BP12797
I ....... \or ......,- _ _ _
I r [ R [I) MAR 8
Blair Building Permit Detail
Permit #: 12797 Issued:
Completed:
Location: 1244 S 13th Ave
Owner: Les Johnsen
Address: 902 Meadow Dr
7/31/2007
3/10/2009
Type: Residential - New Construction
Valuation: 164900
Blair, NE 68008
Phone: 402 426 4535
Section: 13 Township: 18
Subdivision: SOUTHVIEW
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
923
20
500
20466
Range: 11
Lot: 9
Block:
Ranch style with with a partial finished bsmt. (3) bedrooms, (2) bathrooms, (1) RI. bath, (2) car garage, (1) deck and
(2) porches.
Contractors
Les Johnsen Construction LLC
Beebe Refrigeration, Htg. & AlC, Inc.
~ick's Electric
Henton Trenching, Inc.
Henton Trenching, Inc.
Integrity Plumbing
Remarks
General Contractor Permit # Issued
Heating Subcontractor M1571 10/11/2007
Electrical Subcontractor E2733 8/13/2007
Plumbing Subcontractor T1255 11/2/2007
Plumbing Subcontractor P1755 11/2/2007
Plumbing Subcontractor P1744 10/8/2007
8/13/2007
OEM
Inspections cancelled but Dale met with Les about Egress code. Egress R-31 0
1/8/2008
OEM
Glazing R309.4 (7.2) 18" above floor. Printed code requirements for Les. Meeting at 11 :00
a.m. then return to office to print the code requirements.
1/28/2008
OEM
IRC Code Section R308.4(7)
Windows have been replaced with tempered glass. 50 days
2/25/2009
OEM
Drywall underside of stairs.
Inspections Date By
8/14/2007 OEM Footings Pass
8/14/2007 OEM Electrical Temporary Service Pass
8/20/2007 OEM Footings Pass
11/5/2007 OEM Deck Footings Pass
11/5/2007 OEM Framing Pass
11/5/2007 OEM Electrical Rough-ins Pass
11/5/2007 OEM Mechanical Rough-ins Pass
11/5/2007 OEM Plumbing Rough-ins Pass
11/5/2007 OEM Sewer Lines Pass
11/5/2007 OEM Water Service Pass
11/7/2007 OEM Electrical Permanent Service Pass
Blair Building Permit Detail
11/9/2007 OEM Plumbing Pressure Test Pass
12/6/2007 SAJ Stop Box Card Pass
1/8/2008 OEM Conference Pass
1/28/2008 OEM Framing Pass
6/10/2008 OEM Oeck Footings Pass
9/19/2008 OEM Framing Pass
9/19/2008 OEM Electrical Rough-ins Pass
2/25/2009 OEM Electrical Final Pass
2/25/2009 OEM Final Inspection of Project Fail
2/25/2009 OEM Mechanical Final Pass
2/25/2009 OEM Plumbing Final Pass
3/10/2009 OEM Final Inspection of Project Pass
Date: '7 -:) '/0/
Site Plan Attached: /
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit# lJ79]
Approximate Completion Date: lo - 3/--0 I
REScheck Attached: /comPlete Plans Attached /
/
Application for: Residenti9J- Commercial/Industrial
New Construction L. Manufactured Home Modular
Move-on: Home Accessory Building Other
Remodel Addition
Accessory Building: Garage _ Pole Barn_ Other
Floor Type: Dirt Concrete Electricity: Yes_
No
Other
Utilities:
Private Well
OPPD Line Kennard
Date Agreement Received: _
Drawing Provided: _
Proiect Information:
Job Address:
S - j 3T - , ~ - R - N j I
I': . ~ f- fo '"1'kf rl-egal Description (if applicable)
Owner: Le s J0'h ",.r..; h.
1 d '-It.{
Lot
S'.
~
13 ~ Ave
So"-K \J~cw ~bd'.v'~s~~""
Address:
Phone#:
Phone #: "-I) 10,- Y~'-'3i-'
'c~il#: &S'J:~g-7c) f
Contractor: L@s :s- 0h,1'\ ,'l>~
Addres~:- Cr(Y}.'-fJ1ec.J~:..Jtr
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 o~the eit of BI ir and the State of Nebraska, I understand that this permit is void if work is not commenced within
180 days or i t comp te wi n two (2) years of date of issue,
/
, I 7-2(Q.~ '07
Date
ZONING REVIEW:
Zon ing/Flood Plain/Utilities:
Current Zoning: f..m L- Conditional Use Permit Required: Yes _ No '2i..-
Date CUP Approved:
State Fire Marshal Required: Yes _ No -X-- Variance Required: Yes _ No.::A-
Minimum Setbacks: Front :aO Second Front Side Side -..!l.....- RearJJ;;L
Lot Sauare Footage:
Length x Width: S(l .''f.. 1/7'& " Lot Coverage % &Js') yiviJI 70
Driveways/Sidewalks: ,j
Sidewalk required: Yes-t' No_
Flood Plain: Yes No ~
If yes, specify special requirements:
Sidewalk Waiver: Yes
Date Waiver Approved:
Nob
BUILDING INSPECTOR REVIEW:
Number of Stories
One Two
Th ree
Four
>Four
High Rise (>75 ft)_
Type of Residential Structure:
Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other
Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric _
Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes No
Sleeping Rooms Living Area Other Egress
Sauare Foota~e:
Main Level:
Basement: (Unfinished)
Garage:
D~tClched Garage: ,
Addition:
Porch: Front
Deck that affect setbacks:
Second Level: Third Level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Rear
Rear
Occupancy Classification:
Assembly, theaters, with stage Assembly, theater, without stage _
Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls _
Assembly, churches _ Assembly, arenas _
Assembly, general, community halls, libraries, museums _
Business Educational _ Factory and industrial, moderate hazard _
Factory and industrial, low hazard _ High Hazard, explosives _
High Hazard HPM Institutional, supervised environment _
Institutional, incapacitated _ Institutional, restrained _
Institutional, day care facilities _ Mercantile Residential, hotels _
~~
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
/(J- ~'VI
Job Address
J'J lJ; ~
Comments:
Notice
I hereby certity 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
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 or local law regulating construction or the
performance of construction,
0"1..-
Sig ature of Contractor or Authoriz Agent
Date
P 1744
Permit Fee: $ 7 d- cD
s..
1)1'
Zip
I
it'
v)Ot_ V s- 5<:r
Phone C ()
" -"Il,
o Replacement
o Alteration
o Repair
PLUMBING PERMIT FEES
Modular Home.."., ." .,.",."" ,,$50,00
Type of Fixture No.
Kitchen...... ... ... ... ... ... .., .., .., $8,00 x
Bath,.. ...... .., ...... .., ....,.... .. ..$8.00 x J-
Rough-In Bath.......,..,..,....,.. ,$4,00 x
Additional Sinks...,.,. ,.."""" ,,$3,00 x
Laundry/Drain, , .,'.,.""... .." .,.$5.00 x
Water Heater,.".""..,...,..., .",$3,00 x
Outside Water Faucet.. ""'" " '" ",,$3 ,00 x ;)..
Drinking Fountain" '"'' " "" " " " ",,$3 ,00 x
q.OO
/ b . <J\)
\.f.OD
5'.00
~. () 0
G:.. 00
Backflow(Grease Trap""., '" '" $1 0.00
Water Service... ... ... .., .., .., .. ..$10,00
Sewer..................."..,..,.. ..,$10,00
Groundwork.., .."., .., ,.. ,."" ",$10,00
Septic Tank & Laterals",.,."." $10.00
Lawn Sprinkler System........ ..,,$10.00
Sprinkler System (Commercial), $30,00
Gas(Water Piping System
(Commercial)", """",'.""., .,,$30.00
1 () U0
Permit Issuance Fee,.",.."""" ,$20.00
Current License on File
Comment:
Total
Yes 0 No 0 N/A
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 1 r
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
~1)
Application Date:
lD J 11/01
Permit Fee: $
M 1571
1S~
nt (tr-Q-
ow 1'0
y?t1h~n453S
Phone
Job Address
JDh h~V\Mail Add~a 3-
I I L ~ail Ad, dress
2, S '\1~QY.,:::h~l
3, Class of Work: 0 COMMERCIAL RESIDENTIAL
:.eSCrib W k:e..ch Q,yt I C ~l .~V'"
Central AlC ';) .5
Furnace ~ D,ffiO
Tons
# of Units
BTUfH
AlC
Furnace
Completion Date:
J 6 -)I/u7
Comments:
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. AIl
provisions oflaws and ordinances governing this type of
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 or local law regulating construction or the
performance of construction,
Signature of Contractor or Authorized Agent
Date
Zip
Zip
o New 0 Addition 0 Alteration 0 Repair 0 Replacement
(\~W ~U~
MECHANICAL PERMIT FEES
~S,()O
Forced AirfHeat Pump Systems - Per Unit
Commercial/Residential (New)..,.,.....,.......,.,. ,."""'."",,. ,,$25,00
Air-Conditioner Unit - Per Unit I tJ ..Cl.J
Commercial/Residential (New)..,..,..,.........,.....,........,..... ",$10.00
Forced Air Systems/Air Conditioner
Unit Replacement Per Unit CommerciallResidential... ... ." .,. '" ,,$10,00
Refrigeration Units/Coo1ers/Lines/Compressor -
Per Unit Commercial (New or Replacement)...,.................... ,,$10,00
Appliance Vent/Fans....., ..",...,.", ",,$10.00
\O.~D
Boiler..".,...,..,....,...........,..,..." ..,$15.00
Duct System..,." """"".."........,... .$10.00
\0. CD
Gas/Air Outlets.."..""",..,,,,,,..
x $2.00
Radiant Heat Systems/Gas/Water
Piping System".."......... ...... .,..., ..,,$25,00
Modular Home..,.."",."..,............ ..$50.00
Permit Issuance Fee... . .. . .. .. . .. .. .. .. .. .. $20,00
Total
Current License on File \..;IJYes 0 No 0 N/A
Comment:
dO, CO
t5iOO
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: h lJt:Ju-dJrLuL
Residential, multiple family _ Residential, one- and two-family
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous _
Is building reauired to be protected bv automatic fire sprinkler system?"
No
Only partially in some areas or rooms Please Specify
Yes _ If yes, the standard to which the sprinkler system will be designed:
NFPA 13 NFPS 13R NFPA 13D
Driveway Grade: (percentage) (Dale will review new residential construction) (AI
will review all second access requests and industrial and commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
RESIDENTIAL - NEW CONSTRUCTION:
Building Permit Deposit Fee:
Residential additions/remodels/accessory buildings valued under $10,000 $
Fee = $200.00
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater $
Fee - $500.00
All other permits valued under $10,000 No Deposit Fee
Permit fee is: , A {)
Finished sqjft area /..s ce. X $88
(not including finished basement area)
Finished basementsqjft area...--..nu. 'X $53 "
Unfinished basement sqjft area / .3~CJ X $26
Garage sqjft area 4' t} B X $20
Total Valuation:
Total Valuation I II? \~I ,e? 1)\)
,
! ! 7) ~ [f-o, DO
(
Multiplied by 0.0056 =
$
-$ "
$
$
$
$ lJ,3,l-fi'1
"3 ;>, 3., (:;'0' () ,J
OJ a--(,{),l0
Issuance Fee:
$
20.00
Total Permit Fee = Deposit/Permit Fee/Issuance Fee
$ ~ l) L{l() )cf~
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
'{Y
Application Date: ~
Job Address
1~L{4 S
1. J..DM ~ Address
~~nt a tO~lL~ tM (\~~ddress
3. Class of Work: 0 NEW RESIDENTIAL
~~scribework: O. ~v1LL
5.Current License on Pile 0 Yes 0 No 0 N/A
Service Fee = (Amp Fee + 2,00 per branch circuit)
1-100 Amp Fee......,......,...... ...$13,00
101-200 Amp Fee...... ,.. ,........ .. ..,$18,00
201-300 Amp Fee......,.. ...... ...... ..$30,00
301-400 Amp Fee...... ...... ,.. ...... ..$42,00
401-500 Amp Fee...... ... ...... ,.. ,.. ..$55.00
501-600 Amp Fee,........ ..........,..,$67.00
601-700 Amp Fee,......,..,........,..,$80,OO
701-800 Amp Fee...... ...... ,.. ..,.. ..,$92,00
801-900 Amp Fee......,..,......... ..$105,00
901-1000 Amp,....,................ ..$117,00
IF OVER 1000 Amp
1 sl 1000 Amp Fee....,....,.... ....$117.00
Each additiona11 00 Amps.... . .... $13,00
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions oflaws and ordinances governing this type of
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 or local law regulating construction or the
performance of construction,
9 - f)- _07
Date
E 2733
~rr9
Permit Fee: $ \ .
13 n-t A-ve-
Zip
Phone
Zip
Completion Date
ELECTRICAL PERMIT FEES
Upgrade Existing Service,........... .$10.00
Temporary Service.. " , " " . . " " .. .., $10.00
Fire Alarm System,....,............ ..,$10.00
Signs,....."....... ",............. .......$15.00
Miscellaneous Apparatus......... .....$11.00
AC/DC Circuit.,................ .,... ....$5.00
Commercial/Mu1ti Family and All Upgrades:
# of Circuits x $2,00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
13(Q 0 sq. ft. x .045
Modular/Manufactured Homes... ,..$50.00
Receptacle/Switch Outlets
Fixtures x $.75
Smoke Detectors x $3.00
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
# Apparatus x $5.00
10.DD
(p{.;)O
Permit Issuance Fee..,.......,....... ..$20.00
..;2o-0u
{,~
Total
Comment:
WHEN PRO PERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: K LerurifLUL
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/I ndustria I/Ed ucationa 1/ Assem b Iy/F actory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Building Permit Deposit Fee:
Residential additions/remodels/accessory buildings valued under $10,000 $
Fee = $200.00
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greate,r $
Fee - $500.00 \
All other permits valued under $10,000 \No Deposit Fee
Permit fee is:
Finished sqjft area
Finished sqjft area
'l~;;'
. ---
X $60
X $40
$
$
"?;~J IloOD IOU
,
" i
Issuance Fee:
$0 TO $49 .........................................,....................................................$0 (plus Permit Issuance F~e)
$50 TO $9,999 .....................,..............................,....................................,. $50 l \
$10,000 TO $99,999........................................................................................... $50 + $6 per additional $;l.,o~o
$100,000 TO $249,999 ....,....................................................................................$590 + $4 per additional $.i1.,00~
$250,000 TO $499,999..............,................................................,..................... $1,190 + $3 per additional $,'1,000\
$500,000 TO $999,999............,........................................................................ $1,940 + $2 per additional ~1,OOO \
$1,000,000 AND OVER ........,............................................................................ $2,940 + $1 per additional ~1,OOO \\
Permit Fee calculated from chart above $ 'It Q( J. . ~,..J
, \
! \
$ fO.OO \
$ II)OI~.(jJ\
I \
Total Permit Fee = DepositjPermit Fee/Issuance Fee
Additional Comments:
Approved by.7");l4/~
Date: 7 '&;10 7
. ., .."." .p.f....p. ( ,'.",.. "'."'..,.
Contingent On Approval by Fire Marshall
Meet IBC, IPC, IMC and NEC Code Requirements X
Sleeping Rooms below Story and in Basement required to have egress
Ii "1 ,(0 . . )
ki:~l\'~,~l' c. 't . "- l/
For Office Use Only (L'{G,':'~ih.~/ _' I' I ',I "I'" v;l~"~t)~'
;, J N1^" /l/V\A/xtc:ri" .,j'c.I' p;./,jl ,. I" '::.'","11'"
Dat;p;;;;npai~~ 77:3T~07--....--_..~.~W..- "'--~t:lik "i; \K'l"~-jo"V1 ~_.
Permit Fee: So J).. c.N i v.. It.,. -\1
Deposit Amount Sl) () . 00
Receipt # a. (.) Y ,,~
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No
w
PLUMBING PERMIT APPLICATION
tf1
,}c1
(
P 1755
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: /1-;( - t1 '7
Job Address
Comments:
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions oflaws and ordinances governing this type of
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 or local law regulating construction or the
performance of construction,
Date
Permit Fee: $ if I)., 00
Phone
o Repair 0 Replacement
~ t:IttI'.
PLUMBING PERMIT FEES
Modular Home,...., ......,.. .,. ,...$50,00
Type of Fixture No.
Kitchen,.. .., ... .,. ,., ... .., ". .,. ...$8.00 x
Bath....,...,.........,.....,.....,.. .$8.00 x
Rough-In Bath"....,.........,... ..$4.00 x
Additional Sinlcs......,...,...... .,.$3.00 x
LaundryfDrain,, ""'" '" ""'" ",$5,00 x
Water Heater....,.... ..' '.. ... .. ..,,$3.00 x
Outside Water FauceL",..,,,....,..$3.00 x
Drinking Fountain"",,,,,,,..,,,,,..,,,$3.00 x
Backflow/Grease Trap........,.. ,$10.00
Water Service....,..,....,....,.. ..$10,00 ~
Sewer..................,..,....... ,,,$10.00 :x
Groundwork......,..,........... ...$10.00
Septic Tank & Laterals, , , ,.. ."... $10 ,00
Lawn Sprinlder System..,...... ...$10.00
Sprinkler System (Commercial). $30.00
Gas/Water Piping System
(Commercial).,.... ... ..,........ ...$30.00
Permit Issuance Fee", ""..,., '" .$20,00
Current License on File .sc::res 0 No
Comment:
Total
o NjA
, ('JO
, ' " pI)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved BY:,';? 0 / J
C " /Jrd/~
~
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
<')61r1
'\ d
T 1265
Application Date: /1';1- tJ 7
PennitFee: $ ,::Jtld, PO
Phone
Phone
o Repair 0 Replacement
PLUMBING PERMIT FEES
Comments:
Water Tap Fee - %"
$150.00
Water Tap Fee - 1"
$200.00 ~
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions oflaws and ordinances governing this type of
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 or local law regulating construction or the
performance of construction,
Water Tap Fee - 1~" $250.00
Water Tap Fee - 2"
$300.00
Date
Current License on File ~s
Comment:
Total
o No 0 NjA
'0" (J i.'
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: B /;:) ", '
<L . /:/ 'f~
FJ/'(t/O
() 1140
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" ':. ..""'" ~. .' r:;-'::_ - .. ....l.'
,.,.,~ _ '. '"to; - ., ~ - ..,. i'i..... ..
~~~~~.~-- ; I " ,.
~"~~.,~, . ., - . h 'e ' ,Il '; . .
CITV6F BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
1'", t (5 f' \\-~
ADDRESS J
) d~lf S
P J~~~)I ~j
J3D /Jr<
CITY, STATE, ZIP CODE
1
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p~
t~
THANK YOU
EEP THIS COPY FOR YOUR RECORDS.
NO
Pounds Printing, Blair, NE 68008
'I )-, u3
1 )~I GlJ\
BUILDING INSPECTION REPORT
o CITY OF <-, AIR
D W ASHlNGTON COUNTY
o OTHER
LOCATION OF INSPECTION:
NAME OF OWNER'
CONTRACTOR'
DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED'
PERMIT NO'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
o D
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE
o PARTIAL
PASSED FAILED
o 0
TEMPORARY SERVICE 0 PRECONNECT
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
PRESSURE TEST
PASSED FAILED
o D
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
o 0
NOTES/REMARKS'
IN
DATE OF INSPECTION MADE:
TOO- j/:E'S-
TO CONNECT SERVICE:
BUILDING INSPECTION REPORT
O ",LAIR
CirYJF
LOC,'iTI0J\' OF INSPECTION:
o WASHINGTON COUNTY
o OTHER
NAME OF OWNER'
CONTRACTOR'
DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED'
PERMIT NO'
TYPE OF
BUILDING:
REQUESTED: 0 CONFERENCE
FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
COMMENTS:
ELECTRICAL: 0
o PARTIAL
o STATUS CHECK
FAILED
0
PASSED FAILED
0 0
PASSED FAILED
0 0
PASSED FAILED
0 0
PASSED FAILED
0 0
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
COMMENTS:
MECHANICAL: 0 ROUGH-IN
AJC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH.IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE:
TIME' /!~.~()
FAXED OPPD\BURT REA
BUILDING INSPECTION REPORT
CITY OF BLAIR
u WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION'
NAME OF OWNER'
CONTRACTOR'
DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED'
PERMIT NO'
TYPE OF 0 CONFERENCE
BUILDING: FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
P~D F8'ED
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE D WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH.IN 0 AJC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN
o PRESSURE TEST
FINAL 0 WATER METER INSTALLED 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
do ii'tJ-m!uft 117 / / _ - le::--
,/J
/t~(~.c// p;--/-- 11<.' L/{~ -M.c;< [JJ
'-
--:;.
,-
""---
DATE OF INSPECTION MADE:
TiMF' //v'l5
INSP
FAXED OPPD\BURT REA
TO CONNECT SERVICE:
BY
Pelmit Number
RFScheck Compliance Certificate
2000 IEee
REScheck Software Version 3,6 Release 2
Data filename: Untitled,rck
Checked By/Date
PROJECT TITLE: les johnson
CITY: Blair
ST ATE: Nebraska
HDD: 6506
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.13
DATE: 07/25/07
PROJECT DESCRIPTION:
1360 sfranch
CO~PL~CE:Passes
Maximum UA = 304
Your Home UA = 231
24,0% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss
Walll: Wood Frame, 16" O.c,
Window 1: Wood Frame:Double Pane with Low-E
Door 1: Glass
Door 2: Glass
Door 3: Solid
Door 4: Solid
Basement Wall I: ~asonry Block with Empty Cells
Wall height: 9.0'
Depth below grade: 4.0'
Insulation depth: 9,0'
Basement Wall 2: Wood Frame
Wall height: 9.0'
Depth below grade: 4.0'
msulation depth: 9,0'
1360
1404
108
41
40
20
20
810
0,0
10,0
0.0
20.0
40,0
6,0
33
55
0,300 32
0.290 12
0.310 12
0.230 5
0.150 3
62
414
20,0
6.0
17
CO~PL~CE ST ATE~ENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the pennit application, The proposed building has been designed to
meet the 2000 IECC requirements in RES check Version 3.6 Release 2 (JDnnerly MECcheck) and to comply with the
mandat01Y requirements listed in the RES check mspection Checklist.
as ~
V {' s'"
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)
CITY or BL1\IQ
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 2006 International Buildinq
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.
Owner/Occupant
~ ~~5 JOI-if-\cS~
(b<mtractor
~?-
5)-0'7
City of Blair
Date
@-
EaU.l1.1l0U51NG
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@ci.blair,ne,us '"""''''''
;J.
.....r::,
.. "(
CITY or BLAIR
~- DING PERMIT DEPOSIT AGREEMENT
/'...
~$500.00 fundable deposit is being collected at the time of your building
( ~. pplication for all commercial, new homes and residential
, additions/remodels/accessory buildings valued $10,000 or greater. However,
the City reserves the right to not refund this deposit if any of the following
conditions occur during the construction period:
1) theft of water service by either the plumber, owner or general
contractor,
2) all required inspections have not been obtained,
3) occupancy occurs prior to a final inspection,
4) all permits have not been obtained,
I: 5) the project is completed without a final inspection being done.
If any or all of these situations occur during construction, you may forfeit
your deposit.
I, hereby agree to the above conditions, and understand that should any or all
of the above situations occur, the building permit deposit SHALL be
forfeited or discounted upon the discretion of the City of Blair, Building and
Inspections Department.
~ k\1h0G~
c-- ~ Contractor/oWner
Contractor/Owner
City of Blair
'?~ Z3 I - ~
Date
($)-
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cilyofblair@ci.blair,ne.us ~~~'-':,OJ~:::
BUILDING PERMIT REVIEW
O~R:LesJohnson
BUILDER: Les Johnson
PERMIT NO, 12797
CLASS OF WORK: NEW RESIDENTIAL: X
NEW COMMERCIAL:
ADDITION:
GARAGE:
REMODEL:
TOTAL SQUARE FOOTAGE:
MAIN: 1360 Sq. Ft.
SECOND FLOOR:
BASEMENT: 1360 Sq. Ft.
GARAGE: 493 Sq. Ft.
TOTAL FINISHED AREA: 1360 Sq. Ft.
NUMBER OF BEDROOMS: 3
EMERGENCY EGRESS: Egress windows required in all sleeping rooms and
basement.
DECK: 12' X 12', 12' X 12' Patio & 6' X 23' Porch.
PLUMBING FIXTURES:
KlTCHEN:270sq.ft.
BATH: 21/2
ROUGH-IN BATH: 1 (Basement)
UTILITY: gas, electric, water & sewer
WATER HEATER: gas
OUTSIDE FAUCET: 2
HEATING FIXTURES:
FURNACE: gas
AlC: yes
SITE REVIEW:
D. Miller
CURRENT ZONING: RML
1.
LOCATION ON LOT (SETBACKS)
A. FRONT YARD REQUIRED: 20'
B. REAR YARD REQUIRED: 10'
C. SIDE YARD REQUIRED: 7'
SHOWN: 25'
SHOWN: 44'
SHOWN: 7'10"
2,
3,
LOT AREA REQUIRED: 6,000 sq. ft.
LOT COVERAGE ALLOWED: 40%
ACTUAL: 9,477 sq. ft.
ACTUAL: 20%
Plans Reviewed: Dale Miller
Date: July 31, 2007
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BUILDING INSPECTION REPORT
o CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
;'-r
f[
'11
COMMENTS:
UTILITIES: 0 SEWERTAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SER VICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 A/C 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FA1LED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
PASSED FAILED
o 0
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
all tJ 6tLi!J?
(VI&! v-J11fl ~~)
I
NOTES/REMARKS'
TIME' IJ)4c2-
,
INSPECTO '
FAXED OPPD\BURT REA
TO CONNECT SERVICE:
BY
Approved By
'0/~
(IN THIS SPACE) THIS
IS YOUR PERMIT
Current License on File
Comment:
Date
Pennit Issuance Fee
~s
$20,00
o No
Total
o NjA
Gas/Water Piping System
(Commercial),
$30,00
Sprinkler System (Commercial), $30,00
Lawn Sprinkler System
,$10,00
Notice
I hereby certify that 1 have read and examined this
application and know the same to be true and correct. Al
provisions of laws and ordinances governing this type of
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 or local law regulating construction or the
performance of construction.
Septic Tank & Laterals
Groundwork,
Water Service
Sewer.
$10.00
,$10,00
$10,00
$10,00
~
~
tJO
00
Backflow/Grease Trap
$10.00
Drinking Fountain,
$3,00 x
Outside
Laundry/Drain
Water Heater.
Water Faucet.
,$3,00 x
,$5,00 x
,$3,00 x
Rough-In Bath,
Additional
Sinks,
$4,00 x
,$3,00 x
Bath
$8.00 x
Kitchen
Modular Home
Type of Fixture
$8.00 x
Comments
'aId/?
E"
I
~ tI4-/.
PLUMBING PERMIT FEES
--
,$50,00
No.
15M .4t/-"!.
Zip
// Zip 2/1
/fa) t.f CJV
o Alteration 0 Repair
~d~
o Replacement
Phone
~-
Phone
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Job Address
Application Date
'1/~
~t1'7
Pennit
Fee
$
tI pO
P 1755
1~q1
9J9
Ct
J2 -f~
WHEN PROPERLY V ALIDA TED (IN THIS SPACE) THIS
Approved By
IS YOUR PERMIT
Notice
I 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
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 or local law regulating construction or the
performance of construction,
Date
Current License on File
Comment:
es
o No
Total
o N/A
ItJ,. (J t)
Water Tap Fee - 2"
$300.00
Water Tap Fee - 1 ~"
$250.00
Water Tap Fee - 1"
$200.00 ~
Water Tap Fee - %"
$150.00
Comments:
/11
PLUMBING PERMIT FEES
o Repair
~;1(P -~.
o Replacement
Phone
Address
Zip
Job Address
Application Date
Permit Fee: $
Phone
~d . PO
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
T 1265
~
PLUMBING PERMIT APPLICATION
\
?<1
Ct
r1
~~
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
ID}II/01
Permit Fee: $
M 1571
1~~ Jb
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JDh hS( V, Mail Add~a 3-
f I L., I~ail Address
'S n~-h.N\Jl
3, Class of Work: 0 COMMERCIAL RESIDENTIAL 0 New
Describ W k: , h ' 0
4. cC Qytl Ccj 'iDl('" (\~l..0
Job Address
Central A/C
'd.5
cgD,CDO
BTU/H
AlC
Tons
Furnace
# of Units
Furnace
Completion Date:
10-)//01
Comments:
Notice
I hereby certifY that I have read and examined this
application and know the same to be true and correct. AIl
provisions oflaws and ordinances governing this type of
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 or local law regulating construction or the
performance of construction,
Signature of Contractor or Authorized Agent
Date
nt~
OW !'cD
4~h~n453S
Phone
Zip
Zip
o Addition
o Replacement
o Alteration
o Repair
~U~
MECHANICAL PERMIT FEES
;1S,DO
Forced Air/Heat Pump Systems - Per Unit
Commercial/Residential (New)".,..,."..."", ,., ,......,.,., ,.,.., ..$25,00
Air-Conditioner Unit - Per Unit ( (J ,Ci)
Commercial/Residential (New)..,........,............,."..,........ ,..$10.00
Forced Air Systems/Air Conditioner
Unit Replacement Per Unit Commercial/ResidentiaL..,.. .,.." '" ..$1 0.00
Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement)........................ ..$10,00
Appliance Vent/Fans..................... ..$1 0,00
\O.~D
Boiler. .. , .. . .. .. , , . , . . . .. . . .. .. . , . . .. . , . . , .. ..$15.00
Duct System.......,...,...,...."..,...." ..$10.00
\a.CD
Gas/Air Outlets.........,......,..,..,
x $2.00
Radiant Heat Systems/Gas/Water
Piping System",....,.,.........,.,.....,. ,,$25,00
Modular Home....., ,.. ... ... ,.. ,.. ,........ $50,00
Pennit Issuance Fee.., .., ...... .., ......,.. $20.00
Total
Current License on File ""f!/Yes 0 No 0 NjA
Comment:
dO,CCJ
/5iOO
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: h LrtJLLdJrLvL
~~~~~~---:----~~ ~~ ~-~~~---.:::-------
BUILDING INSPECTION REPORT
:~CITY OF BLAIR o WASHINGTON COUNTY o OTHER
/pI/LI J! 13M /!J/J
LOCATION OF INSPECTION-
NAMEOFOWNER~~ ( jdA-UXY?1 CONTRACTOR' <- r a-n1/
.'
DATE INSPECTION REQUESTED' //-5 -tJ 7 TIME INSPECTION REQUESTED' /: tJo.p, IYl . PERMIT NO' / ;? 1f 7
TYPE OF INSPECTION REQUESTED: o CONFERENCE o STATUS CHECK
BUILDING: o FOOTING " DECK FOOTING~-"FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
~ 0
,
COMMENTS: I
.... ,II' ~.;
UTILITIES: 0 SEWER TAP ~...SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE [B]~WATERSERVICE fir F~ED
~ ~
o PARTIAL //...
COMMENTS: '....e41 ~
, ./
ELECTRICAL: ~"" ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT ~ F~ED
".. .
o PARTIAL
COMMENTS:
MECHANICAijl~l~ ~OUGH-IN 0 A/C 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL PASSED FAILED
~D
COMMENTS:
'/.. - -
PLUMBING: o GROUNDWOR!S.-18.....ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL FAILED
o PRESSURE TEST 0
COMMENTS: --"
-
o OCCUPANCY GRANTED o CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS~ -
- -
- -
- -
-
-
-
/- -
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FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
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BUILDING INSPECTION REPORT
~. .I 0 o OTHER
.!2l~CITY OF BLAIR WASHINGTON COUNTY
LOCATION OF INSPECTION: J:2tfL! S / .3 #7 sA t/..f
NAMEOFOWNER~..k:7 (~/()~ CONTRACTOR' ( r ~
DATE INSPECfION REQUESTED' ) 1-- 1 -07 TIME INSPECTION REQUESTED' If} .'30A,fI1 PERMIT NO' /,;2 71 7
TYPE OF INSPECTION REQUESTED: o CONFERENCE o STATUS CHECK
BUILDING: o FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
0 0
COMMENTS:
UTILITIES: o SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATERSERVICE PASSED FAILED
o PARTIAL 0 0
COMMENTS: ./
, .-
ELECTRICAL: 0 ROUGH IN 0 FIN~1,A~~RMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT ",D F~ED
o PARTIAL CdI tJffJlJ
COMMENTS: '
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL PASSED FAILED
0 0
COMMENTS:
-
PLUMBING: o GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL PASSED FAILED
o PRESSURE TEST 0 0
COMMENTS:
- - -
o OCCUPANCY GRANTED o CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS=-
-
-
- -- -
~ ~ I-
JNSPE';!2!i-/ ,. TIM 0
-
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
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BUILDING INSPECTION REPORT
o CITY OF BLAIR 0 WASHINGTON COUNTY o OTHER
LOCATION OF INSPECTION: IJ'1~ $. r~ b Iiv-
NAME OF OWNER' J ()~ ~ J ~ h CONTRACTOR' 1>, i fP <, I \ +"1--
J 1- '1 d~-'J0 J
DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED' PERMIT NO' Jdl Sf
TYPE OF INSPECTION REQUESTED: o CONFERENCE o STATUS CHECK
BUILDING: o FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
0 0
COMMENTS:
UTILITIES: o SEWER TAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE PASSED FAILED
o PARTIAL 0 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT PASSED FAILED
o PARTIAL 0 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 A/C 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL PASSED FAILED
0 0
COMMENTS:
PLUMBING: D/GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL D FAILED
'0 PRESSURE TEST 0
COMMENTS: / - _ -
o OCCUPANCY GRANTED o CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS~
- -
- -
-
-
~ DATE OF INSPECTION MADE II ,.
~SPE~--;~ ?~ Lf3'
-
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
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BUILDING INSPECTION REPORT
~
/U CITY OF BLAIR 0 WASHINGTON COUNTY !# o OTHER
/dtf c; c::--- /l t/E .
LOCATION OF INSPE.C.IJON' ~.
NAME OF OWNER' ~O ).(;Js [:' A) CONTRACTOR-
i. / fir- PERMIT NO!:') 7 97
DATE INSPECTION REQUESTED' / "B/ Or4' TIME INSPECTION REQUESTED'
f , /'
TYPE OF INSPECTION REQUESTED: lZJ CONFERENCE o STATUS CHECK
.
;
BUILDING: o FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
0 0
COMMENTS:
UTILITIES: o SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE PASSED FAILED
o PARTIAL 0 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT PASSED FAILED
o PARTIAL 0 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 A1C 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL PASSED FAILED
0 0
COMMENTS:
PLUMBING: o GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL PASSED FAILED
o PRESSURE TEST 0 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED '" )
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BUILDING INSPECTION REPORT
D CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
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CONTRACTOR' \dL
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TIME INSPECTION REQUESTED' _
LOCATION OF INSPECTION'
NAME OF OWNER- ~
DATE INSPECTION REQUESTED' b- I ()
PERMIT NO' I;; 797
TYPE OF INSPECTION REQUESTED: D CONFERENCE
- B~~~ING: D FOOTING ~DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
D STATUS CHECK
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PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
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COMMENTS:
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MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING:
PASSED FAILED
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COMMENTS:
D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
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D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS.1
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BUILDING INSPECTION REPORT
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DATE INSPECTION REQUESTED'
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BUILDING INSPECTION REPORT
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TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL q;;Al'INAL D PARTIAL
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
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D STATUS CHECK
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COMMENTS:
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COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN 't;;B~:F'INAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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