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BP9452City of Blair Building Permit Detail Permit #: 9452 Issued: 11/26/2002 Completed: 2/6/2003 Location: 11285 Bridgeview Drive Owner: Edward Powers Address: 11285 Bridgeview Drive Blair, NE 68008 Phone: 402 426 1785 Section: Township: Range: Subdivision: Lot: Remove and replace 1 layer of cedar shake shingles Contractors Westurn Cedar Roofing General Contractor Remarks Type: Roofing permits -All types Valuation: 4400 Permit Fee: 15 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 2/6/2003 DEM Final Inspection of Project Pass BUILDING PERMIT AP~'LICATION / - ~~ Jurisdiction of City of Blair, Nebraska Permit Fee: -S - 218 South 16th Street Issuance Fee: alalr, Nebraska 6a00a 9 4 5 2 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: n Issue Date: ~ ~ Zla ~b7 Type: ~1~~ JOB ADDRESS j `_ 1 ~ ~ ~ S ~~~ ,~/ , l ~ /~~. t~ ~r. LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER 2, ~ MAIL ADDRESS ~~ _ zip HOME PHONE WORK/CELL PHONE ~~ - /78,5 CONTRAC,Tp~RI /~ 3, '`/V CS'~i(.2~/~ (~C~~I~ MAIL ADDRESS r Z(~ r p~ ZIP HOME PHONE 2 ,~~/ / WORKICELL PHONE ~J %~C. 4. Class of Work: NEW Q ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT 0 UNFINISHED BASEMENT 5. Describe Work: tz ~~ J L , - \ 6. Valuation of Work: $ l~ QQ Total Sq. Footage Qncluding easement and Garage): Total Finished Area: Floodway ^ Yes ^ No 7. FIOOdplaln: Fringe Q Yes ^ No Dev, Permit BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: Q Yes Q No 10. Special Use Permit Required: ^ Yes ^ No 11. Variance Required: Q Yes Q No 12. Minimum Setbacks: Front 13. Sidewalk Required: Q Yes Side Rear ~ No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By mysignature below, I acknowledgethat payment of the building permit application fee 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 this application form 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 thatthis permit is void if work is not commenced within 180 ay or is not comp ~ d wi in 2 years of dat of issue. r Ud jC~~ SIGNATURE 0 OWN 0 TRACTO DATE Comment: ~~~ nb ~ ~ ~~ ^ Slte Plan Attached Com lete Plans Attached Approximate Completion Date ~ ~~ -~o ~~~ Inspections Required and Fees Sewer Water Service Septic Remote Bii Footings Drywall (PRIOR TO TAPING) Framing Final Stop Box Card ri Rough-in Fixtures Final Permanent Service Temporary Service M ni Rough-in ABC Final I in Ground Work Rough-in Final WHEN PROPERLY VALIDATED Approved By: ~- THIS SPACEI THIS IS YOUR PERMIT \ Rev. 6/96 POUNDS PRTG.~Blair, NE .. BUILDING INSPECTION REPORT ^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~- ~'~ 6C ~~~CJ NAME OF OWNER: ~ '~'~~="-~ CONTRACTOR: DATE INSPECTION REQUESTED ~ ~~ TIME INSPECTION REQUESTED: PERMIT N0: ~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECKFOOTING ^ FRAMING^ D R Y WALL ~ FINAL ^ PARTIAL PASSED AILED COMMENTS ~, r ; .~ ~ ~~ ~ ^ : ~i~-c..t~ ~~ ~ 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 COMMENTS: ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: ~. TIME:`--'~ ~ FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY -