BP8155TMe City of Blair Building Permit Detail
Permit #: 8155 Issued: 05/19/1998
Completed: 08/18/1998
Owner: Mike Rasmussen
Address: 1943 Front Street
Blair, NE 68008
Phone: 402-426-9021
Permit Fee: $25.00
Issue Fee: $15.00
Deposit Amt..
Receipt #:
Section: Township: Range:
Subdivision: Lot: Block:
16'x24'x14'4" garage -single car on floating slab - 384 total sq. ft. Son-in-law doing work -John Borger 2165
Wa_shin~ton Street, Blair Phone # listed - fiend permit to John..
Inspections Date By
06/19!1998. DEM
07/27/1998 KAR
118/11/1998 KAR
08/18/1998 DEM
Remarks
Contractors
SELF
RQbin~on. Electric,. Plug.. c~c Htg,
Footings
Electrical Rough-ins
Elec#rical Permanent Service
Final Inspection of Project
General Gontractor
Electrical Subcontractor
Type: Garages -New Construction
Valuation: $2,500.00
Pass
Pass
Pass
Pass
Partial
Permi# # Issued
Q497 08[11!1998
JOB ADDRESS
~7~ •\
~
LEGAL
1. DESCR. LOT NO. BLK. TRACT
®SEE ATTACHED SHEET
2 OWNER ~ ~` ~~ ~ ~ c„ ~ MAIL ADDRESS
] ZIP HQNE~ Ty
MAIL ADDRESS
CONTRACTOR I{~ ~ ' PHONE
4. Class of Work: ®NEW O ADDITION ®REMODEL
I `. 8
5. Describe Work: t ~ 1~t ~ t t ~~;~'~~ ~ `~) t
~,i ~ ~ ,,~- ~ O Finished Basement O Unfinished Basement
~e...~) 4 ~ ~.. Y
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~
~ ~- -'
6. Total Sq. Footage (Including Basement and Garage): Total FlnlShed Area:
7. Valuation of Work: $ f`°~,~ ' ~`"-~~
Floodway O Yes O No Dev. Permit
8. Floodplain: Fringe O Yes O No BFE
Elev. Cert.
9. Current Zoning: ~ ~ Site Plan Attached ~ ~~Compl~t ;Plans Attached
.
~
~'
~
Approximate Completion Date -.~~ -
- .~
~
10. State Fire Marshall Required: ®Yes ®No
Inspections Required and Fees
11. Special Use Permit Required: ®Yes O No Utilities
12. Variance Required: ®Yes O No Sewer Water Service
13. Minimum Setbacks: Front Side Rear
Septic
Remote
14. Sidewalk Required: CJ Yes ®No Waiver Approved Stop Box Card
Euildin
Nf,'TIC Fo~g~ Drywall
Separate permits are required for electrical, plumbing, heating, ventilating and 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
Fr
atf
~
permit. I further agree that construction covered by this permit application shall not be
commenced until I have received a copy of this application form signed bythe Building Electrical
Inspector.
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. I understand thatthis permit isvoid if workis not commencedwithin Final Permanent Service
180 days oris not completed within 2 years of date of issue.
~
?
Temporary Service
~ ~ ~~~~
°'
.~~
1t
Mechanical
G TURE OF OWNER/ NTRACTOR DATE
Rouah-in
ABC
E
Comment:
Final
Plumbin _
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDAZED (IN THIS SPAC~E,)~~'~f~,IS YOUR PERMIT
POUNDS PRTG: Blair, NE Rev. 8/86
Application Date: (I ~
Permit Fee: $ [~ ~ ~r~
JOB ADDRESS' ~y ~ ~~~
`-~1 /
LEGAL
~ . DES~R. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2 OWN MAIL ADDRESS
c- ~~ ZIP PHONE
~
CON RACTOR .J (~ b(1°~ MAIL ADDRESS ~ ~ `\~ R ~NE
, W ~~ LICENS~~
4• Class of Work: NEW RESIDENTIAL ®NEW COMMERCIAL
®REMODELING/ADDITIONS ®UPGRADE SERVICE
5, Describe Work:
6• Current License on File O Yes ®No ®NA
New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL MIT P
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 Fire Alarm S stem $10.00
y """"""""'
301-400 Amp Fee $ 42.00
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 ~ •v~
IF OVER 1000 Amp Amp Fee r ~ ~ ~
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 Single/Two 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
ill b
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d
ith
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ifi
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wor
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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. Residential/Commercial Appliance
# Fixect Outlets x $3.00
Power Apparatus (220 Volts)
# A
aratus x $3
00
pp
.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
/~--~~ Permit Issuance Fee .............$15.00 ~ ~.®®
DATE
TTY / P®
(O~ ~~/
WHEN PR®PERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved Eiy:
~U11.1111VCa 11Vn9Yl'il:"11V1V tG1+iYVli,-1-
CTTYOFBLAII2 ^ WASHINGT~jO(N_LC/OUNTYpr/^ O\THER~
LOCATION OF INSPE ON: / / -I ~ T ~ O 4~\/~-
NAME OFOWNER: _ ~ 1 ~ ~ ~~ ~C~NT~RA~CTOR SSr l"~
DATE INSPECTION REQUESTED: ~ ~ ~ ~//~,,~ r~ll pERM[TNO: ~~
TIME INSPECTION REQUESTED: (/O•'IJIJ
TYPE OF INSPECTION REQUESTED:
BUILDING:
1 ~~~ ~~
^ FOOTING ^ FRAMING ^ DRYWALL ^Y FINAL
UTILITIES: / \
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
^ PERMANINTSERVICE ^ TEMPORARYSERVICE
MECHANICAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: PASSED(seExores> ^FAILED(sFExorES7
NOTES/REMARKS:
INSPECT ~ J~ /'
DATE OF INSPECTION MADE. TIME: ~CJ G
CALLED OPPD\ TO CONNECT' SERVICE: ^ YES ^ NO
~5U1L1,11VV 11V~9YL' l.~bll)1`l t61',Y11161
~iTYOFBLABt ^ WASHINGiTOc~NC`O/UNTY ^ OTH„E,R~
LOCATION OFINSPECFI'O,N: ; / / ~ y/r9L! / ~~
NAME OF OWNER: ~'` a ~,v; rr SS ~ 1~ CONTRACTOR:
DATEINSPECTSONREQUESTED: R~~ ~~ PERMTTNO:~L~~
~ ti _/,E /
TIME INSPECTION REQUESTED: /~~ ^' !~-~
TYPE OF INSPECTION REQUESTED:
BUILDING:
^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL: I I
^ UGH IN ^ FIXTURES ^ FINAL ^ MOTORS ~ ~ i l
ERMANINT SERVICE ^ TEMPORARY SERVICE t ~ (7 ~~~
MECHANICAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUG - ^ FINAL
RESULTSOFTHEINSPECTION: ~pASSED(SEExores> ^FAH.ED(s~xo~s>
NOTES/RF.MARKS: ~/
~y J/_ ~ ~ %11 I~% ..
INSPECTOR:T"/' /,~~iL~ ~ ~/ y~-~~LY~r-
DATE OFINSPECTION MADE: (X' / //TIME: ~~ `
CALLED OPPD\ (~~U TO CONNECT SERVICE: `+~E~S ~ ^ NO
WANTOFFICESTAFFTOCALLOPPD\ ` {~`YFS ^NO BLR1
aBIIILllING INSPECTION I3,EPOII,T
~iC1TYOFBLAll2 ^ WASIIINGTONCOUNTY ^ OTHER
/9~'-~ ~- --~ -
LOCATION OF INFECTION: v t /~ ~2-(' ~-'-~
NAME OFOWN,E[2 ~'~%=,G.(' G{-=//u~=~pf~~OR: ~~/t _
DATEINSPECTIONREQUESTED: ~. /~~ pIItMCTNO: / rJ ~ J~
TIME INSPECTION REQUESTED: -~: L~ '~' 1~ ~,
• ,,,
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1
® CTTYOFBLABt ^ WASHIN/GnTON/COJUNTY ^ OTHEfR ~/~11
LOCATION OF INSPECT/nI~ON: - / "I L! "7 ~l~ ~~ /lt 1''/ Y P rP
NAME OFOWNER: ~ (~ ~~L~ ~C LI /~ CONTRACCOR: .-.Q~z I
DATE INSPECTIONREQUESTED: -~~-G(~) pERMITNO: L-' ~~.1~
TIME INSPECTION REQUESTED: ~~ ~ 3rd ;~ ~_-~
TYPE OF INSPECTIONREQUESTED:
BUILDING:
^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^REMOTE ^WATERSERVICE
ELECTRICAL: _,r ~/~ r ;h' ~~
~ROUGHIN ^FIXTURES u^'FINAL ^MOTORS
PERMANINT.SERVICE ^ TEMPORARY SERVICE
MECHANICAL:
]ROUGH-IN ^ A/C ^ FINAL
LUMBING:
]GROUNDWORK ^ROUGH-IN FINAL
ESULTSOFTI-IEINSPECTION: ASSED(sEExoTFSI ^FAIl,ED(seExoiESl
OTES/REMARKS: f
ISPECTOR: " <
ATE OF INSPECTONMADE: ~ ~a:1~, ~ _
1LLED OPPD\ TO CONNECTSERVICE: ^ YES ^NO
ANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1
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
MECHAMCAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^JRJOUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: L~PASSED(sEExorFSl ^FAII.ED(sEExo7FST
NOTES/REMARKS: /
INS / ~
DATE OF INSPECTIONMADE: ~ TIMg; ~~C~~
CALLED OPPD\ TO CONNECT SERVICE: ^ YFS ^ NO
i WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1
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