BP8560The City of Blair Building Permit Detail
Permit #: 8560 Issued: 06/24/1999
Completed: 08/05/1999
Owner: Phyllis Gentry
Address: 12353 Earl Avenue
Country Estates
Blair, NE 68008
Phone: 402 533 8068
Section: Township:
Subdivision:
8x12 coow deck on side of trailer
no roof
Inspections Date By
07121/1999 DEM
08/05/1999 DEM
Type: Decks -All types
Valuation: $1,000.00
Range:
Lot:
Footings
Final Inspection of Project
Remarks
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Pass
Contractors
SELF General Contractor Permit # Issued
~~' '~
~ ~UIL
Permit Fee: ~ 'S
Issuance Fee:
Deposit Receipt #:
DING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 a 5 6 ~
(402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: (~ c 7 7" ~ ~ ' Issue Date: ~ ~~
JOB ADDRESS /~ ~~~ ~C~ // , GCS
LEGAL
1. DESCR. LOT NO. BLK• TRACT
^ SEE ATTACHED SHEET
OWNER ~
2. ~ ~ MAIL ADDRESS Zlp PHONE
- c'J h
CONTRACTOR ~
3. MAIL ADDRESS ZIP PHONE
4. Class of Work: O NEW O ADDITION O REMODEL
5. Describe Work: ~ k O Finished Basement O Unfinished Basement
6. Total Sq. Footage (Incli,ding Ba6ement and Garage>: Total Finished Area:
7. Valuation of Work: $ ~ ~
Floodway O Yes O No
8. FIOOdplain: Fringe O Yes O No Dev. Permit
BFE Elev. Cert.
'/
9. Current Zoning: r
10. State Fire Marshall Required: O Yes - No
11. Special Use Permit Required: O Yes ~No
12. Variance Required: O Yes ~No
13. Minimum Setbacks: Front ~ ~ Side / J Rear~_
14. Sidewalk Required: O Yes O No Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septicsystems. By mysignature 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.
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
St ebraska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin
0 day r is not comp et wlthi years of date of issue.
OF OWNER/CONTRACTOR Z/ /DATE
Comment:
M~E~ V~ ~- VM~ A~
NEB ~l~ 1tEtaUIpEMENTJ
O Site Plan Attached O C mplete Plans Attached
Approximate Completion Date ~ ~~` 9,~
Inspections Required and Fees
Utilities
Sewer Water Service-
Septic Remote
Stop Box Cartl
Building
Foot Drywall
(before finish)
Framin F~
g
Electrical
Rough•in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough•in _
Final
Plumbing -
Grountl Work
Rough-in _
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS S
IS YOUR PERMIT
POUNDS PRTG: Blair, NE ~ Rev. 6196
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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.
Own Occupant
,/
i ~ _ .
i f Blair
Contractor
'~~~-~7
Date
210 .16TH STREET, I3LAIR,I~E 6000.2010 ~ (402) 426.4191 ~ (402) 426.4195 FAQ a E•P/IAIL: cityofblair@huntel.net EOUaLMOU6IHG
OPPOHNIdRY
promise "
BUILDING INSPECTION REPORT
~] CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
~c`~
LOCATION OF INSPECTION: ~~~-a ~S ~ c r- ~-r1 L~L- - ~ .~- /' ~/_ S'/Gr~.
_
~
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r ~ ~
NAME OF OWNER: Yf-'
_ CONTRACTOR:
DATE INSPECTION REQUESTED: ~-- ~- ~ ` ~ f TIME INSPECTION REQUESTED: ~ PERMIT N0: ~~~~C~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ~ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL
COMMENTS: '~~" ~'~ PASSE
~ FAILED
^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
^ PARTIAL
COMMENTS: PASSED
^ FAILED
^
ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED
^ PARTIAL ^
COMMENTS: 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:
~~C TIME:. ~! LG~V
DATE OF INSPECTION MADE:
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
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_, BUILDING INSPECTION REPORT
CITY OF BLAIIt ^ WASHINGTON COUNTY ^ OTHER
OCATION OF INSPECTION: ~ ~~ ~ ~ ~ ~ U- ~ ~ ~ ~
NAME OF OWNER: C'~I Y1 11 i ~'1 ~ ` i ~ S CONTRACTOR: `~'~" I
DATE INSPECTION REQUESTED: cb~( 1 ~ PERMIT N0: _ ~ ~ (/~
TIME INSPECTION REQUESTED: ~C-- ~ ~~- ~ - a- .?2J a
TYPE OF INSPECTION REQUESTED:
BUILDING: ~~
~~
^ FOOTING ^ FRAMING ^ DRYWALL ~ FINAL
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
^ PERMANENT SERVICE ^ TEMPORARY SERVICE
MECHANICAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: PASSED (s~xoT$s~ ^ FAILED (sue xoTES>
NOTES/REMARKS:
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ N0 -BLR 1
DATE OF INSPECTION MADI~ eSy ~ / ~ TIME: ~~ G ~D