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BP7909Y~e-~ ,~ ~i~{c~ ~1~~lgL~ The ity ® lair uilin Permit etail Permit 7909 Issued: 08/20/1997 Type: Residential -New Construction Completed: 03/26/1998 Valuation: $110,000.00 Owner: R.J. Builders Permit Fee: $515.00 Issue Fee: $15.00 Address: 1113 N 28th St ®eposit Amt.: $200.00 Receipt 5412 Blair, NE 68008 Phone; 402-426-8460 Section: Township: Range: Subdivision: LARSEN-4TH Lot; 4 Block: 2 New house with attached garage. 1625 sq ft finished with 410 garage. Inspections Date By 08/22/1997 KAR Footings Fail 08/26/1997 KAR Footings Pass 09!03/1997 KAR Electrical Temporary Service Pass 09/08/1997 DEM Water Service Pass 09/08/1997 DEM Sewer Lines Pass 09/09/1997 DEM .Plumbing Gourndwork Pass 10/10/1997 DEM Plumbing Rough-ins Pass 10/10/1997 DEM Mechanical Rough-ins Pass 10/10/1997 DEM Electrical Rough-ins Fail 10/10/1997 DEM Framing Pass 12!02/1997 DEM Electrical Permanent Service Pass 02/26/1998 DEM Electrical Temporary Service Fail 03/26/1998 DEM Final Inspection of Project Pass Remarks Contractors R.J. Builders, Inc. General Contractor Permit Issued Aksarben Heating &A/C, Inc. Heating Subcontractor 84 11/19/1997 Blair Plumbing Plumbing Subcontractor 86 08/26/1997 Dick's Electric Co. Electrical Subcontractor 301 02/24/1998 Dick's Electric Co. Electrical Subcontractor 86 08/15/1997 Henton Trenching, Inc. Plumbing Subcontractor 87 09/05/1997 JOB ADDRESS ~C~ T'. LEGAL 1. DESCR. LOT N0. C "`°i" BLK. TRACT j~ ~ ~~ ~ - ~ 7 `'t<['.l~_ ~~ , ®SEE ATTACHED SHEET OWNER MAIL ADDRESS . ,~ ZIP PHONE 2. t (~.l~r ~ r~ ~ . `~ ~ ~ ~ d~ ~ ~-. ~t t, yr W ~ ~ ~l ~ ~ CONTRACTOR MAIL ADDRESS 3. ZIP PHONE 4. Class of Work: EW O ADDITION ®REMODEL 5. Describe Work: ~°~, ~-L~ ~~ t ~~ ' ~~,~~~ ~~;~~~, ®Finished Basement Unfinished Basement ~Yw~ ~; 6. Total Sq, FOOtage (Including Basement and Garage): ~ ~, ~- ~ I { Total Finished Area: ) l~'~ ~~ 7. Valuation of Work: $ ~ ~ (~ ~~(; ~' Floodway O Yes O No Dev. Permit 8. FIOOdplain: Fringe O Yes O No BFE Elev. Cert. 9. Current Zoning: ~ ®Site Plan Attached O Complete Plans Attached 10. State Fire Marshall Required: O Yes O No Approximate Completion Date ~' ~ ~ ~ ~ ~ Inspecti®ns Required and Fees 11. Special Use Permit Required: O Yes O No Utilities ,) _ /, ,~~ ,/~ ~ ~~~~ "'"`y`~' ~ ' ~ 12. Variance Required: O Yes O No Water Servicra Y~-~° ~ Sew ' ' `~ 13. Minimum Setbacks: Front ~~ Side ~ Rear Septic Remote 14. Sidewalk Required:,~Yes O No Waiver Approved Stop Box Card Building N®TICE Footin ern" Separate permits are required for electrical, plumbing, heating, ventilafing and air (before finish) conditioning, and septic systems. By mysignature below, I acknowledgethat payment of the building permit application fee does not constitute issuance of this building a>' Fram~ Fir permit. I further agree that construction covered by this permit application shall not be commenced until I have rec 'ved copy of this application form signed by the Building Ins ector y Electrical ~ `~ .[~~,4,t p . I hereby agree top rf t prop sed work i ccordance with the specifications set f h b d i Rough Fixturesl ort a ove~ cc ante h t co rdinances of the City of Blair and the StateofNe r~ I derst th i it isvoidifworkisnotcommence ithin for r no 1 flQ d o l = ' f d t f i Firy~ PermanentSe~e , } mp w s o a e o ssue. ~ ~ ' Temporary Seryit<e I DA Mechanical ~~ S GNATURE OF OWNER/CONT C R Rough-ir~ nv~ POUNDS PRIG: Blair, NE Rev. B/96 RJ BUILDERS, INC. 407 South 16th Street BLAIR, NEBRASKA 68008 (402) 426-8460 FAX (402) 426-3790 JOB SHEET NO. CALCULATED 8Y. CHECKED BY_ DF_ DATE DATE ~~ f-.:~. ~~' ~....g .... ~ Ic ~l~ PRODUCT 2044 (Single Shee1s~2069 (Padded( os®Inc.,Groton,Mass.Otd7t. To Order PHONE TOLL FPEEI.800.225-6380 JOB ADDRESS / 1 LEGAL • LOT N0. BLK. TRACT - ~ O SEE ATTACHED SHEET DESCR. ~ OWNE - ~ MAIL ADDRESS 2. ZIP PHONE ~ _ 3• CON RACT ~ C~ MAILADDRESS ~~'(', PHONE LICENSE NO. 4• Class of Work: „NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~°,V~, ~~~ ~ `~ I~~ ~` 6 ~ ~.. 6• Current License on File Yes O No DNA ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee .......................•.,.. $ 13.00 Upgrade Existing Service ......$10.00 101-200 Amp Fee $ 18.00 Temporary Service $10.00 f ~ GcJ -- 201-300 Amp Fee .......................•..., $ 30.00 Fire Alarm S stem 10.00 y ................. 301-400 Amp Fee ............................ $ 42.00 Signs .....................................$15.00 401-500 Am Fee $ 55.00 p ............................ $ 501-600 Am Fee 67.00 p ............................ Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 p ..............•...•.,.,...,. 801-900 Am 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 New Residential: (Finished Area) NOTICE I hereby certify that I have read and examined this Singl /lTwo Fa ily Dwellings ~~sq. ft. x .045 `~ application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be complied with whether specified herein 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 Smoke Detectors X $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) ~ x $3.00 t Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR AUTHO ZED AGENT # Apparatus x $3.00 ® ~~ ~q Permit Issuance Fee .............$15.00 ~~~~ DATE TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: . ~~ ~ POUNDS PRTG: Blair, NE Ra~• ~9T Application Date: ~ ~f °~ ~~/ 1 Permit Fee: $ JOB ADDRESS LEGAL ~ LOT N0. BLK. TRACT O SEE ATTACHED SHEET • DescR. 2 OWNER ,~, . ~ MAIL ADDAE ~ Zlp, PHONE _ ..-v+~ 3. CONT CTOR .~ ® MAILA ESS ~~• ~ / PHO LICENSE NO. ~• Class of Work: NEW RESIDENTIAL ®NEW COMMERCIAL O REMODELING/ADDITIONS ®REPLACEMENTS b. Describe Work: Comments: MECHANICAL PERMIT FEES ~~-- Forced Air Systems .~~ 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. Permit Issuance Fee .............$15.00 ~' M1 1 o i T®'Ti4L gg LL SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT s~# Current License on File Yes O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: d POUNDS PRTG: Blair, NE Rev.12/95 "~ -® ~) ~ ~' r it ' 1 i , ~ ~ -~j " ~ ~ j~ ~',t Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~ ~ ~~ / / Permit Fee: $ ~ ~- JOB ADDRESS ~/ ~~ ~~. ~r~ ~~. LEGAL 1 • DESCR. LOT N0. BLK. TRACT O SEE ATTACHED SHEET 2. OWNER n ~ ~~. ICI ~ ~~ MAIL ADDRESS .~-~~ ZIP PHONE ~ ~ ~ ~ IL ADD~RE$S ~ ~ ~ ~~PH~O~E 3• CONTRACTO~~ ~t`~ ,^~ ~ r ~ f LICENSE N0~ ~+ 4• Class of Work: EW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS ^ REPLACEMENTS 5. Describe Work: Comments: PLUMBING PERMIT FEES Type of Fixture No. Kitchen .................................. $8.00 x ~_ ~ ~ C~C~ Bath ....................................... $8.00 x ~ l to ~ C~ C~ Rough-In Bath ....................... $4.00 x i y ~ ~~ Utility ..................................... $5.00 x ~ - Water Heater ......................... $3.00 x ~ ~ < ~ Outside Water Faucet ........... $3.00 x ~ ~~ C~C~ Water Service ........................ $10.00 NOTICE Sewer .................................... $10.00 I hereby certify that I have read and examined this Groundwork ........................... $10.00 ~_ l a• O~C) 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. ~ i ti '' #~ Permit Issuance Fee $15.00 / S r IGNATURE OF CbyNT AGTOR OR AUTHORIZED AGENT (° ~ ~. ~~ i TOTAL DATE Current License on File Yes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y~QUR PERMIT Comment: Approved By: POUNDS PRTG,•Blair, NE I~ Rev. 1?J95 JOB ADDRESS ,- LEGAL LOT N0. BLK. TRACT ~ • DESCR. O SEE ATTACHED SHEET 2 OW ~ ~ MAI~ADDRESS ~ PHONE ~~s r3 CON RA TORr gg ~ A R SS ~ ..~ PHONE - LICENSE N0. ~. ~~ 4• Class of Work: EW RESIDENTIAL O NEW COMMERCIAL ®REMODELING/ADDITIONS ®UPGRADE SERVICE 5• Describe Work: 6• Current License on File 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®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. ~ ) ~ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ~°°~ DATE LCTIAL PERMIT FEES Upgrade Existing Service......$10.00 Temporary Service ................$10.00 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) Sin le/Two Family Dwellings 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 ~~~ ~ E~` T~~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved Ry; ~~ ,. POUNDS PRTG,-81air, NE Rev. 12/95 Permit Fee: $ ~-~ ~-; .. -~ JOB ADDRESS w ~ ~ t _ LEGAL 1 • DESCR. LOT NO. BLK• TRACT O SEE ATTACHED SHEET 2. OWNER _-~'~ ~ ~` = ~ MAILADDR~SS ZIP c.v..~' PHONE 3• CONTRAC ~ \~ ~ MAQ,ADDRESS PH E ON LICENSE NO ~• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS ~ REPLACEMENTS 5• Describe Work: Comments: PLUMBING PERMIT F 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:~r~ ~~,~ ° - NOTICE Sewer .................................... $10.00 ,1-~<°.~ _~. 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) ~~ `am Permit Issuance Fee .....,...... $15.00 ~ ~ .,. ~ °~° ' °~,~~,a~ -~---~ y t./ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ..~ :~' ~~ TOTAL - DATE Current License on File ®Yes O No ®NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blair, NE Rev. 12/95 ~ ~ ~~ ® ~ d d ~ z o ^ ° ' c ~ z w-~ ~M ~ - ~ ~ I ~ Zi 3 z ~ s~ s ~ 0 ~ ^ U~- ~ ~ ~ ~ O 3 U U ~ q q '~ ~ O z o ° a W h a ~, U i©, ° z an ~ ~ ~ ~~ ~~ ~ 0 , ~ 2~ ~ „ ® ~ V 0 °z 1 ° ~ ^ ~ ~ ~ /-~' v p^ ~1 7~ ~ U1 Z o ' ~ Mi ~ ~ ~ ~ r Q n r~ ~ 3 z ~'; ~- F ~' 1~ ~ ~ O ~ z U ~ ° ~ o ~ ~ ~ ~~ ~ .°, a ~ i ~ ~ ~ ° ~ ~ r I® ~" ~ - i ~- ~ I ~ ~~i '° o ~ z ,~ _ ~ ° ^ ~ ° 0. a ~~ ~ ~ Z F i I . ~ ~ F7 cz ~ ~ J ~- C rr p kc I V I ~ i A C K 3 0 ^ ~ ( ~ u~ ~ ~ `~ ~ ~ ~ ~ U `~ qq pq ~ O z ~' U ~s ° O ~ ~' ~ A a h ~ w C F tx. ~ ~ ° ~ ~ ^ ~ 3 .°~ > ~ ^ ^ ~ ^ ~ ~ ~ ~ ~¢ ~ ~ °w ~' ~ ~ ~ ~ W ~ ~ W o ~ a ~ asa a F W a z~ F W C ~ ~,-i ~ ~ 3 Fem., Q ° ~ O c`~ O u ~ vU ~ Z ~ ° ,a ~ ~ ~~+ v~ rx W a a U a ~ c~7 a F 0.x1 ^ ~ ^ ^ W ^ ^ ~"' ^ 0. ^ vw.'S z l ~~ ~~ ~ ;~ ~~~ ~ Q a ~ ~ '` ~ ~' ° \~~¢ ~ `a ~ a~~~~ o ~ ^ ^ ^ y Z gg~ ^ ^ a ^ ~ ^ ^ U ~ a ~ `~ o W u,7 ~." c ~ 3 ~ 5 ~ ti ^ ^ ^ ^ '~,~" ^ z ~ pp,, F ~ ~ F .7 ~ ~ C ~ ~ F w ~ ~ c`3- ~ o a ~ ~ ~ ~ z ° a d ~ ~ h ~ w °x o, cxi °x ~ ~ p ^ ~a ^ ^ w ^ ^ ~ ^ a ^ z ~o h ~ ~ H ~ ~ o 3 ,°'~ > ^ ^ ^ ry o ~ ~, z ~ ~ ~ ~ a `r~ c5 z ~~ ~ a C U U F ^ o o ^ W o ~ ° C ~ O G~ ~ O ~ ~ g ,~L Cx7 Z. ° o~ o o W o ~~ o~ o ~ m °z °z ^ ^ ~ ~ ^ ^' U 0 0 0 a ° U O u~', F a v o ~ °w o U m 0 0' ~ ~: ^ ^ U zxh O 0 a O J U E w F y a 0 w° o a ~ 3 0 a 0 a 0 m 0 0 ~ ~ ~^ U 1 \ ~ .. o A a ~ O U ~ ° o ~ w ~ ~~ F W h ~ ~ W O w ° s ° A ~ 3 ® ~ e~ ~`~ I I 1- 'x ~ o ~ z ® ~ ~ ~ O . ^ ~ ~ I ~ ~ ~ ~n ~_ U~ ~ ~ I a~ r V I o U _ ~ :.,~ ~ ~ ~ ~j - ' Fi zO ~ \ L ~ i rl~ `~ F ., ti ~ m ~ 3 0 1 ~ ^ ^ I~ ^ ~ w ® i I I w ~ ~ a o z 0 F -~ w o ~ W M 1 ~~ 6 O ~ ~7 i ^ ° z a ~ ~~ ®~~ ~ ~ ^ I ~ ~'~ U z H ~~ 3 z ^ %% a ~ a :a k ~ c o O 0 a a m z z ^ o ~ ~ U 0 s a 0 ~a U, O uw., E s " a o ~ °w o a ~ 3 ! ~ i I 'O is i ~ `~ H a o ~ "M 0 1 ~'° Zi 3 z ~ a ^ ~ r~ a I ~ ~ o pq o z l ~ 1 U r\n,/ o 0 0 ~~ m z °z ^ ^ 0 ~ ~ ^ ^ FO U ~ ~~) '\ ~ U 3 ~ 5 ~ ~\V` l{ ~ s ` ~ ~i S~ ~"" ~ zz as ~ ~ l ~ ~ p G 0 ~ U . _ W A ^ ^ w ~C ^ F ^ . 4'j a \~ ~ \ O 0. . . 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