BP12621Blair Building Permit Detail
Permit #: 12621 Issued: 11/812006 Type: Roofing permits - All types
Completed: 8/30/2007 Valuation: 0
Location: 1105 South St
Owner: Ellen Whitaker
Address: 1105 South St
Blair, NE 68008
Phone: 402 426 2073
Section: Township: Range:
Subdivision: Lot:
Tearing off 3 layers. New plywood, felt, and asphalt shingles.
Contractors
McKinnis Roofing & Sheet Metal
Remarks
11/20/2006 DEM
2/28/2007 BMP
7/3/2007 DEM
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #: 17778
Block:
Permit # Issued
Not complete. Give 30 days. Changed completion date to 12/21/2006.
Changed completion date per Dale to 6/30/2007. Waiting until weather is warmer.
House is complete front porch not complete.
Inspections Date
By
11/20/2006
DEM
Final Inspection of Project
Fail
2/27/2007
DEM
Final Inspection of Project
Fail
7/3/2007
DEM
Final Inspection of Project
Fail
8/30/2007
DEM
Final Inspection of Project
Pass
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CITY OF BLAIR — MISCELLANEOUS BUILDING PERMIT
a,
Permit #
'9 Promlae o
Date: �'8" OLo Approximate Completion Date: ��' aQ-D'Site Plan Attached:
Application for: Permit Fee $20/issuance Fee $20 Fee: $40.00
Sign Erecting, Awnings (Per sign)
Roofing/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: 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 only 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 permit fee of $500,000 or more $400.00 $
Issuance Fee: $ 20.00
Total Renewal Remit Fee = Permit Fee/Issuance Fee $ rf Q o O
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Ad itional Description of roject if necessary: a
PROJECT INFORMATION:
Job Address: Ilz4"5 V D am JV •
Legal Description (if applicable)
Owner:(�V�r Address: S.� 144 11404'�o Phone#:
Contractor:
Address:
) i
(y/W I- �Ola
Phone #:
Cell #:
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.
Signature 19f Owner/Contractor
Date
477 -Z:A
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: L/ 4-d4? Receipt # Vpproved by's, Ad ��
OZO
Y BLAIR ❑ / WASHINGTON COUNTY
LOCATION OF INSPECTION:
NAME OF OWNER- { '/ � Ai -
DATE INSPECTION REQUESTED- / TIME IN
BUILDING INSPECTION REPORT
❑ OTHE
CONTRACTOR-
-7- i
ECTION REQUESTED PERMIT NO' % '1C 0 C-'
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL / FINAL ❑ PARTIAL PAS , D FAILED
COMMENTS: i'rYn ❑
UTILITIES: ❑
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
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:
FAXED OPPD\BURT REA
TO CONNECT SERVICE:
08/30/2007
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