E1722City of Blair Building Permit Detail
Permit #: E1722 Issued: 1/30/2003
Completed: 1 /31 /2003
Location: E Dixon Road
Owner: Pentzier, Inc.
Address: 6969 Grover Street
Omaha, NE 68106-3569
Phone: 871-3682
Section: Township:
Subdivision:
Temp pole for construction trailers
Contractors
dudt Electric
Remarks
Type: Electrical Miscellaneous
Valuation:
Range:
Lot:
General Contactor
Pemtit Fee: 10
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
1/31/2003 DEM Electrical Temporary Service Pass
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: I~~ ~ ~
Permit E 17 2 2
Permit Fee: $ 2~'
JOBADDRESS
U .~~ ~. ~l X~r 1 ~ .
~~ OSEEATTACHEDSHEET
1•
~~
~/2~
'~
~~
D SCR.
c
O
L
j
2 R ~ ~ r ~~~ MAIL ADDRESS ZIP HOME PHONE ~~ _ ~ C
WDRK/CELL PHONE o
3 C~ RACTOR MAIL ADD SS PHONE HOME PHONE
PHONE ~
~
~~
C
I ~~ ~
-
~
, WDRK/
ELL
4. Class of Work: ~ NEW RESIDENTIAL O NEW COMMERCIAL ~ REMODELINGIADDITIONS O UPGRADE SERVICE
5. Describe Work: ~ ~~
6. Current License on File ,Yes p No O NA Completion Date
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00
101-200 Amp Fee ............................ $ 18.00 Temporary Service .............. 10.00 ~ f~ • ~~
201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00
y .................
301-400 Amp Fee ............................ $ 42,00 Si ns $15.00
g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
401-500 Am Fee $ 55.00
p
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801-900 Am Fee $105.00
p ............................ Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ....,...... $ 13,00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority Receptacle/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures x $.75
law regulating construction or the performance of Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
AT OF CONTRACTOR OR AUTHORIZED AGENT # ApparatUS X $3.00
. ~~
/ - 3U ~ ~ _
Permit Issuance Fee ............. $15.00 ~~
DATE
TOTAL ~ ~'~b
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~ i~
POUNDS PRTG: Blair, NE Rev. 11/99
BUILDING INSPECTION REPORT
^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~ ~~ ~ k 0 n ~~•
NAME OF OWNER: ~ l~~Z ~ r ~I~~ C° CONTRACTOR: ~ C~~ ~ ~~~
DATE INSPECTION REQUESTED: ~`}~ TIME INSPECTION REQUESTED: ~ ~~ T ~I" l-' PERMIT N0: ~ / ~ Z
TYPE OF INSPECTION REQUESTED: ^ 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 PASS 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'
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
~~~~~a3
J ~~
TIME: / r
;~ //- 36
J~~ ~~~~~
er
~'
~en~~xen,~lnc.
~. ~ ~~.
Merk 70 Building • 6969 Grover Street • Omaha, Nebraska 68106-351
402-397-7800 Fax: 402-397-251
City of Biair
218 South 16"' Street
Blair, NE 68008
Voice (402) 426-4191
Fax (402) 426-4195
Fa~c
._\ ~~~,
~ ~rc~mi~~
Yo: ~ . From: ~~~~`~-
Fax: Pages: ~
Phone: - Dater ~ ~ ~ /(~
Re: - CC:
^ Urgent ^ For Review ^ Please Comment ^ Please Reply ^ Please Recycle
~ Comments:.
C, -.
~,
~,
N
X11
4+
o!~
~'
Z~
~ Section 6 (T18, F~12)
CavurY R o r'
340
?50
~r
Z00
d a , L don `.f ..~.~n~-w- ~',~,~'-v~, -~ ''`2~ .,,.c~.,,l+~7f ~ , so, ~- .~.~-e~-u.Pd ~-~g~
q 7G
~ec~'~ti oL S'50
~ oU G/'
Q ~ Q
Q
~\