BPM0846City of Blair Building Permit Detail
Permit #: M0846 Issued: 9/27/2002
Completed: 10/2/2002
Location: 10196 CR P35
Owner: Mike and Joyce Johnson
Address: 10196 CR P35
Blair, NE 68008
Phone: 402 426 2955
Section: Township: Range:
Subdivision: Lot:
Furnace Replacement -Propane - 90,000 BUT
Contractors
Kermeen
General Contractor
Remarks
Type: Mechanical Miscellaneous
Valuation:
Permit Fee: 10
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
10/2/2002 DEM Final Inspection of Project Pass
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M ~ 8 `~ ~
(402) 426-4191
Application Date:
~IZ7IDz
Permit Fee: $
~~~~
JOB ADDRESS D z
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1. OWNER / ` ~` U U~n MAIL ADDRESS ZIP ~ „ , PHOI~, `__
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J
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2 CONTRACTOR
MAIL ADDRESS PHONE L
ICENS
E
NO.
3• Class of Work: O COMMERCIAL ESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR REPLACEMENT
~ ~
4. Describe Work: fi
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ur
Central A/C Tons MECHANICAL PERMIT FEES
Furnace 9() ~~ BTU/H Forced Air/Heat Pump Systems- Per Unit
Commercial/Residential (New) ............................................... ... $25.00
# of Units A/C ~d ~~
Air-Conditioner Unit -Per Unit .tc~
Furnace Commercial/Residential (New) .................................................... $10.00
Forced Air Systems/Air Conditioner
' ~ /0~ ~-~
Completion Date: Unit Replacement Per Unit Commercial/Residential ................... $10.00
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 know th
t
b
t
pp
e same
o
e
rue 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 grantin
of a
ermit does not
res
t
i
th
i
g
p
p
ume
o g
ve au
or
ty
to violate or cancel the provisions of any other state orlocal
law regulating construction or the performance of -
Permit Issuance Fee ............................... $15.00 ~ S =
construction
.
TOTAL ZS - ~(~
~~~~~
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
Current License on File ,L~Yes O No O NA
DATE /
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~ ~~ ~~~ J~~~
M
POUNDS PRTG.~Blair, NE ~' Rev 4/98
__ _ _ _
BUILDING INSPECTION REPORT
CITY OF BLAIR ^ WASHINGTON COUNTY+ G / ^ OTHER
LOCATION OFINSPECTION: / ~~ ~ / ~ L ~~ ~~
NAME OF OWNER: ~C~tl(1JCN1 ~ l ~ ~ l~f' CONTRACTOR: /~ r~~~
DATE INSPECTION REQUESTED: / ~/ /~ Z.y- TIME INSPECTION REQUESTED: ~/ r ' PERMTI' N0: ~~~ ~~/
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
COMMENTS:
^ RADIANT HEAT ~TNAL ^ PARTIAL
PA FAILED
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
OF INSPECTION MADE:
/ /~ ~
U ~ O TIME: ` .
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY