BP12583
Permit #: 12583 Issued:
Completed:
Location: 13354 US Hwy 30
Owner: Shane Masters
Address: 1340 Colfax St #2
Blair, NE 68008
Phone: 402 426 0604
Section: 27
Subdivision:
Township: 18
Blair Building Permit Detail
9/28/2006
10/2/2008
Type: Residential Additions
Valuation: 16000
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
80
15
200
17554
Range: 11
Lot: 50
Block:
MOVING HOUSE-in November. 1.5 Story; 1 bedroom; re-siding and re-roofing house and garage. Oversized 1 car
garage 1 bath; will be moving garage from one side of the house to the other see plans will be adding an unfinished
Contractors
SELF
Camden Excavating
Judt Electric
SELF
SELF
SELF
Remarks
10/2/2006 BMP
1/16/2007 BMP
12/18/2007 OEM
1/28/2008 OEM
3/18/2008 OEM
5/5/2008 OEM
5/1/2008 OEM
5/20/2008 OEM
General Contractor
Plumbing Subcontractor
Electrical Subcontractor
Heating Subcontractor
Electrical Subcontractor
Plumbing Subcontractor
Permit #
P1653
E2817
M1572
E2767
P1636
Issued
3/13/2007
12/17/2007
10/12/2007
10/12/2007
1/16/2007
Sent copy of permit.
Shane came in today and he said he will be adding a bathroom and utility room in basement.
Changed completion date to July 31st 2007 per Shane.
Service not grounded. Junction boxes need licensed contractor to wire house. No GFCI's
Kitchen
Windy stairs in violation.
Not complete. 60 days
Stairs don't meet code,
No further inspections until stairs replaced to meet current codes R311.5.3.2 to min inside for
stairs
Stairs winder stairs R311.5.3.2
With Paul Anderson discussed stairs and tread depth.
R311.5.3 Stairs
R311.5.3,2 Tread Depth
BUILDING PERMIT APPLICATI
f . JUr.isd.. iction of City of Blair, Nebraska
C;5~ 00 218 South 16th Street
~;?OO . oo~' Blair, Nebr ska 68008
~02) 426-..419 (402) 426-4195
,6'- 0 u/J1t9 'vM I
'~Fee.
eft} ()O
Issuance Fee: /5. C> ()
I 756 Lf
Receipt #:
Deposit Receipt #:
Issue Date:
JOB ADDRESS
LEGAL
1 . DESCR.
OWNER
4. Class of Work: 0 NEW 0 ADDITION
5. Describe Work:.?16tW
"
Floodway 0 Yes
7. Floodplain: Fringe 0 Yes
Dav. Permit
BFE
8. Current Zoning:
9. State Fire Marshall Required: 0 Yes
10. Special Use Permit Required: 0 Yes
11. Variance Required: 0 Yes ~o
12. Minimum Setbacks: Front ~ Side .~V Rear S-C)
13. Sidewalk Required: 0 Yes 0 No Waiver Approved Nlfr
~No ref\Nvdk
~o WOI (
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature below, I acknowledge that payment
of the building permit application fee does not constitute issuance of this building
permit I further agree that construction covered by this permit application shall not be
commenced until I have received a copy ofthis 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 thatthis permit is void if work is not commencedwithin
180 days or is not completed within 2 years of date of issue,
~ h ..1 ~~ f'\dr1'€JifJ a; '-;2. ~ - 0 b
SIGNATURE OF OWNER/CONTRACTOR DATE
Comment: 'T{lvvcd 1b DcJ~ q('Z.odo&
MEET IBC, IRC, IPC, IMC AND NEC CODE REQUIREMENTS
SLEEPING ROOMS BELOW THE FOURTH
STORY AND IN BASEMENTS ARE
REQUIRED TO HAVE AN EGRESS WINDOW.
POUNDS PRTG.-Blair, NE
N
12583
Permit
;'d.tvnhd
7 I'M ~-# !?/1. 0 SEE ATTACHED SHEET
If') /....if HOME PHONE
tr' ~ WORK/CELL PHONE #d~ -t:/tlJO
ZIP HOME PHONE
WORK/CELL PHONE
r'. FINISHED. BASEMENT n IINFINISHED,BASEMENT ,
o Site Plan Attached
Approximate Completion Date
Inspections Required and Fees
1-c'
~
Sewer
S,#
......-?
Wa~ice
Remote
Stop Box Card
Buildin9
~
Fo ' gs
~
Electrical
~-
~ ----=:: --
Tem~rvice
~
pe~ice
M~iPll
R~~
w-
~
PI~
Gro ork
Ro -In
Rev. 8/96
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: Ufi-II J b /01
Job Address
,~3~Y
Mail Address
1~4b ~D\~)o--iS-t
Mail Address
Owntr
15hOI) e I\\Q.'::>l-er'S
Con. tractdr
~? L
2. ,-..A
3. Class of Work: D COMMERCIAL
Describe Work:
4.''FL lLc
- d:J
Permit Fee: $ Gt)0
Zip
Phone
L\ L,(p-
Phone
Zip
'-
m()'\tG~'1rl hoD~ ~
--RESIDENTIAL
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.
. i 5lc:n,'(/ t"\ 0 (-H.,":5
Signature of Contractor or Authorized Agent
Date
o Alteration
o Repair
o Replacement
yLLD\rYl l Y\ ~~ \fYLQ J
PLUMBING PERMIT FEES
Modular Home....... ,............ ..$50.00
Type of Fixture
No.
Kitchen, . . . . . . . , . . . . . . . , . . , . . . . . . . . . . $ 8.00 x \
Bath... ,.. ... ... ... ,.. ... ... ... ... ... .$8.00 x "2.-
Rough-ill Bath.........,.......... ..$4.00 x
Additional Sinks....... ... .., ... ... .$3 .00 x I
Laundry/Drain..................... .$5.00 x I
Water Heater..................... ...$3.00 x I
Outside Water FauceL...............$3.00 x
Drinking Fountain......................,$3,00 x
Backflow/Grease Trap.......... ..$10.00
Water Service..................... .$10.00
Sewer. . . . . . . . , . . . . .. . . . .. . .. . .. . . . ... $1 0.00
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
Permit Issuance Fee.,...".,...." ,$20,00
Current License on File
Comment:
Total
, .-c
o No "...-fl'N/A
DYes
L- .Mlr(
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By:
P 1636
25.(X)
16.00
.3,00
5,00
3.ao
{o.m
'2.. t> Cb
S,CO
MaY.16. 2008 12:21PM WASHINGTON CO PLANNING4024266843
, No,8235 p. 1/1
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ELECTRI~r~~i!~~~~ir~~!s~ICA TIOfN] (/63
218 South 16th Street , '
Blair, Nebraska 68008
Fax (402) 426-4195 E 2817
(402) 426-4191
'0
I tlJ).D
Permit Fee: $ '1
Application Date: JLllll Ot
Job Address
') ') colA \;L S rtwc
own~.', .Ma. il Address
1. 'V '? I(~
Contr~ctor \ I A' C' t~ Mail Address
2. -J\J..G\\ ~(\r IL-
3. Class of Work: 0 NEW RESIDENTIAL
~~scri~or:V\~ 20D .~
5 ,Current License on File 0 Yes 0
Zip
Phone
Zip
Phone, \ ."l' . -17
~dp<~1
o UPGRADE SERVICE
o NEW COMMERCIAL 0 REMODELING/ADDITIONS
~ I t..f <:., l ('CLu.J s
No 0 N/ A Completion Date
Service Fee = (Amp Fee + 2.00 per branch circuit)
1-100 Amp Fee.,.,......,..,.,.,. .,..$ll"QQ,-.
101-200 Amp Fee.................. ..4~:QQ.J
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....,............. .. ..,$80.00
701-800 Amp Fee......... ... ......... ..$92.00
801-900 Amp Fee.................. ,..$105.00
901-1000 Amp......,................ .$117.00
IF OVER 1000 Amp
1 st 1000 Amp Fee............... ...$117.00
Each additional 100 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 wiil 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.
/2-- 21 ~07
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/Multi Family and All Upgrades:
# of Circuits x $2.00 ~ 10\)
Amp Fee I ~ .(:0
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .045
ModularlManufactured 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
2(0. CO
Permit Issuance Fee.................. ..$20.00
OlD. GO
L((O.D:)
Total
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: V L .U J ,
r\ D Q~
CITY or 5LNQ
~ ,\~
^ .:'C'
'VI: 6:-'
O/J)ise 01 o,u
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.
:;~~ fY\f;( ~WJ
Contractor/Owner
Contractor/Owner
City of Blair
q ~ ~ '1 /"00 b
Date
218 South 16th Street. Blair, Nebraska 68008 . 402~426-4191 . Fax 402-426-4195 . E-mail cityofblair@huntel.net
Gr-
............
OP?ORTUNm
Blair Building Permit Detail
10/2/2008 OEM Occupancy granted.
Inspections Date By
10/3/2006 OEM Footings Pass
3/13/2007 OEM Plumbing Groundwork Pass
3/22/2007 OEM Septic - Laterals & Orainfields Pass
11/28/2007 OEM Oeck Footings Pass
12/18/2007 OEM Electrical Rough-ins Fail
1/3/2008 OEM Electrical Permanent Service Pass
1/28/2008 OEM Final Inspection of Project Fail
3/1812008 OEM Plumbing Rough~ins Pass Partial
3/1812008 OEM Framing Fail
3/18/2008 OEM Mechanical Rough-ins Pass Partial
3/18/2008 OEM Electrical Rough-ins Pass
5/1/2008 OEM Framing Fail
5/5/2008 OEM Framing Fail
5/5/2008 OEM Plumbing Rough-ins Fail
5/20/2008 OEM Conference Pass
10/2/2008 OEM Plumbing Final Pass
10/2/2008 OEM Final Inspection of Project Pass
10/2/2008 OEM Electrical Final Pass
1 0/2/2008 OEM Mechanical Final Pass
CITY or 5LAIQ
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 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.
.sklSl'N./ (""'0 ~,d
Owner/Occupant
Contractor
City of Blair
C)~).. q ~.o b
Date
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail ciiyofblair@huntel.net
"""~
OPPOImlHlTY
CITY OF BLNQ
September 19, 2008
Shane Masters
1340 Colfax St #2
Blair NE 68008
Re: 12583-Residential Additions
Dear Mr. Masters,
This letter is to inform you the above permit 12583 will expire on September 30,
2008.
Please be advised that you will need to contact our office no later than Monday
September 29. 2008 to request a final inspection of this project, or renew this permit for
an additional one-(1) year period at a cost of $120.00.
Enclosed, please find a copy of the building permit for your reference. If you
have any questions regarding this issue, feel free to contact me.
Thank you in advance for your cooperation in this matter.
Sincerely,
~I)\J()v
~n~a Wheeler
City Clerk
Ene.
(5)-
218 South 16th Street. Blair, Nebraska 68008 .402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@cl,blair,ne,us ~~~:7J:~:
CITY or 5L1\I12
-,."
,.,' ,
. .
.,' J
HOMEOWNER VERIFICATION FOR PLUMB~~:NG AND/OR
MECHANICAL PERMITS.we.
~hCH1~ Nla.skC;
Print your full name on line above:
, states the following:
1. I am the owner of the single family dwelling for which I am applying for a
plumbing and/or mechanical permit.
I '353-i US thDL( 30
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.
Address:
3. 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 2006 International Code requirements to make
an electrically safe and mechanically secure installation, which will meet the
minimum standards referenced in the 2006 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.
~ ~ J~~ /"'~<;-JVf
Homeowner/Applicant Signature
X J - / ~ -- 0 '7
Date
(5)-
EQU.lJ.HOUSmG
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@cl.blalr.ne,us "'''''''''
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BUILDING INSPECTION REPORT
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o CITY OF BLAIR
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LOCATION OF INSPECTION'
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NAME OF OWNER' /11ll.5/E.e.5 CONTRACTOR'
DATEINSPECTIONREQU~STED' ~i?a,6c9 TIME INSPECTION REQUESTED' /1/ PERMIT NO' ~;2S:~",::;,:::,?
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TYPE OF INSPECTION REQUESTED: D CONFERENCE ~ATUS CHECK
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COMMENTS:
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BUILDING INSPECTION REPORT
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LOCATION OF INSPECTION'
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NOTES/REMARKS'
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DATE INSPECTION REQUESTED' .5 ~ 5- 0 f3 TIME INSPECTION REQUESTED' /0.'.30 /'7 'IA'PERMIT NO' / c?,~ 8 3
BUILDING INSPECTION REPORT
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
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COMMENTS:, _ _ _ u" ___ _ ;5//1/ e~' ,~.'70 --:!314SBt(~ff
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PASSED FAILED
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COMMENTS:
PASSED FAILED
D 0
-lIllIi1l1llil.
ELECTRICAL: D ROUGH:rr~,,1li~AL 0 PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL: D ROUGH-IN 0 AlC D FURNACE 0 RADIANT HEAT
PARTIAL
PASSED FAILED
D 0
COMMENTS:
PLUMBING:
o GROUNDWORK 0
D PRESSURE TEST
WATERMETERINSTALLED D PARTIAL
PASSED FAILED
o 0
COMMENTS:
~
D OCCUPANCY GRANTED D CONDmONAL OCJID'.4>IC) GRANTED
NOTES/REMARKS' v.J ~ /9~PLW
/
<~!? I~ ,S-: 3
r/?~~//s-: 5c~
'::)'/mL~
7ml) ])60/7/
~
TIME' d~
INSPECTO '
FAXED OPPD\BURTREA
TO CONNECT SER~CE: ON
BY
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BUILDING lNSPECTION REPORT
J'/
B~ITY OF BLAIR D WASHINGTON COUNTY D OTHER
LOCATION OF INSPECTION' J 33:5 L~ US 1-lu)4 30
NAME OF OWNER.-_~/J {:J.1'Ll '1!-7 M /02-t/.:J--' CONTRACTOR' J..!l;l/J
~ !/
DATE INSPECTION REQUESTED'! 0 .- :2 - {)(;) TIME INSPECTION REQUESTED,L-r .' OC)o,rY\' PERMIT NO' 1;;.25(53
I
TYPE OF INSPECTION REQUESTED: ^ D CONFERENCE D STATUS CHECK
~~."....". ~ ......~~~-- - '~'~~~~'1:aO~~~~
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWAL~F.INAL D PARTIAL lAS D F~ED
COMMENTS:
~,_. ,'. """"~~~""""'" ,."""...........""" ,,;;,,"~~,,'jal;;;:!/'#.w~z,z:=w.til'!=z,mMZ:~:::!i:Cm'::!!::lo:::W:;Z;;.:S::iZ:Z::.Si?Z:!S:!Jr.;,IT~~:ifi"~=', ~~~
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE PASSED FAILED
D PARTIAL D D
ELECTRICAL: D ROUGH IN..!@::FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
FAILED
D
COMMENTS:
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT "'5}-~mAL D PARTIAL
::::~:. 8 ~:~:~;:O:S~ ROUGH-m ~FffiAL 0 WAruRMETERmSTALlEO ~TIA~r :qLED
.'6GCtJP~NCY GRANTED 0 CONDi'rIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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10/02/2008 04:10 PM
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