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The City of Blair Building Permit Detail
Permit #: 8708
Location: 1635 Front
Owner: Great Plains
Address: 1635 Front
Issued: 11/02/1999
Completed: 07/10/2000
Blair, NE 68008
Permit Fee: $138.00
Issue Fee: $15.00
Deposit Amt.: $200.00
Receipt #: 1063
Phone: 402 426 9511
Section: Township: Range:
Subdivision: Lot: Block:
Detached carport, all masonary with wood and rubber roof. 20' 10" x 69' 8". Six stalls with a concrete floor.
Contractors
Hardy Construction, Inc. General Contractor
Hayes Electric, Refrig., Htg., & A/C Electrical Subcontractor
Remarks
Inspections Date By
11/01/1999 KAR Footings
12/01/1999 DEM Electrical Temporary Service
07/10/2000 DEM Electrical Final
07/10/2000 DEM Final Inspection of Project
Type: Industrial/Commercial -New Const.
Valuation: $27,600.00
Permit # Issued
E0804 10/11/1999
Pass
Fail
Pass
Pass
BUILDING PERMIT APPLICATION
j, Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: ~~~_ Nebraska 68008
Blair, a ~ o ~
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Application Date: ,~~ o2CP~'~ Issue Date:~~ ~~/~
JOB ADDRESS
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LEGAL
1. DESCR. LOT NO. C v / //
i/- BLK. TRACT ^ SEE ATTACHED SHEET
2
OWNE MAIL ADDRESS Zlp C~~ ,PHONF~j~//
.
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CONTRACTOR
3.
~ MAIL AD ESS ZIP PHONE
£-^ s
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W
~ E-7
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4. Class of Wor • O N O ADDITION O REMODEL
5. e I~~ or :
~~ ~ Finished Basement O Unfinished Basement
~~ Q ~~G ~
-~''2 -e ~ arU~i ~~ ' ~~ ~~ s ~
6. Total Sq. Footage (IRCtudiRg Ba6emeRt and Garage): Total Finished Area:
7. Valuation of Work; $ ~' ~ ~~ QQ
Floodway O Yes No
8. FlOOdplain: Dev. Permit Elev, Cert.
Fringe D Yes No BFE
9. Current Zoning:. c ,( i~
10. State Fire Marshall Required: O Yes J~ No
11. Special Use Permit Required: O Yes / LC~ No
12. Variance Required: O Yes ~~( No
13. Minimum Setbacks: Front (~~ Side ~_ Rear
14. Sidewalk Required: O Yes i7 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 bythe 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 years of date of issue.
~i+->„ ~
SIGNATURE OF OWNER/CONTRACTOR DATE
Comment:
MEET UBC, UPC, UMC AND
NEC CODE REQUIREMENTS
t~G'7~i~i~~ X02 L/~~'~~
O Site Plan Attached O Complete Plans Attached
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Building
Footi _
Framing
Electrical
Rou,i
F~
Temporary Service
Mechanical
Rough-in
Final
Plumbina
Ground Work
Rough-in
Drywall
(before finish)
al
Fixtat€s
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATED (III THIS
By:
IS YOUR PERMIT
POUNDS PRTG: Blair, NE Rev. 6/96
. ~ ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 ~ ~ ® ~
(402) 426-4191 Permit.
Application Date: ~ is " ~ ~ r'~`"I
Permit Fee: $ / ~ /°°
JOB ADDRESS
~~
LEGAL
1 • DESCR. LOT N0. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER- ~~ MAILADDRESS ZIP PHONE
,3• CONTRAC ~ [ MAIL ADDR SS ~ ~ ~,~,/_ P E~
~'-"~ LICENSE N
4• Class of Work: O NEW RESIDENTIAL EW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Wor : ` -
6• Current License on File Yes o O NA
LECTRICAL 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 System ................. $10.00
301-400 Amp Fee ...........................: $ 42,00 Signs ..$15.00
"""""""""""""""""'
401-500 Amp Fee $ 55.00
............................
501-600 Amp Fee $ 67,00 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 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
k
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n or not.
The granting of a permit does not presume to give authority
to violate or cancel the
rovisions of an
other state or local Receptacle/S h Outlets
p
y Fixtures x $.75
law regulating construction or the performance of Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
~
' t ~ I
# Fixed Outlets 3
x .$3.00
' Motor(s) x $3.00.
~..~,,,,~ ~.o Power Apparatus (220 Volts) I,,,,~
_
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ~ ~'~~
# Apparatus
x 3.00
_~ ~a •-~I°-99
Permit Issuance Fee .............$15.00
•
DATE
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE THIS I~GO~.1R P
Comment:
POUNDS PRTG: Blair, NE ~~ _ / / Rev. 8197
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Blair
BUILDING PERMIT DEPOSIT AGREEMENT
A $200.00 refundable deposit is being collected at the time of your building permit
application for all permits in excess of $10,000.00. However, the City reserves the
right to not refund ,this deposit if any of the following conditions occur during the
construction period: 1) theft of water service by either the plumber, owner or general
contractor, 2) all required inspections have not been obtained (this includes drywall
prior to taping), 3) occupancy occurs prior to a final inspection, 4) all permits have
not been obtained, and 5) the project is completed without a final inspection being
done. If any or all of these situations occur during construction, you may forfeit your
deposit.
I, hereby agree to the above conditions, and understand that should any or all of the
above situations occur, the building permit deposit-may be forfeited or discounted
upon the discretion of the City of Blair, Building and Inspections Department.
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Contractor/Owner
Contractor/Owner
City f Blair
Date
city Of
21S S.16TH STREET, BLAIR, NE 6SOOS•2010 • (402) 425.4191 • (402) 426.4195 FAX • EMAIL: cityofblair@huntel.net EOURLHOUSING
OPPOgNNRY
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Blair
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.hav~ 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 BI '
City of
~-
Contractor
~ ~'` ,'
ate
21~ S.16TH STREET, BLAIR, NE 6500.2010 ~ (402) 426.41910 (402) 426-4195 i±AX ~ E-MAIL: cityofblair@huntel.net EOUaLHGUS:NG
OPPOPNNITY
promise v
CITY OF~LAIR
LOCATION OF INS]
NAME OF OWNER:
^ WA//SH~~INGTON
/W
^ OTHER
~~
DATE INSPECTION REQUESTED: ° ~/ ~ .. ~ TIME INSPECTION REQUESTED: PERMIT N0:
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASS FAILED
COMMENTS: ~ p~- ^
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 f"' ^
COMMENTS:
MECHANICAL:. ^ ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL
COMMENTS
PASSED FAILED
^ ^
PLUMBING: ^, GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
COMMENTS: ~ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
DATE OF INSPECTION MADE
BUILDING INSPECTION RE~'ORT
;.
~~ /O CJ~ TIME: `~~
FAXED OPPD1 TO CONNECT SERVICE: ^ YES ^ NO
~~ ~ BUILDING .INSPECTION REPORT
,,
CITS'~`OF BLAIR ! ^ WASHINGTO~i CO NTY ^ OTHER
~~
~ LOCATION OF INSPECTION: / ~~~ e~~ ~/J~'1~
NAME OF
DATE INSPECTION REQUESTED: ~ /~ ~~ PERMIT N0: ~ ~ C' U
TIME INSPECTION REQUESTED: '"~ ! ~ ~"
TYPE OF INSPECTION REQUESTED: --•~-~
-~',
BUILDING: ~_
~~ OOTING ^ FRAMING ^ DRYWALL ^ FINAL
TILITIES:
^ 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 ^ FIN
RESULTS OF THE INSPECTIO ~ . ,9S3ED ~s~ rroTES> ^ FAILI
~Af(1TAC /D G11A A D Y C-.
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CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO .
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1
DATE OF INSPECTION MADE: ~ - ~`r ~ ~ TIME: ~S ~ ~ U