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BP8927City of Blair Building Permit Detail Permit #: 8927 Issued: 06/30/2000 Completed: 05/09/2001 Location: 535 N 23rd Street Owner: Hank Gregory Address: 535 N 23rd Street Blair, NE 68008 Phone: 402 426 4414 Section: Township: Subdivision: 20x20 garage w/ electricty detached Contractors J & J Construction Co. Judt Electric Remarks Type: Garages -New Construction Valuation: 5000 Range: Lot: General Contractor Electrical Subcontractor Inspections Date By 07/26/2000 DEM Footings 07/28/2000 DEM Footings 05/09/2001 DEM Final Inspection of Project Permit Fee: 25 Issue Fee: 15 Deposit Amt.: Receipt #: Block: Permit # Issued E1203 10/24/2000 Pass Pass Pass BUILDING PERMIT APPLICATION Permit Fee: ~~ •' /~~~ Jurisdiction of City of Blair, Nebraska ~'V 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit ~ 9 ~ 7 Deposit Receipt #: / Issue Date: (~ "` -~~ ^ ~~1 Type: /~_(~/~ JOB ADDRESS ~ ~ ~ 23~` LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNE 2, MAIL ADDRESS Zlp HOME PHONE ~~ L~ WORK/CELL PHONE~~~~ / ! / CONT TOR 3, ~ MAIL DDRESS , y.~ ZIP HOME PHONE r- ' '~- ) WORKICELL PHONE ~~CJ .-~ 4. Class of Work: NEW Q ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT 0 UNFINISHED BASEMENT 5. Describe Work: 2 ~ x © ` 6. Valuation of Work: $ ~ oQ ~ otal Sq. Footage QncludiBg easement ana Garages: Total Finished Area: Floodway ^ Yes 7. Floodplain: Fringe ^ Yes Dev. Permit No BFE Elev. Cert. 8. Current Zoning: `~ `t v 9. State Fire Marshall Required: ^ Yes ~--~'~c 10. Special Use Permit Required: Q Yes [~No 11. Variance Required: Q Yes\ o 12. Minimum Setbacks: Front L 'de ~ Rear 13. Sidewalk Required: ^ Yes 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 a copy of this application form signed by the Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with th es/ordinances of the City of Blair and the State ofNebraska.lunder tandth isp rmitisvoidifworkisnotcommencedwithin 18 ays~r is not c ted w' in 2 date of issue. _ ~ yc~a SIGNATURE OF OWNER/CONTRACTGR DATE Comment: MEET vec, urn vu~ quo NEC CODE REQUtREMENT$ Q Site Plan Attached c' ^,Compl~e Plans ac tl Approximate Completion Date ~~,~~ ~ Inspections Required and Fees Utilities Sewer Septic Buildin Fo ' gs Drywall (PRIOR TO TAPING) Fr g ~' Electrica Ro -In Fixtures PerryaeenF~ervice Temporary Service Mechanical 1 Rough-in A1C , Final PI m in Ground Work Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACC~,) CIS YOUR PERMIT Water Service Remote Stop Box Card Rev. 8/96 POUNDS PRiG: Blair, NE ~M`'` . ELECTRICAL PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Datew ~2 /'~ V CATION Permit E 12 0 3 Permit Fee: $ /.S~ JOBADDRES~~~ / ~~ - T ( ~ / , 1 l LEGAL 1 ~ DESCR. O SEE ATTACHED SHEET 2. OWN MAIL ADDRES~S~" ~ ZIP HOME PHONE ,~/~ V/~` WORKICELL PHONE CONTRACTOR // MAIL ADDRESS /,, /PHONE HOME PHONE /~ ~- 3. ~_ft ~ ~( -(! `L~ C ~XF~.C~~T ~'/[{~ WORK/CELL PHONE (~ J ~~(~ 4. Class of Work: ~ NEW RESIDENTIAL D NEW C MERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~ ~~ ~. ~ 6. Current License on File es 0 No DNA 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 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 Single/Two 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 d ith h h ifi d h i t wor e comp w e ere n or no w w et er spec e . The granting of a permit does not presume to give authority Receptacle/Switch Outlets ~J~ s ~ J 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) SIGNATUR F CO RACTOR OR AUTHORIZED AGENT # Apparatus x $5.00 _ ~ 6 -~ ~ K `" d ~ Permit Issuance Fee ............. $15.00 ~~~ d 6 DATE TOTAL ,~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: SOUNDS PRTG: Blair. NE ao~ »ina ~~ °-;. o~ ,~, ;: 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 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. Owner/Occupant - --, ~-~o~ ~o Date 218 S,16TH STREET, BLAIR, NE 68008.2410 • (402) 426.4191 • (402) 426.4195 FAX • EMAIL; cityofblair@huntel.net City of • promise _ _ _ _ _i BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHINGTON COUNTY ^~ OTHER LOCATION OF INSPECTION: d - NAME OF OWNER: ~ `-`''~'~ CONTRACTOR: DATE INSPECTION REQUESTED: ~ ~ ~ TIME INSPECTION REQUESTED: PERMIT NO: ~~ r TYPE OF INSPECTION REQUESTED: ^ CONFERENCE STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PAARTIAL PASSEIy FAILED COMMENTS: ~j ~ ~ / ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH W ^ 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: -- ~--Ol TE OF IIVSPECTION MADE: .TIME: G FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT CITY: 0~ BLAIR ^ WASHINGTON COUNTY [~ OTHER ~r LOCATION OF INSPECTIO ~ NAME OF OWNER: ~ ~' CONTRALTO DATE INSPECTION REQUESTED: (~~ ~~~ TIME INSPECTION REQUESTED: -rYr' PERMIT N0: ~~`~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING:. ~ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL ~ ~S .- ~ ~~~ ~ PASSE ~, 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: OF INSPECTION.MADE: ~~ ~`~ TIME: D G FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT ,~ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER 7 1 LOCATION OF INSPECTION: _ ~ .~ ~' ~ . C- ~ r~, ~~~-~~- NAME OF OWNER:~~~"l(~h CG,~)~ `! CONTRACTOR: ~4~1 f ~i'1C~~/5lr ~~a7 ~1Q~}'f ~"~'~~/~ DATE INSPECTION REQUESTED: " ~~ ~ `-'~-~ TIME INSPECTION REQUESTEDT:~ ~. ~ III- PERMTI' NO: ~J !_ ~L J ~ ~ l.~l dl ~~ TYPE OF INSPECTION REQUESTED: ' ,'( ~(;( '~,, ^ CONFERENCE ^ STATUS CHECK BUILDING: FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSE FAILED COMMENTS: ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL COMMENTS: PASSED FAILED ^ ^ ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PARTIAL COMMENTS: PASSED 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: ~Q~~ ~ G~~ /DATE OF INSPECTION MADE: TIME: FAXED OPPD\ TO CONNECT SERVICE:. ^ YES. ^ NO