BP7586A
The City of Blair Building Permit Detail
Permit M 7586 Issued: 03/26/1997
Completed: 11/05/1997
Owner: William Smutko
Address: 652 S. 23rd Street
Blair, NE 68008
Phone:
Section: Township:
Subdivision:
Deck
Inspections Date By
11/05/1997 KAR
Remarks
Contractors
SELF
Range:
Lot:
Type: Decks - All types
Valuation: $1,300.00
Final Inspection of Project
General Contractor
Permit Fee: $15.00
Issue Fee: $15.00
Deposit Amt.:
Receipt M
Block:
Pass
Permit # Issued
BUILDING PERMIT APPLICATION
"Permit Fee:
Jurisdiction of City of Blair, Nebraska
,
Issuance Fee: �218 South 16th Street16',D 7 Blair, Nebraska 68008
Deposit Receipt #: (402) 426-4191 - Fax (402) 426-4195 Permit -7586
Application Date: Issue Date:4 //� 7
JOB ADDRZ,5,,, j
LEGAL LOT NO.
1 . DESCR.
BLK.
TRACT
❑ SEE ATTACHED SHEET
2 OWNER �Y a /_MAILADDRES$
W
61�r
SS
ZIP ze /PHONE
G�
3. CONTTOR
MAIL ADDRESS
ZIP PHONE
4. Class of Work: 0 NEW 13 ADDITION
O REMODEL
5. Describe Work:
�
O Finished Basement 0 Unfinished Basement
6. Total Sq. Footage (Including easement and Garage):
Total Finished Area:
7. Valuationof Work: $ /&D e? �0 0
Floodway O Yes O No
n: Fringe eO Yes O No
E;;i
Dev. Permit
BFE
Elev. Cert.
9. Current Zoning: ,,a
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: 13 Yes O No
13. Minimum Setbacks: Front aS Side Rears
14. Sidewalk Required: O Yes 17 No Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
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
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 by the Building
Inspector.
I hereby agree to perform the proposed work in accordance with the specifications set
forth abovef1briask-
or ce with t odes/ordinances of the City of Blair and the
State of lerandtha ermitisvoidifworkisnotcommencedwithin
180 days op ted wit a e issuei�/�/�
Comment:
9'
�i9/2b �Di✓/•��
O Site Plan Attached O Complete Pla s Attached
Approximate Completion Date /0 " % — %
Inspections Required and Fees
Utilities
Sewer
Septic
Building
Footings
Framing
Electrical
Rough -in
Final
Temporary Service
Mechanical
Rough -in _
Plumbin _
Ground Work
Rough -in _
Water Service
Remote
Stop Box Card
Drywall
(before finish))
Final ,e
Fixtures
Permanent Service
XC
Final
WHEN PROPERLY VALIDATED (IN THIS SP E) THIS IS YOUR PERMIT
tnnroyed By:
POUNDS PRTG: Blair, NE Rev. We
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B ITILDING INSP `
ECTION REPORT
Iii ny—OF BLAIR ❑ WASIRNGTON COUNTY
❑ p MER
LOCATION OF INSPECTION: s.
NAME OF OWNER:,-'r , 4 d 4,
CONTRACTOR:
DATEINSPECTIONREQUESTED:
PERMIT NO:
TIME INSPECTION REQUESTED: f� y
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑FOOTING ❑FRAMING ❑ DRYWALL AL
UTILITIES:
❑ SEWER TAP . ❑ SEWER ❑ SEPTIC
( ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
E' ELECTRICAL:
❑ ROUGH IN ❑ SURES '
_ - E] FINAL
❑MOTORS '
❑ PERMANENT SERVICE
. E] TEMPORARY SERVICE
MECHANICAL;
❑ ROUGH-IN ❑ A/C ❑ FINAL
PLUMBING:
GROUNDWORK ❑ ROUGH-IN ❑FINAL
RESULTS OF THE INSPECTION.
ASSED (SUNoTB) ❑FAILED (suNom)
NOTES/RPMARKS: