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BP8964vk~ 3o~El - I S-o~ The City of Blair Building Permit Detail Permit #: 8964 Issued: 08/07/2000 Type: Industrial/Commerical -Additions Completed: 09/29/2000 Valuation: $40,000.00 Location: 2142 Hollow Road Owner: Green Roof Storage Permit Fee: $200.00 Address: 2142 Hollow Road Issue Fee: $15.00 Deposit Amt.: $200.00 Blair, NE 68008 Receipt #: 2971 Phone: 402 533 1180 Section: Township: Range: Subdivision: Lot: Block: 17 unit wick storage facility with concrete floor with electrical. 24' x 90' and 40' x 38' building Contractors Jorgensen Contracting, Inc. General Contractor Permit # Issued Judt Electric Electrical Subcontractor E1185 10/02/2000 Remarks Inspections Date By 09/05/2000 DEM Footings Pass Partial 09/12/2000 DEM Footings Pass 09/13/2000 DEM Footings Pass Partial 09/28/2000 DEM Drywall Pass 09/29/2000 DEM Electrical Final Pass 09/29/2000 DEM Mechanical Final Pass 09/29/2000 DEM Final Inspection of Project Pass BUIL®IIVG PERMIT APPLICATION b~ oa Jurisdiction of City of Blair, Nebraska Permit Fee: OO ~ ~~ S ~ 218 South 16th Street Issuance Fee: 1Sa~ Blair, Nebraska 68008 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Deposit Receipt #: ~ ~ Issue Date: ~ Type: ~ Permit JOB ADDRESS ~ ~ / ~7L / /D ~ / n , . fY\4/~Y LEGAL 1 . DESCR. L/~ .~ - I ^ SEE ATTACHED SHEET OWNER ,r 2, ~r r ~~ ~ ~ MAIL ADDRESS ~ Zlp HOME PHONE WORKICELL PHONE 3. CONTRA TOR ~ l MAIL DRESS ~~ I r ~-~ ZIP HOME PHONE WORKICELL PHONE ~~~- 4. Class of Woi . Q NEW ADDITION Q REMODEL Q OTHER Q FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work: ~ ~ ~~~ ~ • -~~ ~ ~ ~-~ i ~ ~' 9~' ~- a' x ~' ~~ d~~ 6. Valuation of Work: $ ~ TOtal Sq. Footage QRduding Basement and Garage): Total Finished Area: Floodway Q Yes 7. FIOOdpiain: Fringe Q Yes O No Q No Dev. Permit BFE Elev. Cert. 8. Current Zoning: ~ _ 9. State Fire Marshall Required: es Q No 10. Special Use Permit Required: Q Yes ~lo , G 11. Variance Required: Q Yes ^ No °°~j ~~ 12. Minimum Setbacks: Front Side C~), 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 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 by the Building Inspector. I hereby agreeto 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 Stat Nebraska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin 18 da s or is not completed within 2 years of_date of issue. - ~-~ o DATE Comment: ~i ~~~ Q Site Plan Attached r Q~omplete P~~Attached Approximate Completion Date ~:2_() Inspections Required and Fees U ili ie Sewer Septic Buil in Footings Framing EI c ri I Rough-in Final Temporary Service Mechanical Rough-in Final Plumbin Ground Work Rough-in WHEN PR Y VALIDATED Approved By_ Water Service_ Remote Stop Box Card Drywall (PRIOR TO TAPING) Final Fixtures 8964 Permanent Service A\C , Final S ~PACEI THIS IS YOUR PERMIT Rev. e/96 POUNDS PRTG.-Blair, NE ELECTRICAL PERMIT APP Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: _~K ~ ~ w ~~~~ LIGATION Permit E 118 5 Permit Fee: $ ~~ ~Z5 JOB ADDRESS Z~ y ~ ~~~ I l~ ~~-~ 1 LEGAL DESCR. p SEE ATTACHED SHEET 2. OWNER ~~ ~%hr~. (~ ~('/,,, _~ A MAILADDRESS ZIP T(~' T r l.~ N WORKICELLPHON~ 3 CONTFlACTOR~ MAILADDRESSO) 1 P/H~O'NE HOME PHONE ~ . ,`,,. Ii(-C.~~ (~~~CT7 i C~ ~ ~ T L ~~ I YGL [J~~ -. WORK/CEIL PHONE `-'f ~ (v - 7 NEW COMMERCIAL EMODE ING/ADDITIONS O UPGRADE SERVICE 4. Class of Work: p NEW RESIDENTIAL L O , / ~ ~ ~ > 5. Describe Work: ~ G~~ /l P 79UG- ~~U1~G ~ Y?-(~.,.~ C"~{C~%/I 6. Current License on File p Yes p No p 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 S stem $10.00 y ................. 301-400 Amp Fee ............................ $ 42.00 Signs ..................................... $15.00 401-500 Am Fee $ 55.00 p ............................ 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 U~grades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 -~~-* IF OVER 1000 Amp 1st 1000 Amp Fee ....................... $117.00 Amp Fee ~~(~ (~ 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 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Receptacle/Switch Outlets 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) SIGNATy OF CONTRACTOR OR AUTHORIZED AGENT # ApparatUS ~ X $3.00 C l ` ~~ ~ ~ a Permit Issuance Fee $ ............. 15.00 ) ~ ~ ~ ~ - DATE ~~ ' 2"S TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIy~ IS YOUR PERMIT POUNDS PRTG.-Blair, NE -'~ -' ~ Rev. 11/99 ~~~ ~`ry°fBlair 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 City of Blair ~` C tracto _ ~~ ~-~~ Date 218 S.16TH STREET, BLAIR, NE 68008.2010 • (402) 426.4191 • (402) 426.4195 FAX • E-MAIL; cityofblair@huntel.net "~ promise CITY OF BI~t\IR ,~ ~ ,F ~o~o ~, , - ~ , - o`~~ Mjseofav BUILDING PERMIT DEPOSIT ~eGREEi1~7ENT ~ X200.00 refiundabie deposit is being collected at the time of your building permit application for ail permits in excess of ~~ 0,000.00. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) they of water service by either the plumber, owner or general contractor, 2) ail required inspections have not been obtained (this includes drywall prior to taping), ~) 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. if any or alt of These situations occur during construction, you may fot?eit your deposit. 1, hereby agree to the above conditions, and understand that should any or all ofi the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and inspections Department. Contractor/Owner City of Blair ~~-~~°~ Date ~~ ~~ 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cifyofblair@huntel.net o~~„,n BUILDING INSPECTION REPORT CI1\Y~dh' BLAIR ^ WASHINGTON~COUNTY ~~-; ^ OTHER LOCATION OF INSPECTION: ~~ ~ ~/~-~ V \ Q U ~ -~/ ~K~ ~ '~ U ~U l-~J' ~? y NAME OF OWNER: '~~ I/ ~ I°-~ ~---~~~ f ~ (~// J~~1~~iC~` CON~RACroR~' -~v~ F,~~ ~~- ~ DATE INSPECTION REQUESTED: ~ r ~~~ TIME INSPECTION REQUESTED:C ~ ~ PERMIT N0: TYPE OF INSPECTION REQUESTED: ^ .CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ~ DRYWALL ^ FINAL ^ PARTIAL PASS FAILED "~ , COMMENTS: c~ .L 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: / ~ ~ w~ TIME: ~~~ cC/ FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT [~ ~ITI'`1}~ BLAIR ^ WASHII~JGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~- ~ 1 ~ ~ ~fJ!-~~ ~ ~ (~ (~7 ~- NAME OF OWNER: ~-~ ~- ~-g V~ - ~'!~ ' CONTRACTOR: {~~.~/~~ DATE INSPECTION REQUESTED:. ~ -~"C7C~ TIME INSPECTION REQUESTED: ~~~ PERMIT N0: TYPE OF INSPECTION REQUESTED: I ^ CONFERENCE ^ STATUS CHECK BUILDING: [~ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL~ARTIAL PASS FAILED COMMENTS: ~~~ ~/ ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WA R SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: MECHANICAL: ^ ROUGH-IN COMMENTS: ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL I PASSED ^ FAILED ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTA 1LED ^ PARTIAL COMMENTS: s PASSED ^ FAILED ^ ^ OCCUPANCY GRANTED NOTES/REMARKS: ^ CONDITIONAL OCCUPANCY GRANTED ,~ INSPE OR: FAXED OPPD\ ~ 4 DATE OF INSPECTION MADE:. ! ~ ~ TIME: TO CONNECT SERVICE: ^ YES ^ NO <.~ G ~ ~~ BUILDING INSPECTION- REPORT k CITY~(~' BLAIR LOCATION OF INSPECTI~ ^ WASHINGTON COUNTY ' \ ^ OTHE(R~ ~ ~ +~ ~ ~ ~~ ~ I ~t-~ F ~ ` j X- ~ N E OF OWNER n / ` ~ ~~~~ ~ AM : / ~ ~ CONTRACTOR: iC ~~~ DATE INSPECTION REQUESTED: ~ ~ ~ "` ~ TIME INSPECTION REQUESTED: fr' PERMIT N0: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: f FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS~rD FAILED ~ ij ^ ,r 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: '!~ ~~ TIME: ~` ~U FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT TIT OF BLAIR LOCATION OF INSI NAME OF OWNER: DATE INSPECTION TYPE OF IP BUILDING: COMMENTS ^ FRAMING ^ DRYWALL ^ FINAL RTIAL PASS FAILED 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: INSPECTO FAXED OPPD\ DATE OF INSPECTION MADE: TO CONNECT SERVICE: ^ YES ^ NO / ~ f ~~ D~ ~ G° TIME: ! ~- ~` ^ W REQUESTED: ~~ ~ ~ TIME INSPECTION REQUESTED: / PERMIT N0: ^ CONFERENCE ^ STATUS CHECK BUILDING INSPECTION REPORT ~]. CITY aF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~`~` k e ~ ~~ ~ _ / C,) Y t - NAME OF OWNER: 1~~L~T ~ ~~ h / ~. ! C~f--~~G! ~~`r-@ONTRACTOR: ,~~~ a--~~ r 2 ,, ~ DATE INSPECTION REQUESTED: "' ~_,7'y~7 TIME INSPECTION REQUESTED: ~- ~~~~ PERMIT NO: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL INAL ^ PARTIAL PASS 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 PASS FAILED ^ PARTIAL ~ ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ~ FI AL ^ PARTIAL PASSEp FAILED COMMENTS: Qfl~~ ~ ~ ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTESlREMARKS: OF INSPECTION MADE: ~ ~ s -~V'I'IME:~` ~ C FAXED OPPD\ TO CONNECT SERVICE;. ^ YES ^ NO }~ D ~- D C~ S ~, D, 3; I 1~~rr~ ~~~~ ,~o't ~' ~~ ~~ ---~~/ ~e~~~ ~kashf~£.~s~~ Q~'F~ ~j~~NTOS^M /, ` i ~ /~ ,% ;~ ~ ~ ~% ,~,~'/ST/~~ ~~~~ tiooF ~fo,~f'E ~y .~ 90 ' ~4N4 ~o',r 3~ ~9 ~ ~d6iro~,v ~ Iy^ r~~y- ~~~ Jo,2C,~s~,~ (~,u~ler~0 ,$ae 3~~ F~~ ~ ~'s~~ ,d,~.~,e, ~/' ~ ~a U - y3'Y~ r T ~.~,~~ / ~ ~iUA'rS ~~ ~~~c~~C~o~v~keTe ~r~9B .370© S~,°Fr, ar~~~s 38-39~ ~~ %E ~K 1~ ~ ~. ~ ~~ f C ~ ~,/', j '/ ~'. /r ,i DscR T~(/f-N 3~3~"=/ D ~~ CTYp~ - -- - ---- ~'/~~~'~ ~ ~PaDf s~D~P/1r~