BP8540The City of Blair Building Permit Detail
Permit #: 8540 Issued: 06/08/1999
Completed: 08/18/1999
pwner: Dale Gentzler
Address: 1517 South St
Blair, NE 68008
Phone: 402 426 2338
Section: Township:
Subdivision:
Re-roof asphalt shingles tear off 2 layers
Inspections Date ; By
08/18/1999 KAR
Remarks
Type: Roofing permits -All types
Valuation: $8,000.00
Range:
Lot:
Final Inspection of Project
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
Denison Home Improvement General Contractor Permit # Issued
~~
~UILDINCa PERMIT APPLICATION
-~ ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 8 5 ,~ 0
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: `~ ~~^ ~ I Issue Date: r o " l
JOB ADDRESS
LEGAL
1. DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
OWNER ~ I MAIL ADDRESS
2. ~' ZIP ~ HONE
C CTOR n MAIL DDRESS ZIP rA .~ E
4. Class of Work: O NEW O ADDITION O REMODEL
5. Describe Work: 1~C.~6 O Finished Basement O Unfinished Basement
6. Total Sq. Footage pnoludiRg Basemem and Garage>: Total Finished Area:
7. Valuation of Work: $
Floodway O Yes O No Dev. Permit
8. Floodplain: Fringe O Yes O No BFE
Elev. Cert.
9. Current Zoning:
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No
13. Minimum Setbacks: Front Side Rear
14. Sidewalk Required: O Yes O No 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 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 i of completed within 2 ars of date of issue.
.., r,~' ~ n .~
SIGNATURE OF
POUNDS PRTG: Blair, NE
c -~--y
DATE
O Site Plan Attached n O C~piete P,la~~ttached
Approximate Completion Date ~'1 "~
Inspections Required and Fees
Utilities
Sewer
Septic
Buildin
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
Plumbina
Ground Work
Rough-in
Water Service
Remote
Stop Box Card _
Drywall
(before finish)
Final
Fixtures
Permanent Service
A\C
Final
WHEN PROPEF~( VALIDA~f~ (ID~'THIS SPACE) THIS IS YOUR PERMIT
Rev. 8196
BUILDING INSPECTION REPORT
YTY OF BLAIIt ^ WASHINGTON COUNTY ^ OTHER
C ~_
OCATIONOFINSPE bN: ~~ ~ ~ ~~~~..~~~
NAME OF OWNER ~ 4 ~ CONTRACTOR:
~J~~D
DATE INSPECTION REQUESTED: , /~ PERMIT NO:
TIME INSPECTION REQUESTED: ~J~` ' ~~
TYPE OF INSPECTION REQUESTED:
BUILDING: !~;/,.~,~ ~
~-~ I
^ FOOTING. ^ FRAMING ^ DRYWALL AL
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
PERMANINT SERVICE ^ TEMPORARY SERVICE
MECHANICAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: PASSED ~s~rro~rESl ^FAILED ~s~NOTESI
NOTES/REMARKS:
e
INSPECTOR:~J(iD(~~,/~n)/ 1?~~ y L
DATE OF INSPECTION MADE: TIME: /~ °t ~~
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1