BP8831The City of Blair Building Permit Detail
Permit #: 8831 Issued: 04/13/2000
Completed: 06/05/2000
Location: Shirly 1404 Colfax Street
Owner: Shirly Gilliland
Address: 1404 Colfax Street
Blair, NE 68008
Phone: 402 426 2287
Section: Township: Range:
Subdivision: Lot:
40' wood fence, 6' tall corner lot not street side, inside property
Contractors
SELF
General Contractor
Remarks
Type: Fences -All types
Valuation: $150.00
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
06/05/2000 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
I~ - .- Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 8 S 31
Deposit Receipt #: (402) 426-4191 ~ Fax (402) 426-4195 Permit
Application Date: 1 ~' ~ ~~a _ Issue Date: ~` ~ ~ d
JOB ADDRESS ~ , 1 O ~
4~`, ~ ~~
LEGAL
1 . DESCR. LOT NO. BLK• TRACT
^ SEE ATTACHED SHEET
OWNER
2. r
l\ MAIL ADD ESS Zlp PHO E
CONTRA R
3. MAIL ADDRESS ZIP PHONE
4. Class of Work: EW ^ ADDITION ^ REMODEL
5. Describe Work: ~r W ^ Finished Basement ^ Unfinished Basement
6. Total Sq. Footage (IRCluding Ba6emeRl end Gerage>: Total Finished Area:
7. Valuation of Work: $
Floodway O Yes
8. Floodplain: Fringe O Yes O No
O No Dev. Permit
BFE Elev. Cert.
9. Current Zoning:
10. State Fire Marshall Required: ^ Yes
11. Special Use Permit Required: ^ Yes
12. Variance Required: ^ Yes ^ No
13. Minimum Setbacks: Front
14. Sidewalk Required: ^ Yes ^ Nc
^ No
^ No
Side Rear
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 chat 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 the codes/ordinances of the City of Blair and the
State of Nebraska. I understand that this permit is void if work is not commenced within
180 days or is not completed within 2 ye rs of date of issue.
Comment:
^ Site Plan Attached ~7 C.ompl Pans Att h
Approximate Completion Date (~(,{,/
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Building
Footings Drywall
I (before finish)
' Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A\C
Final
Plumbing
Ground Work
Rough-in Final
WHEN PFj~'ERLY VALIDA D (yN THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRTG: Blair, NE ~ / ' Rev. fl~96
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BUILDING INSPECTION REPORT
CTI'Y OF BLAIR ^ WASHINGTON COUN Y
LOCATION OF INSPECTIO
NAME OF OWNER:
DATE INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
OTHER
TIME INSPECTION REQUESTED: / PERMIT NO: ~iC O ~'
^ CONFERENCE STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PAS D 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:
INSPEGTOR~ ~..~ ~= ~~°~ ~`~-~' DATE OF INSPECTION MADE: ! ~ ~ C~C .) TIME: ~~ ~GJ
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO