~~~. PHONE
3 CON R MAIL ADDR SS PHON
•, << .LICENSE NO.
,
4• Class of Work: NEW RE DENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O REPLACEMENTS
5. Describe Work: ~ e I /` ~~
MECHANICAL PERMIT FEES
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.
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
/~•-3~~~
DATE
~._~~
Forced Air Systems ~ r
Per Unit Commercial/Residential (New) ...................................... $25.00
a'~~"
Air-Conditioner Unit ~°~
Per Unit Commercial/Residential (New) ...................................... $10.00
Refrigeration Units/Coolers
Per Unit Commercial (New or Replacement) .......................
Forced Air Systems/Air Conditioner
Unit Replacement
Per Unit Commercial/Residential (Replacement)
Permit Issuance Fee ............. $15.00
Current License on File Yes
$10.00
................... $10.00
T'OT'AL ;:~. ~~
ONo ONA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
POUNDS PRTG: Blair, NE Rev. 12/95
~,1~ ~. O
~~ ~ 1i
c~ (s- yH
~ J
i~ /[
f?dY/
~~
1~ `'
i
ISUiL1J11V17f 11V~Jt'lsiV11V1V 1T.L'1'V1L1
IXI CITY OFBLAIlt ^ WASHINGTONCOUNTY I^~ OOTHER n
LOCATIONOFINSPE ON: ~2 -I~Y".l'X~ 1' ~ / ~1 I ~n
NAME GF OWNER: I ~ S l A. ~ - CONTRACTOR: / ~~~ -' ~ l" ~J~2
~7 ~
DATE INSPECTIONREQUESTED:G~~`'~~~--~ PERMIT NO: ~ `~~<(1
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
^ FOOTING ^ FRAMING ^ DRYWALL (FINAL
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
^ PERMANENTSERVICE ^ TEMPORARYSERVICE
MECHANICAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: ~PASSED(seExorasi ^FAILED(saExoresT
NOTES/REMARKS:
INSPECTOR~~ G
DATE OF INSPECTION MADE ~- _ ~~ TIME: T G /y
CALLED OPPD\ TO CONNECT' SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO 8LR 1
asur,LaPiu iivar~u•riuiv t~ru.t~,'t'
^ CITY OFBLAIR- ^ WASIBNGTONCOUNTY ^ OTHIR
LOCATION OF INSPECITON~ ~L' ~c~ ~~ ~-P-~' ~~f' 1
NAME OF OWNER: _ • ~~iJ'r~'c,[~.aL',"'~• CONTRACTOR: ~ ~~
DATEINSPECTTONREQUESTED: /~,/ C~li7PERMLTNO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTIONAEQUESTED: ~ ~.
{{ I
~~~~
BUILDING: L
_
5~ ~~
~`
~
^ FOOTING ^ FRAMING ^ DRYWALL G~fl~`
AL
/~
UTILITIES: -yam}
^SEWERTAP ^SEWER ^SEPTIC ^WATERTAP
~~
~
"
,
y~
~l
^ REMOTE ^ WATER SERVICE /,
y
"`
~
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ,
^ PERMANENT SERVICE ^ TEMPORAR Y SERVICE
MECHANICAL:
^ ROUGIi-IN ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^/
I~IFINAL
RESULTS OF THEINSPE~CTIO~. ^ PASSE/D (sEexoresT ^~FAII.E~D (s~a/sxoreSS>~~ %/~~
~
NOTES/REM ~' ~/ C/ _~L~~ ~
~GC/~C~-- ~~`~/~C/~
INSPECTO .
C O
DATE OF INSPECTION MADE: TIME: `
CALLED OPPD\ TO CONNECT' SERVICE:
WANT OFFICE STAFF TO CALL.OPPD\
^ YES ^ NO
^ YES ^ NO BLR 1
DU1LJ.l11V Vf 11V Alt L`vilvt~ ibL'i Vi4i
~] CITYOF$LAIR ^ WASHINGTONCOUNTY ^ OTHER ///,y
LOCATI01~ OP INSPECTION: ~ ~~ `~~ ~ ~ ~ ~~~
NAMEOFOWNER:~G~~~a'~a~S'~T~- C~OINTRACTOR:
DATE INSPECTION REQUESTED: ~~_( ~-~ /PERM[TNO:,- ~~~^777 ~.
TIME INSPECTION REQUESTED: ~3 3 ~ j(}3
TYPE OF INSPECTION RE UESTED: /p
~U-=~~~l~r/C~ ~~i~ ~ E///~~~
BUILDING: ~~~
^ FOOTING ^ FRAMING ^ DRYWALL FINAL ~ ~ i ~
UTILITIES: ~ r ~~~ ~
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ~ ~~
^ REMOTE ^ WATER SERVICE /~ ~ !~
ELECTRICAL: Vr/~ '
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS o
^ PERMANENTSERVICE ^ TEMPORARYSERVICE
MECHANICAL: / E~7 /-~G,~~~ ~~ //~/ /~~
~- /~i2E/JE/VT //~'c.~1 8y ~~~~/4/~
^ ROUGH-IN ^ A/C ^ FINAL '~
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL ~i
RESULTS OF THE INSPECTION: ^PASSED(s~xor~sT ~AILED(s¢xo~sT '~
,,,,,,////// a / ---_
INSPECTOR ~ ~>~ ~ ~
DATE OFINSPECTION MADE: /~/~~~~ ~ TIME: ~G ~~
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YFS ^ NO BLR 1 -
. gsui1.1~1N(x INSPECTION REPORT
~] CITY OF BLAIR ^ WASHINGTON COUNT/Y~ ^ /OTHER ~
LOCATION OFINSPECTION:~D CJ ~ / (~ S .Ii-Rd) /~'/,f 1 ~-P
f NAME OF OWNER: ~~ ~ f ntl.LL~c-r'--v~ CONTRACI'OIt: ~%/J,{q
DATE INSPECTION REQUESTED:/a^~~'~ / PERMTPNO: ~~/~ 1~
TIMEINSPECITONREQUESTED: 1
TYPE OF INSPECTION REQUESTED: ~~J~~(~ ~ ~ 0
BUILDING: ~p~~ ~~ t
^ FOOTING ^ FRAMING ^ DRYWALL C~FINAL ~ 1
UTHLITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ~^; WATER TAP
^ REMOTE ^ WATER SERVICE ~ ~ C~ ~~~-~~
ELECTRICAL: ~ ~~~~/CO ~~2
~EC_~~2EE"~
^ ROUGH IN ~ ^ FIXTURES ^ FINAL ^ MOTORS i
^ PERMANINTSERVICE- ^ TEMPORARYSERVICE
MECHANICAL: L!~
^ ROUGH-IN ^ A/C ^ FINAL ~ ~~ ~~~fit-~~
I
PLUMBING: I
^ GROUNDWORK ^ ROUGH-IN ^ FINAL 1
RESULTS OF THE INSPECTION: ^PASSED(s~xorasT FATLED(sEExo~t~.s)
NO /REMARKS: ~/~ /C'l~ ~,~/~/p~ ,(t!J
~~~
INSPE /spy ~
DATE OF INSPECTION MADE: ~ l~ % / ~; c ~~
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^NO ~
WANT OFFICE STAFF TO CALL OPPD\
• ^ YFS ^NO BLR i
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