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BP9368City of Blair Building Permit Detail Permit #: 9368 Issued: 8/27/2002 Completed: 11 /13/2002 Location: 1829 Lincoln Streeet Owner: Mila Jepsen Address: 1829 Lincoln Streeet Blair, NE 68008 Phone: Section: Township: Subdivision: Tear off and put on asphalt shingles Contractors Bennett Construction Remarks Type: Roofing permits -All types Valuation: 5000 Range: Lot: General Contractor Permit Fee: 15 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 11/13/2002 DEM Final Inspection of Project Pass ~,~~~~ Permit Fee: Issuance Fee: ~~BUILDING PERMIT APPLICATION (cam ~ Junsdlctlon of Clty of Blair, Nebraska 218 South 16th Street 9 3 6 8 Blair, Nebraska 68008 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: Issue Date: Z1 ~ L Type: ` `~"-1 ~ JOB ADDRESS i ~71~ n I / ~ ~~ /~ 1. I xv L~l /l.~ ~~1!' LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER 2. ~ MAIL A DRE S (~ - ~~n ($ ~ Zlp HOME PHONE ~ ,f"~,5~~)~ WORK/CELL PHONE CO TRACTOR e,,~S ~~~~ MAIL ADDRESS S. ) \ ~ ~L.,LC.~J ~ ~~ ~ ~- ZIP G~ ~Q~I~E PHONE ~~ ^ ~~~ (LA_,/"Li,",l(,/`LY Il WO K/CELL PHONE 4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL THER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work: ~,r ~~~. ~- ~- ~~ ~ i 6. Valuation of Work: $ , jU e~ ~ ~ Total Sq. Footage (Including Basement ana Garage): Total Finished Area: Floodway ^ Yes ^ No pev. Permit 7. FIOOdplaln: Fringe O Yes Q No BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: ^ Yes ^ No 10. Special Use Permit Required: ^ Yes ^ No 11. Variance Required: ^ Yes ^ No 12. Minimum Setbacks: Front 13. Sidewalk Required: ^ Yes Side Rear ^ No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledgethat payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered bythis 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 thatthis permit is void if work is not commenced within 18/0 days or is no m d within 2 of date of issue. SIGNATURE 0 OWNERICONTRACTOR DATE Comment: ^ Site Plan Attached ~, ~~ Complete Plans Attached Approximate Completion Date Inspections Required and Fees U ili ie Sewer Water S Septic Remote Stop Box Card Buil in Footings Drywall (PRIOR TO TAPING) Framing EI ce trical Rough-in Final Temporary Service Final Fixtures Permanent Service ni I Rough-in A1C Final Pl,~mbin9 . Ground Work Rough-in _ Final WHEN PR P RLY VALIDATED (IN THIS Approved B ~ ~ ., THIS IS YOUR PERMIT / Rev.8/96 POUNDS PRTG.-Blair, NE BUILDING IloT~PECTION REPORT ^ CITY OF BLAIR LOCATION OF INSPECTION: NAME OF OWNER:~~~~ DATE INSPECTION ,J/^QWASHINGTON CO.UNJTY ^ /CJ )~~ ~~IiQC/V L~~• ~ ~ ! /CAD rnnimn n n~ ~~ /~ ~ oZ TIME INSPECTION REQUESTED: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: PERMTI' N0: ~~`~ TIME: /~ r~ y FAXED OPPD~BURT REA TO CONNECT SERVICE: ON By City of Blair Building Permit Detail Permit #: 9383 Issued: 9/17/2002 Type: Siding Permits -All types Completed: 11/11/2002 Valuation: 2500 Location: 1441 Grant Street Owner: Scott Johnson Permit Fee: 15 Address: 1441 Grant Street Issue Fee: Deposit Amt.: Blair, NE 68008 Receipt #: Phone: 402 533 2548 Section: Township: Range: Subdivision: Lot: Block: Place new vinyl siding over existing wood. Also place new vinyl seamless rain gutters Contractors SELF General Contractor Permit # Issued Remarks Inspections Date By 11/11/2002 DEM Final Inspection of Project Pass BUILDING PERMIT APPLICATION I S ~~ Jurisdiction pf City of Blair, Nebraska Permit Fee: 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit- Deposit Receipt #: pp 1 Issue Date: ~ _~ ~ -~~ Type: ~ 1 "-< JOB ADDRESS I~-- ~~ I ~ 1 ~L~~ ~~' LEGAL- 1 . DESCR. ^ SEE ATTACHED SHEET OWNER `Z, ~~ ~ ~~]~ MAIL ADDRESS I y ~ ( C ~ ~ ~ ~ ~ ZIP ~~~~ HOME PHONE ~~~ `~~_ WORK/CELLPHONE CONTRACTOR 3. ~ -~ MAIL ADDRESS ZIP HOME PHONE WORKICELL PHONE 4. Class of Work: Q NEW ^ ADDITION ^ REMODEL OTHER ^ FINISHED BASEMENT Q UNFINISHED BASEMENT 5. Describe Work: ~ C~~ ,~~~ ~ ~ ~ ~ ~ ~~~ ~ j ~ , ~. -~ ~ ' e~ Q~ hA~ ~C-#~ . , 6. Valuation of Work: $ ~~~~ °-'Total Sq. Footage pRCmdiRgBa6emeRtaRdGarage~: Total Finished Area: Floodway ^ Yes ^ No 7. Floodplain: Fringe Q Yes ^ No Dev. Permit BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: O Yes Q No 10. Special Use Permit Required: Q Yes Q No 11. Variance Required: Q Yes Q No 12. Minimum Setbacks: Front Side Rear 13. Sidewalk Required: p Yes Q No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledgethat 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 ofthis application form signed bythe Building Inspector. I hereby agree to perform the proposed work in accordancewith 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 180 dpays or is not completed within 2 years of date of issue. SIGNATURE OF OWN CONTRACTOR DATE Comment: O Site Plan Attached ^ Com lete Plans Attached Approximate Completion Date ~ ~ _ ~ I ~ O~ Inspections Required and Fees iii i Sewer Water Service Septic Remote B it 'n Footings Framing EI ric I Stop Box Card Drywall (PRIOR TO TAPING) Final Rough-in Fixtures Final Permanent Service Temporary Service 8n' Rough-in ABC , Final I m i n Ground Work Rough-in Final WHEN PROPERLY ALIDATED (IN THIS SPACE) T S IS YOUR PERMIT Approved ~ ~~ „ ~ ,~ , 9383 Rev. 6/96 POUNDS PRTG.-Blair, NE CITY OF BI,f1IR -~ row/se of 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 your responsibility to know the 2000 International 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. A copy of the International Building Code is available for your use at the Blair Public 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. Owner/Occu nt City of Blair Contractor Date /_~ 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net ,~ , BUILDING INSPECTION REPORT ~ITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ``~ 1,' ° - `" ' ` /~"'' NAME OF OWNER: ~1'"~ "` CONTRACTOR: - s 3 3 - as ~ DATE INSPECTION REQUESTED: ~ ~ ~' ~~ TIME INSPECTION REQUESTED: r ~ 1' ~V ~` Y''~ PERMIT N0: ~J U~ .TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSE FAILED ~ ~ ^ COMMENTS: ~ ~~ S , UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER S RVICE 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: OF INSPECTION MADE: _6 _.~I l ~ Tom: ~ : ~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY