BP8639The City of Blair Building Permit Detail
Permit #: 8639 Issued: 10/15/1999
Completed: 11/03/1999
Owner: Alan & Dawn Bunch
Address: 214 S 20th
Blair, NE 68008
Phone: 402 533 2843
Section: Township: Range:
Subdivision: Lot:
Tear off and overlay
Inspections Date By
11/03/1999 KAR
Remarks
Type: Roofing permits -All types
Valuation: $3,500.00
Final Inspection of Project
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
McKinnis Roofing & Sheet Metal General Contractor Permit # Issued
. ~ BUIL
Permit Fee:
Issuance Fee:
Deposit Receipt #:
DING PERMIT APPLICATION ~e~-~ ~
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 ~ Fax (402) 426-4195
Permit S 6 3'~
Application Date:~._ZI'~~"I 1O I Issue Date: ~ ~~ I
JOB ADDRESS ~.
a, t ~ ~
r ~ ~ O O~
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
0 N R I
2. ~ h ''. a w ~.~-h ~~-. MAIL ADD ESS ,.,I.f~
1 ~-L -
~ ~ ~ r IU ~ ZIP PHONE
l0 8 0 o g ~ ~ .3
CO TRACTOR
3. ~I ~~ oo ` MAIL ADDRESS
~2 ~'ron
it ZIP PHONE
~ CO k y~~ ~Z~ ~'
4. Class of Work: ~ NEW O ADDITION O REMODEL
5. Describe Work: ~ r b -~ ~ ~ ~- ~ O Finished Basement O Unfinished Basement
6. Total Sq. Footage (Including Basement and Garage): Total Finished Area:
7. Valuation of Work: $ S O 0. 0 ~
Floodway O Yes O No
8. Floodplain: Fringe O Yes O No Dev. Permit
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
O No
O No
13. Minimum Setbacks: Front Side Rear
14. Sidewalk Required: O Yes O 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 bythe Building
Inspector.
I 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 that this permit is void if work is not commenced within
1~ys or is not coptplet~within 2 years of cite of issue.
'GNATURE OF
r ,~ b g -
DATE
ment:
O Site Plan Attached
Approximate Completion Date O Complete Plans Attached
~ ~ ^ ~ `9 9
Inspection s Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Building
Footings Drywall
(before finish)
Framing Final
', Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A\C
Final
Plumbing -
Grountl Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
VE Rev. e/96
BUILDING INSPECTION REppRT
~~ CITY-oF BLAIR
^ WASHINGTON,COUNTY [] 0'~~ _
°LOCATION OF INSPECTION; ~ ~~ , ~ ~f-~
NAME OF OWNER: i; i! ~~N~1~~ ~
v ~: CONTRACTOR:, ~~.;'- {' ;~ ~
DATE INSPECTIONREQUESTED: i ~ ' ~ l ~ ~' ~ ~~~
PERMIT N0:
TIME INSPECTION REQUESTED: ~ ~ ~U~
TYPE OF INSPECTION REQUESTED:
BUILDING:
^ FOOTING ~-,~- - ~ { LI.~L
~ ^ FRAMING . ~ DRYWALL [~'~
F ~! ~'
'~ UTILITIES: "
^'SEWER TAP 0 SEWS ~ SEPTIC ~ WATER TAP
REMOTE. ~ WATER SERVICE
ELECTRICAL:..
,'
^ ROUGH IN :' ~ FIXTURES
~~- ~ MOTORS
PEKMANENT SERVICE.TEMPORARY SERVICE _ . -
.MECHANICAL;
Q.ROUGH-IN ^A/C FINAL
PLUIVIBING;
QGROUNDWORK ~ ^ROUGHIN ~FTI~tAL l`
- - .. ---- - ----,-....---- i
ItEStILTS OF THE INSPECTION: - : ASSED ~s~rro~s~ ^FAII;ED ls~rio~sl
NOT~/REMARKS: .
DAVE OF INSPECTION MADE: i ~~~ ' ~ , /
T,~ TIME: /~ ~
- CALLEDOPPD\ T4CONNECTSERVICE:. O,Y~.
ONO
WANT OFFICE STAFF TO CALL OPPD\
---- -.- -- --------- --_-~.: ^ YES LDNO BLR 1
. .