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BP9627 The City of Blair Building Permit Detail Permit #: 9627 Issued: 12/06/2001 Type: Signs Completed: 04/16/2002 Valuation: 1500 Location: 1979 Pleasant Valley Blvd Owner: Jim Judt Address: 1979 Pleasant Valley Blvd Blair, NE 68008 Phone: 402-426-5770 Section: Township: Range: Subdivision: Lot: 4 1/2 'tall 12' tall steel lighted sign located by property line Contractors SELF Judt Electric Remarks Inspections Date 01/09/2002 04/16/2002 04/16/2002 General Contractor Electrical Subcontractor By DEM Final Inspection of Project DEM Electrical Final DEM Final Inspection of Project Permit Fee: 15 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued E1474 12/06/2001 Fail Pass Pass ~kjl . ~ BUILDING PERMIT APPLI I ~ ~ Jurisdiction of City of Blair, Nebraska Permit Fee: 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Q Site Plan Attached ^ Complete Plans Attached Approximate Completion Date ~ - ~ ` 2©OZ Inspections Required and Fees Deposit Receipt ~: Issue Date: Lam ~ Q ~ ~ I Type: ~( ~.-~ JOB ADDRESS ~ ~ ~ 1 I LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER"~~ ~ 2. MAILADDRES~ ~~ ZIP WORKICEOLNPHONE.~~~,Q'S~~O CONTRACTOR `3. ~ MAIL ADDRESS ZIP HOME PHONE WORK/CELL PHONE , 4. Class of Work: ~ NEW ^ ADDITION O REMODEL ^ OTHER Q FINISHED BASEMENT O UNFINISHED BASEMENT 5. Describe Work: ~ ~~ ~ -}-(,~,~~ i ~ ~, -_ ~I _ I` C 6. Valuation of Work: $ rJC~ , Q(~ Total Sq. Footage pRCluding BasementaRd caragei: Total Finished Area: Floodway T. FIOOdplain: Fringe Q Yes Q No Q Yes ^ No Dev. Permit BFE Elev. Cert. 8. Current Zoning: ~~C~~ 9. State Fire Marshall Required: Q Yes ~No 10. Special Use Permit Required: O Yes ~No 11. Variance Required: Q Yes Q~No 12. Minimum Setbacks: Front 13. Sidewalk Required: ^ Yes I e ear No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By mysignature 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 of 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 completed it in 2 years of date of issue. ~Z - ~ ~'~f SIGNATURE DATE Comment: ME~~BC.tRC.~'C, iM~ANpNrcCC00~~~QU1~~NI~N'~S iliti Sewer _ Septic _ Buil in Fo Ings Framing Electrical Permit Water Remote Stop Box Card Drywall (PRIO TO TAPING) F' al Rougl~.tn Fixtures F~ Permanent Service Temporary Service Mechanical Rough-in _ Final Plumbin . Ground Work Rough-in _ A\C Final WHEN PROPERLY VA1.IpAT&D (IN THIS CATION 9627 YOUR PERMIT cro tune ooTr_ wie;. uc Rev. 8/96 .~ ~Yn~~ q ~~~ ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 14 7 4 Application Date:_ __~ ~~ lx- ~ ~ I a~ Permit Fee: $ ~~ JOB ADDRESS I ~ ~ ' S ~~ / ~ l,l LEGAL 1 • DESCR. O SEE ATTACHED SHEET 2 OWNER MAIL ADDRESS/~ /~j ZIP HOME PHONE (/2 ~ ` - w/ / K~ WORK/CELL PHONE 7 (.Q 3 CONTRACTOR `,l MAILADDRESS PHONE HOMEPHONE ~~ ~LJ WORK/CELL PHONE t~ 4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: 6. Current License on File Yes p No p NA Completion Date I - r' - ZC'jC5 2 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 / ~l . ~ ~ ) """"""""""""""""""' 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 Am Fee $105.00 p ............................ Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps .......,... $ 13.00 Amp Fee + Circuit Total New Residential: (Fini h d A s e rea) NOTICE Single/Two Family Dwellings I 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 with whether s ecified herein or ot p p . n 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 Smoke Detectors x $3 00 construction. . Residential/Commercial Appliance # Fixed Outlets x $3.00 ~.2 ~ ~ ` G ~ Motor(s) x $3.00 Power Apparatus (220 Volts) NATURE 0 CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 Permit Issuance Fee ............. $15.00 /:~ ~ ~~ DATE TOTAL t ~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ruurvus rn i ~.-ciao, rvt Rev. 11/99 „BC,Ot,9U N N 03'08'S%"E - - - N~ '- - ` ,I ~, ,,~'• ~ ~. 182.21'(8) ~ U N -~. -' p,~ (~ I ~~ ~ ~ m rn r ~ a N p Np~pN O. Cm 3 9CAZ.90 S ." o^ c~ N •`b .y I a ~~ -i p m I a O .. to \ U r O in.. {'~.Z S> _O <n m c- 'O O I ~ G ~ ~.'~ '~ ° am c~. ~ o. .~ ~ O ,.~1 m N ~ ~~I ~ \ uo N O J ~ ~ ° ° ~ '9 p~ /~, ~~1 o ,9 Z ~ o II Z i o~ ~, ~ ~ ~~ ov I mm ~ ~ !~`~ ~ ~ a~ v I ~ o m o Z L [1 •~~ '° ~ ~ '~ '~ L I ~ ~ j „91,to.oo s v, ~ ,ooos ~, ,9l•CCl ~' ~ o I C ~ m ~ r ~^~ I o o O ,mo I ~ V ~ IJ ° 1 ~ d J' ~ o o --i ,p O OI ~1 i N I ~ I ,81'fCl I r ~ -0 ~ I ~J frTl ~ ~ o o ----- ~ ~, ~- I O ~ ° • u; -~ ~ D ~ n c - ~,: 3 .,91,co.oo s Z ~_,orrct ohm 0 mho' y ~~_ I o N ~,' 2 n O m Z Z o. ° r ~, ~ ~~ ` I~ G W °v N ~ o o ° o m ~ -~~~> ~ ,9l'fCl w ~ u ~ ,Ot'l'CI I ~~~o g ~ Y, ~' ,el•CCl "- I W '' .acre! I ~~°~ I ~, o ~ ,u I ~~° O1 ~ !- or o, o I 0 0 0 -~ o m 4 J ~ ~ ,~ ~ I .ct'Cft •I ~ ,cl•ccl I ~ ~ O I , _V 0 ~ I ~ ~ I (~ O ~ ~ C1 I V ~ f'-~, ~ m m ~ O f-' m G p ...y ~ 7 I O .\ ~ 0 p I ~\~I' v O p/ o I o \ p v ~ I ~V ~ ~ 1 „ ,u'crl I s, I ~ ,erect 11 ~s0k I~ I 0 ~~ o \ \/:, o V V 'I ~~ "', V I O ~ \~ A O ~ O Ul p I y ~ O I O ~ p _-~_~~ ,ct'rcl 7 ~ ,o os `". ,u•cCl ~~•' I .8'LlZ 3 „91,[0.00 S I (03Wf1SSV)3. ;,91,[0.00 S '(+`' ~y ~ v. rC-,r°im (W),~'C•91ti: 1 moo I ~ ~~qyy o~. ,,, ~ v;:p (LI),Or'9lf ~ oy^,^ I ]( i~li^•f mmpaoi ,~ ii1 Y n ~ y~ zly~ O c~om I O it '-,Doi ti m~m I y ~ n vii ~ Doti I ~ ti I ~ 7> G ~, ,' `~ ~ ~ ~ N ~ ~ --~~~ ~ f a ,f ~ f ~~ i 1j - - -~~- ~~~ ~i ~. -~ ~I!, \~ ~c ~~ ~~ -1.. ~'` _:-i (~1 i ~- r ~ ~ ~ r ~ ~ ~ n BUILDING INSPECTION REPORT ^ CITY OF BLAIR ^ WASH ING T ON COUNT Y ^ O TH ER _ g ~ f ~ ~ G~ //r n LOCATION OF INSPECTION: // / / ~jC_~S/q~ //ftLL~ ~ ~~~ ~~ NAME OF OWNER: CONTRACTOR: DATE INSPECTI ~ ~~ ~~ ON REQUESTED: TIME INSPECTION REQUESTED: PERMIT N0: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ~TATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED FAILED i 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: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: TIME: FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY ~CIT OF BLAIk LOCATION OF INSI NAME OF OWNER: DATE INSPECTION TYPE OF INSPECT BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL V v- `yv=a PASSED FAILED COMMENTS: ~ ^ UTILITIES ^ : SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ ELECTRICA L: ^ ROUGH IN ~ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ MECHANI CAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL •- ,' PASSEIys FAILED COMMENTS: 1/~~/ ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: FAXED OPPD~BURT REA BUILDING INSPECTION REPORT `~ '~ "~ DATE OF INSPECTION MADE: TO CONNECT SERVICE: ON BY TIME: ~~ ~ f ION REQUESTED: ^ CONFERENCE f-I ~TATrT.c rur'ru