BP9182City of Blair Building Permit Detail
Permit #: 9182 Issued: 05/31/2001
Completed: 09/10/2001
Location: 1166 Nebraska Street
Owner: Kevin Campbell
Address: 1166 Nebraska Street
Blair, NE 68008
Phone: (402) 426-5567
Section: Township: Range:
Subdivision: Lot:
deck -16 x 16 - 2' high front rise to 3' high in rear of deck
Contractors
SELF
General Contractor
Remarks
Type: Decks -All types
Valuation: 1000
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
06/13!2001 DEM Footings Pass
09/1012001 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
(' Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
9182
Deposit Receipt #:
Issue Date: -~ ~ 3 ~ ~~ f Type: ~C_CJL.
JOB ADDRESS
• L ~ (o ~~~ Kct S~
LEGAL
1 . DESCR.
^ SEE A1-rACHED SHEET '
OWNER MAIL ADDRESS
2, KeJ r, fl l ~' ~,/'Y~~ ZIP HOME PHONE
WORKICELL PHONE `fui~•~(b
CONTRACTOR MAIL ADDRESS
3, ~ r~~n ~ ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: NEW ^ ADDITION ^ REMODEL ^ OTHER SHED BASEMENT O UNFINISHED BASEMENT
^ FI
NI
5. Describe Work: L -. ~ (o x I (a - ' h~ r
~
h TY C~-~- ~-.1 ~~~ -~j ~ ` ~'1 t
6. Valuation of Work: $ (~ UU , (~(~ Total Sq. Footage pnclBding easement ana Garage): Total Finished Area:
Floodway Q Yes O No Dev. Permit
7. Floodplain: Fringe O Yes ^ No •~ BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Mars equir es
10. Special Use ermit R quir d: Yes
11. Variance Re uired: Ye o
12. Minimum Set e''~. Fron
13. Sidewalk Required: Q Yes Q No
Q No
Q No
R
Wai r Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature 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.
I hereby agree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codeslordinances 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 not completed within 2 years- onf date of issue.
~ ~(
SIGNATURE OF OW CONTRACTOR DATE
Comment:
MEET IBC,IRC,IPC, IMC AND NEC CODE REQUIREMENTS
~ite Plan Attached _ ^ Complete Plans Attached
Approximate Completion Date ~ tau r 3 I • ~d ~
Inspections Required and Fees
Utilitie
Sewer Water Service
Septic Remote
Stop Box Card _
Building
Foot' Drywall
(PRIOR TO TAPING)
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in
Final
Plumbing .
Ground Work
Rough-in _
Final
WHEN PROPERLY VALID..4TED-fIN THIS
Fixtures
Permanent Service
A\C ,
PERMIT
Rev. 8/96
POUNDS PRTG.-Blair, NE
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`'`~' M;v BUILDING INSPECTION, REPORT
n, -
CPI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
.~
OCATION OF INSPECTION: ~ ~~~~~ !\~ 4 ,C.~r ~^S ~~G`' ~~
NAME OF OWNER: ~~-~Y~ ~-U`" I ~ ~~ ` CONTRACTOR: ~` ~ 1 r~ ~ ~~~
ll~ , 3q
DATE INSPECTION REQUESTED: ~ ~! ~ _ ~ ~ TIME INSPECTION REQUESTED; ~ '-!- PERMIT N0:
TYPE OF INSPECTION REQUESTED:
^ CONFERENCE ^ STATUS CHECK
BUILDING: ~~ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL
PASS FAILED
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FD{TURES ^ FINAL ^ MOTORS ^ PERMANENTSERVICE ^ TEMPORARY SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL
COMMENTS:
PASSED FAILED
^ ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECTOR. E OF INSPECTION MADE. ~ .TIME:
FAXED OPPD1 TO CONNECT SERVICE: ^ YES ^ NO