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BP7730~~~ ,~~ ioSa ~-~ ~ Permit #: 7730 The City of Blair Building Permit Detail Issued: 05/28/1997 Completed: 02/01 /2000 Type: Residential Additions Valuation: $25,000.00 Owner: Robert Jepsen Address: 1824 Colfax St Blair, NE 68008 Phone: 402-426-8189 Section: Township: Range: Subdivision: Lot: 14 x 22 master bedroom. *"**GAVE A 6 MONTH EXTENSION UNTIL 11/28/99"** Permit Fee: $125.00 Issue Fee: $15.00 Deposit Amt.: $200.00 Receipt#: 4774 Block: Inspections Date By 06/05/1997 DEM Footings Pass 06/16/1997 DEM Electrical Permanent Service Pass 06/11/1998 DEM Mechanical Final Pass 05/10/1999 DEM Electrical Rough-ins Fail 05/24/1999 DEM Plumbing Rough-ins Pass 05/24/1999 DEM Electrical Rough-ins Pass 06/07/1999. DEM Drywall Pass 11/29/1999 DEM Plumbing Final Fail 11/29%1999 DEM Final Inspection of Project Fail 11/29/1999 DEM Electrical Final Fail 11/29/1999 DEM Mechanical Final Fail 02/01/2000 DEM Plumbing Final Pass 02/01/2000 DEM Plumbing Final Pass 02/01/2000 DEM Electrical Final Pass 02/01/2000 DEM - Final Inspection of Project Pass 02101/2000 DEM Mechanical Final Pass Remarks Contractors SELF General Contractor Permit # Issued A-1 United Heating & A/C Heating Subcontractor 303 03/11/1998 Huntel Systems Electrical Subcontractor 164 05/28/1997 SELF Plumbing Subcontractor 298 03/10/1998 SELF Electrical Subcontractor 297 03/10/1998 ,,, ,. BUILDING PERMIT APPLICATION ~ Jurisdiction of City of Blair, Nebraska Permit Fee: ~ ~ ~ U ~~ 218 South 16th Street ~~G~~ Issuance Fee: Blair, Nebraska 68008 7 7 3 Deposit Receipt #: 1~ ~ (402) 426-4191 • Fax (402) 426-4195 Permit Application Date: ~ ~~ 7 Issue Date: ~=9 JOB ADDRESS ~~~ LEGAL 1. DESCR. LOT ND. BLK• TRACT ^ SEE ATTACHED SHEET 2.OWNE ~ ~ AIL RESS ~ Zlp ~ jNE _ ~~ Q G O 1 CONT TOR 3. MAIL ADDRESS PHDNE 4. Class of Work: NEW DITION O REMODEL 5. Describe Work: ~ ~~ ~~ O Finished Basement O Unfinished Basement 6. Total Sq. Footage (Including Basement and Garage): TDtal FInlShed Area: ~~ 7. Valuation of Work: $ ~~ BOO, Floodway O Yes O No 8. Floodplain: Fringe O Yes O No Dev. Permit BFE Elev. Cert. 9. Current Zoning: 10. State Fire Marshall Required: O Yes 11. Special Use Permit Required: O Yes 12. Variance Required: O Yes O No 13. Minimum Setbacks: Front O No O No 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 septicsystems. By mysignature below, I acknowledge thatpayment 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 copyof 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. ~'- ~ f SIGNATURE OF OWNER/CDNTRACTDR DATE Comment: ~,~~T C.~,8~°) G~~~ ~-~ C ~ ~ r~ ©K~ ~ ~^~CTa ~~ O Site Plan Attached /a?~ CQrr~plete Plans Attached Approximate Completion Date / ~/ y Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card Building Footings/ pryw~ (before finish Fram~ Fi r m Electrical Rough ' Fixtures/ Fin / ~ Permanent Service Temporary Service Mechanica Rough ' A1C F~ Plumbing Ground Wo~ Rough Fiq~l~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Rev. e/96 POUNDS PRTG: Blair, NE ~~~~~~ ELECTRICAL PERMIT APPLICATION ~~ Application Date: Permit Fee: $~ JOB ADDRESS LEGAL 1 • DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET ,~ OW MAIL ADDRESS ZIP PHONE ,3• CON ACTO AIL R SS _ ~ H ~ LG~='C~~. 4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~,yl~~ ~ ~~ ~ ~Q ~ 6. Current License on File O Yes O No O NA `~~- ' New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES / `~ U G (J 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee ............................ $ 18.00 Tem ora Service $10.00 p ry ................ 201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00 y """"""""' 301-400 Am Fee $ 42.00 p ............................ 401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00 501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11 00 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and Allp pgrades: 901-1000 Am $117.00 p ••••••••••••••••••••••••••••••••• 6 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee ~y v 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total NOTICE New Residential: (Finished Area) I hereby certify that I have read and examined this Single/Two Family Dwellings application and know the same to be true and correct. All sq. ft. x .045 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $.75 law regulating construction or the performance of construction. Residential/Commercial Appliance # Fixect Outlets x $3.00 Power Apparatus (220 Volts) # A aratus x $3 00 pp . R OF CONTRALTO AUTHORIZED AGENT Permit Issuance Fee $15.00 ~- DATE TOTAL f WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 O O 71 (402) 426-4191 Permit 7 ~~ Comment: Approved By: ~ SOUNDS PRTG.-Blair. NE Rev. 12/95 ~~ '~~~~ MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street ~()(j( Blair, Nebraska 68008 (402) 426-4191 Application Date: ~ ~ ~ 1 ~,~ Permit Fee: $ ~'iJ • ~O JOB ADDRESS ~ ~~ ~ ~' I L.l LEGAL ~ • DescR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET 2. OWNER ~~ ;, ~ 1 MAIL ADDRESS ZIP ~ ~F~ONE , ) I ~~ N r3• CON ACT R MAILADD E~S`S ~PH~O E ~ ~ ~~ ~ ~ LICE SE 0. lr -~• ~. 4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O REPLACEMENTS 5• Describe Work: ~~~ ~~~ ~ I I,2 C _ ~,~ Comments: MECHANICAL PERMIT FE ES Forced Air Systems ~ Zl ~ ' ~~ Per Unit Commercial/Residential (New) ...................................... $25.00 Air-Conditioner Unit Per Unit Commercial/Residential (New) ...................................... $10.00 Refrigeration Units/Coolers Per Unit Commercial (New or Replacement) .............................. $10.00 NOTICE I hereby certify that I have read and examined this Forced Air Systems/Air Conditioner application and know the same to be true and correct. All Unit Replacement provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Per Unit Commercial/Residential (Replacement) ........................ $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. i~ , ~~ Permit Issuance Fee ............. $15.00 TOTAL l ~ ~ ' ~~ SI®~J1CrUPlt= 0~ ON~rt- ' R''k T ORI~E®~AQIBN~,`~. "3 _ ~ ~'" Current License on File (Yes O No O NA 'J~TEsc WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blalr, NE Rev. 12195 PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~~ - ~~ `~~~ Poo r Permit Fee: $ ~~ ~ C~ JOB ADDRESS '~ LEGAL 1 • DescR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET 2. OWNER ~/ ~ , MAIL ADDRESS / ZIP ` (_, PHONE ~/ a 3• CONTRACTOR MAIL ADDRESS PHONE LICENSENO. 4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O REPLACEMENTS b• Describe Work: ~ ~~ C~ ~~ Comments: PLUMBING PERMIT FEES Type of Fixture No. Kitchen .................................. $8.00 x Bath ....................................... t{ $8.00 x .d~ ~ Rough-In Bath ....................... $4.00 x Utility ..................................... $5.00 x Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x Water Service ........................ $10.00 NOTICE Sewer .................................... $10.00 I 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 re ulatin construction or the g g performance of ................... (Commercial) . construction. ~,~ Permit Issuance Fee ............. $15.00 ~ ~ SIGNATURE OF CONTRAC OR A H RIZED AGENT ~ `/~ ~~ ~ TOTAL ~ • O DATE Current License on File OYes O No NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blair, NE Rev. 12195 ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 permit ~ ~ ~ ~ (402) 426-4191 Application Date: ~~ Permit Fee: $ ~~~ JOB ADDRESS ~2 ' I~' ~ LEGAL 1 • DescR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET 2. OWNER % ~, MAILADDRESS ZIP ~ PHONE ' r3• CONTRACTOR MAILADDRESS PHONE LICENSE NO. 4• Class of Work: NEW RESIDENTIAL O NEW COMMERCIAL ,.REMODELING/ADDITIONS D UPGRADE SERVICE 5. Describe Work: ~ ' ~ ~ _ , ~ 6• Current License on File O Yes O ('NA New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES 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 - r U ~ ~ IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 I ~ . C~ Each additional 100 Amps ......,.,.. $ 13.00 Amp Fee + Circuit Total N R id ti l Fi i h d A ew es en a : ( n s e rea) NOTICE Single/Tw o Family Dwellings I hereby certify that I have read and examined this f (D~~I~sq. ft. x .045 (~ r,-n•~~ 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 work will be com lied with whether s e ifi d h i t p p c e ere n or no . The granting of a permit does not presume to give authority to violate or cancel the rovisions of an other stat l l Receptacle/ witch Outlets ' p y e or oca Fixtures x $.75 law regulating construction or the performance of Smoke Detectors x $3 00 construction. . Residential/Commercial Appliance # Fixed Outlets x $3.00 ~~ __ ~~ ~ ~ ° ~P~~ Motor(s) x $3.00 ~ ~~ -- Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR AUTH RIZ D AGENT # Apparatus x $3.00 ~~ ~ ~~ «~ Permit Issuance Fee .............$15.00 • DATE TOTAL ~ ~~ • `~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG -Blalr, NE Rev. B/97 CITY OF BI~t1Il~ 'OP~ - O~~Se Of November 30, 1999 Robert Jepson 1824 Colfax Street Blair, NE 68008 Re: Building Permit number 7730 Dear Mr. Jepsen, This letter is a follow up to the conversation I had with Malinda on Wednesday, December 1, 1999. An extension has been granted regarding the above building permit until January 4, 2000. However, no further extensions will be granted. If the project is not complete by January 4, a new permit will need to be obtained. If you have any further questions, feel free to contact me. Sincerely, ~ " ~~~~~ ~~ Amy L. Stephens City of Blair 218' South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblair@huntel.net CI`I'I' OF BI,t~IR p~o;: _ ~~Se of November 30, 1999 Robert Jepson 1824 Colfax Street Blair, NE 68008 Re: Building Permit number 7730 Dear Mr. Jepsen, On November 29, 1999, Dale Miller, City Building Inspector, did a final inspection at the above property for an addition you are constructing. At this time, the inspection failed. This letter is to inform you a final inspection will need to be completed no later than Monday, December 13, 1999 or you will need to apply for a new building permit. If you have any further questions, feel free to contact me. Sincerely, ~~ /7~~i~~.~ iii ~, Amy L. Stephens City of Blair W~ ~ ~ 1-~ - 60 n~ -~uv-~ e~-I~eMSi6~s wig lt~- Oil U~P/~1 J l ail-a~. 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mall c'rfyofblair@huntel,net ~~: City of Blair 218 South 16th Blair, Nebraska 68008 402-426-4191 Fax - 402-426-4195 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) water is connected without a meter by either the plumber, owner or general contractor, 2) all required inspections have not been obtained (this includes drywall prior to taping) as per attached checklists (Both Rough-In and Final), 3) occupancy or utilization occurs prior to a final inspection, and 4) all permits have not been obtained. 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 Biair, Building and Inspections Department. ` ,~y ll~,~.c'rlLrfaJ Contractor/Owner Date Contractor/Owner City of Blair EOU~L N W SING OPPONNNRY "~ promise v LIVING AREA J ~ 25'5 55y sq ft BUILDING INSPECTION REPORT ~~ , ^ CI'~'gLAIR ^ WASHINGTON COUNTY ^ OTHER ~_ LOCATION OF INSPECTION: ~ ~ ~P k _ <~ /~~ NAME OF OWNER: ~(' iJ-SGT ~, CONTRACTOR:. ~ )F"/~1`-' DATE INSPECTION REQUESTED: .S `~~~ ~ TIME INSPECTION REQUESTED: _•~~ D `~ PERMIT N0: ~~~5~ _~2. TYPE OF INSPECTION REQUESTED: '°~~ ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ 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 ^ FIXTURES ^ FINAL PARTL~I ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED FAIL _ , ^ COMMENTS: 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 ^ CONDITION OCCUPANCY RANTED, ` ~ ~ ~ Q NOTES/REMARKS. ~-~' "" ~L~ r7i J ~/Y ~ ~ ? ~j CC ~"_/0~99 /~-~~ DATE OF INSPECTION MADE: TIME: FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT ~ICTI~ OF B ~R ~ ;~~ ^ WASHINGTON COUNTY ^ OTHER ,...i ~s 1 LOCATI N ~ U 1' O OF INSPECTION: NAME OF OW ER ~~ p~~ ~ ~ `' ~ ` - ~~Co - ~gC~ n N : ~ CONTRACTOR: - DATE INSPECTION REQUESTED: -/ I ~ TIMEINSPECTION REQUESTED: { PERMIT N0: ~ ~ ~~ i, TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER - ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: r ELECTRICAL: ~ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASS FAILED PARTIAL ~ ^ COMMENTS: ~~"" MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: PLUMBING: ^ GROUNDWORK ,ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED COMMENTS:' 1~u( ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: 7V c CJ~ DATE OF INSPECTION MADE• s TIME: FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDING INSPECTION REPORT =,~; ,, ,~ ~~- CTI'~OF,B~R ^ WASHINGTON COUNTY ^ OTHER .LOCATION OF INSPECTION: ~ - .^ NAME OF OWNER: l CONTRACTOR: '~--~ ~~~~'~`'` DATE INSPECTION REQUESTEb: ~G!`' ` ~ ~ TIME INSPECTION REQUESTED: ~ ` ' m P~RMI1` NO: ~ ~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ~r llRYWALL ^ FINAL ^ PARTIAL PASS FAILED `j ~ ^ COMMENTS: 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 FAILED ^ PARTIAL ^ ^ COMMENTS: 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 GRpA-NT~ED~ NOTES/REMARKS: ~`tJ ~~ G ~"~~ ~L , K~1~% ~ i DATE OF INSPECTION MADE: ~ _ ~ s ~~ FAXED OPPD1 TO CONNECT SERVICE: ^ YES' ^ NO BUILDING INSPECTION REPORT CTI'Y OF BL;AIR ^ WASHINGTON COUNfTY ^ OTHER ~~ LOCATION OF INSPE ON: i l , ~~ ` _~ ~~ ~~L X ~~ V -' ~ , p~-~ I ,~} NAME OF OWNER: ~~ _~_~ i~ CONTRACTOR: ` ~+ ` ~ ~ _Q~- DATE INSPECTION REQUESTED: ~~ ~ ~ ""~ ~ PERMIT N0: ~ ! ~~ '~-% TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: ~~~~ ~ ~-~ I ~C-'1 ~`j~ . 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: i ~~~~ ~,~~~ ^ ROUGH-IN ^ A/C ~[~] FINAL PLUMBING GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: PASSED ~s~ xo~rES~ ^ FAILED ~s~ xoTFS> NOTES/REMARKS:. DATE.OF WSPECTION MADE: ~l -~ TIME: ~~ ~G ~V CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES. • ^ NO BLR 1 BUILDING, INSPECTION REPORT ~, ~ . `CII`~AIR ^ WASHINGTON COUNTY 1=~ OTHER ~~~ ., } ' LOCATION OF INS~E ON: C °7 ~ ,_ ~ i . NAME OF OWNER:~~ I - % CONTRACTOR: ~~-~~" _7 . DATE INSPECTION REQUESTED: ~ ~ ( PERMIT N0: ~ ! ~l TIME INSPECTION REQUESTED: 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 THEINSPEGTION: PASSED~s~xo~s~ NOTES/REMARKS: ^ FAILED cs~ xo~rES~. DATE OF INSPECTION MADE~r / Q~ - TIME; CALLED OPPD\ TO CONNECT SERVICE: WANT OFFICE STAFF TO CALL OPPD\ ~ G ~- ^ YES ^ NO ^ YES ^ NO BLR 1 BUILDING INSPECTION REPORT ~CSLAIIt ^ WASHINGTON COU ~ ^~ OTHER <- 7 LOCATION OFINSPECTION: / f > ~ ~ ~l ~ ` ~Y pp ~ ~ I NAME OF OWNER: ~ ~ l.: ~ CONTRACTOR: '~~ [ DATE INSPECTION REQUESTED: /~ ~, ~~ `~% G! PERMIT NO: ~ ~ ~l TIME INSPECTION REQUESTED: r ~ ' ~-~ U p~~~~~~y~~~~s E OF INSPECTION REQUESTED: ~/~'b 0/!~ ~~12~/'~~ 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-W ^ A/C FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ~ FINAL RESULTS OF THE INSPECTION: ^ PASSED ~s~rro~s~ AILED ~s~rro~rFS~ /'/. DATE OF INSPECTION CALLED OPPD\ G D TIME: TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1 OF BLAIR ^ WASHINGTON COUNTY I ~ ~I.!/_ DATE INSPECTION REQ~,$STED: TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC' ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ~ C j ROUGH IN ^ TURES ^ AL ^ MOTORS , ~ ~ ~~ ~ %~ ~`/ ~ERMANINT SERVIC MPORARY SERVICE ~ ~~~ ~ i M CHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: ASSED ~s~xo~rES~ ^ FAILED ~s~NO~s> NOTES/REMARKS: DATE OF INSPECTION MADE: !CQ . ~ TIME: tD C/ ~' (G CALLED OPPD\ ~ ,I'0 CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES. ^ NO' BLR 1 BUILDING INSPECTION REPORT \~~CTP~'O~A~IR ^ WASHINGTON COUNTY ^ OTHER f~~ err _. r IACATION OF INSPECTION: _ ~ b °~ ~7 L~ ~- ~~~L-~-~~ NAME OF OWNER: C~ ~~ ~'~f~,a~,'~- CONTRACTOR: ~C1-e--' ~~ 0 7~ DATE INSPECTION REQUESTED: ~ _ ~ '- ~ / PERMIT NO: TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: BUILDING: ~\ OTING ^ 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~ xo~rES> ^ FAILED cs~ xo~s~ NOTES/REMARKS: WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO ^ YES ^ NO BLR 1 CALLED OPPD\ TO CONNECT SERVICE: M r OD I c~ 25'5 13'3 ~k 4'2 ~ 8' ~ 2'2 13' 5'S ice- 5' LIVING AREA 465 sq ft 25'5 12'5 .~~ fi ~ ~"~ ~' ' ~' JY ~Q 0~ ' ~~~ N ip (4 r dI N 'd '~ J~ ~7 N a M d N m fV O r d1 M r r r 2ffi'8 - T9 T8 ---- 3'6 4'3 ~~ i BATH Q: 5'3 2'10 5'2 2'U"4 4'0"4 3'2 3'2 2'10 LIVING R;EA 13'3 15'3 421 sq ft ~ 28i'6 fi O r r M N CM M N t0 fM r _\ ~~ ,r Y( i) ~~ N