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BP9143City of Blair Building Permit Detail Permit #: 9143 Issued: 04/18/2001 Completed: 08/01 /2001 Location: 2460 Hollow Road Owner: Kathy R. Duke Address: 2460 Hollow Road Blair, NE 68008 Phone: 402-426-1319 Section: Township: Range: Subdivision: Lot: 16' x 12' cedar less than 18" off ground Type: Decks -All types Valuation: 600 Contractors SELF General Contractor Remarks Inspections Date By 06/14/2001 DEM Footings 07/19/2001 DEM Status check 08/01/2001 DEM Final Inspection of Project Permit Fee: 15 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued Pass Fail Pass BUILDING PERMIT APPLICATION Permit Fee: ~ S U O Jurisdiction of City of Blair, Nebraska 218 South 16th Street Issuance Fee: _ Blair, Nebraska 68008 914 3 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: ~.,/ Issue Date: ~~~ ~ ~ ~ J Type: ~(~L JOB ADDRESS ~ ~ ~ ~\ V ~ 1 ~ ~ LEGAL 1 . DESCR. II ~ ~ lfJ ~ L (~~ ^ SEE ATTACHED SHEET 2 OWNER Kai ~ ~ MAILADDRES~~ ZIP yVORK/CEOLLPHONE ! / ~7' "/~~ CONTRACTOR 3. ~°~I ~ MAIL ADDRESS ZIP HOME PHONE WORKICELL PHONE 4. Class of Work: NEW ^ ADDITION Q REMODEL ^ OTHER INISHED BASEMENT N F ^ FINISHED BASEMENT 0 U 5. Describe Work: 1~~--L~ ~- (o )( J - . ~/ ' ~SS 7~1Gc-/1 ~~~~ air rOZcil 6. Valuation of Work: $ (Q (~ ~ ~ Total Sq. Footage (InclBding Basement anli Garage): Total Finished Area: Floodway Q Yes No 7. Flood lain: s Q p Frin a Yes No Dev. Permit BFE Elev. Cert. 8. Current Zoning: ~~-- 9. State Fire Marshall Required: ~ Yes ~Vo 10. Special Use Permit Required: ^ Yes ~o 11. Variance Required: Q Yes o 12. Minimum Setbacks: Front S Side ~ Rear ~~ 13. Sidewalk Required: Q Yes Q N o 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 bythe 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 State of ebraska.lunderstandthatthispermitisvoidifworkisnotcomme cedwithin 180 s or is not complete within 2 years of date of issue. ~ ~_. i SIGNAT OF OWN CONTRACTOR DATE Comment: ~ite Plan Attached ~ Complete Plans Attached Approximate Completion Date ~ ~6f1~~~ Inspections Required and Fees U ilitie Sewer_ Septic _ Building Footings Framing EI c ri al Rough-in Final Temporary Service M hanic Rough-in Final Plumbin Ground Work Rough-in WHEN PROPERLY VALIDATED Water Service_ Remote Stop Box Card _ Drywall (PRIOR TO TAPING) Final Fixtures Permanent Service ABC Final Approved By: /J / THIS IS YOUR PERMIT i'' aav. e~ss POUNDS PRTG.~Blair, NE ., ~ ~ ` W ~, 0 50.0' 10.0' Bath o Bedroom K_ itchen ~ ~' Bath ~- -~ ,~ ~~ ~ c s r10.0' ai N j~ N Bedroom- Living Room M 16.0' d' ~~~,t 14.0' c~i IZ o:o' , ~;,~~~ ~ I '~ ' 1~' - , __ 0'" " ~. ': I i ~ Skalth by ~ N Windows"' SKETCH ADDENDUM Page 1 of 2 Day One Forms for Windows, 1997 -1 800-GET-DAYl J 0417/200/ 11:42• 4025719666 v to i I 1 nT EULLERTON LUMBER -...,..~ ~ ~ ~ i .-- - ~ ~ ~~ J ~ 1 a P ~ i ~. 1 (~A`; 4 _. PAGE 01 a, ~ J~ '. ~O. O ~ promise c~Ty °tBlGll Y 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 Building Code requirements that apply to 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 ~IOI Date 213 S.16TH STREET, BLAIR, NE 63003-2010 • (402) 42b-4191 • (402) 426.4195 FAX • E-MAIL: cityofblair@huntel.net ~•p~ W~• - OPPOgiONI7Y - ~~ ~ ~ ~ ~ ~' ° t~BUILDING INSPECTION REPORT CITYO~ BLAIR ^ WASHINGTON COUNTY ^ OTHE~~ES l ©S ©s LOCATION OF INSPECTION: ~1/ ~ ~ ~ _ NAME OF OWNER: DATE INSPECTION TYPE OF INSPECTION REQUESTED: BUILDING:.FOOTING ^ FRAMING ^ DRYWALL ^FINAL ^ PARTIAL COMMENTS UTILITIES: COMMENTS: ' ~ CONTRACTOR: , ~,~~~/ ~ ~~~'`~' ~'°' ~ TIME INSPECTION REQUESTED: / -PERMIT N0: r ^ CONFERENCE ^STATUSCHECK PAS FAILED ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED -FAILED ^ PARTIAL ^ 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 CON~yIENTS: ^ ^ PLUMBING:: ^ GROUNDWORK ^ ROUGH-IN ^FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL-0CCUPANCY GRANTED NOTES/REMARKS: INSPEC`~=~(p~~~C~ `~ ;~,%~ DATE OF INSPECTION MADE: ~ ~6 ~ O C TIME: ~L / FAXED OPPD1 TO CONNECT SERVICE: ^ YES ^ NO ' ° BUILDING INSPECTION REPORT ~ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~ ~ ~~ ~ ~~ ~ ~~~ ~ ~~ .NAME OF OWNER: ~/ ~ t~ ~ ~'~ ~ L~~ ~ ~ ~'' CONTRACTOR: ~ ~ /~ ~ -- r DATE INSPECTION REQUESTED: ~ ~ `) + TIME INSPECTION REQUESTED: ~ ~ ~ PERMIT NO: I ~-~ ~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASS FAILED COMMENTS: ~~~ ~ ~ i ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGHIN ^ 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: i OF INSPECTION MADE: ~ / o `° / TIME: ~ ~`~ FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO