BP8053The City of Blair Building Permit Detail
Permit #: 8053 Issued: 02/11/1998 Type: Siding Permits -All types
Completed: 07/19/1999 Valuation: $3,500.00
Owner: Country Tire
Address: 1210 Grant
Blair, NE 68008
Phone: 402-426-2173
Section: Township: Range:
Subdivision: Lot:
Removing collapsing stone face of front building and replacing with metal.
Inspections Date By
07/19/1999 KAR
Remarks
Final Inspection of Project
Permit Fee: $25.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
Jorgensen Contracting, Inc. General Contractor Permit # Issued
BOIL®ING PERMIT APPLIC~4TION
G~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee:. ~~• ~ Q Blair, Nebraska 68008 8 0 5 3
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: 2 y ~' ~ ~ Issue Date: ~~~~ Z
JOB ADDRESS
.~
1. D SCR. g
L`~.. t,~~~"~ ~ ~ BLf~ ~ I ~ RACT ^ SEE ATTACHED SHEET
OWNER
2. Irl ~ MAIL ADDRESS ZIP PHONE
y Z l.P ' Z
CONTR CTOR
3. v~ ~ MAIL ADDRESS
lt_ ,--~ PHONE
~~~~ - ~ ~ ~
4. Class of Work: O NEW O ADDITION O REMODEL
5. Describe Work: ~ p ~ O Finished Basement O Unfinished Basement
-~ -- ~ (:~.~ -- 01'1 ~U ~(,~ f I ~
6. Total Sq, Footage (IRCIudiRg BaeemeDt and Garage>: Total Finished Area:
7. Valuation of Work: $ . ~~~
Floodway O Yes O No
8. FIOOdplain: Fringe O Yes O No Dev. Permit
BFE
Elev. Cert.
9. Current Zoning: ~~
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No
13. Minimum Setbacks: Front Side
14. Sidewalk Required: O Yes O No
Rear
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 acopy of this application form signed byihe 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
S eofNebraska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin
80 ays or is not completed within 2 years of datg of issue.
Comment: V
NEC CODE 11EQ1~EMEN1'~
t '~//'
DATE
O Site Plan Attached ~ y I ~ C9~n~te Plans Attached
Approximate Completion Date ~~II
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Building
Footings .
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
Plumbing .
Ground Work
Rough-in _
Stop Box Card
Drywall
(before f finish)
Final
Fixtures
Permanent Service
A1C
Final
WHEN PROPERLY VALIDATED (IN THIS SP
IS YOUR PERMIT
POUNDS PRTG: Blair, NE Rev. 8196
:------- -- ---- --- --•---- --------- it
BUILDING INSPECTION REPORT - - ~"
~ WASEIINGTON COUNTY ' ^ OTHER
,/, CITY OF BLAIR
~~ ~ ~~ ~~
!LOCATION OF INSPEG'F~ON: '
II ~ !~
NAME OF OWNER.: ~~ ! ~-,~~ / j l ~ " ,CONTRACTOR:
~~s
DATE INSPECTION REQUESTED: j' PERMIT N0:
V~5`l.(,~ ~i
TIME INSPECTION REQUESTED: i
1
TYPE OF INSPECTION REQUESTED:
kk BUILDING:
• f. ^ FOOTING ^ FRAMING ~ DRYW ALL • ~~-
[- /
E UTILITIES:
0-SEWER TAP Q SEWER ^ SEPTIC ^ WATER TAP.
~. ^REMOTE ^ WATER SERVICE
f
ELECTRICAL: /~'
~' ~~(~ _.
' MOTORS ~ ~ L%~~
ROUGH W ^ FIX'T'URES ^-FINAL 0 ~ !tie
TEMPORARY SERVICE . ~ ~~
PERMANENT SERVICE. ^ ~ .
b i
k _ TVIECHAMCAL:
~" ROUGH-IN Q A/C ^ FINAL
1`
PLUMBING:
[~ GROUNDWORK - ^ ROUGH-IN ^ ~~-
.RESULTS OF THE INSI'ECTION~ " PASSED (sue xo'rES1 ~ FATI;ED (sue xo~rES)
`NOTES/REMARKS:
-DATE OFINSPECTION
TIME: ~' ~-
., ~
',: "~ ° .CALLED OPPD\ TO CONNECT SERVICE: ^ YES ~ NO !I
YES _ Q NO _ BLR 1 --~
~ WANT OFFICE STAFF TO CALL OPPD\ ~_ _ _ __ _____ _,