BP12709Blair Building Permit Detail
Permit #: 12709 Issued: 4/30/2007
Completed: 7/25/2007
Location: 13735 Co Rd P18
Owner: Corey Korth
Address: 13735 Co Rd P18
Blair, NE 68008
Phone: 402 533 2016
Section: Township: Range:
Subdivision: Lot:
4'6" x 3' deck to be placed on East side of the house.
Contractors
SELF
Remarks
Type: Decks -All types
Valuation: 0
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
General Contractor Permit #
Issued
Inspections Date By
7/12!2007 DEM Status check Fail
7/25/2007 DEM Final Inspection of Project Pass
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4 `~° ' '~ - CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT
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9 Promis
Date: ~ ~~C ~ ~ Approximate Completion Date: ~ ` ~~ ~~~ Site Plan Attached: ~
Application for: Permit Fee $20/Issuance Fee $20
Sign Erecting, Awnings (Per sign)
Roofing/Siding/Soffitand/or Eave Repair/Gutters
Window/Door Replacement (size Change only)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (ploy plan required)
FenCBS (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items not covered by one of the above)
Other
Patios/Driveway Permits/Utility Excavation and Curb Grinding Fee $35
Curb Grind
Fee: $40.00
Utility Excavation
Length Lin. Ft.; Width Lin. Ft
Type: Water ;Sewer ;Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Lin. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will only be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee: $ 20.00
Total Renewal Remit Fee = Permit Fee/Issuance Fee $
of project if necessary:
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PROJECT INFORMATION:
Job Address: /~~ ~ ~ ~~ ° ~ ~ ~~~~
Legal Description (if applicable)
Owner: ~~~~ ~ ~ Address: % ~ ~~ ~d ~ '~~~ Phone#: 5 ~~~ °~~ /~
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Contractor:
Phone #:
Address:
Cell #:
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic
systems. By my signature below, I acknowledge this building permit application 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 a permit 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 days or is not completed within two (2) years of date of issue.
Signature o wn /Contractor Date f
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
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Date Permit Paid: `T r~ ~~~ ~eceipt # Approved by: ~..~ ~~~
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BUILDING INSPECTION REPORT
^ CITY OF BLAIR ^ V+'ASNINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: '~- --
NAME OF OWNEK~ CONTRAC'fOR•
DA1"E fNSPECTIUN REQUESTF,D~ TItMEINSPECTION RF.QUESTED• PERMITNO•
T_YPF, OIL INSPECTION R_EQUESTF.D: ^ CONFERENCE ^ STATUS CHECK
BUII DING: ~~~^ FOO'CING^ DECK FOOTING ^ FRAMING ^ DRYWALL ^~ F1NAL ^ PARTIAL PASSED FAILED
^ ^
COMMEN"fS:
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UTILITIES: ^ SEWER TAP ^ SEW'ER ^ SEPTIC ^ WATER TAP ^ RF.,MOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNF.CT PASSED FA[LED
^ PARTIAL ^ ^
COMMENTS:
~~ .max ~
AiECHANICAL:^ . ,~
ROUGH-IN ^ A/C ~em~,~~,~,~~d~,
^ FURNACE ^ RADIANT HEAT .~~~,n~.~.n~.~~._.~~...~~
^ FINAL ^ PARTIAL
PASSED
FAILED
^ ^
COMMENTS:
PLi?MBING: ^ GROUNDWORK ^ ROUGH-[N ^ FINAL ^ W'ATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
DATE. OF INSPECTION
FAXED OPPll1BURT REA 1'0 CONNECT SERVICE:
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BUILDING INSPECTION REPORT
^ CITY OF BLAIR ^ 1~'ASH[NGTON COUNTY ^ OTHER 1
LOCATION OF 1NSPECTION~ 'I ~' -~' i - ~~~
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NAMF.OF OWNF.R• -. '.
t ~~ `' ' CONTRACTOR• ~.
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DATE iNSPF.C"I'ION R EQUESTF,D~ MIME INSPECTION REQUESTED PERR4IT NOS ' `'
TYPE OF INSPECTION REQUESTED: ^ CON' FERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ,~] F[NAL ^ PARTIAL PAS ,D FAILF,D
COMMENTS:
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~ ^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SF.RV[CE ~ ~~ PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PAR`fIAL ^ ^
COMMENTS:
MECHAMCAL:^ ROUGH-IN ^ A/C ^ FURNACE ^ RAD[ANTHF,AT ^ FINAL ^ PARTIAL ~ PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER [NSTALLED ^ PARTIAL ~~PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
DATE OF 1NSPF.CTION MADE: ~/C~~~ / TIME: t
FAXED OPPD\BURT REA TO CONNEC'T' SERVICE:
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