BP7550The City of Blair Building Permit Detail
Permit #: 7550 Issued: 03/04/1997
Completed: 03/05/1997
Type: Residential Remodeling
Valuation: $2,685.00
Owner: Don Watts
Address: 1865 Grant Street
Blair, NE 68008
Phone:
Section: Township:
Subdivision:
Change Roof
Inspections Date By
03/05/1997 DEM
Range:
Lot:
Final Inspection of Project
Permit Fee: $30.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Remarks
Contractors
Hansen Construction
General Contractor
Permit # Issued
r_~ ~~~ Jurtsdtctton of Clty of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195
Permit
Application Date: ~'~ ~ " ~ ~ Issue Date: ~ ~ Lr ~
7550
JOB ADDRESS
~ ~b S ~J''i'G~-t~ ~ `~ .
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
2.OWNER ^ O n r ~ ~ r ~ MAIL ADDRESS ZIP PHONE
~J ~1
MAIL ADDRESS ZIP PHONE
CONTRACTOR
3. f~-U~ ~ls~n ~C~~ls~-r c~c~~r1 2~ f L~~ 2 L 15 / cc ~ ~ - `1 U
4. Class of Work: O NEW O ADDITION ,I~REMODEL
5. Describe Work: ~~~ ~ ~ f~~ ~ 100 _ Lu,,~n~(~ O Finished Basement O Unfinished Basement
hc~s ~/ ~ YOU~~
6. Total Sq. FOOtage (Including Basement and Garage): Total FII11Shed Area:
7. Valuation of Work: $ Z (o ~ S-. 0 (~
Floodway O Yes O No Dev. Permit
8. FlOOdplain: Fringe O Yes O No BFE Elev. Cert.
9. Current Zoning:
10. State Fire Marshall Required: O Yes
11. Special Use Permit Required: O Yes
12. Variance Required: O Yes O No
13. Minimum Setbacks: Front
14. Sidewalk Required: O Yes O N
O No
O No
Side Rear
o Waiver Approved .
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septicsystems. Bymysignature below, I acknowledgethat 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.
hereby agree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codes/ordinances of the City of Blair and the
State of Nebraska. I understand thatthis permit is void if work is not commenced within
180 days or is n complet d within 2 years of date of issue.
-- Z-I ~ ~
SIGNATURE OF OWNER/CONTRACTOR DATE
BUILDING PERIIIIIT APPLICATION
O Site Plan Attached O Complete Plans Attached
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Building
Footings Drywall
(before finish)
Framing ~ ~~ ~ Final ~ 5 "~
Electrical
Rough-in Fixtures
Final Permanent Service --
Temporary Service
Mechanical
Rough-in A\C
Final
Plumbing
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS~A_~S YOUR PERMIT
~ Rev. fil96
POUNDS PRTG: Blair, NE
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• lQPO~OSA~ Proposal No.
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We hereby propose to furnish all1 the material; and perform all the labor necessary~;fd ~e'~ci~o
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specified, and the above work to be performed m.,
All material is gugrariteed to be as
accordance with-=the drawings';
and specifications submitted for above work and completed , in ' a substantial workmanlike , mannerfor~th~e~~sum ~~ of
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Any alteration or deviation from above specifications involving
extra costs,
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become an extro charge over and abova the estimate.. All agreements '.contingent upon ;tr~ke5`;' accidents ;or, d lays jtcnd~
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