BPP0698City of Blair Building Permit Detail
Permit #: P0698 Issued: 03/26/2002
Completed: 05/07/2002
Location: South 3rd Ave (by South Street)
Owner: Jensen Construction
Address: 2167 Jackson Street
Blair, NE 68008
Phone: 402-426-2575
Section: Township: Range:
Subdivision: Lot:
running water service to the stop box ,not bldg.
Will run to bldg at a later date this summer on a separate permit.
Contractors
Henton Trenching, Inc.
General Contractor
Remarks
Type: Plumbing Miscellaneous
Valuation:
Permit Fee: 10
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
05!05/2002 DEM Water Service Pass
05/07/2002 DEM Final Inspection of Project Pass
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: ~I ZCP ~ ~ ~
P 0698
Permit Fee: $ ~ ~'~
JOB ADDRESS ~~
OWNER MAIL ADDRESS ZIP
1. ~Te, 5 Lfi~, 2 I ~ s ~-1 ~ ONE
~ e./ ~S S
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
2
.~ ~~ Z U .~~ 3~ o~ ~ 9
3• Class of Work: COMMERCIAL O RESIDENTIAL EW O ADDITION O ALTERATION O REPAIR O REPLACEMENT
4• Describe Work: ~ ~~ ~ ~~ ~9L~ ~~$~-~' r~
Comments: PLUMBING PERMIT FEES
Modular Home ......................$15.00
Type of Fixture No.
Kitchen ................................ .. $8.00 x
Bath ..................................... .. $8.00 x
`
UJ~I.~ V lsV'1 liU 0~-t/ SE'-rU i C@ Rou h-In Bath
g 4.00 x
$
shop b I d~j a~ a ~~a-`~ ~' ~~ ~ Slop Sink/Laundry Tray ......... $5.00 x
Water Heater ....................... .. $3.00 x
I S Si~.61ti..V~.Q~ ~ Outside Water Faucet ......... .. $3.00 x
Drinking Fountain .................. $3.00 x
Water Service ........................ $10.00 ~ _~ C~
NOTICE Sewer .................................... $10.00
1 hereby certify that I have read and examined this Groundwork ........................... $10.00
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Septic Tank & Laterals ..........$10.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority Lawn Sprinkler System ......... $10.00
to violate or cancel the provisions of any other state or local Sprinkler System ................... $30.00
law regulating construction or the performance of (Commercial)
construction.
Gas/Water Piping System
(Commercial) .......................... .. $30.00
,~ Permit Issuance Fee .............$15.00 (S,C~
SIGNATURE OF CONTRACTOR A HORIZED AGENT ^~\
~ • CJCJ
TOTAL
G
~-
Cp D2
DATE Current License on File es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By
POUNDS PRTG.~Blair, NE Rev. 4/98
~, BUILDING INSPECTION REPORT
~.;:
'~\ ~~ CITY OF BLAIR ^ WASHINGTON COUNTY
~~ ~/ /^ OTHER /
LOCATION OF INSPECTION: ~erp ~ ' /~~~~~ ~ Lo~~~~~ ~u--Tf( ~'
NAMF. nFnWNRR• c~~~1~~/~ l~/~~~~L-//a~n`~ o n~~rnn.
~~
DATE INSPECTION REQUESTED: ~ ! ~~ TIME INSPECTION REQUESTED: PERMIT 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 ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
~ ~
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL WATER METER INSTALLED ^ PARTIAL PASSE FAILED
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS: _
DATE OF INSPECTION MADE:
7 X02 TIME: ~ ~~
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY