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BP12669Blair Building Permit Detail Permit #: 12669 Issued: 03/19/2007 Type: Residential - New Construction Completed: 10/01/2007 Valuation: 248948 Location: 1324 Skyline Dr Owner: Travis Mann Permit Fee: 1394.11 Address: 205 S. 20th #1 Issue Fee: 20 Deposit Amt.: 500 Blair, NE 68008 Receipt #: 18748 Phone: 402 426 8311 Section: Township: Range: Subdivision: SKYLINE RI Lot: 3 Block: 3 bedrm ranch; 2 bath; full unfinished bsmnt- 1 RI in basement; 2 egress; 4 car garage; exit into garage from hallway off of util. rm. 14x20 concrete patio in back 1150 garage 1982 finished; 1982 unfinished bsmnt. Contractors SELF Chapman Mechanical Services, Inc. Chapman Mechanical Services, Inc. Henton Trenching, Inc. Henton Trenching, Inc. Judt Electric Remarks 05/21/2007 DEM 06/26/2007 DEM 10/01/2007 DEM Inspections Date 03/27/2007 04/04/2007 05/21/2007 06/2112007 06/21/2007 06/21/2007 06/21/2007 06/26/2007 06/26/2007 07/24/2007 08/06/2007 08/29/2007 10/01/2007 10/01/2007 10/01/2007 By DEM DEM DEM DEM DEM DEM DEM DEM DEM DEM DEM SAJ DEM DEM DEM General Contractor Plumbing Subcontractor Heating Subcontractor Plumbing Subcontractor Plumbing Subcontractor Electrical Subcontractor Ice guard installed roof Water tap not complete at 1:40p.m. Water Tap complete at 3:42 p.m. Occupancy granted. Electrical Temporary Service Footings Plumbing Groundwork Plumbing Rough -ins Framing Electrical Rough -ins Mechanical Rough -ins Water Tap Sewer Lines Electrical Permanent Service Plumbing Pressure Test Stop Box Card Plumbing Final Final Inspection of Project Electrical Final Permit # P1670 M1513 T1247 P1687 E2649 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Issued 05/21/2007 05/21/2007 06/22/2007 06/22/2007 03/27/2007 m 646 0: A Promlea °ta° CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT Permit # Date: y Approximate Completion Date: %D 3/- Site / Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential Commercial/Industrial New Construction ,� Manufactured Home Modular Move -on: Home Accessory Building Other Remodel Addition Accessory Building: Garage Pole Barn Floor Type: Dirt Concrete Other Other Electricity: Yes T Utilities: Public Water: Yes No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement need d: Date Agreement Received: Public Sewer: Yes N7 No Septic Drawing Provided: If yes, responsible entity: Blair Kennard County Road Permit Required: Yes No Submitted: Yes No Additional DescriptJ'on of project if necessary: t! -sr �radzv �da�� e - a b1G4111 1P V v Project Information: /U Job Address: Legal Description (if applicable) D U g-�d-44L-" ��5`('mo,-Owner: �itZ[1,L0Address: Phone#:�v� Contractor: Phone #: Address: U � �� ` Cell #: 3� ' 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/o inances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 da or is not completed within two (2) years of date of issue. Signs ure of Owner ontr ctor Date ZONING REVIEW: Zoning/Flood Plain/Utilities: Current Zoning: � Conditional Use Permit Required: Yes No Date CUP Approved: State Fire Marshal Required: Yes No _X Variance Required: Yes No Minimum Setbacks: Front ;t 5_Second Front Side '7_ Side `L Rear.;t Lot Square Foota e:nC' Length x Width: 5i�A' Lot Coverage % --)/v Driveways/Sidewalks: Sidewalk required: Yes 4 - No Sidewalk Waiver: Yes _ Date Waiver Approved: Flood Plain: Yes No _ If yes, specify special requirements: BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four >Four _ Type of Residential Structure: Ranch Two Story Split Entry Raised Ranch Rooms Bedrooms Bathrooms Fireplaces Egress in Basement: Required: Yes No Sleeping Rooms Living Area Sauare Footage: M High Rise (>75 ft) _ Other Gas Electric Provided on Plans: Yes _ Other Egress ire Main Level: Second Level: Third Level Basement: (Unfinished) I (Finished) Garage: 2 bay 3 bay 4 bay 5+ bay Detached Garage: Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Front Side Occuoancv 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 Residential, multiple family Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building required to be protected by 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: Finished sq/ft area f yid X $88 (not including finished basement area) Finished basement sq/ft area X$53 Unfinished basement sq/ft area / 9cfa. X $26 Garage sq/ft area 1/6'6 X$20 Total Valuation: Total Valuationy Multiplied by 0.0056 = Issuance Fee: Total Permit Fee = Deposit/Permit Fee/Issuance Fee $ 1'74 OV $ $ %3W+, It $ 20.00 a c� RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/Industrial/Educational/Assembly/Factory/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 greater $ Fee - $500.00 All other permits valued under $10,000 Permit fee is: Finished sq/ft area X $60 $ Finished sq/ft area X $40 $ $0 TO $49 .................................. - $50 TO $9,999 ..................................... $10000 TO $99999 ..................................... $100,000 TO $249,999 ..................................... $250,000 TO $499,999 ..................................... $500,000 TO $999,999 ..................................... $1,000,000 AND OVER ..................................... Permit Fee calculated from chart above Issuance Fee: No Deposit Fee .........................................................$0 (plus Permit Issuance Fee) ...................................................... $50 ...................................................... $50 + $6 per additional $1,000 ....................................................$590 + $4 per additional $1,000 ................................................ $1,190 + $3 per additional $1,000 ................................................ $1,940 + $2 per additional $1,000 ................................................ $2,940 + $1 per additional $1,000 Total Permit Fee = Deposit/Permit Fee/Issuance Fee Additional Comments: E $ 20.00 (J�6T Approved by: Date: le9 Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: 9-,;23-07 Permit Fee: Il . iLf Deposit Amount 6-49(). t') Receipt # 1,67777 Deposit Paid by for return to: /✓t{� �� Building Inspection Pouch given: Yes No 4�p PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 1670 Application Date: (402) 426-4191 `� � � Permit Fee: $ 0U Job Address l O Mailddress �p 1. OJUI S f U� 0'A %1 C_ x(95 s 0C9� 4 1 a I P e co a for W address / V oC6 N 10 ' ` ' 6y -Zip n - % 3. Class of Work: O COMMERCIAL SIDENTIAL -New 0 Addition O Alteration O Repair O Replacement Describe WT ` � r � K �l \ 4 `� V PLUMBING PERMIT FEES Comments: Modular Home ......................$50.00 Type of Fixture No. ..............................$8.00 x S-00— .D0BaKitchen th..................................$8.00 x Bath �lo Cab Rough -In Bath ...................... $4.00 x {. O O Additional Sinks....................$3.00 x L 3,00 Laundry/Drain ......................$5.00 x I Water Heater ........................$3.00x �U Outside Water Faucet..................$3.00 x 3 Q� -1 • 0c) Notice Drinking Fountain .......................$3.00 x 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 Backflow/Grease Trap............ $10.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give Water Service ......................$10.00 authority to violate or cancel the provisions of any other Sewer................................$10.00 state or local law regulating construction or the performance of construction. Groundwork ........................$10.00 CN� Septic Tank & Laterals........... $10.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial). $30.00 Gas/Water Piping System (Commercial) ....................... $30.00 Sikhatureoftontractor or Authorized Agent Permit Issuance Fee................$20.00 Total Current License on File ,l'f Yes O No O N/A Date Comment: WHEN PROPERLY VALIDATED (1N THIS SPACE) '1'118 IS Y 0 U R PERM I Approved By: 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 `,=.? 1 / o M 1513 Permit Fee: $ �� Job Address 13P , / 6 ` L line— ine br Ow Y& �S Aka_ � n n ail Addre� V O`d� L1. �(0t 1-Zilkw Con t r Iii_ _dre_ ss, I \ �O , r t " 1� ��ip L/-� /Phone3 U r J t(J�Y ` 3. Class of Work: O COMMERCIAL RESIDENTIAL ,.a New/�! O Addition O Alteration O Repair 11 Replacement Describe Work: e ch�r 4 MECHANICAL PERMIT FEES Central A/C + Tons Unit Furnace ��ut �17d BTU/H Forced Air/Heat Pump Systems — Per 06.00 Commercial/Residential (New).........................................$25.00 # of Units A1C Furnace Air -Conditioner Unit —Per Unit V Commercial/Residential (New)..........................................$10.00 Completion Date: Forced Air Systems/Air Conditioner Unit Replacement Per Unit Commercial/Residential .................$10.00 Refrigeration Units/Coolers/Lines/Compressor - Comments: Per Unit Commercial (New or Replacement)..........................$10.00 Appliance Vent/Fans .......................$10.00 Q C) Boiler.........................................$15.00 Notice I hereby certify that I have read and examined this Duct System ................................. $10.00 l7 00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Gas/Air Outlets ....................... x $2.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give Radiant Heat Systems/Gas/Water authority to violate or cancel the provisions of any other Piping System...............................$25.00 state or local law regulating construction or the performance of construction. Modular Home .............................. $50.00 3idnAturelof Contractor & Authorized Agent Pen -nit Issuance Fee ........................ $20.00 ( oo Total Current License on File O Yes O No O N/A X� Date Comment: WHEN PROPERLY VALWAXED (INTHIN SPACE)'1141S IN YUUK PEKMI1 Approved By: � Le U1, CW ,, 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: U' -,)-,2 'U -7 T 1247 Permit Fee: $ �o C� f> Job Address �A Ow r Mail Address Zi I. �1 G�G'�Gp �%�% � � o Phone Contractorit Address 2. ,� �� ,� N�� ip �13Q a vii Phone 3. Class of Work: ❑ COMMERCIAL ❑ RESIDENTIAL ❑ New ❑ Addition ❑ Alteration ❑ kepair ❑ Replacement Describe Work: 4. PLUMBING PERMIT FEES Comments: Water Tap Fee — 3/4" $150.00 Water Tap Fee —1" Water Tap Fee —1 1/2" $200.00 X/ $250.00 Notice I hereby certify that Cead 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 Water Tap Fee — 2" $300.00 not. The granting of a permit does not presume to give authority to violate or cancel the pjovisoons of any other state or 1pcal lax r gWtinnstction or the perfo a c Signature f Contra or Aut oriz Agent Total 7 Current License on File ❑ Yes ❑ No ❑ N/A ate Comment: WHEN PROPERLY VALIDA1 Ell (1N 1H15 SFAUh) 1 Hla IN Y V uK FhKIVll1 Approved By: D Q Application Date: PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 % (402) 426-4191 Permit Fee: $ P 1687 Job Address -7 Own Mail Address Zi 1. 97 Phone Contractor JJ// Mai Ad ss 2. f7 c��J 'rY1 n uy ' L% 1 an Phone ✓ (✓ 3. Class of Work: O COMMERCIAL O RESIDENTIAL aT O New O Addition n Alteration O pair O Replacement Describe Work: 4. // .,le) t[4_ xxo PLlUMBING PERMIT FEES Comments: Modular Home ......................$50.00 Type of Fixture No. Kitchen..............................$8.00 x Bath..................................$8.00 x Rough -In Bath......................$4.00 x Additional Sinks....................$3.00 x Laundry/Drain ......................$5.00 x Water Heater ........................$3.00 x Outside Water Faucet..................$3.00 x Notice Drinking Fountain .......................$3.00 x 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 Backflow/Grease Trap............ $10.00 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 Water Service ......................$10.00 Sewer................................$10.00 U D G=� state or local law regulating construction or the performance of construction. 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 Sign re o Contra r Authorized Agent Permit Issuance Fee................$20.00 Total 06 Current License on File -des O No O N/A Date Comment: WHEN PROPEKLY VALIDATED (1N 'lH1S SPACE) lH1S 15 YUUF,FhFM11 Approved By: SIS ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 161h Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: 3-- a 0� E 2649 Permit Fee: $ I l 9 Job Address �n 13 a y sv -„Ae V ✓ Ownpx, Mail Address 1. � f4�S.s I�?4r1r1 Zip Phone Contr for�� Mail Address 2. Zip Phone 3. Class of Work: ANEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE Describe Work: 4. � & /Y—s.. ti.T' ��Y}.� 5.Current License on File CPYes O No 0 N/A Compl tion Date ELECTRICAL PERMIT FEES Service Fee = (Amp Fee + 2.00 per branch circuit) 1-100 Amp Fee ..................""' $13.00 - p Fee ....................... 18.00 201-300 Amp Fee .......................$30.00 301-400 Amp Fee .......................$42.00 401-500 Amp Fee......... $55.00 Upgrade Existing Service ............. $10.00 Temporary Service ................ $10.00 Fire Alarm Sy.stem..................$10.00 Signs ...................................... $15.00 Miscellaneous Apparatus..............$11.00 10-06 501-600 Amp Fee .......................$67.00 AC/DC Circuit ........................... $5.00 601-700 Amp Fee .......................$80.00 701-800 Amp Fee .......................$92.00 Commercial/Multi Family and All Upgrades: 801-900 Amp Fee ..................... $105.00 # of Circuits x $2.00 901-1000 Amp ........................ $117.00 IF OVER 1000 Amp Amp Fee 1" 1000 Amp Fee..................$117.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $13.00 New Residential: (Finished Area) Single/Two Family Dwellings Notice C I ?'-X sq, ft. x .045 I hereby certify that I have read and examined this application and know the same to be true and correct. All Modular/Manufactured Homes......$ 50.00 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 Receptacle/Switch Outlets Fixtures x $.75 authority to violate or cancel the provisions of any other Smoke Detectors x $3.00 state or local law regulating construction or the performance of construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) / # Apparatus x $5.00 Sig re of ractor or Authorized Agent Permit Issuance Fee....................$20.00 ('C,. 0 c) f� Total { (' Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: � f �� T�2T� 11 ,� 4 - i,1 = -a�dq s S6'boi - b I� BUILDING INSPECTION REPORT ❑ CITY ❑ WASHINGTON COUNTY ❑ OTHER J� LOCATION OF INSPECT[ON• 7 164 NAME OF OWNER- % (� CONTRACTOR -- DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED PERMIT NO. f 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 ❑ FINAL ❑ PERMANENT SERVICE TEMPORARY SERVICE ❑ PRECONNECTPAS D FAILED ❑ COMMENTS: PARTIAL (fy // 0 p P ❑ MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED El ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED FA)(!AOPPD RT REA DATE OF INSPECTION TO CONNECT SERVICE: T .3TZ � BY C(CAS`L'� 03/27/2007 �ITY OF BL R BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION- A 1 J r t �/ A/J NAME OF OWNER- ' ✓��''� VI CONTRACTOR: �� DATE INSPECTION REQUESTED / TIME INSPECTION REQUESTED / 'PERMIT NO �� f TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING:OOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASW FAILED COMMENTS: F-1 UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL El❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F] PARTIAL F1 ElCOMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ElPRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- TI J/ 0 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BUILDING INSPECTION REPORT SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ CSR ❑ WASHINGTON COUNTY OTHE R1 Fl ' LOCATION 16F INSPECTION: j !3 L lii vi l e r� ELECTRICAL: ❑ NAME OF OWNER- rl `1 `{ ! PASSED FAILED F1 1 CONTRACTOR F1COMMENTS: DATE INSPECTION REQUESTED• A_ (' (e ] n TIME INSPECTION REQUESTED: PERMIT NO• U � J" TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE El STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: /� Cl 4Utb r ❑ ❑ c"X) /Ad .5 UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL F1 Fl ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F1 PARTIAL 1-1 F1COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: PASSED FAILED ❑ ❑ PLUMBING: rn GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASS D FAILED ❑ PRESSURE TEST ❑ COMMENTS: / ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTO • DATE OF INSPECTION MADE: �' v TIM FAXED D\BURT REA TO CONNECT SERVICE: ON BY j I CD CDN CV t LO CD 05/21/2007 R CD CD N N LO CD ,' 'n LOOZ/ LZ/50 M LOOZ/ LZ/50 LOW [Z/SO Cry N N C) O --J BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY NAME OF OWNER•�(��/GZ DATE INSPECTION RE UEST /, o� J ❑ OTHER-, J'? Q ED TIME INSPECTION REQUESTED-- TYPE EQUESTED_TYPE OF INSPECTION REQUESTED: BUILDING: ❑ FOOTING ❑ DECK FOOTING 'sx U� f PERMIT NO' � F1 CONFF.RFNry ❑ DRYWALL ❑ FINAL ❑ PARTIAL ❑ STATUS CHECK PASS FAILED COMMENTS: ❑ —UTILITIES: ElSEWER TAP El SEWER El SEPTIC E] WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL . PASSED FAILED COMMENTS: ❑ ❑ ELECTRICAL: - ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE [I TEMPORARY El SERVICE PARTIAL F]PRECONNECT PASS D FAILED COMMENTS: � ❑ MECHANIC ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PAS FAILED COMMENTS: /�Lj' ❑ PLUMBING: ❑ GROUNDWORKROUGH-IIV ❑ . FINAL ElWATER METER INSTALLED ❑ PARTIAL El PRESSURE TEST PASS FAILED COMMENTS: _ - ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED DATE OF INSPECTION FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY C F BLAIR LOCATION OF INSPECTION: BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ OT NAME OF OWNER CONTRACTO /,- � •-� ( /J �, q� /J DATE INSPECTION REQUESTED :' �" - o TIME INSPECTION REQUESTED- � eso� : ..� PERMIT NO TYPE OF INSPECTION REQUESTED: BUILDING: ❑ FOOTING ❑DECK FOOTING El CONFERENCE ❑ STATUS CHECK ❑ FRAMING ElDRYWALL ElFINAL ❑PARTIAL, __ COMMENTS: ijjllF PASSED FAILED UTILITIES: ❑ SEWER TAP ❑ ❑ �� R ❑ SEPTIC ATER TAP ❑ REMOTE ❑ PARTIAL ` < ❑ WATER SERVICE COMMENTS: T. T T..T.,.� . _ �-, - u KUUGH IN LJ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE COMMENTS: ❑ PARTIAL ❑ PRECONNECT MF"CNANTCAI.F-1 COMMENTS: "- u 'VU LJ FURNACE LJ RADIANTHEAT EJFINAL EJ PARTIAL PASS FAILED lin El PASSED FAILED ❑ n PASSED FAILED ❑ F-1r1,u1vIlfllVli: U ❑ FINAL ❑ GROUNDWORK ❑ ROUGH -IN WATER METER INSTALLED ❑ PARTIAL COMMENTS: 11PRESSURE TEST PASSED FAILED ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• / ' FAXED OPPD\BURT REA DATE OF INSPECTION M TO CONNECT SERVICE: BY t�,. ,, ;F ;� � t, 4 ;• � _ �� ' '� F �. ,; t' }}l 1. � +,. .. �� 1i ` ` t , � ' ._ � _ �� e`. d e J .y ��` �, 1 - �� , ��(' � ��j� � �_ .. ��,,�'= t yam` c'. O O N N \ CO O BUILDING INSPECTION REPORT ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTTHER LOCATION OF INSPECTION: 3kv 1 ,n Z_ 0 NAME OF OWNER- MCI rl CONTRACTORS DATE INSPECTION REQUESTED- __ ,) ( TIME INSPECTION REQUESTED- U ` PERMIT NOL_`r TYPE OF INSPECTION REQUESTED: _ ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE [I WATER SERVICE PASSED FAILED F] COMMENTS: PARTIAL ❑ ❑ ELECTRICAL: ❑ ROUGH IN ❑ FINAL PERMANENT SERVICE ❑ TEMPORARY SERVICE ElPRECONNECT PASSED FAILED ❑ COMMENTS: PARTIAL {{ Eli 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 ❑ El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- FAXE 6PPD T REA DATE OF INSPECTION TO CONNECT SERVICE: 7 5- BY 1 r, I BUILDING INSPECTION REPORT T /CrrY OF BLAIR ❑ WASHINGTON COUNTY El OTHER LOCATION OF INSPECTION•��C /il4_� NAME OF OWNER• / '// /fly CONTRACTOR DATE INSPECTION REQUESTEDL Ze5� INSPECTION REQUESTED:_ � (�C> PERMIT TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ UTILITIES: ❑ COMMENTS: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PARTIAL PASSED FAILED ❑ ❑ ELECTRICAL: ❑ COMMENTS: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIAL PASSED ❑ FAILED ❑ MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PAO FAILED COMMENTS: PRESSURE TEST El ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- I: — _ DATE OF INSPECTION MADE: TIM • FAXED OPPD\BURT REA TO CONNECT SERVICE: ON CO O O N CU O 00 O u ,Lir... - - CO O N CU O 00 O BUILDING INSPECTION REPORT F BLAIR ❑ WASHINGTON COUNTY j ❑ OTHER LOCATION OF INSPECTION• 16 "r' .,-1 3. "t S'< (►� C }� ir / amPERMITN0. NAMEOFOWNER ALTO G p,' / 1 CONTR•DATE INSPECTION REQUESTED JTIME INSPECTION REQUESTED /: 30 p_,m. TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL,<FINAL ❑ PARTIAL PAS FAILED COMMENTS: ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN AL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT 17 7FAPARTIAL COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT FINAL ❑ PARTIAL op PAS D FAILED I COMMENTS: / ❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN AFfNAL ❑ WATER METER INSTALLED ❑ PARTIALD FAILED COMMENTS: ❑ PRESSURE TEST PA ❑ " OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS CITY. STATE, ZIP CODE THANKYOU KEEP THIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 REScheck Compliance Certificate 2003 IECC REScheck So$ware Version 3.6 Release 2 Data filename: Untitled.rck PROJECT TITLE: TRAVIS MANN CITY: Blair STATE: Nebraska HDD: 6506 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.12 DATE: 03/19/07 COMPLIANCE: Passes Maximum UA = 384 Your Home UA = 296 22.9% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Basement Wall 1: Insulated Concrete Forms Wall height: 9.0' Depth below grade: 0.0' Insulation depth: 9.0' Window 1: Wood Frame:Double Pane with Low -E Window 2: Wood Frame:Double Pane with Low -E Window 3: Wood Frame:Double Pane with Low -E Door 1: Glass Door 2: Glass Door 3: Solid Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA 1972 0.0 38.0 49 1908 19.0 0.0 114 1080 20.0 43 54 0.310 17 71 0.340 24 73 0.350 26 41 0.320 13 21 0.330 7 18 0.150 3 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 (irbrmerly MECcheck) and to comply with the mandatory requirements lhted in the REScheck Inspection Checklist. Builder/Designer Date(J i _ _�_ � •_-e a ,` r 10/01/2007 10/,0, 10/01/2007 { a - .-1 L T i;_ 1 IV _ z t WRI/2007 10/01/2007 10/01/2007 'ii pi 10/01/2007 10/01/2007 ��n 17FGa� �I 4