BP9670City of Blair Building Permit Detail
Permit #: 9670 Issued: 03/18/2002
Completed: 04/02/2002
Location: 1761 Park Street
Owner: Dave Dunham
Address: 1761 Park Street
Blair, NE 68008
Rhone: 402-426-8285
Section: Township: Range:
Subdivision: Lot:
tearing off 2 layers - resheet and attached asphalt shingles.
Contractors
Exterior Solutions
General Contractor
Remarks
Type: Roofing permits -All types
Valuation: 5000
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
04/0212002 DEM Final Inspection of Project Pass
WV'
BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
Permit Fee: I ~, ~ .218 South 16th Street
Issuance Fee; Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195
Deposit Receipt #:
Issue Date: ~~` ~ $~ ~~ Type: f~~oF n~
JOB ADDRESS ~ /~ ~/ ~p
U/ `^` l_
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER ~' I ~
2. ~ V MAIL ADDRESS ~ Zlp HOME PHONE
WORK/CELL PHONE
3 CONTRACTOR \6 ~ I ~ \ O~ MAIL ADDRESS ~ ~ ( ((~ ~ ZIP WORKICEOLL PHONE ~~~- ~9J y
4. Class of Work: Q NEW Q ADDITION Q REMODEL ^ OTHER ^ FINISHED BASEMENT Q UNFINISHED BASEMENT
5. Describe Work: C~ ~ Y - , S H ,~~- ~. C .~
1
1 - I
6. Valuation of Work: $ 5 d~~ . ~ Total Sq. Footage QRCIudIRg Basement and Garage): Total Finished Area:
Floodway Q Yes
7. Floodplain; Fringe ^ Yes Q No Dev. Permit
Q No BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes
10. Special Use Permit Required: Q Yes
11. Variance Required: Q Yes Q No
Q No
Q No
12. Mlmmum Setbacks: Front Sitle Rear
13. Sidewalk Required: Q Yes Q No Waiver 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 agreeto 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 thatthis permit is void ifwork is not commenced within
180 days or is not completed within 2 years of date of issue.
GNATURE OF OWNER/CONTRACTOR DATE
Comment:
O Site Plan Attached ~ / Q Complete Plans Attached
Approximate Completion Date ``I - ~ " Gam,
Inspections Required and Fees
ilitie
Sewer Water Service
Septic Remote
Stop Box Card
B iu Idinq
Footings Drywall
(PRIOR TO TAPING)
Framin Final
g
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A1C
Final
Plu m~ bina
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By, ~ ' , ~ _ ~ ~ / / ~ .-,
Permit
9670
POUNDS PRTG..Bleir, NE Rev. 8/96
BUILDING INSPECTION REPORT
CITY OF BLAIR
^ WASHINGTON CO TY/~~ ~~OT~HE~R
LOCATION OF INSPECTION: ~~~ / ~"-^"'- ~/~G~~'~i~~
NAME OF OWNER: ~~~~~~~ CONTRACTOR:
DATE INSPECTION REQUESTED: ~ ~ ~~TIME INSPECTION REQUESTED:
~/ '
PERMTI' N0:
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSE FAILED
COMMENTS:
~~~~ ~ ^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE- ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^ .
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
OF INSPECTION MADE:
TIME:. ~ ` ~ U
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY