BP7879The City ®f lair uilciin Permit efail
Permit #: 7879 Issued: 07/28/1997
Completed: 02/25/1998
Owner: Mardell Ryan
Address: 2116 Front
Blair, NE 68008
Phone: (402) 426-3741
Section: Township:
Subdivision:
Siding
Inspections Date 13y
02/25/1998 I(AR
Type: Siding Permits -All types
Valuation: $4,950.00
Range:
Lot:
Final Inspection of Project
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt :
131ock:
Pass
Remarks
Contractors
Frank Gabby Siding & Windows
General Contractor
Permit Issued
~' ~ c:,
Application Date: ~`~ ~ `~~ ~ Issue Date: ~ `- ~~ ~,
JOB ADDRESS ~ / ~ ~~
LEGAL
1. DESCR. LOT No. BLK. TRACT
^ SEE ATTACHED SHEET
0 R f f ,RESSx,(!~~ / ZIP
2. G' 4p ~J rr~-c ~
~~ J ~PH~ ~ ~ /
/
4~
CON ACTOR MAIL ADDRESS ZIP PHONE
4. Class of Work: ®NEW ®ADDITION ®REMODEL
5. Describe Work: ! _ ~~,~ ,~~~__ O Finished Basement O Unfinished Basement
6. Total Sq. Footage (Including Basement and Garage): Total FInlShed Area:
7. Valuation of Work: $ ~~~ ~ ~ ~
Floodway ®Yes O No Dev. Permit
Floodplain:
8
Elev. Cert.
.
fringe O Yes O No BFE
9. Current Zoning: ®Site Plan Attached ®Complete PIan~Att hed
Approximate Completion Date ~~ ~l ~'
10. State Fire Marshall Required: ®Yes ®No
Inspecti®n s Required and Fees
11. Special Use Permit Required: ®Yes ®No
Utilities
12. Variance Required: O Yes ®No Sewer Water Service
13. Minimum Setbacks: Front Side Rear
Septic
Remote
14. Sidewalk Required: ®Yes O No Waiver Approved Stop Box Card
Buildin
N®1'9C Footings Drywall
Separate permits are required for electrical, plumbing, heating, ventilating and air (before finish)
conditioning, and septic systems. By mysignature 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 g
commenced until I have received a copy of this application form signed bythe Building El
t
i
l
In
t ec
r
ca
spec
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 of Nebraska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin Final Permanent Service
180 days or i of co leted within 2 years of date of issue. Temporary Service
~~~
Mechanical
SIGNATURE OF OWNER/CONTRACTDR DATE Roush-in nor.
Comment:
Final
Plumbina .
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
w
Rev. 8/96
'JNDS PRTG: Blair, NE
-- -
--- ----
_-------
I
~/
~(- CITY OF BLAIR ^ 1?gASHIN~T'ON COUNTY ^ OTHER
~ - ~- \
LOCATION OF INSPECTION: ~~ ~ , 1--~ (~~ G ~°
NAME OF OWNER; ~~ , ~~ hr`1 CONTRACTOR: l ~~1 ~~~
j _ I
DATE INSPECTION REQUESTED: PERMIT N0: 1
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING: ~~
~_~~~~! r~.~ ~ ~
^ FOOTING ^ FRAMING ^ DRYWALL \~X FINAL
/ t4
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
^ PERMANINT SERVICE ^ TEMPORARY SEP,VICE
MECHANICAL:
^ ROUGH-W ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH- ^ FINAI,
RESULTS OF THE INSPECTION: ASSED ~sEaNO•rES~ ^ FAILED ~s~ xoTESI
NOTES/REMARKS:
DATE OF INSPECTION MADE:~~" /~'HME: ~J
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO'CALL OPPD\
• ^ YES ^ NO BLR 1