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BP12576Phone: 402 426 3161 Section: 32 Township: 19 Range: 11 Subdivision: Lot: E1/2NE1/4 Block: 3 bed Ranch; unfinished walk -out basement; oversized one car attached garage; 2 bath; 1 RI in basement, Porch off of front (covered). Contractors SELF Blair Building Permit Detail General Contractor Permit #: 12576 Issued: 9/21/2006 Type: Residential - New Construction Heating Subcontractor M1473 11/29/2006 Completed: 7/23/2007 Valuation: 180000 Location: 13151 Co Rd 27 SELF Owner: Jared Tighe Permit Fee: 795 Address: 641 S 17th St Issue Fee: 15 Remarks Deposit Amt.: 200 Blair, NE 68008 Receipt #: 17495 Phone: 402 426 3161 Section: 32 Township: 19 Range: 11 Subdivision: Lot: E1/2NE1/4 Block: 3 bed Ranch; unfinished walk -out basement; oversized one car attached garage; 2 bath; 1 RI in basement, Porch off of front (covered). Contractors SELF General Contractor Permit # Issued Beebe Refrigeration, Htg. & A/C, Inc. Heating Subcontractor M1473 11/29/2006 Henton Trenching, Inc. Plumbing Subcontractor P1616 11/20/2006 SELF Plumbing Subcontractor P1585 9/20/2006 SELF Electrical Subcontractor E2546 9/20/2006 Remarks 9/25/2006 BMP Sent copy of permit. 5/29/2007 DEM Exposed wires throughout house. Permanent steps all entries (doors) including garage. Smoke detectors installed. Spring hnge on garage door to house larger house numbers handrails on steps decks front and rear. 6/4/2007 DEM Conditional occupancy granted. Front porch stoop. rear deck or patio not complete. water heater not complete. Underside of stairs drywalled. slab in front of garage for 2 cars handrail larger -kitchen sink. 90 days Inspections Date By 9/29/2006 DEM Footings Pass 10/6/2006 DEM Plumbing Groundwork Pass 10/26/2006 DEM Electrical Temporary Service Pass 11/21/2006 DEM Septic - Laterals&Drainfields Pass 2/23/2007 DEM Framing Pass 2/23/2007 DEM Electrical Rough -ins Pass 2/23/2007 DEM Mechanical Rough -ins Pass 2/23/2007 DEM Plumbing Rough -ins Pass 3/15/2007 DEM Electrical Permanent Service Pass 5/29/2007 DEM Mechanical Final Fail 5/29/2007 DEM Electrical Final Fail 5/29/2007 DEM Plumbing Final Fail 5/29/2007 -DEM Final Inspection of Project Fail 6/4/2007 DEM Final Inspection of Project Fail 6/4/2007 DEM Electrical Final Fail Blair Building Permit Detail 6/4/2007 DEM Mechanical Final Fail 6/4/2007 DEM Plumbing Final Fail 7/23/2007 DEM Plumbing Final Pass 7/23/2007 DEM Final Inspection of Project Pass 7/23/2007 DEM Electrical Final Pass 7/23/2007 DEM Mechanical Final Pass r BUILDING PERMIT APPLICATION k %9•Ord Jurisdiction Or Clty of Blair, Nebras a Permit Fee: goo 00 218 South 16th Street Issuance Fee: �S' 0 0 W,06- CO 61�0 Blair, Nebraska 68008 Receipt q: co (d02) 426-4191 • Fax (402) 426-4195 Deposit Receipt k: 1111':5Issue Date: Date: -OLP Type: Permit 12576 JOB ADDRESS 1 . LEL DESCR, E /Z E /�f ` ryry Al- R /(j VE C �� — SEE ATTACHED SHEET 11 2 OWNER �, MAILADDRES y( l��i/WORK4CELLPHONE !N/ 3 CONTRA C R MAIL ADDRE ZIP HOME PHONE „ "_. D WORKiCELL PHONE 4. Class of : ❑ NEW ❑ ADDITION []REMODEL ❑ OTHER ❑ FINISHED BASEMENT ❑ UNFINISHED BASEMENT 5. Describe Wor /-lijcLE9/C�p�� lj�y L� Zt C'la Z Valuation of Work: 8'dQOj . QO Total Sq. Footage (Iaduding Basement and Garage): Total Finished Area: j 7. Floodway O Yes 7) No Floodplain: Fringe Q Yes Q No Dev. Permit Elev. CerL BFE 8. Current Zoning: a (r(Y 9. State Fire Marshall Required: ❑ Yes �J'No 10. Special Use Permit Required: ❑ Yes YNo 11. Variance Required: ❑ Yes 12. Minimum Setbacks: Front Side Ski Rear ❑ Site Plan Attachedq ❑Complete Plans Attached Approximate Completion Date J y �G r% 7 Inspections Required and Fees VateftUtilities Sewer l ervice �X Remote 13. Sidewalk Required: C]Yes C3No Waiver Approved h k Stop Box Card 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 tee 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 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 18 ays or is t comple d wit 'n 2 years of date of issue. r- Building F ' gs Drywall (PRIOR TO TAPING) �,�� F ng tea"' gh-in al Tempr_ Service in Fi s EwnR�ntService SIni G NRE OF OWNERICO TOR DATE Comment:ie) NULyc ZZl010 MEET IM1RUPC, IMC AND CODE REOUIREMEO ROOMS BELOW THE FOURTH Plumbina ° ) " JGrk SLEEPING STORY AND IN BASE ARE REQUIRED TO HAVE AN EGRESS WINDOW. R° F WHEN PROPERLY VALIDATED (IN THIS SPAC R ERMIT Rei. &48 POUNDS PRTG.8b ,NE r ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E Application Date: /'r-'fd 0&1 Permit Fee: $ �✓' JOB ADDRESSLEGAL II,, 1' D SCR.6 Y2 /VG - '� ��% St� �l,� cStEL` Z Z11C O SERE/ATTACHED SHEET OWN rR y ILA DRESS ,/ ZIP WORgOELL PHONE 2. Cly'f CONTRACTO MAIL ADDRESS PHONE HOME PHONE 3• WORKJCELL PHONE 4. Class of Work: JEW RESIDENTIAL O NEW COMMERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: 1�Qlt> U eN:7 6. Current License on File O Yes O No Completion Date ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00 & CT o 201-300 Amp Fee ............................ $ 30.00 Fire Alarm System ................. $10.00 301-400 Amp Fee ............................ $ 4200. Signs..................................... $15.00 401-500 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 Commercial/Multi-Family and All Upgrades: 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1 st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps........... $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Area) NOTICE Single/Two Family Dwellings I hereby certify that I have read and examined this 1513 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 complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets r// //�b to violate or cancel the provisions of any other state or local Fixtures -x $.75 // - !3' law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) # Apparatus x $3.00 SIGNATURE OF B irlTRACTOR OR AUTHORIZED AGENT Permit Issuance Fee .............$15.00 —Q Cp DATE TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG.-Blair, NE Rev. 11/99 cm or BLAID HOMEOWNER VERIFICATION FOR ELECTRICAL WIRING PERMITS J�,r aO'M 1 � q 2, , states the following: print your full name on line above: 1. I am the owner of the single family dwelling for which I am applying for an electrical permit. Address: 2. I am applying for an electrical permit for a single family dwelling and it is or will be my principal residence. 3. I will install and connect the electrical wiring for myself, without compensation or pay from or to, any other person. 4. I have sufficient knowledge of the 2005 National Electrical Code requirements to make an electrically safe and mechanically secure installation which will meet the minimum standards referenced in 81-2104. 5. I am aware of all inspections required prior to a final. 6. I will call twenty-four (24) hours in advance for an inspection. I am also aware that it is not the inspector's job or duty to be my instructor in electrical wiring. 7. I am aware that Nebr. Rev. Stat. 81-2143 makes it a Class 1 misdemeanor to make a false statement on a request for inspection. 8. By signing this form I am stating the above information is true an correct. Q He eowner/Applicant Signature Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@cl.blalr.ne.us Sprinkler System ................... $30.00 (Commercial) Gas/Water Piping System (Commercial) ....................... $30.00 SIGNATURE OF CO CTOR ORAUTHORIZED AGENT Permit Issuance Fee .............$15.00 D^Q TOTAL (� 4 DATE- Current License on File Oyes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: Rev. 10)05 POUNDS PRIG. Bab HE contains 10.030 A,. I I (�� f including county roadway y� easement ( i -3` L�%of IW I I O� r IAC rr ol00�v7J ' ....- PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 P 1585 Fax (402) 426-4195 /� (402) 426-4191 �� rr// Application Date: a® _ 61Permit Fee: $1�L JOB ADDRESS, A16 �/I OWNER [J �pAILAITSS . L ZIP 1. c / / VI i Tse � PHONE �� — CONTRACTOR 2. MAIL ADDRESS PHONE LICENSE NO. 3. Class of Work: O COMMERCIAL VjiE§IDENTIAL O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4. Describe Work: PLUMBING PERMIT FEES Comments: Modular Home ........................ $15.00 Type of Fixture No. ' UO Kitchen .................................. $8.00 x — to 144-00 Bath ....................................... $8.00 x Rough -In Bath ........................ $4.00 x T ' 60 Additional Sinks .....................$3.00 x �• G ru Laundry ..................................$5.00 x D WaterHeater .......................... $3.00 x (1 U Outside Water Faucet ............ $3.00 x Drinking Fountain ................... $3.00 x Back Flow/Grease Trap .......... $10.00 NOTICE Water Service ........................ $10.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All Sewer .................................... $10.00 provisions of laws and ordinances governing this type of /D• 6� work will be complied with whether specified herein or not. Groundwork ............................ $10.00 The granting of a permit does not presume to give authority Septic Tank & Laterals $10.00 to violate or cancel the provisions of any other state or local ........... law regulating construction or the performance of Lawn Sprinkler System .......... $10.00 construction. Sprinkler System ................... $30.00 (Commercial) Gas/Water Piping System (Commercial) ....................... $30.00 SIGNATURE OF CO CTOR OR AUTHORIZED AGENT Permit Issuance Fee .............$15.00 ' TOTAL 2-20-0(r DATE Current License on File Oyes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: FOUNDS PRTG.BIW , NE OMM Rev. 1W CITY Of UAIQ -. HOMEOWNER VERIFICATION F��L�AND/OR MECHANICAL PE states the following: Aird your full name on line above: 1. I am the owner of the single family dwelling for which I am applying for a plumbing and/or mechanical permit. Address: 2. I am applying for a plumbing and/or mechanical permit for a single family dwelling and it is or will be my principal residence. s. I will install and connect the plumbing and/or mechanical by myself, without compensation or pay from or to, any other person. 4. I have sufficient knowledge of the 2003 International Code requirements to make an electrically safe and mechanically secure installation, which will meet the minimum standards referenced in the 2003 International Code. 5.. I am aware of all inspections required prior to a final. 6. I will call twenty-four (24) hours in advance for an inspection. I am also aware that it is not the inspector's job or duty to be my instructor in plumbing and/or mechanical. 7. I am aware that violation of the code makes it a Class 1 misdemeanor to make a false statement on a request for inspection. 8. By signing this form I am stating the above information is true an correct. r Homeo er/ Hcant Signature Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofbloir@huntel.net Application Date: PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 P 1616 Fax (402) 426-4195 (402) 426-4191 Permit Fee: $ ,q6-, a 0 JOB ADDRESS oc 1 OWNER MAIL ADDRESS 7 _eJ T� ikl k0-(& Jy(7/_� MAILADDRESS ?. CONT % PHONE LICENSE NO. 3. Class of Work: O COMMERCIAL )99ESIDENTIAL TWWn ADDITION n ALTERATION O REPAIR O REPLACEMENT 4. Describe Work: PLUMBING PERMIT FEES Comments: ModularHome ........................ $15.00 Type of Fixture No. Kitchen .................................. $8.00 x Bath ....................................... $8.00 x Rough -In Bath ........................$4.00 x Additional Sinks .....................$3.00 x Laundry .................................. $5.00 x WaterHeater ..........................$3.00 x Outside Water Faucet ............ $3.00 x Drinking Fountain ................... $3.00 x Back Flow/Grease Trap .......... $10.00 NOTICE Water Service ........................ $10.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All Sewer .................................... $10.00 provisions of laws and ordinances governing this type of $10.00 work will be complied with whether specified herein or not. Groundwork ............................ The granting of a permit does not presume to give authority Septic Tank & Laterals ........... $10.00 to violate or cancel the provisions of any other state or local law regulating construction or the performance of Lawn Sprinkler System .......... $10.00 construction. Sprinkler System ................... $30.00 (Commercial) Gas/Water Piping System (Commercial) ....................... $30.00 IG ATUREO ONrRACTORORAUTHORIZEDAGENT Permit Issuance Fee .............$15.00 n TOTAL a6' 12 DATE Current License on File *-as n No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PR G, -BW, NE Rev"10? MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska / 218 South 16th Street Blair, Nebraska 680081473 Fax (402) 426-4195 M (402) 426-4191 Application Date: i ("� q1 - 0 ---77�� dJ Permit Fee: $ — JOB ADDRESS 1 OWNS � *. j +d, �MAILAD JEES9a. ZIP 1�- 10 Y PHONE ydL_3�b/ 2 CONTRA 0 MAIL ADDRESS PHONE LICENSE NO. 3. Class of Work: O COMMERCIAL RESIDENTIAL /NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: nZA , L P", d a5_Tons MECHANICAL PERMIT FEES Central A/C Furnace % t) o J J BTU/H Forced Air/Heat Pump Systems - Per Unit Sr JO Commercial/Residential (New) .................................................... $25.00 # of Units A/C Air -Conditioner Unit -Per Unit /a , 00 Furnace Commercial/Residential (New) .................................................... $10.00 Air Systems/Air Conditioner qForced _ a U — O -7 Unit Replacement Per Unit Commercial/Residential ................... $10.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ..................... $10.00 Comments: Appliance Vent/Fans ...............................$10.00 f h- 00 Boiler....................................................... $15.00 Duct System............................................$10.00 0- 0) Gas/Air Outlets .................. x $2.00 Radiant Heat Systems ............................$25.00 NOTICE 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular Home $15.00 work will be complied with whether specified herein or not. ......................................... The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state orlocal Permit Issuance Fee $15.00 �5 ` law regulating construction or the performance of ............................... construction. (;;�' 'J�� J.L TOTAL SIGNATURE OF CONTRACTOR OR AUT OR ED AGENT Current License on File Iles O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG-Blair, NE R.,. "B Permit Number REScheck Compliance Certificate Checked By/Date 2003 IECC REScheck Software Version 3.6 Release 2 Data filename: C:\aalaa\Check\REScheck\4104.rok PROJECT TITLE: Jared & Laura Tighe - 4104Jared & Laura Tighe - 4104 CITY: Blair STATE: Nebraska HDD: 6506 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.12 DATE: 09/20/06 , DATE OF PLANS: 8-30-06 PROJECT DESCRIPTION Lot XXX Blair, NE 68008 402426-6131 w 402426-3161 h DESIGNER/CONTRACTOR President Homes 5000 Winnetka Ave. No. New Hope, MN 55428 888.826-0940 COMPLIANCE: Passes Maximum UA = 425 Your Home UA = 373 122% Better Than Code (UA) Furnace 1: Forced Hot Air, 92 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2003 IECC requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspecting Checklist. �� n Builder/Designer Date OLV �o Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value -Factor UA Ceiling l: Raised or Energy Truss - 1617 38.0 0.0 40 Wall 1: Wood Frame, 16" o.c. 1776 19.0 0.0 90 Window 1: Vinyl Fmme:Double Pane with Low -E 197 0.350 69 Door 1: Solid 80 0.400 32 Basement Wall 1: Solid Concrete or Masonry 1665 0.0 5.0 135 Wall height: 9A' Depth below grade: 8.3' Insulation depth: 9.0' Window 2: Vinyl Fmme:Double Pane with Low -E 20 0.350 7 Furnace 1: Forced Hot Air, 92 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2003 IECC requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspecting Checklist. �� n Builder/Designer Date OLV �o a CITY Of UIQ p'o�ise 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 2003 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. *Aer4/0"c_cupant,,1_4 City of Blair Contractor ate 218 South 16th Sheet • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail dtVdielair@huntel.net Y�CITY Of UAIQ BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 refundable deposit is being collected at the time of your building permit application for all permits $10,0000 and above. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) theft of water service by either the plumber, owner or general contractor, 2) all required inspections have not been obtained, 3) occupancy occurs prior to a final. inspection, 4) all permits have not been obtained, and 5) the project is completed without a final inspection being done. If any or all of these situations occur during construction, you may forfeit your deposit. I, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. tractor/Owner Contractor/Owner City of Blair ate 218 South 16th Sheet • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net H Cor,SE 1/4 Se T1 Sec. 32, i19N, RIIEOQ f p�DJ �a O U Y 1322.60'M o R ------------- 1322.54 N 89'56'43" E O f 661.30'M _ _ 661.27'R NE Car. NE 1A Y Cor. NE 1/4, SE 1/4, — SE 1/4, Sec. 32, 1/4, Sec. 32, T19N, R11E 330.65' 330.65' ,POINT OF 8 POINT OF BEGINNING , I `(Parc i 1) 6' 1 (Parcel 2)VOfNT F COMi J 1 Tarcel 2) a I I 1 contains 5.020 Ac. NE 1/4 SE z \ W $ M: Of p 1` _ f �rI t 0 1 0 �`� �� CD C .� p 1 �\ o CCD) 2 O co p cD (O r�� I•p O I r� O p CO (D I `VGO '�- (n I R tz Of 330.85' "Cor. NE 1/4, SE 1/4 , — 330.85' .p co LO £/4, Sec. 32, T19N, R11 ��'J >� SE Cor. NEI 4, SE 1 4 S 89'59 26 W SE 1/4, Sec, 32, T19N 11E O N 661.69'M r� o . 661.61'R I I � (� contains 10.030 Ac. ;no county roadway easement v `�� Qb ® I W (2 1 t f of y, i CD 1m O <�i �, 74 BUILDING INSPECTION REPORT 4�fiZ F BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION � A- d Ca, f -� 1 NAME OF OWNER I CONTRALTO o 13 DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED I PERMIT NO' I 0� 5 _? ' CONFERENCE [_1 STATUS CHECK BUILDING: Ls' FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASS FAILED ❑ 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 ❑ 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 INSPECTION TAXED OPPD\BURT REA TO CONNECT SERVICE: ZITYOFBLAIR LOCATION OF BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ OTHER �/ �]t� COR �^ OFOWNER. NTRACTO NAME DATE INSPECTION REQUESTED /D ' D TIME INSPECTION REQUESTED'- PERMIT NO- TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: UTILITIES: ❑ SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ REMOTE ❑ PARTIAL ❑ WATER SERVICE PASSED ❑ FAILED ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT ❑ PARTIAL PASSED ❑ FAILED ❑ COMMENTS: MECHANICAL:[] ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANTHEAT ❑ FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ COMMENTS: PLUMBING: GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASo FAILED ❑ PRESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS DATE OF INSPECTION FAXED OPPD\BURT REA TO CONNECT SERVICE: TIM E U 4 � ; 4 �� t c' �4;. , BUILDING INSPECTION REPORT Z<�cH7 OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE :&-IfMPORARY SERVICE ❑ PRECONNECT PASS D ii _ PARTIAL A. LOCATION OF IN§PECI'ION COMMENTS: ( ' f NAME OF OWNER ✓ CONTRACTOR ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANFHEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ f REQUESTED- TIME INSPECTION REQUESTED ' 06 PERMIT NO `zs DATE INSPECTION PLUMBING: ❑ ❑ GROUNDWORK ❑ ROUGH -LN [I FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ` NOTES/REMARKS COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE :&-IfMPORARY SERVICE ❑ PRECONNECT PASS D FAILED El PARTIAL A. ❑ COMMENTS: ( ' MECHANICAL:❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANFHEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ ❑ GROUNDWORK ❑ ROUGH -LN [I FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ FAILED ❑ COMMENTS: "l/,// ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED ` NOTES/REMARKS DATE OF INSPECTION TO CONNECT SERVICE: /0 -Z7 -v& l/: tc-) 'm --� _. _-� CITY OF BLAIR LOCATION OF INSPECTION NAME OF BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ OTHER % 4 i /� CONTRACTOR—Z `kn 7�y�//''(, �y DATE INSPECTION REQUESTED // / -�`� TIME INSPECTION REQUESTED' 'yy� PERMIT NO–J-42- TYPE O/42 TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWERTAP ❑ SEWERSEPTIC ❑ WATERTAP ❑ REMOTE ❑ WATERSERVICE PAS El ❑ 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 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY -CITY 0� LOCATION OF INSPECT NAME OF OWNER DATE INSPECTION RE( TYPE OF INSPECTION BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ OTHER Jat�e 533-gy kTIME INSPECTION REQUESTED' /D' d0 -4 PERMITNO- ❑ CONFERENCE ❑STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING. c.. FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASS D FAILED F-1COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL:. -ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECTPASS FAILED ❑ PARTIAL 11COMMENTS: MECHANICAU-ROUGH-IN ❑ A/C ❑ FURNACE ❑ RADIANTHEAT ❑ FINAL ❑ PARTIAL PA� FAILED ElCOMMENTS: PLUMBING: ❑ GROUNDWORK .nom _ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PAS FAILED ❑ PRESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS DATE OF INSPECTION FAXED OPPD\BURTREA TO CONNECT SERVICE: 3/ 7 TIME,.:12 5 BUILDING INSPECTION REPORT ❑ CIT IR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION f , l i�,_ 24 NAME OF OWNER FI , kc J 3" h yS� CONTRACTOR ✓ f f � ll DATE INSPECTION REQUESTED 3- /_�- TIME INSPECTION REQUESTED / u' 03 PERMIT NO' TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINALPERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNF,CT PASS D 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 /0-2o v FAXED PPD URTREA TO CONNECT SERVICE: ON s� BY �� BUILDING INSPECTION REPORT SCY FTLAIR ❑ WASHINGTON COUNTY ❑ OTHER__- - -- LOCATION OF INSPECTION p % NAME OF OWNERr AI& � �`'f CONTRACTOR, C�-c DATE INSPECTION REQUESTED _ �� / TIME INSPECTION REQUESTED V6�2 PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL -t%�INAL ❑ PARTIAL COMMENTS: FAIL UTILITIES: ❑ SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ REMOTE ❑ WATER SERVICE. PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGHIN AL ❑PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PAS' FAIL [:1PARTIAL COMMENTS: MECHANICAL:❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT-EJNAL ❑ PARTIAL COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH-IN'FINAL ❑ WATER METER INSTALLED ❑ PARTIAL ❑ PRESSURE TEST COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED 27%, A.m <e7� t .')I Q jPc 'Ci19_Auw C9 FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING INSPECTION REPORT ❑" CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION ' 3 1 5,) (' . - d ) NAME OF OWNER I CONTRACTOR' S e I T DATE INSPECTION REQ STEEUD- "' TIME INSPECTION REQUESTED• U PERMIT NO 1� TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALLFINAL E-1PARTIAL PASSED COMMENTS: P - 1 h - el f + , � 1-1 7D UTILITIES: ❑ SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ REMOTE ❑ WATERSERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH INp FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAYD ❑ PARTIALS ❑ COMMENTS: —'--- MECHANICAL:❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANTHEAT ❑ FINAL ❑ PARTIAL PASSED FAIIA COMMENTS: ❑ Llr�y'j PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN .1 ;;r FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAV, ❑ PRESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED CONDTT OCCUPANCY GRANTEDD TES/REMARKS / f1/ B S C X416 FAl DATE OF INSPECTION MADE: J TIMFY� FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B `��' �� ,�� ._�w _ BUILDING INSPECTION REPORT ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER -- LOCATION OF INSPECTION NAMEOFOWNER- e CONTRACTOR* DATE INSPECTION REQUESTED -7- TIME INSPECTION REQUESTED J J PERMIT NO- TYPE OF INSPECTION CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL �/ FINAL ❑ PARTIAL PASYD FAILED � ❑ COMMENTS: UTILITIES: ❑ SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ REMOTE ❑ WATERSERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN Q FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PAS . FAILED ❑ PARTIAL/ El COMMENTS: MECHANICAL: ❑ `,� ROUGH -IN ❑ A/C ❑ FURNACE. ❑ RADIANT HEAT XJ FINAL ❑ PARTIAL PA D FAILED' /// \\` ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PAS D FAILED ❑ PRESS URE TEST ❑ COMMENTS: OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' OF INSPECTION M FAXED OPPD\BURT REA TO CONNECT SERVICE: