Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BP8347
~ ~ ~ j~3~ S-ll-~~ The City of Blair Building Permit Detail Permit #: 8347 Issued: 10/30/1998 Completed: 07/09/1999 Owner: Donna and Steve Jones Address: 1670 Washington Blair, NE 68008 Type: Industrial/Commercial -Remodeling Valuation: $50,000.00 Permit Fee: $250.00 Issue Fee: $15.00 Deposit Amt.: $200.00 Receipt #: 08507 Phone: Section: Township: Range: Subdivision: Lot: Block: ADD HANDICAP BATHROOM AND WALLS TO ALLOW OFFICE SPACE Inspections Date By 11/25/1998 DEM Framing Pass 11/25/1998 DEM Electrical Rough-ins Pass 12/01/1998 DEM Status check Fail 12/15/1998 DEM Plumbing Rough-ins Pass 12/16/1998 DEM Plumbing Final Fail 12/16/1998 DEM Electrical Final Fail 12116/1998 DEM Final Inspection of Project Fail 03/25/1999 DEM Conference Pass 07/09/1999 DEM Plumbing Final Pass 07/09/1999 DEM Electrical Final Pass 07/09/1999 DEM Final Inspection of Project Pass Remarks Contractors D.A. Boswell Company General Contractor Permit # Issued Judt Electric Electrical Subcontractor 0576 11/23/1998 Smith, Gregory L. Plumbing Subcontractor 0121 11/25/1998 BUILDING PERMIT APPLICATION ~y Jurisdiction of City of Blair, Nebraska Permit Fee: U ~ ~ ~ ¢ `~' 218 South 16th Street Issuance Fee: ~~~y Blair, Nebraska 68008 ~ 3 4 7 Deposit Receipt #: ~ (402) 426-4191 • Fax (402) 426-4195 Permit Application Date: /s.J `- ~ y ` ~ Issue Date: ~~ ~/~~ JOB ADDRESS ~~ ~ , LEGAL 1. DESCR. LOT No. 6LK. TRACT ^ SEE ATTACHED SHEET OWNER 2. ~ M A DRESS ZIP PHONE CONTRACT , ~ p 3. ~ _ -~~ MI) ADDRESS ZIP PHONE 4. Class of Work: O NEW O ADDITION REMODEL 5. Describe Work: ~~ O Finished Basement O Unfinished Basement 6. Total Sq. Footage (Including Basement and Garage): Total Finished Area: 7. Valuation of Work: $ r Floodway O Yes No 8. Floodplain: Fringe O Yes No Dev. Permit BFE Elev. Cert. 9. Current Zoning: ~ ~ ~~ 10. State Fire Marshall Required: Yes O No 11. Special Use Permit Required: O Yes ~No 12. Variance Required: O Yes Q~No 13. Minimum Setbacks: Front ~ Side ~_ Rear 14. Sidewalk Required: Yes O No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septicsystems. Bymysignature 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 Ciry of Blair and the Stat~o as a. un ers an permitisvoidifw rkisnotcommencedwithin 180"'tl~s eFis.aot completed withiryears of dats'~Yfst;ue. ~~ --~ ~ ~ ~ OF 0 ONTRACTOR ~ DATE Comment: t~~~f ~~~~~~~~ ~~~~~ ~~~~ O Site Plan Attached ~C~plete Plans Attached Approximate Completion Date ~~_ Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card Buildin Foot p (be ore finish) Fra~ Electrical Rougb.irl~ Jam' Fix Permanent Service Temporary Service Mechanical R o u, g I~ ~ ~ ~ ~ / d~Q1 Plumbina Ground Rou~.irr' F~ WHEN PROPERLY VALIDATED (IN THIS SPA~T~iIS IS YOUR PERMIT APP.+'~~ By: /~ POUNDS PRTG: Blair, NE Rev. flr5 ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 `.~ ~-~ g Application Dater Permit ~ ~ ~ ~ Permit Fee: $ ~` `U`° JOB ADDRESS .i/~ C~ A ~v/yIl{~ 11 // LEGAL 1 • DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET 2. OWNER MAIL ADDRESS ZIP PHONE 3 CANT TOR MAILA DRESS ~ H NE ,, r LICENSENO. ~ / 4• Class Work: O NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O UPGRADE SERVICE 5• Describe Work: ~ ~~ ~ `~ ~ , ,~ 6• Current License on File Yes O No 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 G e # of Circuits x $2.00 / a--- IFOVER 1000 Amp 1st 1000 Amp Fee $117 00 Amp Fee ~~ ® ~ ....................... , 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/Two Family Dwellings 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 work will be com lied ith h th ifi d h i t p w w e er spec 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 state or local Receptacle/Switch Outlets ~ ~ ~ p y Fixtures x $.75 . law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) GNATUR F CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 - ~ ~ ~ l ~~ ( Permit Issuance Fee ............. $15.00 ~ DATE TOTAL •'~~~ ~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOU PERMIT Comment: Approved By: SOUNDS PRTG: Blair, NE Rev. 8197 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 ~ ~ ~~ ~~ P 0121 Permit Fee: $ / ~ ' "" JOB ADDRESS `~ j I ~\ U ~ 1. OWNER MAI A DRESS 1 ZIP PHONE CONTRACTOR ADDRESS 2 ~ PHONE LICE NSE NO. . ~l~I ~'~ Nj C~ ~lO' ~ / 3• Class of Work: ~ OMMERCIAL O RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. Kitchen .................................. $8.00 x Bath ....................................... $8.00 x R h I B th 4 00 / / ~ ~" oug - n a ....................... $ . x Slop Sink/Laundry Tray ......... $5.00 x Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x Drinking Fountain .................. $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 orcancel 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 ~~~ ~~ SIGNAY RE OF CONTRACTOR OR AUTHORIZED AGENT TOTAL V / rC1 DATE Current License on File (pYes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACF,}~THIS IS YOUR PERMIT Comment: Approved ~: ~~ v POUNDS PRTG: Blair, NE Rev. 4/98 City of Blair 218 South 1 bth Blair, Nebraska 68008 402-426-4191 Fax - 402-426-4195 ~~~ r 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 Blair, Building and Inspections Department. !~ ~ ~~ r ~~ Date Contractor/Owner ~~ City o lair EOU~lNWS OPPORTUW ~ promise v Nan'1e: ,~',~,flfl~ 9~iC_,bv~ l~cv ~j~P~P Address: Date Expl ation Initials o~ Vendor Number To CITY ®~' ~LA~R, ~IE~RAS~6W --l ~ y//:; ~ `~~,~ r T.!_ SIG ~: ~ ~ ,~,,, ,_L!, < f~_1 ~ ;, ~;c, 7a ~~~/% Claim Date Voucher Number Check dumber ~cc®unt Number Description Total S r;~ / ~ :'- i 1 do soleenaly sear that 4he abode acc®uat is 4rue and correct to the best of my knowledge. Sa:bscribed ar~d savorsa to before the this day of 19_ Clerk Finance Committee A~promal: - ~ BUILDING INSPECTION REPORT- `~ B ^ WASHINGTON COUNTY - ^ OTHER I.O~`ATION OF INSPECTION: ~/ ~ ~~ [ l71~~ Io /'~ NAME OF OWNER: `' ~~ CONTRACTOR: -- DATE INSPECTION REQUESTED: `~ F~ 1 ~~ ~ ~ TIME INSPECTION REQUESTED: PERMIT N0: O TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL COMMENTS: PASSED ~I 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 PASSE ^ PARTIAL [~ COMMENTS: FAILED ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL COMMENTS: PASSED ^ FAILED ^ PLUMBING: ^ GROUNDWORK ^ .ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL COMMENTS: PASS FAILED ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: i Q DATE OF INSPECTION MADE: ~ s ~~ TIME: G FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO BUILDI G IN~~.-. P~ C~ ON R~P~Q _ ~~ ~ ~~ ^ CIT]y10F BLAIIt ,^ WASHINGTON COUNTY ^ OTHER ~~ ~~ 1 ~ ., ~ LOCATION OF INSPI; - . ON: ~i iiU~ ~J ~ ~I ~ ~~ f ,~' l/ ;' ~..__ NAME OF OWNER __ , '~ 1 ~.F~'J CONTRACTOR: ~ ~ ~-~ / _ j ~ ~j ~J DATE INSPECTION REQUESTED: l ~;~" / i~pERMIT N0: / I l t TIME INSPECTION REQUESTED: % ~-~'~'~ ~ ~~~~ TYPE OF INSPECTION REQUESTED: `- BUILDING: ^ FOOTING ~•~RAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ REMOTE ^ WATER SERVICE ELECTRICAL: ROUGH IN ^ FIXTURES ^ FINAL ^ PERMANENT SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C PLUMBING: ^ GROUNDWORK ^ WATER TAP ~~ ~ ~~~ ~~ ~] IVIOTORS~,v~(,(~ ^ TEMPORARY SERVICE f~c~ ~~ ~ 1 ~%~Y ~ D7i ~ , ~-~~~~ ^ FINAL / '` L S ~~~~ ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: PASSED ~sEarroTES~ .~ .,., DATE OF INSPECTION MADE: G TIME:. c CALLED OPPD\ TO CONNECT SERVICE: WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO .YES ^ NO BLR 1 BUILDING INSPECTION REPORT ~^ CITY'OF BLAIR ^ WASHIlVGTO~N7COUNTY~ /n, OTHER LOCATION OF INSPECTION: /~~~~ !~'-f~~~~~ ~iL~ NAME OF OWNER: ~'f C:J/~; ~ ~ CONTRACTOR: i ~-1~ 1 DATE INSPECTION REQUESTED: ~ / /~ ~ PERMIT N0: ~~~ ~J 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 THE INSPECTION: ^ PASSED (sue xoTFS> FAILED (sue xoTas~ BARKS: ~~ DATE OF INSPECTION MADE: ~~ ~ ~~ TIME: ,/~ ~ ~ ~~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1 BUILDING INSPECTION REPORT ^ CITY OF BLAIIt ^ WASH IIN\ Gr//T~JON C//OUNTY ^ OTHER ~~~~y" ~, \ LOCATION OF INSPECTION: 1 ~ c. NAME OF OWNER: ~~---! ~ ~~~~~ CONTRACTOR: =~~r ~ ~ .'~~Y' ~l DATE INSPECTIONREQUESTED~ ~ ~, --~ C~~PERMITNO: " ~ 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 e ^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK TROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: PASSED ~s~xoTES> ^ FAILED ~s~xoTFS> NOTES/REMARKS:. DATE OF INSPECTION CALLED OPPD\ TO CONNECT SERVICE: ^ .YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO 7 L" TIME: ~ BLR 1 BUILDING INSPECTION REPORT CITY OF BLAIR WASHINGTON COUNTY THER LOCATION OF INSPECTI ~ N: ~`~ ~~ ~~J ~~ / Z ~~~ . \ - NAME OF OWNER: r ~ u / ~~IJ CONTRACTOR: V ~~~t~C/~ r ,,~, (~ DATE INSPECTION REQUESTED: r `~' r ~ ~ ~ PERMIT NO: TIME INSPECTION REQUESTED: I ~ ~/ J, TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ RO UGH 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~rroTES~ FAILED ~s~ rro~rFS> /REMARKS: ~ ~ ~~~ c ~ INSPE e DATE OF INSPECTION MADE: /~ ~ TIME:. c, ~O CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1 , BUILDING INSPECTION REPORT ^`CTTY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER /~~~; ~ ~ LOCATION OF WSPECTION: __ /[L --~ ~ ~~~1~~G/~i•~ NAME OFOWNER: -L ~~`~'~°' I -~JCX'~~ CCONTRACTOR: DATE INSPECTION REQUESTED: ~ <~`S - ~ / pERMIT NO: ~ ~ L~~ TIME INSPECTION REQUESTED: ~G ~ , ~C J ~/ %~/~~f ~~~ `CiCJ TYPE OF INSPECTION RE VESTED: ~~~~/rr~~ ~ ~~ Q ;~_ ~C ~_ BUILDING: G~-~ ~//~E ^FOOTING /~~~~'P,/-~~~ ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE /,~~~ ELECTRICAL: ~,~°©'!~ ~~ ~ _ ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C PLUMBING: ^ GROUNDWORK RESULTS OF THE NOTES/REMARKS: ^ TEMPORARY SERVICE ^ FINAL ^ ROUGH-IN ^ FINAL ^ PASSED (s~NOTES> ^ FAILED (sue NoTES> DATE OF INSPECTION MADE: ~o`S ~ 7 ~E; /O~ ~ ,. CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1