BPM0391The City of Blair Building Permit Detail
Permit #: M0391 Issued: 09/13/1999
Completed: 10/11 /1999
Owner: Alice Campbell
Address: 1268 State Street
Blair, NE 68008
Phone: 402 426 4513
Section: Township: Range:
Subdivisi on: Lot:
Replace wall unit
Type: Mechanical Miscellaneous
Valuation:
Permit Fee: $10.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Inspections Date By
10/05/1999 DEM Mechanical Final Fail
10/11/1999 DEM Mechanical Final Pass
Remarks
Contractors
General Contractor Permit # Issued
Getzschman Htg. & Sheet Metal, Inc. Heating Subcontractor M0391 09/13/1999
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 0 3 91
(402) 426-4191
6~
Application Date: ~~ ~.~ `~ ~~ Permit Fee: $ ~~
~` I~ r I r~~ ~ ~~~ h~s~~Y~
JOB ADDRESS ~ ~~~ ~~ ~~/
j F ~ ~, /~ ~~ ~2
1. OWNER lfn ~r, 1~ ~~{ AILA DaRE'S
lM ~~ P~~ PONE ~~ I
MAIL ADDRESS ~~N~~ PHONE ~ f~ ~~ LICENSE NO.
2. CONTRACTOR ~
~(/
3. Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR REPLACEMENT
4. Describe Work: ~ , r ~ ~~~1 ~~V-~-
MECHANICAL PERMIT FEES
Central A/C Tons
Furnace .~J ~ I~~U BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) .................................. .................. $25.00
# of Units A/C
Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) .................................. .................. $10.00
~~ ®
~
Forced Air Systems/Air Conditioner -
I I `~t I ~, ~
1
D
C
m
l
ti
t Unit Replacement Per Unit Commercial/Residential . .................. $10.00
o
p
e
on
a
e: Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement) ...... ... .................. $10.00
Comments:
Appliance Vent/Fans ...............................$10.00
Boiler ....................................................... $15.00
Duct System ............................................ $10.00
Gas/Air Outlets .................. x $2.00
NOTICE Radiant Heat Systems ............................ $25.00
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular Home ......................................... $15.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority
'
to violate or cancel the provisions of any other state or local
law regulating construction or the performance of
Permit Issuance Fee ............................... $15.00 ~~
~
construction.
TOTAL ~y i
SIGNATURE OF CONTRACTOR 0 tHOHI AGENT
G/~ _ /~ , clG~
~
~
Current License on File Yes O No O N
A
"t2l~TE ,
~-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
~)
Comment: Approved By:
~... ....... ....~.. ...-.- ..~ ~/ Gnv dIOG
~
BUILDING INSPECTION REPORT
~
CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: _~~ ~n .~ ~/rx-~P_% ~~•
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NAME OF OWNER:.
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.CONTRACTOR:( rC'.~~
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DATE INSPECTION REQUESTED~~-~ "° ~~ TIME INSPECTION REQUESTED: /V'/•j.~ PERMIT NO: <~" ~G3 J/
' TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
1 ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C _ ~] FURNACE ^ FINAL ^ PARTIAL.
\ PASSED
^ FAILE
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
^ OCCUPANCY GR/A,NTE)D ^ CONDITIONAL OCCUPANCY GRANTED ~~r / ~~
NOTE MARKS: vv ~ ~ ~ ~ ~~-~/ff~x,.G ~6%~C~~~s'~~~
,
GC/f-G L ~ ~~4GL ,~,~ ~~~L~~~ /D~ ~ ~~/i~~?
DATE OF INSPECTION MADE:. LD ss 7 7 TIME: oE-~~
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
----------- -.~._____--~-T_-_.~__-.---
. BUILDING INSPECTION REPORT
+~`_ i
D~CTfY GF BLAIR ^ WASHINGTON OOUNTY ^ 0 ~- ``~ ~ i~
LOCATION OF INSPEC~ON: ' ~'/~ ~ .~ "''~ ~~ ` `--~
~ ~ 1 ~_
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NAME OF OWNER• ~• ~.. _ - ~-r'~`: ;,'• ?~ ~ ; : -~ •
:" S L~: t~~.- ~' CONTRACTOR:.: -~.. ~ ',
DATE INSPECTIONREQUESTED: ~~-'~` ~ ~ PERMIT NO: ~~~' ~ (-='-f~~ ~
1 ~
TIME INSPECTION REQUESTED: i ~l~~a%f +~/f~l ~~~~,,, ~
TYPE OF INSPECTION REQUESTED:
•~
BUILDING: '
^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL
UTILITIES:
^ SEWER TAP ^,SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ RQUGH IN ^ FDCTURES ^. FINAL ^ MOTORS
^ PERMANENT SERVICE ..~^ TEMPORARY SERVICE
MECHANICAL: LL'L~ l~~-t~...
~~
^ ROUGH-IN ^ A/C FINAL -
-
~ ~
PLUMBING:
^ GROUNDWORK ^ ROUGH-W ^ FINAL
RESULTS OF THE INSPECTION:. PASSED (say No'rES> ~ ^ FAILED (sue xo'rES)
NOTESlREMARKS:
D'ATE` OF INSPECTION MADE: `/~~il /~~ TIME: ~~ C ~.
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO ~
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^NO BLR 1