BP8620City of Blair Building Permit Detail
Permit #: 8620 Issued: 08/25/1999
Completed: 11 /26/2001
Location: 1049 N 18th Avenue
Owner: Stephen & Donna Jones
Address: 1049 N 18th Avenue
Blair, NE 68008
Phone: 402 533 2915
Section: Township:
Subdivision:
Putting vinyl siding on house
Contractors
SELF
Type: Siding Permits -All types
Valuation: 800
Range:
Lot:
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Remarks
Inspections Date By
09/21/2000 DEM
06/05/2001 DEM
06/18/2001 DEM
10/23/2001 DEM
11/05!2001 DEM
11/26/2001 DEM
Final Inspection of Project
Status check
Status check
Status check
Final Inspection of Project
Final Inspection of Project
Fail
Fail
Fail
Fail
Fail
Pass
City of Blair Building Permit Detail
Permit #: 8620 Issued:
Completed:
Location: 1049 N 18th Avenue
Owner: Stephen & Donna Jones
Address: 1049 N 18th Avenue
Blair, NE 68008
Phone: 402 533 2915
Section: Township:
Subdivision:
Putting vinyl siding on house
Contractors
SELF
08/25/1999 Type: Siding Permits -All types
Valuation: 800
Range:
Lot: Block:
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Permit # Issued
Remarks
Inspections Date By
09/21/2000 DEM
06/05/2001 DEM
06/18/2001 DEM
10/23@001 DEM
11/05/2001 DEM
Final Inspection of Project
Status check
Status check
Status check
Final Inspection of Project
Fail
Fail
Fail
Fail
Fail
P~
~: ,
BUILDING PERMIT APPLICATIQN
' ~ Jurisdiction of City of Blair, Nebraska
Permit Fee:. /~ 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit-
Application Date: ~~~ ~ ~ Issue Date: ~~ a- ~ I
JOB ADDRESS/ C ~~~ ,/
LEGAL
1 . DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
~x
2.OWNE~~( / P/1--- ~~UVY//'7G~/
//
/l ME[? ZIP ~ PHONEr.,C/
E
CONTRACTO
R
3. MAIL ADDRESS ZIP PHON
4. Class of Work: O NEW O ADDITION O REMODEL
5. Describe Work: , ~ S
~ O Finished Basement O Unfinished Basement
n J
~
Q~' z~
6. Total Sq. Footage (InDluding eaeement and Garage): Total Finished Area:
7. Valuation of Work: $
Floodway O Yes O No
8. Floodplain: Dev. Permit Elev, Cert.
Fringe O Yes O No BFE
9. Current Zoning:
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No
13. Minimum Setbacks: Front 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 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 by the 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 d ys or is no co leted ith 2 years of date of issue.
~~~~ ~ ~ Z~.~ ~ ` ~,
SIGNATURE OF OWNER/CONTRAC DATE
Comment:
O Site Plan Attached Com lete tans Attached
Approximate Completion Date ~C' ~ ~ ~~~
Inspections Required and Fees
Utilities
Sewer
Septic
Building
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
Plumbing
Ground Work _
Rough-in
Water Service
Remote
Stop Box Card _
Drywall
(before finish)
Final
Fixtures
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS S
Approved By~~ ~ ~ J'
(V/ e
8620
THIS IS YOUR PERMIT
POUNDS PRTG: Blair, NE / / Rev. B/96
CITY OF BI,t1IR
pr
om~se of
June 27, 2001
Stephen and Donna Jones
1049 N. 18th Avenue
Blair, NE 68008
Re: Building Permit 8620
Dear Mr. Jones,
This letter is to inform you the above permit will expire on August 31, 2001.
Please be advised that you will need to contact our office no later than Friday, August
31, 2001 for a final inspection on the permit, request to renew this permit for an
additional two-(2) year period or request an extension until February, 2002.
Enclosed, please find a copy of the building permit for your reference. If you
have any questions regarding this issue, feel free to contact me.
Thank you in advance for your cooperation in this matter.
Sincerely,
Brenda Taylor '
City Clerk
Enc
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel,net
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e ~ pl'OtYlls~
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 yotar 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 Ptablic Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.,
r ~/ WLr
Owner/Occupant
City of Blair
Contractor
~/a~/~~
Date
218 S.16TH STREET, BLAIR, NE 68008.2010 • (402) 426.4191 • (402) 426-4195 FAX • E-MAIL: cityofblair@huntel.net
c~~ of
OPPOHNNITY
BUILDING INSPECTION REPORT
^ CITY OF BLAIR ^ WASHINGTON COUN
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LOCATION OF INSPECTION:
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NAME OF
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CONTRACTOR:
DATE INSPECTION RE
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TIME INSPECTION REQUESTED:
PERMIT N0: U ~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ~TATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING
^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
s ~
COMMENTS:
~~~ i'(
^
^
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 PASSED FAILED
^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
~~,~~~~~d ~~~ ~ :~
DATE OF INSPECTION MADE: ~~
Dl T~~ /~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
.BUILDING INSPECTION REPORT
~~CTI`Y OF BLAIR
//////~~~~SS ^ WASHINGTON COUNTY /~ ~ ^ OTHER
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LOCATION OF II~SPE I9`N: ` ` i ~ 1 ~ I~J °---
ly`
NAME OF OWNER: ~ _ ~. CONTRACTOR: rr
DATE INSPECTION REQUESTED: i ` ~ ~ ` U~ TIME INSPECTION REQUESTED: ~n~--~ PERMIT N0:
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TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ~ FIN~AnL~ ~^ PARTIAL
COMMENTS: `~ ~ C.~,.+~- Ud~
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/ ^ CE ^ FINA RT AL PASSED FAILED
COMMENTS: ^ ^
PLUMBING: ^ GROUNDWOR ^ 0 G -IN ^ F L ~ WATER METER INSTALLED ^ PARTIAL ~ PASSED FAILED
~~ ~+ ^ ^
COMMENTS: ! ~ I~ I
^ OCCUPANCY GRANTED ^ ((~ON~I~fIONAL O~CUIICI~•~GRANTED
NOTES/REMARKS:
FAXED OPPD1
~~DATE OF INSPECTION MADE: ~ ~ ' ~ ~ TIME: ~~CO""
TO CONNECT SERVICE: ^ YES ^ NO
PASSED FA~
~ ~~ ~ . __
- -
.- ~ BUILDING INSPECTION REPORT
ar
^ CITY OF BLAIR ^ -WASHINGTON COUNTY(( ^ OTHER
..LOCATION OF INSPECTION: ' ~~ ~ ~ ~~~ ~ o ~'' ~ VE L
NAME OF OWNER: ~ ~ ~~- v CONTRACTOR:
DATE INSPECTION REQUESTED: ~% ^ v ~ t .TIME INSPECTION REQUESTED; ~ ~ ~~ PERMIT NO: L) ~ ~=~
TYPE OF INSPECTION REQUESTED: ~ ^ CONFERENCE ~J STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
COMMENTS: ~//l~~ ~ ~~ (17 1 ~j ~ ^ ^
:UTILITIES: ^ SEWERTAP ^ SEWER ^ SEPTIC ^ WATERTAP ^ REMOTE ^ WATERSERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FD~TURES ^ FINAL. ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ RO~IGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
^ OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECTOR: DATE OF INSPECTION MADE:
TIME:
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
^ CONDITIONAL OCCUPANCY GRANTED
BUILDING- INSPECTION REPORT
CTI'Y OF BLAI
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WA
HIN
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GTON COUNTY
^ OTHER
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LOCATION OF INSPECTION: ! O `" T "1 ! [~ ~ ~f/~
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NAME OF OWNER:~~ ~..J ~ ~ CONTRACTOR:.
DATE INSPECTION REQUESTED: ~ - J ~ " L~ ~ TIME INSPECTION REQUESTED: ~ PERMIT N0: ~~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ~ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL
COMMENTS:j,~~ ~ PASSED
^ FAILED
^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE
^ PARTIAL
COMMENTS: ^ WATER SERVICE PASSED
^ FAILED
^
ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED
^ PARTIAL ^
COMMENTS: FAILED
^
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 OC,E7JPANCY GRANTED
NOTES/REMARKS:
OF INSPECTION MADE:. Cs~ ~! ~ D / TIME:
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
• BUILDING INSPECTION- REPORT
^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
/~ ~ i
LOCATION OF INSPECTION: ! ~ ~/ C~ / ~ ~ ~ ~ ~ ~ L`{~
NAME OF OWNER: ~\-'~~- ~~~ ~~, a LLB CONTRACTOR:
DATE INSPECTION REQUESTED: ' 1 ~ S - U ~ TIME INSPECTION REQUESTED: ~ T PERMIT N0: ~`" c~ ~l
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED FAILED
COMMENTS: ~~ I (~'~ l1 ' L`1 ~iJ~ ~.X ~~ ~_~
^
^
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 PASSED FAILED
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
n. ,.( ,'
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON By
BUILDING INSPECTION REPORT
~ - a._,
[~ CITY OF BLAIR ^ WASHINGTON COUNTY ^,OQTHER ~p
f LOCATION OF INSPECTION: ~ C~i~ I ~ - ~~~ / I (~~ U ~.
NAME OF OWNER: ~~- ~ -~C~-'~1~~ CONTRACTOR: ~ `~~ ~- ~~ ~~~~~.
DATE INSPECTION RE.QTJESTED: 1 r! ~~ ~d ~ TIME INSPECTION REQUESTED:. + ~ ~ I PERMIT NO: ~~~~~-~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL INAL ^ PARTIAL PASSE FAILED
COMMENTS:
~~~ h ^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
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 GRANTED
NOTES/REMARKS:
'~l CC/ V / TIME: ~ /f
OF INSPECTION MADE:
FAXED OPPD\ TO CONNECT SERVICE: ^ .YES ^ NO
BUILDING INSPECTION REPORT
[~~CITY OF BLAIIt ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION 1 ~__ ~~ ~A,~ ~ ~i~ ~ `t ' '~ ~~~~ -P`' -
- ~ 1~1.
NAME OF OWNER: ti ~ ~'4. ..-.> CONTRACTOR: ~ -- '~
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DATEINSPECTION REQUESTED: PERMIT N0: ~t~' '-`~ -~
TIME INSPECTION REQUESTED: ' -1, ' 'i
', TYPE OF INSPECTION REQUESTED:
,BUILDING: ~ ~
^ FOOTING ^ FRAMING ^ DRYWALL ~! FINAL ~ ~
4,
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 (sgaxorFS) ^ FAILED (sue xo~rES>
NOTES/REMARKS:
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 ^ WASHII~iGTON COUNTY ^ OTHER.
i `' .l
LOCATION OF WSPECTIgN ~ ~ ' } ' i + ~ ' l; '; _v- ~ ~ ,'ii
_ / %
NAME OF OWNER ' -- !f ~'~ ~ i',.~ "' CONTRACTOR: r, _ ` r ~ ~`~ ~'
DATE INSPECTION REQUESTED: PERMIT N0: ! ~~- ``'- ( 1
i "~
TIME INSPECTION REQUESTED: " "- "~'""
TYPE OF INSPECTION REQUESTED:
BUILDING: .- ~
C li r'~
~..
:/~ ~' ~~~`'a
^ 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
PLUMBING:
^ GROUNDWORK
^ FINAL
^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: ^ PASSED (s~NOTFS) ^ FAILED (saE Notes)
NOTES/REMARKS:
INSPECTOR
DATE OF INSPECTION MADE: TIME:
CALLED OPPD\
TO CONNECT SERVICE:
^ YES ^ NO
^ YES ^ NO BLR 1
WANT OFFICE STAFF TO CALL OPPD\