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The City of Blair Building Permit Detail
Permit #: 8715 Issued: 11/05/1999 Type: Residential Remodeling
Completed: 03/22/2000 Valuation: $14,500.00
Location: Steve 2017 Cauble Creek Circle
Owner: Steve Blaha Permit Fee: $70.00
Address: 2017 Cauble Creek Circle Issue Fee: $15.00
Deposit Amt.: $200.00
Blair, NE 68008 Receipt #: 1084
Phone: 402 533 4474
Section: Township: Range:
Subdivision: Lot: Block:
Basement remodel, finishing family room, bathroom, storage area, 1 egress window, finishing all walls and expanding
the stairway landing.
Contractors
Gordy Ray Construction General Contractor Permit # Issued
Judt Electric Electrical Subcontractor E0832 11/29/1999
Rays Plumbing Plumbing Subcontractor P0281 11/09/1999
Remarks
Inspections Date By
12/01/1999 DEM Plumbing Rough-ins Pass
12/01/1999 DEM Electrical Rough-ins Pass
12/01/1999 DEM Framing Fail
12/03/1999 DEM Drywall Pass
03/13/2000 DEM Plumbing Final Pass
03/13/2000 DEM Electrical Final Pass
03/13/2000 DEM Final Inspection of Project Fail
03/2212000 DEM Final Inspection of Project Pass
. ~Uli DING PERMIT APPLICATION
- ~ ~ ~ Jurisdiction of City of Blair, Nebraska
PePmit Fee: 218 South 16th Street
Issuance Fee: ,~~"~ f/ Blair, Nebraska 68008 a 715
Deposit Receipt #: ~~~7 (402) 426-4191 • Fax (402) 426-4195 Permtt
Ap/~plyyication Dater: - ~~ / /~ Issue ate: ~~-~ ~-- ~~
JOB ADDRESS ~
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1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
OWNER y
2 MAILADDRESS Zlp PHONE
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CON ACTOR MAIL ADDRESS ZIP HONE
4. Class of Work ONE O ADDITION REMODEL
5. Describe Work:./ O Finished Basement O Unfinished Basement
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Total S
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(Including Base ment and Garage): Total Finished Area:
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7. Valuation of Work: $ ~ r
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Floodway Yes
8. FlOOdplain: No Dev. Permit Elev. Cert.
Fringe O Yes No BFE
9. Current Zoning: /~ /~y~
10. State Fire Marshall Required: O Yes ~No
11. Special Use Permit Required: l7 Yes 'b No
12. Variance Required: O Yes ~No
13. Minimum Setbacks: Front rX~ 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
180 days or i~~rot completed wit j~ 2 years of date of issue.
SIGNATURE OFOWNER/CONTRACTOR// DATE
Comment:
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O~Site Plan Attached Complete Plans Attached
Approximate Completion Date ~ ~ ~-~~~'
Inspect ions Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Building
Footings p
efore finish)
Fr ' g ~iRt~
Electrical~~
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JHQ1 Permanent Service
Temporary Service
Mechanical
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Plumbing ~-e/~`'~~ / ~ ~,'
Groun~crf~
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WHEN PROPERLY VALID ED (IN THIS SPACE S YOUR PERMIT
~p~ BY ~1/I
POUNDS PRTG: 61air, NE Rev. 8/96
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit. ~ ~ ~ ~ 2
1 2~ -~
Application Date: t Permit Fee: $
JOB ADDRES
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LEGAL
1 • DescR. LOT ND. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER '~~~ (~ MAIL ADDRESS
`I ZIP ~ ONEY , f , ` ~~
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CONTRA OR
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4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O UPGRADE
SERVICE
5• Describe Work:
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6• Current License on File Yes O No O NA
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
201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00
y .................
301-400 Amp Fee ............................ $ 42.00
Signs .....................................$15.00
p ............................
401-500 Am Fee $ 55.00
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
801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
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IF OVER 1000 Am $117 00
1st 1000 Amp Fee Am Fee
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Each additional 100 Amps ........... $ 13,00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this 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
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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
~~ Power Apparatus (220 Volts)
SI U~ C NTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00
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Permit Issuance Fee ............. $15.00 ~,\
~~ - O
DATE
TOTAL ~ ~ /~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS J.g~'(OUR PERMIT
Comment:
POUNDS PRTG: Blair, NE ~ '~ ~ -~~ Rev. 8f87
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:~:`~/~ / ~ ~~
P 0281
Permit Fee: $
JOB ADDRESS
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1
OWNER MAIL ADDRESS
l ZIP PHONE
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2. CONTRACT R MAIL ADDRESS ~ ~1~ PHONE 1~ LICENSE NO. /~
3• Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR ~ REPLACEMENT
4• Describe Work: ~ ~
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Comments: PLUMBING PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture No.
Kitchen .................................. $8.00 x
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Bath ....................................... $8,00 x
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Rou h-In Bath $4.00 x
g ...................... ~-
Slop SinWLaundry Tray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Drinking Fountain .................. $3.00 x
Water Service ........................ $10.00
NOTICE Sewer .................................... $10.00
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. Lawn Sprinkler System ......... $10.00
The granting of a permit does not presume to give authority
to violate orcancel the provisions of any otherstate or local Sprinkler System ................... $30.00
law regulating construction or the performance of
(Commercial)
construction.
Gas/Water Piping System
(Commercial) ............................$30.00
~~'
Permit Issuance Fee .............$15.00
IGKJATURE 0 ONT A OR OR AUTHORIZED AGENT
~~,/~ TOTAL
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DATE Current License on File ~(es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: I Approved By~~/ ~ ~ I
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POUNDS PRTG.-Blair, NE / / Rev. M98
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BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing with particular code
requirements and/or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the Uniform Building Code
requirements that apply to your project. Please understand this packet is only designed
and distributed to aid you in your building permit process. The. Uniform Building Code is
available for your use at the Blair Public Library.
I have read the above disclosure and .accept this building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project. -
a
Owner/ cupa
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City of Blair
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City of
Contractor
Date
21S S.16TH STREET, BLAIR, NE 60000.2010 ®(402) 426-4191 • (402) 426.4195 FAX • E-MAIL: cityotblair@huntel.net ~•a~HO~yH~
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Blair
BUILDING PERMIT DEPOSIT AGREEMENT
A $200.00 refundable deposit is being collected at the time of your building permit
application for all permits in excess of $10,000.00. However, the City reserves the
right to not .refund this deposit if any of the following conditions occur during the
construction period: 1) theft of water service by either the plumber, owner or general
contractor, 2) alt required inspections have not been obtained (this includes drywall
prior to taping), 3) occupancy occurs prior to a final inspection, 4) all permits have
not been obtained, and 5) the project is completed without a final inspection being
done.. If any or all of these situations occur during construction, you may forfeit your
deposit.
I, hereby agree to the above conditions, and understand that should any or all of the
above situations occur, the building permit deposit may be forfeited or discounted
upon the discretion of the City of Blair, Building and Inspections Department.
Contra r/O r
Contractor/Owner
City~~ f Blair
~/-,~~
Date
c~~ of
21S S.16TH STREET, BLAIR, NE 6~00~•2010 • (402) 425.41910 (402) 426.4195 FAQ • E-MAIL: cityotblairC~huntel.net EOUALHOUSING
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•~` I_~] INTERNATIONAL CODES
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8 00 ~' ^ Ron Tyson Correction Order Deadline
its ^ On October 18
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Steve Blaha 2017 Cauble Creek #8715 [Drywall ]
10 00 J. Griffin 2106 Front St. #8740 [Footing ]
City of Blair (Bathhouse) #8697 [Groundwork ]
11 00 A. Salvatore 1751 Grant St. #8729 [Framing & Electrical Rough-in ]
KFC /Taco Bell 105 S. 19th St. #8689 [Drywall ]
_
12 pm - --
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D. Seidman 1459 Deer Creek Dr. #36 Garder 6690 Cty. Rd. P33 #3588 [
1 00 Woodhouse Chrysler #8660 [Water Service ]
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3624 [Groundwork ]
Notes
2 00 D. Wenck Cty. Rd. 33 (01-17-11) #3609 [Temporary Service ]
-- J. Kosak 870 N. Poplar Dr. #12299 [Temporary Service ]
I
3 00 Will Greenelsh 19511 Cty. Rd. 6 #3537 [Drywall ] ~,
(Fail) Lynch Homes Heidi Hollo (Lot 9) Hillcrest #3468 [Framing & Rou
4 00 Warden 1917 Lincoln St. #M0105 [Furnace & A/C ]
(Fall) P. Merolla Lariat Lane (Lot 36) #3591 [Temporary Service ]
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04/06/2000
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Gordy Ray Construction
718 North 14th Avenue
Blair, NE 68008
Re: Building Permit number 8715
Dear Mr. Ray,
Blair
March 16, 2000
On March 13, 2000,, Dale Miller, City Building Inspector, did a final inspection at
the above property. At this time, the inspection failed.
Enclosed please find a copy of the inspection sheet stating the code violations.
Please contact our office no later than Friday, March 31, 2000 to set an appointment for
a final inspection of this project.
If you have any further questions, feel free to contact our office.
Sincerely,
- ~c~~,
Amy L. Stephens
City of Blair
Cc: Steve Blaha
City of
218 S,16TH STREET, BLAIR, NE 68008.2010 • (402) 426.4191 • (402) 426-4195 FAX • E-MAIL; cityofblair@huntel.net ~• ~•I~•
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