BP9203
City of Blair Building Permit Detail
Permit #: 9203 Issued: 06/13/2001
Completed: 08/30/2001
Location: 805 N 22nd St.
Owner: Johansen Manor
Address: 805 N 22nd St.
Blair, NE 68008
Phone: 402-426-4663
Section: Township: Range:
Subdivision:
tear off 1 layer and replace w/ asphalt
Contractors
Fauss Construction, Inc.
Remarks
Type: Roofing permits -All types
Valuation: 22000
Lot:
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
08/30/2001 DEM Final Inspection of Project Pass
\~
~ ~°~t`~°
~~J BUILDING PERMIT APPLICATION ~
` Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 9 2 0 3
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~ "~ ~~`~ ( Type: t Q~~
JOB ADDRESS
o~
~~~ ~~
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER
2, ~ MAIL ADDRESS
~ ZIP HOME PHONE ~/
WORKICELL PHONE Cam' -
CONT OR
3. '~SS MAIL DRESS
~ ~ - ~~ m ~ ZIP HOME PHONE - 2c~~
WORKICELLPHONE L J
4. Class of Work: ^ NEW Q ADDITION ^ REMODEL (~'~OTHER ^ FINISHED BASEMENT O UNFINISHED BASEMENT
5. Describe Work: ~ ~ ~,
6. Valuation of Work: $ ~ ~ ~ Total Sq. Footage pnclualRgBasementanaGarage): Total Finished Area:
Floodway Q Yes
7. FlOOdplain: Fringe Q Yes (] No Dev. Permit
Q No BFE
Elev. Cert.
8. Current Zoning: Q Site Plan Attached ~Q (om. plate P~~ Attached
Approximate Completion Date :1.J~1~!
9. State Fire Marshall Required: Q Yes p No Inspections Required and Fees
10. Special Use Permit Required: Q Yes ^ No Utilitie
11. Variance Required: Q Yes ^ No Sewer Water Service
12. Minimum Setbacks: Front Side Rear Septic Remote
Stop Box Card
13. Sidewalk Required: ^ Yes Q No Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. Bymysignature below, I acknowledgethat payment
of the building permit application fee does not constitute issuance of this building
permit. I further agree thatconstruction covered bythis permit application shall not be
commenced until I have received a copy ofthis 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 thatthis permit is void if work is not commenced within
X89-days or is not completed within 2 years of date of issue.
~~~Lic O.x x .~. (ve ~ (~' r t
SIGNATURE OF OWNER/CONTRACTOR DATE
Comment:
Buil in
Footings Drywall
(PRIOR TO TAPING)
Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A1C
Final
Plumbing
Ground Work
Rough-in ~ Final
WHEN P PERLY~ALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRIG: Blair, NE ~~ v ~ ReV• X98
CITY OF BLAIR
LOCATION OF
BUILDING INSPECTION REPORT
WASHINGTON COUNTY ^ OTHER
~~ ~ ~~~~
NAME OFOWNER:~ 1~~~~~^-~ / J~~6~ CONTRACTOR:
DATE INSPECTION REQUESTED: ~ ~~ ~ ~ TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
PERMIT N0: ~~~
^ CONFERENCE /STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ,FINAL ^ PARTIAL PASS 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 PASSED FAILED
COMMENTS: ~ ^ ^
^ OCCUFANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
OF INSPECTION MADE: `~ r ~ ~'
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY