BP12571Blair Building Permit Detail
Permit #: 12571 Issued: 9/18/2006 Type: Fences - All types
Completed: 6/19/2007 Valuation: 300
Location: 515 N. 23rd St.
Owner: Kenneth Fredericksen Permit Fee: 15
Address: 515 N. 23rd St. Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 533 1169
Section: Township: Range:
Subdivision: Lot: Block:
U chain link fence and wooden fence. Will be on the property line and is not a corner lot.
Contractors
SELF General Contractor Permit # Issued
Remarks
9/19/2006 BMP Sent copy of permit.
9/22/2006
BMP
Mr. Fredericksen came in and wanted to move completion date for six more months. Changed
completion date to 3/1/2007.
4/30/2007
DEM
Not complete
2/28/2007
BMP
Fence is not done. Will wait until weather is warmer before Dale checks again per Dale.
Changed completion date to 5/31/2007.
Inspections Date
By
2/23/2007
DEM
Status check Fail
4/30/2007
DEM
Status check Fail
6/19/2007
DEM
Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
Permit Fee: S 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 1 2 5 7 1
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: b �' Type: Fo !
JOB ADDRESS
/J5- AJ.. 3rd
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J
1 .
LEGAL
DESCH
Septic
❑ SEE ATTACHED SHEET
2.
OWNER"
MAIL ADDRESS
rec
erne�l� F�ertcK$er�
ZIP HOME PHONE
WOWCELLPHONE /
3,14
CONTRACTO
MAIL ADDRESS
ZIP HOMEPHONE
WORWCELL PHONE
4. Class of Work: Q NEW
Q ADDITION Q REMODEL Q OTHER
Q FINISHED BASEMENT Q UNFINISHED BASEMENT
5.
r
Describe Work:®® 0�,
�
rM
c H t
LO C— r ;Stit.on
6.
Valuation of Work: $ 3 00
� Total Sq. Footage (Incmun Basement and Garage):
Total Finished Area:
7.
RoWway O Yes
Floodplain: Fringe Q Yes
O No Dev. Permit
Q No BFE
Elev. CerL
8. Current Zoning:
M (-�
9. State Fire Marshall Required: Q Yes ' ''No
10. Special Use Permit Required: No
C]Yesi
11. Variance Required: Q 27 Yes No
12. Minimum Setbacks: Front Side r " I Rear
13. Sidewalk Required: Q 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 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 thatthis permit is void if work is not commenced within
1 - 8�days or is not completed within 2 years of date of issue.
M. �.d�' 9
`IGNATURE OF OWNERICONTRACTOR DATE
Comment:
Site Plan Attached
Approximate Completion Date
! b D �op pl to Zns Attached
Inspections Required and Fees
Utilities
Sewer
Water Service
Septic
Remote
Buiidina
Stop Box Card
Footings
Drywall
(PRIOR TO TAPING)
Framing
Final
Electrical
Rough -in
Fixtures
Final
Permanent Service
Temporary Service
Mechanical
Rough -in _
Final
Plumbinci-
Ground Work
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS
kpproved By: f5 r �J i AA
THIS IS YOUR PERMIT
POUNDS pR•G. BIeV. NE
Rm, K06
�-m/
crn of UAIQ
FENCE PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or fence permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2003 Intemational Building
Code requirements that apply to your project. Please understand this document is only
designed and distributed to aid you in your fence 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/Occupant Contractor
City of Blair
9-i4-DG�
Date
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@ci.blair.ne.us
BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY/ ❑� ER
LOCATION OF INSPECTION- S�.S �/ �J F
NAME OF OWNERfle�-7
CONTRACTOR
DATE INSPECTION REQUESTED � 6/ TIME INSPECTION REQUESTED PERMIT NO_ I��J ��
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE
�2 STATUS CHECK
BUILDING:
❑
FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL [J FINAL ❑ PARTIAL
PASSED F
❑
COMMENTS:
' `
UTILITIES:
❑
SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ 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
❑
PRESSURE TEST
❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED
❑ CONDITIONAL OCCUPANCY GRANTED
DATE OF INSPECTION MADE: CA� TIM "(P. -
FAXED
(V
FAXED OPPD\BURT REA TO CONNECT SERVICE:
BY.
BUILDING INSPECTION REPORT
❑ WASHINGTON COUNTY ❑
LOCATION OF INSPECTION `� /,/, ,
NAME OF
gri
DATE INSPECTION REQUESTED 4 3 L TIME INSPECTION REQUESTED A I PERMiT NO-_t_a_: 'Z/
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL
COMMENTS:
PASSED FAILED
❑ ❑
UTILITIES:
❑
SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ REMOTE ❑ WATERSERVICE
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
ELECTRICAL:
❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
MECHANICAL: F-1
ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
PASSED
FAILED
❑
❑
COMMENTS:
PLUMBING:
❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
DATE OF INSPECTION MADE: =�
FAXED OPPDIBURT PEA TO CONNECT SERVICE:
BUILDING INSPECTION REPORT
/CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER___-
LOCATION OF INSPECTION / /l(/✓� IZ
NAME OF OWNER' _S� /I/ �"J /lam CONTRACTOR:-
DATE
ONTRACTOR:
DATE INSPECTION REQUESTED / �/ 7 TIME INSPECTION REQUESTED' / PERMIT NO' Z!= J /
TYPE
CONFERENCE []STATUSCHECK
BUH.DING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL g FINAL ❑ PARTIAL
FAILED
v UTILITIES:
❑
SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ REMOTE ❑ WATERSERVICE
PASSED
FAILED
❑
❑
❑
PARTIAL
COMMENTS:
ELECTRICAL:
❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
❑
❑
❑
PARTIAL
COMMENTS:
MECHANICAL:[]
ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANTHEAT ❑ FINAL ❑ PARTIAL
PASSED
FAILED
❑
❑
COMMENTS:
PLUMBING:
❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑ PRESSURE TEST ❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
DATE OF
FAXED OPPDTURT REA TO CONNECT SERVICE:
TIM-'�