BPM0302The City of Blair Building Permit Detail
Permit #: 0302 Issued: 01/04/1999
Completed: 06/18/1999
Owner: Dairy Queen
Address: 1038 Washington Street
Blair, NE 68008
Phone: 426-4131
Section: Township:
Subdivision:
replacing with 6 ton a/c and 150000 BTU
Inspections Date By
06/17/1999 DEM
Remarks
Type: Mechanical Miscellaneous
Valuation:
Range:
Lot:
Mechanical Final
Permit Fee: $20.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
Getzschman Htg. & Sheet Metal, Inc. General Contractor Permit # Issued
MECHANICAL PERMIT APPLICATION
1 9
Application Date:
~~
Permit Fee: $~~
JOB ADDRESS /~~
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1 OWNER MAIL ADDRESS ~~ ~~ ~ M
~ L fs~' l/!i'>^' V ~! ~ 1
0 RACTOR IL ADD
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ESS PHO E LICE E N0.
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3• Class of ork: O COMMERCIAL O RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT
4• Describe Work: ~
//
Central A/C [~ Tons MECHANICAL PERMIT FEES
Furnace ~~ ~ U BTU/H
# of Units A/C Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) .................................................... $25.00
Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) .................................... ................ $ X0.00
~
~
Forced Air Systems/Air Conditioner ~
Completion Date: Unit Replacement Per Unit Commercial/Residential ...
Refrigeration Units/Coolers/Lines/Compressor - ................ $10.00
Comments: Per Unit Commercial (New or Replacement) ...... ..... ................ $10.00
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
work will be complied with whether specified herein or not.
Modular Home ......................................... $15.00
Th
i
e grant
ng 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
f` U ~
,/( ~
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ti
cons
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on.
TOTAL
~~
IGNATURE OF CONTRACTOR OR AU RIZED NT
_'r~ cl q
l Current License on File O Yes O No O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SPAC
Comment:
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 Q 3 0 2
Fax (402) 426-4195 M
(402) 426-4191
Approved
THIS IS~YOUR PERMIT
~~
POUNDS PRTG.~Blair, NE / Rev. 4/98
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 ~ ~ ~
(402) 426-4191 Permit.
~ ~ ~ ~ ~~
Application Date: Permit Fee: $
JOB ADDRESS /J"
(~
LEGAL
1 • DESCR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER MAIL ADDRESS ~ ~I~~/~
! ~ ~ /~~~ j
3• C T ACTOR M L D RESS ~ ~ PHONE
l.~ LICENSE NO.
4• Class of Vdor : O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS ~ UPGRADE SERVICE
5• Describe Work;
6• Current License on File O Yes O No NA
New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES
1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00
101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00 Fire Alarm System ................. $10.00
301-400 Amp Fee ............................ $ 42.00
Signs .....................................$15.00
401-500 Amp Fee ............................ $ 55.00 ~
501-600 Am Fee $ 67.00
p ............................ Miscellaneous Apparatus ...... $11.00 ~ _~
601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92,00
801-900 Amp Fee $105.00
............................ Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE SinglelTwo Family Dwellings
I hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
k
ill b
li
ith
d
h
th
ifi
d h
i
wor
w
e comp
e
w
w
e
er spec
e
ere
n or not.
The granting of a permit does not presume to give authority Receptacle/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures x $.75
law regulating construction or the performance of Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
SIGNATURE OF CONTRACTOR OR AUTH ED AG T # Apparatus x $3.00
f ' ~- 9 9 Permit Issuance Fee ............. $15.00
DATE
TOTAL --
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR Ij~RMIT
Comment:
Approved By:
POUNDS PRIG: 81a1r, NE / Rev. B(97
-_
I - .- - ---- - - -
-- ~--~ Tr ~-._
j ~ BUILDING INSPECTI --- - ---- -----
~ ON REPORT
~- ~il CITY OF BL;AIIt ~ WASIHNNGTON COUNTY ~ OTHER ,~
i L\\OCATION OFINSPE ~~ ~.~ ~/ ~r,~
' CTION:
{ ~
NAME OF OWNER: ~:..t ~ aw] I J~~~O ~/
• NTRACTOR:
DATE INSPECTION RE U i - ~~' '~ `~
PERIVIIT NO: ~ ;
TIME INSPECTTONREQUESTED: ~,'t~ ~ ~ ';
s;
TYPE OF INSPECTION REQUESTED: _e~, ~ _
a
BUILDING:
~ a
a
!' ^ FOOTING Q FRAMING 0 DRYW
ALL ^ FINAL
UTILITIES; j]
1
^ SEWER TAP ~ S~'ER ~ SEPTIC [~ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ROUGHIN ~ FIXTURES ~ FINAL ;;
^ MOTORS
PERMANENT SERVICE ?
TEMPORARY SERVICE
MECHAMCAL: ` ".
ROUGH-IN ~A/C `
AL ~ "`V ~'l ~,t~ ~~
PLUMBING:
QGROUNDWORK OROUGH-IN I
/ ^ FINAL
AL`ci rr m.. ,. f
DATE OF INSPECTION MADE: CQ ~ ~ - 7 ~ /'~
TIME: Q~ ~v
.CALLED OPPD\ -
TO CONNECT SERVICE:
~'ANT'.OFFICE STAFF TO CALL OPPD\ ~ YES ~NO
__-_-- .---- ~NO BLR 1
- --- ~ YES __ ------ --
---"""""'r ~~1NSPECTION: f~PASSED(sF.~rro~s~ - OFAILED(s~Na~s~
NOTES/REMARKS: (~'