BPM0709City of Blair Building Permit Detail
Permit #: M0709 Issued: 09/04/2001
Completed: 11 /14/2001
Location: 677 Hillcrest
Owner: Tim Carrigan
Address: 677 Hillcrest
Blair, NE 68008
Phone: 402-426-2456
Section: Township:
Subdivision:
Install 2 A/C's (1) 2.5 ton and (1) 3 tpn.
Install 2 furnaces 100,000 BTUs
Contractors
Getzschman Htg & Sheet Metal
Getzschman Htg & Sheet Metal
Remarks
Range:
Lot:
Type: Mechanical Miscellaneous
Valuation:
General Contractor
Electrical Subcontractor
Permit Fee: 40
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit #
E7382
Issued
09/04/2001
Inspections Date By
11/14/2001 DEM Mechanical Final Pass
MECHANICAL PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: 1-~1- ®J
CATION
nn 0709
Permit Fee: $ ~~ ~~
JOB ADDRESS
/
/ ~
1 . OWNER MAIL ADDRESS ZIP PHONE pp J~
~ -l~l ~- l ~ -C~`~Y`J~
2. CONTRACTOR AIL ADDRESS // ,^, /~ L PHON v/1 , LICENSE NO. /~
~-(/ ~ ~/ t°~0~7 ~ 0 V ~~5 7C~i~-~/~C1
3• Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT
4. Describe Work: ~ ~ , ~- C °~ .5 C,~,~~._cL cti ~ ~~n ~~ ~~
~~~.
C
t
l A/C ~~~ ~
MECHANICAL PERMIT FEES
en
ra
Tons
Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) .................................................... $25.00
# of Units A/C
~ ~ ~~~ ~.~,~~~
~ Furna Air-Conditioner Unit -Per Unit
Commercial/R
id
ti
l
N
~
ce es
en
a
(
ew) ....................................................
$
10.00
,
/
Forced Air Systems/Air Conditioner (~~~ 7~~'~
~~ ~ _ ~ ~ Unit Replacement Per Unit Commercial/Residential ................... $10.00
Completion Date:
Refrigeration Units/Coolers/Lines/Compressor -
Comments: Per Unit Commercial (New or Replacement) ...... ..................... $10.00
Appliance Vent/Fans ...............................$10.00
Boiler ....................................................... $15.00
Duct System ............................................$10.00
Gas/Air Outlets .................. x $2.00
NOTICE Radiant Heat Systems ............................$25.00
I hereby certify that I have read and examined this
a
lication and k
th
t
b
pp
now
e same
o
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
ermit doe
t
t
i
h
i
g
g
p
s no
presume
o g
ve aut
or
ty
to violate or cancel the provisions of any other state or local
P
it I
F
~~'
law regulating construction or the performance of erm
ssuance
ee ............................... $15.00
construction
.
TOTAL ~ ~ ~~~
SIGNATURE OF TRACTOR OR AUTHORIZED AGE
C
t Li
Fil
N
~~ , ~°D ~ urren
cense on
e es O
o O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
J
PUUNOS PRTG.~Blalr, NE Rev. 4/9B
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit E 13 $ 2
Application Date: ~ ~~'° ~ I
Permit Fee: $ ~"~'~' ' ~~
JOB ADDRESS
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1 LEGAL J~ ~ SEE ATTACHED SHEET
DESCR.
OWNER ..~~
~
`
MAIL ADDRESS ~ ZIP HOME PHONE L /' ,^ c~'~ r /~
2
~~~c C 7"
~
~~ I
~~
.
f , WORK/CELL PHONE ~
3. CONTRACT MAILADDRESS PHONE ~ HOME PHONE
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~ J ~
~~ ~ " ~
~ Q/
WORK/CELL PHONE
~ ~ ~ (~
~
4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS UPGRADE SERVICE
5• Describe Work: ~ ~~~
6. Current License on File es O No O 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 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 ~ ~ UC
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
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority Receptacle/Switch Outlets
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 CONTRACTOR OR AUTHORIZE GENT # Apparatus x $3.00
~~ - ~ ~ J Permit Issuance Fee $15.00 -~~~ ~~~~
DATE
~ Q '
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: '
PVUNDS PRTG.-61air, NE Hev. X1/99
BUILDING INSPECTION REPORT
^ CTI'Y OF BLAIR ^ WASHIIVGTON COLU~NTY ~~~ ^ OTHER
LOCATION OF INSPECTION: ~ ~ ~ !C `~--~ I~C~-cam r
NAME OF OWNER: ~~~~q,~/~l ~/I ~C~
CONTRACTOR:
DATE INSPECTION REQUESTED:
TIME INSPECTION REQUESTED:
PERMIT N0: f ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ .FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT AL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
PLUMBING:.. ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ ^
COMMENTS>
^ OCCUPANCX~ GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
C ~~~
DATE OF INSPECTION MADE: ~ ~ TIME:
FAXED OPPD~BURT REA TO CONNECT SERVICE:' ON BY