BPP0554City of Blair Building Permit Detail
Permit #: P0554 Issued: 05/31/2001
Completed: 06/04/2001
Location: 408 E. Baronage Drive
Owner: Jim Corrigan
Address: 408 E. Baronage Drive
Blair, NE 68008
Phone: 402-426-7160
Section: Township
Subdivision:
replace water line
Contractors
SELF
Remarks
Type: Plumbing Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 10
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
06/04/2001 DEM Sewer Tap Pass
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 P 0 5 5 4
(402) 426-4191
Application Date: ~/~ ~ /d 1 Permit Fee: $ ~ ~ " ~~~
JOB ADDRESS
1 . OWNER ~ C ~ MAIL ADDRESS ZIP PHONE
2 CONTRACTOR MAIL ADDRESS
S cam, ~-~s~- PHONE LICENSE NO.
3• Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR EPLACEMENT
4• Describe Work: ~~~_
Comments: PLUMBING PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture No.
Kitchen .................................. $8.00 x
Bath ....................................... $8.00 x
Rough-In Bath ....................... $4.00 x
Slop Sink/Laundry Tray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Drinking Fountain .................. $3.00 x
Water Service ........................ $10.00 ~~- C.XS
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 or cancel the provisions of any other state 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
/~de~
SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT
TOTAL ~~ ~ L~~
s - 3 / ~- O /
DATE Current License on File es Ll No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
J. ti
?OUNDS PRTG.-Blair, NE Rev. 4/98
~I~ BUILDING INSPECTION. REPORT -
LLl CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
/LOCATION OF INSPECTION:. ~-/ ~e ~~,~~,~1~~~ _
NAME OF OWNER: ~~~~~~~ CONTRACTOR:
+ s ~"
DATE INSPECTION REQUESTED: ~ ~ ~ ~ ~ TIME INSPECTION REQUESTED: ~~~ ~ ~ ` ~~~ ~~ PERMTI' N0: < ~ "~ '~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL
COMMENTS
PASSED FAILED
^ ^
UTILITIES: ^ SEWER TAP ~ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASS FAILED
^ PARTIAL ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED . FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
I'E.UY llVSYY(;11UN MAll~:
TIME: /D C U
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO