BP12771Blair Building Permit Detail
Permit #: 12771 Issued: 7/1/2007
Completed: 7/19/2007
Location: 1117 Corey Dr
Owner: Mark Gengenbacii
Address: 1117 Corey Dr
Type: Roofing permits -All types
Valuation: 0
Blair, NE 68008
Phone: 8701770
Section: Township; Range:
Subdivision: Lot:
Tearing off one layer of asphalt and replacing with asphalt.
Contractors
Honey Do Guy, Inc.
General Contractor
Remarks
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
7/19/2007 DEM Final Inspection of Project Pass
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CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT
Permit #
Date: ~ ~~y ~'~ Approximate Completion Date: ~~ Site Plan Attached:
Application fOr: Permit Fee $20/Issuance Fee $20
Fee: $40.00
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 (plot plan required)
Fences (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plorplan 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
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Length
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 thaf 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 permif 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
U u
Total Renewal Remit Fee = Permit Fee/Issuance Fee $
Additional Description of project if necessary: ~ y~~~. ~ ~~r~ ~'- .~- _y~r-
PROJECT INFORMATION:
Job Address:
Legal Description (if applicable)
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Owner:/, l~ ~~ Address: /L~~~2 Phone#: ~~~ ~ l ~ 7 ~
Contractor: b \~ ~`~ ~ Phone #:.~7~~ °~ c3
Address: ~ ~{ ~ ~ ~ ~ ~~ ~ Cell #:
Separate permits are required for electrical, plumbing, hean.ing, 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.
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S tar~of Owne JContractor Da
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THlS IS YOUR PERMIT
Dafe Permit Paid: -off '~~ Receipt # ~~~, Approved ,by: c
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ROOF PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements andlor roof ng permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2006 International Building
Cade requirements thaf apply to your project. Please understand this document is only
designed and distributed to aid you in your roofiing permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
have read the above disclosure and accept this building permit documen#a#ion
own behalf assuming full responsibility as the ownerlcontractorfnr this project.
.~,'`~ r e
Own\er/Occupant Contractor
City of Blair
on my
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218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail ciiyofblair@ci,blair.ne,us
BUILDING INSPECTION REPORT
^ CITY OF BLAIR ^ WASHINGTON COUNTY ^
LOCA'T'ION OF INSPIiCC1UN:_-
NA'~9E OF OWNER-
DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED• PERMIT NO•
'TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
~~~
BUILDLNG:~ ^
FOOTING ^ UECK F00'I'PVG ^ FRAMING ^ DRYW'ALL ^ FINAI. ^ PARTIAL
PASS ;D
FAILED
COMMENTS: ~,
~,~~
U1'ILTI'IES: ^ ~~
SEWER TAP ^ SEW'ER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ ~~'A'CER SERVICE
PASSED
FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANF,NT SERVICE. ^ TEMPORARY SERVICE ^ PRECONNF,CT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MEC}IANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEA"i ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMEN'T'S: _
PLUMBIlVG: ~ ^ GROUNDWORK ^ ROUGH-1N ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSF,D FAILED
^ ^
^ PRESSURE TEST
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
DATE OF INSPECTION MADE: ~ ~/ TIMF• ~~ 61 - `~
FAXED OPPDIBURT REA TO CONNECT SERVICE: