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BP9039i j~ ~ r `~ City of Blair Building Permit Detail ~~ ;~ Permit #: 9039 Issued: 10/16/2000 Completed: 05/09/2001 Location: 227 East Riverview Road Owner: D.A. Boswell Address: 2546 South Highway 30 Type: Residential -New Construction Valuation: 100000 Permit Fee: 475 Issue Fee: 15 Deposit Amt.: 200 Blair, NE 68008 Receipt #: 3414 Phone: 402-533-1010 Section: Township: Range: Subdivision: EVERGREEN Lot: 2 Block: 1 Ranch style 3 bedroom, 2 bathroom, house, FBI in basement, 1 egress in basement, 2 car garage stoop in front, 122' x 62' Lot Contractors D.A. Boswell Company General Contractor Permit # Issued Henton Trenching, Inc. Plumbing Subcontractor P0536 04/17/2001 Hipnar Electrical Electrical Subcontractor E1265 02/28/2001 Judt Electric Electrical Subcontractor E1209 11/03/2000 Mallory Plumbing & Heating Plumbing Subcontractor P0485 11/28/2000 Mallory Plumbing & Heating Heating Subcontractor M0582 11/28/2b00 Remarks Inspections Date By 11/02/2000 DEM Footings Pass 11/06/2000 DEM Electrical Temporary SeNice Pass 11/14/2000 DEM Footings Pass 02/05/2001 DEM Plumbing Groundwork Pass 03/06/2001 DEM Plumbing Final Pass 03/06/2001 DEM Framing Fail 03/06/2001 DEM Electrical Rough-ins Pass 03/06/2001 DEM Mechanical Rough-ins Pass 03/08/2001 DEM Final Inspection of Project Pass 03/20/2001 DEM Drywall Pass 03/30/2001 DEM Electrical Permanent Service Pass 04/18/2001 DEM Water Service Pass 05/09/2001 DEM Plumbing Final Pass 05/09/2001 DEM Final Inspection of Project Pass 05/09/2001 DEM Electrical Final Pass 05/09/2001 DEM Mechanical Final Pass BUIL®ING PERMIT APPLICATION [~~~ ! ~ Jurisdiction of City of Blair, Nebraska Permit Fee: ~~~-= 218 South 16th Street Issuance Fee: ~ S~ ~ Blair, Nebraska 68008 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit 9 0 3 9 Deposit Receipt #: ~ ~ , Issue Date: ~~ - ~ ~.2-L~~ Type: i~l~-~ I~ ~I JOB ADDRESS ~ ~ (1 ~ ~ ~ , 1 , D , ~ 11VV. V Cpl. G~~ ~'. LEGAL 1 . DESCR. I C I ~ ~ ,~ ^ SEE ATTACHED SHEET OWNER 2, ~ DRESS ZIP HOME PHONE ~~~ 1 WORKICELL PHONE~~-~l_.J~/ ~' CONTR~R~'~~ `3, MAIL ADDRESS ZIP HOME PHONE WORKICELL PHONE 4. Class of Work: NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT NFINISHED BASEMENT 5. Describe Work: 1` 3 ' S ~ ~x 6 6. Valuation of Work: $ r~0 p Total Sq. Footage (Including easement and Garaget: ~J~O Total Finished Area: ~Q Floodway ^ Yes 7. FIOOdpiain: Fringe O Yes o o Dev. Permit BFE Elev. Cert. 8. Current Zoning: ~~ ^ Site Plan Attached ^ Complete Plans Attached Approximate Completion Date 9. State Fire Marshall Required: ^ Yes ~"No 10. Special Use Permit Required: ^ Yes ~'1vo 11. Variance Required: ^ Yes [~l0 11 ~ 12. Minimum Setbacks: Front ~ Side ~_ Reak~~ 13. Sidewalk Required: y~(es ^ 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 furtheragree thatconstruction covered bythis permit application shall not be commenced until I have received a copy ofthis application form signed bythe Building Inspector. I herebyagreeto perfor the proposed work in accordance with the specifications set forth above and in ac rdance with the codes~ordina of the City of Blair and the State of Nebraska. nderstandtha isp mitisvoi If rkisnotcommencedwithin 180 da n c ted wi I rs ofd i ~1 OWN DATE SLEEPING ROOMS BELOW THE ~OURTN STORY AND IN BASEMENTS ARE REQUIRED TO HAUE AN EGRESS WIND011~ Inspections Required and Fees Utilitie er Wa ervice Septic Sto and Buildin F9:c~m9s D ( RIOR TO TAPING) Fr ' g~ EI c rical R -in Fixtures ~_ I~~ anent Service Tempora rvice Mechanic I R / PI imbin - Groun ork WHEN PROPERLY VALIQAT~D (IN THIS S ) TF~I OUR PERMIT Rev. 6/96 POUNDS PRIG: Blair, NE (402) 426 4191 ~/ ~ ~C~ I Application Date: / ~ Permit Fee: $ ~ ~` ~ JOB ADDRESS 1 LEGAL p SEE ATTACHED SHEET DESCR. 2 OWNER MAILADDRES /~ ` ZIP O / WORK/C ELLPHONE ,3 CONTRALTO y~ ~j n ~ ~J1 /~ MAIL DD SS PHONE HOME PHONE _ ll..~~ /~/ , WORKICELL PHONE ~#' 7 4. Class of Work: EW RESIDENTIAL O NEW COMMERCIAL p REMOpELING/ADDITIONS D UPGRADE SERVICE 5. Describe Work: ~~_ ~ ~ 6. Current License on File ~es p No ~ NA Completion Date ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 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 Am Fee $ 55.00 p 501-600 Amp Fee ............................ $ 67.00 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 I hereby certify that I have read and examined this Single/Two Family Dwellings L ' G U~ ~ sq. ft. x .045 `'1" f 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 work will be complied with whether specified herein or not. The granting of a permit does not presume to give a rity Receptacle/Switch Outlets to violate or cancel the provisions of any other st or local Fixtures x $.75 law regulating construction or the pe mance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) SIGNATUREOFC A A HORI AG # Apparatus T x $3.00 Permit Issuance Fee ............. $15.00 /~ '~' ~~ DATE - TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y0~1fi PERMIT Comment: ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Permit E 12 6 5 Approved By: POUNDS PRTG.•Blair, NE // Rev. 11/99 MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street .Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: I ~ ~~ ~o~ nn 0582 ~~ Permit Fee: $ 4 JOB ADDRESS ~ ~ ~, l ~ \ ,~ . 0 N MAIL A DRESS ~` ZIP ~~ HONE I ~ ~ ~ \ 2. 0 RACTO ~ AI~DDR S ~ PHONE CENS~~ 3• Class of Work: O CAD MERCIAL ESIDENTIAL EW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~ ` ~~W~'-d Central A/C ~ Tons MECHANICAL PERMIT FEES Furnace ~ BTU/H Forced Air/Heat Pump Systems -Per Unit ~~~~ Commercial/Residential (New) .................................... ...... .~$25.00 # of Units '°`/C ~ l Air-Conditioner Unit -Per Unit Furnace Commercial/Residential (New) .................................... ................ $10.00 Forced Air Systems/Air Conditioner Unit Replacement Per Unit Commercial/Residential ... ................ $10.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ..... ................ $10.00 Comments: Appliance Vent/Fans ............................... $10.00 Boiler ....................................................... $15.00 ~ ~' Duct System .................... $10.00 L Gas/Air Outlets .................. x $2.00 NOTICE .Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this a lic ti d k th b pp a on an now e same to e true and correct. All provisions of laws and ordinances governing this type of Modular Home $15 00 work will be complied with whether specified herein or not. ......................................... . The rantin of a er it d t i h g g p m oes no presume to g ve aut ority , c~ to violate or cancel the provisions of any other state orlocal ~ - --- law regulating construction or the performance of Permit Issuance Fee ............................... $15.00 ~ construction . TOTAL ~~ SIGNATURE OF CONTRACTOR OR AUTHORIZ ENT ~^ ~~ ~ ~ ~ Current License on File ~s O No O NA DATE WHEN PROPERLY VALIDATED (IN THI~,~PAC~~(IS IS XOUR PERMIT Comment: By: POUNDS PRTG: Blair, NE ~ / ~ ~ ~ Rev. 4/9B PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: ~ I ~ ~ -~ P 056 ~~ Permit Fee: $ JOB ADDRESS "01 a ~ ~ I ~.~ ~9\ 1. ~ NER MAIL ADDRESS j Q 'b~,t~ ZIP PHONE 2 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3• Class of Work: O COMMERCIAL RESIDENTIAL NEW O ADDITION D ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~L~ ~ ~ ~ ~ r ~ l C_R._ 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 lDrCk> NOTICE Sewer .................................... $10.00 10, ~ 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. The granting of a permit does not presume to give authority Lawn Sprinkler System ......... $10.00 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 ._- ~ ~/ ~.f- Permit Issuance Fee ............. $15.00 ~~<<h ,~ IGNATUR OF CONT ACTOR OR AU ORIZED AGENT c- ~_ ~ `~ ~- TOTAL DATE Current License on File es O No O NA WHEN PROPERLY VALIDATED (IN THIS SP~E) TH_~~a-~vUR~'ERMIT Comment: POUNDS PRTG: Blair, NE - ~ ~ ~r Rev. 4/98 PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 0 4 8 5 (402) 426-4191 Application Date: 1~ ~'U~J Permit Fee: $ ~~ JOB ADDRESS ~~ ~ U ti 1. OWNER ~, MAI~ RE S ~ ~IE ,~PHONF~~~ ,Z. A TO f AIL RES,B"~ ~ HONE ^ LICEN~NO. f f _ f - S• Class of Work: O OMMERCIAL ESIDENTIAL NEW O ADDITION O ALTERATION O R E PAIR O REP LA CEMENT 4• Describe Work: Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 Type of Fixture Ki h No~ ~^ (~ tc en ............... $8.00 x B th ~ I~ • O C7 a ....................................... $8.00 x - R h I B h i ,, rr `~t' oug - n at ....................... $4.00 x Slop SinWLaundry Tray ......... $5.00 x ~ ~ -~~ Water Heater $3.00 x l ~ ~~~ Outside Water Faucet ........... $3.00 x ~ Drinking Fountain .................. $3.00 x Water Service ........................ $10.00 NOTICE I hereby certify that I have read and examined this Sewer .................................... Groundwork ........................... $10.00 $10.00 ~ ~ °Q 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. The granting of a permit does not presume to give authority Lawn Sprinkler System ......... $10.00 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 - w SIGNATURE OF CONTRACTOR OR AUTHO ED AGENT TOTAL ~~ ~ ~ 2 d G~ ~ ~ ~ 7 , v i ' DATE Current License on File ~O~'es O No O NA WHEN PROPERLY VALIDATED (IN TH SP )THIS IS YOUR PERMIT Comment: o d By: POUNDS PRTG: Blair, NE Rev. M9B ,ELECTRICAL PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: 1 ` " ~ " ~~ CATI O N Permit. E 12 0 Permit Fee: $ L~ JOB ADDRESS r7 ^ ~ ~ ~ ~p ~ ~ `~~ 1 C/eG ~VV\V~ LEGAL 1 • DESCR. O SEE ATTACHED SHEET 2 OWNER MAILADDRESS ZIP HOME PHONE =~^~ C I~ WORK/CELL PHONE J~ 3• CONT CTOR 1 ~ ~~~ DRES ~~ ONE ~ HOME PHONE ~~~~~~ WORK/CELL PHONE 4. Class of Work: EW RESIDENTIAL O NEW COMMERCIAL ~ REMO LING/ADDITIONS O UPGRADE SERVICE 5• Describe Work: ; ~ ~ 6. Current License on File es O No p NA Completion D to ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 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 Am Fee $ 55.00 p ............................ 501-600 Amp Fee $ 67.00 ............................ 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 Single/Two Family Dwellings 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 f wor w e comp ed with whether speci ied herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Qutlets 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) GNATURE Q CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 ~~ `"- ~ ~ ~ ~' r~ Permit Issuance Fee .............$15.00 ~ ~~V DATE ~ ~ TOTAL - WHEN PROPERLY VALIDATED (IN THIS SP/~CE) THIS IS YOUR PERMIT POUNDS PRTG.-Blair, NE r Rev. 11/99 {"F ? ~'~ CITY Off' BLt1IR ~.:_-~ .o L om~se of av SUILDIfVG PEI~f~IT DEPOSIT ACREEfii'iENT ~ $200.00 refundable deposit is being coffected at the time ofi your building permit applicavon fior all permits in excess of ~~0,000.00. Howe~,er, the City reserves the right to not refund this deposit ifi any of the foffowing conditions occur during the construction period: ~) theft of water service by either the plumber, owner or general contractor, 2) all required inspections have not been obtained (this includes drywall prior to taping), 3) occupancy occurs prior to a final inspection, ~) all permits have not been. obtained, and 5) the project is completed without a final inspection being done. ff any or off of these situations occur during construction, you may forreit yon rr deposit. I, hereby agree to the above conditions, and understand that should any or ail ofi the above situations occur, the building permit deposit SI-I~LL be forfiefted or discounted upon the discretion of the City of Blair, fsuifding and inspections f~epartment. ID-l6 - ~D 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net i of fair ~~ a~/+ ~~ z ` a O OJ O~ ~ promise Blair BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet includes various items dealing with particular code requirements and/or building permit requirements. It in no way includes ALL particular code items. Also, it 'is your responsibility to know the Uniform Uuilding Code requirements that apply ~o your project. Please understand this packet is only designed and distributed to aid you in your building permit process. The Uniform Building Code is available for your use at,the Blair Public Library. I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. Contractor of lair ~~ Date c~c~ of 218 S,16TH STREET, BLAIR, NE 68008.2010 • (402) 426.4191 • (402) 426.4195 FAX • E-MAIL: cityotblair@huntel.net BUILDING PERMIT REVIEW OWNER: D. A. Boswell BUILDER: D. A. Boswell PERMIT N0.9039 CLASS OF WORK: NEW RESIDENTIAL: X ADDITION: NEW COMMERCIAL: GARAGE: REMODEL: TOTAL SQUARE FOOTAGE: UPSTAIRS: 1237 sq. ft. BASEMENT: 990 sq. ft. GARAGE: 400 sq. ft. TOTAL FINISHED AREA: 1090 sq. ft. NUMBER OF BEDROOMS: 3 bedrooms EMERGENCY EGRESS: Basements with habitable space & every sleeping room shall have at least one egress window. DECK: None PLUMBING FIXTURES: KITCHEN: X BATH: X ROUGH-IN BATH: X UTILITY: X WATER HEATER: Gas OUTSIDE FAUCET: X HEATING FIXTURES FURNACE: Gas A/C: X SITE REVIEW: D. Miller CURRENT ZONING: RML 1 ~ LOCATION ON LOT (SETBACKS) A. FRONT YARD REQUIRED:20 feet SHOWN: 20 feet B. REAR YARD REQUIRED: 15 feet SHOWN: 39 feet C. SIDE YARD REQUIRED: 7 feet SHOWN: 7 feet 2. LOT AREA REQUIRED: 6,000 sq. ft. 3. LOT COVERAGE ALLOWED: 40% ACTUAL: 7,564 sq. ft. ACTUAL: 22% Plans Reviewed: Dale Miller Date: October 17, 2000 USDA-FmHA U.S. DEPARtMENT OF AGRICULTURE FORM APPROVED Form FmHA~l924-25 FARMERS HOME ADMINISTRATION OMB NO. 0575-0042 (7-94) PLAN CERTIFICATION (Property Nar~e/Applicarfts Name and Case Number) l ~ l~ ~~ d- r)~ ~ i I • (Property Address) (COY) a~^7 ~ ~rvP t ~t~ t` ~ ~t"~ ~ S~ ~(~ a ~V` (~~,~,) ~ I GHQ b ~ ~ (state) / l~~d l ~ S ~ BUILDING TYPE: X[] Single Family ^ Multi-Famfly PLANS: X~ Original ^ Modifications I, Donald L. Marshall being a Licensed Architect plcensed erchHect, engineer, or authorized buAdhrg official, etc.) In the State of Nebraska ,hereby certify that I have reviewed: Home Design H-9316 the plans and specifications dated 02/15/93 prepared by Marshall Associates (name of flrr-t or Indhrlduaq for the above property Qthe thermal performance plans, specifications and calculations dated 02/15/93 prepared by Marshall Associates for the above property (name of lirr-- ol~hdNldueg [~ modifications listed below, that have been clearly Indicated on the drawings and specifications dated prepared by and certified by (name of frm or lndivldua~ Donald L. Marshall ' ~r ~ ~1' • *~',.~ and related to the above property. (name of firm or MrdlvkluaQ ~ ' '1 , Modifica~~ons Pu611c reportlnp burden hx fh/a eolleetlon ollnbnneNon is estlmeted fo everope f0 minutea per reeponae, Including the Nme ror revlewinp Instnrctlons, aean;hlnp exletlnp date sources, pafhednp end mafnfelnlnp the date needed end completlrp and reviewing Nre corracH°n ollnlbrmeflon. Send comments rager~np this bunion estlmete or any dher aspect oI this cd/ectlon ollnromtetlon, Indudnp euppesNons for nfdudnp Nils burden, fo Depadmant of Apdcufture, Clearance oRlcer, OIRM.AO Box 7830, Washington OC. 20250; and to the OfRee OI MenepemeM end Budpaf, Paperwvrlr Reduction Pr%cf (OMB No. 0.575-002), Washington, D.C. 2051)3. Please DO NOT RETURN this Iorrn fo either of these addresses. Forward fo FmHA only. BUILDING INSPECTION REPORT CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATIO~~pF INSPE ON: ~ ~'~ ~ ~~~y ~ ~~ ~~~ ~ 1~ ~~ NAME OF OWNER: ~~~~~_.~ CONTRACTOR: `- ~ ~'~~~-~. DATE INSPECTION REQUESTED:~~ _~ _ ~ ~ TIME INSPECTION REQUESTED: ~'~5 ~' PERMIT N0: ~c J~ r TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PAS/S~ FAILED !" ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FIXTURES FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PA,SS~P FAILED ^ PARTIAL J[~ ^ COMMENTS: / MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE FINAL ^ PARTIAL PASS FAILED COMMENTS: ~ ^ - -- PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED . ^ PARTIAL PASS FAILED COMMENTS: OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: DATE OF INSPECTION MADE: ~ 9- D / TIME: ` G~! FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION. REPORT CITY OF BLAIR ~ ^ WASHIN1G/T}OrN°~COUNTY ^.OTHER LOCATIF' SECTION: r~~_ 1 ~. ~ ~, I~~~~ ~ V ~ ~ ~J ~ ~_~ NAME OF OWNER: I~ ~ `-J~ ~~~ ~ I 11~ CONTRACTOR: L~ ~ ~ jr~ i~ - r~ ~~ DATE INSPECTION REQUESTED: ~~~ l~ ~`~ ( TIME INSPECTION REQUESTED: ~ ' D~ 'pYI'~) PERMIT NO: ~~ ~~' ~ 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 / 11 ^ 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: DATE OF INSPECTION MADE: ^~~ ~ ~/ TIME: C FAXED OPPD\ TO CONNECT SERVICE:. ^ YES ^ NO BUILDING INSPECTION REPORT O'CITY OF BLAIR_ LOCATI0,1~~77FF INSPECTION•r ^ .WASHINGTON COUNTY ^ OTHER l ~ , h I /~, , ~ (; ~~ NAME OF OWNER: l~/ DATE INSPECTION REQUESTED \1~~V~1~ CONTRACTOR: : ~ ~~`~ _ ~ ~ TIME INSPECTION REQUESTED: `' '`--~`-J1 `~ ,~ PERMIT N0: ~~ `/'=`'T- TYPE OFINSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING I-('DRYWALL ^ FINAL ^ PARTIAL - `~~~~,I ~ PASS FAILED ~ ` ~ ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FD~TURES ^ 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: -FAXED OPPD\ / t ~ ~ ~~ TIME: ~G ~~ E OF INSPECTION MADE: _ TO CONNECT SERVICE: ^ YES. ^ NO BUILDING INSPECTION REPORT CITY OF BLAIR ^ .WASHINGTON COUNTY ~ ~ ^ OTHER LOCATIO . INSPECTION: ~ ~~ ' ' "°~ .~' ~_ ~ ~ ` NAME OF OWNER:. ~~ ~~ lI CONTRACTOR:. `~' °`n 1 ~~Q ~~~ L- DATE INSPECTION REQUESTED: ~ 1 ~c ~3 ~Q~ TIME INSPECTION REQUESTED: o'~~~ PERMIT N0: ~-~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL COMMENTS: PASSED ^ FAILED ^ ..ELECTRICAL: ^ ROUGH IN ^ FLYTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ~ TEMPORARY SERVICE ^ PARTIAL V~~'--° COMMENTS: V PASSE FAILED ^ 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,: INSPECT / ~ ~/C~DATE OF INSPECTION MADE: ~` ~ ~Da TIME: ~' ~ O FAXED OPPD\ ~~- /7 ~ TO CONNECT' SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT CITY OF BLAIR ~^ WASHINGTON COUNTY ^ OTHER LOCATIO~j~+7~WSPEC~'ION: l ~~" ~~~' `v ~~~ r ~ NAME OF OWNER: ~~~'~O-~" - CONTRACTOR: ~_ ~~~-~" t DATE INSPECTION REQUESTED: ' ~ ~ ~ ~"~`'---` TIME INSPECTION REQUESTED: `~-14'v PERMIT N0: ~"' ~' ' TYPE OF ^ CONFERENCE ^STATUSCHECK BUILDING: [FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL COMMENTS PAS~FAILED UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED 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: OF INSPECTION MADE: ~~ ~~ ~~TIME: G ~~ FAXED OPPD1 TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT. ~] CITY OF BLAIR , ^ WASHINGTON COUNTY, ^ OTHER LOCATI~F''INSP-CTION: G f~ i A~ NAME OF OWNER: ~! ~' ~~~'Q ~r~~ ` / ONTRACTOR: ~ J v '~'/ ~ U ~~' ~ ~ ~ ~~ ~~ ~,~. DATE INSPECTION REQUESTED: ~ ~ TIME INSPECTION REQUESTED: /~~-~pERMTI' N0: . (~ U 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 ^ 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: DATE OF INSPECTION MADE: ~~_ /~'~G TIME: ~ ~jv FAXED OPPD\ TO CONNECT SERVICE; ^ YES ^ NO ~, BUILDING INSPECTION REPORT Cl Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATIOK~9`F~INSPECTI - • _ ~ ~ ~ ~ . ~~ V ~/ f ~,/ ~Q,(~ `L..-%i'C NAME OF OWNER: _ r'~~U._~`- CONTRACTOR: DATE INSPECTION REQUESTED: ~~ ~ i~ ~ ` TIME INSPECTION REQUESTED: tom" ~ ~ PERMIT TYPE OF INSPECTION REQUESTED: ~ n CONFERENCE II.J... ^ STATUS CHECK BUILDING: ^ FOOTING ~ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL ~ ~~ R PASSED FAILS COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL, ROUGH IN ^ FIXTURES ^ FINAL: ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSE FAILED ^ PARTIAL ~ ^ COMMENTS: MECHANICAL:~ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL COMMENTS: PAS FAILED PLUMBING: ^ GROUNDWORK ,ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL COMMENTS: PASS FAILED ^ OCCUPANCY GRA/NT~ ^~CONDITIONAL OCCU(P~'/AN~Cl~GRANTE~D NOTF.S/RF.MARKS• lL/~' / ~ ~~~~~~~ ~le~~!`1 ~-/~~ J~~- // `i/~ DATE OF INSPECTION MADE: `~ 4 ~~ TIME: f FAXED OPPD\ TO CONNECT SERVICE:. ^ YES ^ N0, BUILDING INSPECTION REPORT ITY OF BLAIR,~ ^ .WASHINGTON COUNTY ^ OTHER_/~ / , LOCATI01~!' INSPECTION: !` ~'~ _~ J~ NAME OF OWNER; , ~• ~~•~~~« .CONTRACTOR: ~ ~ ~~Ge ~ DATE INSPECTION REQUESTED:•4~ U ~~~~ TIME INSPECTION REQUESTED: ~~ PERMTI' NO: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS. CHECK BUILDING: ^ FOOTING ~ ®FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL r PASS FAILED i / ` COMMENTS ~~~ ~~f / ~~~- '~' ~ ; ~ ^ : y j ~ ~ j~, UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ~ ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FD~TURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED FAILED ^ PARTIAL - ^ Q 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: TE OF INSPECTION MADE: F D ~ TIME: ~~ ~ r~~ FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER \ ll _~ LOCATIOI~3~FINS~PE~'I'ION: ~~ '~ ~~ ~~ ~S~ ~~~/ ~.~fl ~~P.G~ ~J~/ G ~^ L! NAME OF OWNER: ~ !~`~ DATE INSPECTION REQUESTED ~ l~~ ~'P I ~ CONTRACTC ~~ ~~/~ (>ft ~ / ~ ~,* = ~ ~ ~~d ~ %~ ;~ ~ ~ ~ r :. ~ / TIME INSPECTION REQUESTED: ~ ~~ ~ / PERMIT N0: ~~ ~--~~ ~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE - ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL COMMENTS: PASSED ^ FAILED ^ ELECTRICAL: ^ ROUGH IN ^ PARTIAL COMMENTS: ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED ^ FAILED ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL PASSED FAILED COMMENTS: ^ PLUMBING: ~ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASS FAILED COMMENTS: (~ ~ (C~~GI '' C_~-G~ p u n_ d ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: TE OF INSPECTION MADE:. ~ ~ ~ ! TIME: C.~ FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION. REPORT CITY OF BLAII~.,1, ^ WASHINGTON COUNTY ^ OTHER _ ~/ p~ ~ ~ ~ ~ . V ~ ~ y~~ ~GLJ Ls~/ LOCATION INSPECTION: ~ ~-- ~ NAME OF OWNER: ~• ~~ • ~~ ~ ~t-r~"~^ CONTRACTOR: 1 ' ! r~ ~~ ~- ~ ~~~~~~~ ~'-° ° ~ ~ C~~ [~ DATE INSPECTION REQUESTED: `'~ ~~ Q ~ TIME INSPECTION REQUESTED: ~A~ ~ ~ PERMIT' N0: / ~~ ] l / TYPE OF INSPECTION REQUESTED: ~ ~ ~+ ~" ~~ (~ ~ ^ CONFERENCE ^ S TATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL f ASSED FAILED ^ ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS PERMANENT SERVICE ^ TEMPOR SERVICE ^ PARTIAL ~ ~~~ ,O PASS FAILED ^ 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: INSPEC ~~~ DATE OF INSPECTION MADE: e.,~d-~ ~ /TIME: c ~ ~ ~~ FAXED OPPD\ ~ ~~~r/~ JU ~ ~/ TO CONNECT SERVICE: YES ^ NO ~G~~`~~~~~~