BP12774flair Building Permit Detail
Permit #; 12774 Issued: 711 012 0 0 7
Completed; 101912007
Location: 2219 Colfax St
Owner; Cathy Pitt
Address: 2219 Colfax St
Biair, NE 68008
Phone: 402-426-9615
Section: Township: Range:
Subdivision: Lot:
5 1/2' Retaining wail along driveway near home 8' long
Contractors
TCM Construction
General Contractor
Remarks
Type: Miscellaneous building permits
Valua#ion; 0
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt
Block:
Permit # Issued
Inspections Date By
713012407 DEM Foofings Pass
10/912007 DEM Fina( Inspection of Project Pass
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CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT
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Dater ~~' L~ Approximate Completion Date: ~ ®~~ ~°d~ Site Plan Attached:
Application for: Permit Fee $20/issuance Fee $20 Fee: $40.00
Sign Erecting, Awnings (Per sign)
Roofing/Siding/Soffitand/or Eave Repair/Gutters
Window/Door Replacement (size change on-y)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required)
Fences (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot p-an required)
Gazebos (plot plan required)
Miscellaneous
Other 5 ~(~.
rmits (items not covered by one of the above)
Patios/Driveway Permits/Utility Excavation and Curb Grinding Fee $35
Curb Grind
Length
Utility Excavation
Length Lin. Ft.; Width Lin. Ft
Type: Water ;Sewer ;Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Lin. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT' RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will onl be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
safety issues have been properly address. Permit renewals are for one (1) year, with a
.maximum of two (2) renewals for a maximum permif span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee: $ F20~~.~~0,0
Total Renewal Remit Fee = Permit Fee/Issuance Fee $
Additional Description of project if necessary: -
PROJECT INFORMATION:
Job Address:
Legal Description (if applicable)
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Owner ~~~-~ ~~-' ~ l ~T Address c~~ ~~ ~ ~1 ~~ S~ Phone#`~~ ~~~
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C~ntract~r: ~.
Address: ~ ~ C Cell #: l~"--~..
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 of the City of Blair and the State of Nebraska. I understand that this permit is void if work
is not commenced within 180 days or is not completed within two (2) years of date of issue.
Date Permit Paid: Receipt # Approved by:
CITY OF GLAIR
Application for Building Permit
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Address ~ t Date ~_
Legal Description: Lot Bloek Addition
Please show all measurements of existing and contemplated structures,
also show distances between structures, etc,, and property lines.
Is this a corner lot? ~'~
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LOCATION OF INSPECTION• a
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NAME OF OWNER• r
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CONTRACTOR: ` '`~
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DATE INSPECTION REQUESTED•
V TIME INSPECTION REQUESTED• PERMIT NO• ` r``' ~
TYPE OF INSPECTION REQUESTED: ^ C®NFERENCE ^ STATUS CHECK ''
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS 'D' FAILED
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SL WER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE L^ PRECONNECT
^ PARTIAL
COMMENTS:
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MECHANICAL: ^
ROUGH-IN ^ A/C ^
FURNACE ^ RADIANT HEAT
^ FINAL ^ PARTIAL LL/
PASSED FAILED
^ ^
PASSED FAILED
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COMMENTS:
PLUMBING: ^~GROUNDWORK ^~ ROUGH-IN ^~FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED~~~~~ ~~~~ ~~~ ~~ ~ ~~~
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INS CTO D,~TE OF INSPECTION ~~li1D)!: / ~ -~ °' TI ~
FA'XTD OPPD\RUR'C 1tEA TO CONNECT SERV'ICI?: 01v~ BY __ _ _ _ __
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PUILIN ECTN E T
CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
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LOCATION OF INSPECTION• ~ ' ' ~ ~-= ~'
NAME OF OWNER• r `F'+• CONTRACTOR
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DATE INSPECTION REQUESTED ~'• ` ~/, f ~ ~ ~ 'T'IME INSPECTION REQUESTED• ~ PERMIT N0: ~` ~ '~ •
TYPE OF INSPECTION REQUESTED: I- CONFERENCE
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s ^ STATUS CHECK
DRYWALL ^ FINAL ^ PARTIAL
FOOTING ^ DECK FOOTING ^ FRAMING ^
BUILDING:
^ PA~~Fll FAILED
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COMMENTS: _
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS: _ _ __ _ _ _
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ELECTRTCAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED.
PARTIAL _ ^ ^
COMMENTS:
a ~ n ~ -- ~ m ~ ~ ~ ~.
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 ',
NOTES/REMARKS •
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INSPECTOR• ~ DATE OF INSPECTION MADE: '+ ~+` TIMF~
FAXED OYYD\}3URT REA TOCONNFCT SERVICE: ON E~'