M0924City of Blair Building Permit Detail
Permit #: M0924 Issued:. 4/10/2003
Completed: 4/21/2003
Location: 1018 S. 13th Avenue Apt #101
Owner: Robert Plugge
Address: 1018 S. 13th Avenue Apt #101
Blair, NE 68008
Phone: 402 426 2348
Section: Township:
Subdivision:
Replacing 2 ton A/C
Contractors
Beebe Refrigeration, Htg. & A/C, Inc.
Remarks
Type: Mechanical Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 10
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
4/21/2003 DEM Mechanical Final Pass
4/21/2003 DEM Mechanical A/C Pass
MECHANICAL PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: ~ ` ~ ~ ~' ~ J
CATION ~~
M 092
Permit Fee: $ ~~'~
JOB ADDRESS
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1 OWNER ~ ~ MAIL ADDRESS ZAP / G,~ o lL
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2 CONTRACTOR ~- ~ I~ r M
3• Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR ,,~iEPLACEMENT
,
4• Describe Work:
Central A/C ~ Tons MECHANICAL PERMIT FEES
Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) .................................................... $25.00
# of Units A/C
Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) .................................................... $10.00
Forced Air Systems/Air Conditioner ~ O• ~J
L-, `' ~ r ~3
Completion Date: 1 Unit Replacement Per Unit Commercial/Residential ................... $10.00
Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement) ...... ..................... $10.00
Comments:
Appliance Vent/Fans ...............................$10.00
Boiler ....................................................... $15.00
Duct System ............................................$10.00
Gas/Air Outlets .................. x $2.00
NOTICE Radiant Heat Systems ............................ $25.00
I hereby certify that I have read and examined this
li
i
d k
app
cat
on an
now the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular Home
$15
00
work will be complied with whether specified herein or not. .........................................
.
Th
ti
f
it d
e gran
ng o
a perm
oes not presume to give authority
to violate or cancel the provisions of any other state or local I ~~ U~
law regulating construction or the performance of Permit Issuance Fee ............................... $15.00
construction
.
TOTAL ~ 5~° (~
S NATURE OF CONTRACTOR OR AUT CARED AGENT
._Z3,0 . Current License on File Yes O No O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment
Approved By:
POUNDS PRTG: Blair, NE // Rev. 4/9B
BUILDING INSPECTION REPORT
CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
1~~~5~/3~~~
LOCATION OF INSPECTION: ' ' G'" ~ ~/~ /
NAME OF OWNER: !' ~ "1~e1 ~~~P~ CONTRACTOR:
> L/>
DATE INSPECTION REQUESTED: ~r -2~1 ~ TUvIE INSPECTION REQUESTED: ~ / ~ PERMIT N0: ~Q~~/
TYPE OF INSPECTION REQUESTED: ~,5, GI ~1~~ ~// ~~ ~~~ ^ 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 ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ~A/C ^ FURNACE ^ RADIANT HEAT FINAL ^ PARTIAL
n
COMMENTS
FAILED
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
OF INSPECTION MADE:
3,~~. LG. 3d
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY