BP12755Blair Building Permit Detail
Permit M 12755 Issued: 6/25/2007 Type: Decks - All types
Completed: 9/14/2007 Valuation: 0
Location: 763 N 14th St
Owner: Tom Roff Permit Fee: 20
Address: 763 N 14th St Issue Fee: 20
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 5332370
Section: Township: Range:
Subdivision: Lot: Block:
Repair Existing deck and then expand it with 6x20 addition -Relocating stairs new handrail.
Contractors
SELF General Contractor Permit # Issued
Remarks
8/7/2007 DEM Deck not started. Footings ONLY done.
30 more days given.
Inspections Date
By
6/26/2007
DEM
Deck Footings Pass
8/7/2007
DEM
Final Inspection of Project Fail
9/14/2007
DEM
Final Inspection of Project Pass
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CITY OF BLAIR ® MISCELLANEOUS BUILDING PERMIT
Date: Approximate Completion Date: i t i Site Plan Attached:
Application for: Permit Fee X20/Issuance Fee $20 Fee: $40.00
Sign Erecting, Awnings (Per sign)
Hoof ing/Siding/Soffit and/or Eave Repair/Gutters
Window/Door Replacement (size change only)
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 plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items not covered by one of the above)
Other
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:
grind0 . 00
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 gni Y 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 permit 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 permJit fepro'�500,000 or more $400.00 ` 4,$.
Issuance Fee: $ 20.00
Total Renewal Remit Fee = Permit Fee/issuance Fee
Additional Description of projectnecessary:
PROJECT INFORMATION:
Job Address:
Legal Description (if applicable)
Owner: Q►`h c Address: k (TV- Phone#: 3 "7
Contractor: C3 � Phone #:
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.
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Signature of Owner/C ract r Date
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: Receipt Approved by: '0 - Rjkj�
LAt"
CITY F
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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 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.
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Owner/Occupant
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City of Blair
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Date
218 South 16th Street - Blair, Nebraska 68008 ® 402-426-4191 ® Fax 402-426-4195 - E-mail cityofblalr@cl,blalr.ne.us
CITY OF BLAIR
Application for Building Permit
C�
PLOT PLAN
Address /V q Date 7
Legal Description: Lot Block Addition
Please show all measurements of existing and contemplated structures,
also show distances between structures, etc., and property lines.
Is this a corner lot? NJ
trope
- -Center Lineof- - -
Applicant
Line
Street
-
I
Indicate -North
�� ��. �r�
❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION:
NAME OF OWNER' CONTRACTOR
DATE INSPECTION REQUESTED' f j TIME INSPECTION REQUESTED- PERMIT
NO•
TYPE OF INSPECTION REQUESTED ❑ CONFERENCE
❑,STATITS
CHECI£
_
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL
PASSED
FAILED
COMMENTS:
❑
❑
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ElWATERTAP ❑ REMOTE ❑ WATER SERVICE
� �PASSED
�FAILED
❑ PARTIAL
❑
❑
COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT�
El PARTIAL
PASSED
FAILED
COMMENTS:
❑
❑
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
r
PASSED
FAILED
COMMENTS:
❑
❑
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL ~ w
/J PASSED
FAILED
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTEDCONDITI�O�NAL.
❑ CONDITIONAL UPANCY G TED
Y ,t
NOTES/REMARKS- �/ 1
w
BUILDING INSPECTION REPORT
-121-CITY OFBLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION
NAME OF OWNER. CONTRACTOR -
V
DATE INSPECTION REQUESTED �-- PERMIT N
TIME INSPECTION REQUESTED: 0
TYPE OF INSPECTION REQUESTED:
FAILED
❑ CONFERENCE
El STATUS CHECK
BUILDING:
F-1 FOOTING Fl DECK FOOTING
❑ FRAMING [:1 DRYWALL '9 --`FINAL E:l PARTIAL
PAS
FAILED
El
COMMENTS:
UTILITIES:
-1 SEWER TAP Fl SEWER F
-1
SEPTIC Fl WATER TAP El REMOTE
El WATER SERVICE
PASSED
FAILED
❑ PARTIAL
F]
F-1
ELECTRICAL: ❑ ROUGH IN
❑ PARTIAL
COMMENTS:
MECHANICAL: F-1
COMMENTS:
PLUMBING: F-1
El
COMMENTS:
FINAL F] PERMANENT SERVICE 0 TEMPORARY SERVICE FI
PRECONNECT PASSED FAILED
F-1 ❑
F-1 A/C F-1 FURNACE El RADIANT HEAT El FINAL 0 PARTIAL
)RK F-1 ROUGH -IN [:1 FINAL El WATER METER INSTALLED D PARTIAL
TEST
❑ OCCUPANCY GRANTED F1 CONDITIONAL OCCUPANCY GRANTED
,-N
NOTES/REMARKS-
, A
INSPJ�� DATE OF INSPECTION MADE:
PASSED
FAILED
F-1
F
PASSED
FAILED
1:1
❑
11
09/17J,2007
�
09/17/2007
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