BP9467City of Blair Building Permit Detail
Permit #: 9467 Issued: 12/16/2002
Completed: 02/13/2003
Location: 452 S. 21st Street
Owner: Lonnie Penry
Address: 452 S. 21st Street
Blair, NE 68008
Phone: 402 426 8154
Section: Township: Range:
Subdivision: Lot:
Tear off 2 layers and install asphalt shingles and new decking
Contractors
Dun-Rite Construction
General Contractor
Remarks
Type: Roofing permits -All types
Valuation: 1200
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
12/18/2002 DEM Final Inspection of Project Fail
02/13/2003 DEM Final Inspection of Project Pass
_ BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
Permit Fee: ~ ~~ 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195
Deposit Receipt #:
Issue Date: ~ 2J I ~~ ~ ~Z Type:, ~~~r~1~ n
JOB ADDRESS
Z ~I ~~"
S I^~ -E-
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER
2. MAIL ADDRESS
'- 2 ~' ~~ Zip HOME PHONE
WORKICELL PHONE ~ r ~ ~ ij ~/
CONTRALTO /n~ L ,,
3•0~n- l_() hS~l 1"I~LC~(~1~1 MAIL ADDRESS /
~J~ ~ C~(/'Ctf't I~ ~., ~~~ ZIP I (Q ~ ~ 2t3" HOME PHONE
L~l,~~rS~C%WORK/CELLPHONE _ 3~ .~ S~~
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: .~ .~'~ ~ C .,~ L~ ~~~ ~~_ ~ G ~--
~ c~ 6'L(,
6. Valuation of Work: $•r~,~ Total Sq. Footage pncmalRgBa6ementanacarage): Total Finished Area:
Floodway O Yes ^ No
7. Floodplaln: Fringe ^ Yes ^ No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes O No
10. Special Use Permit Required: ^ Yes Q No
11. Variance Required: ^ Yes Q No
12. Minimum Setbacks: Front Side Rear
13. Sidewalk Required: Q Yes Q No Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature below, I acknowledge that 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 da is not completed within 2 years of date of issue.
-- ~ -~ ~ - o ~~-
O Site Plan Attached ^ Complete Plans Attached
Approximate Completion Date ~ ~ -~~7 ~~"
Inspections Required and Fees
il' i
Sewer Water Service
Septic Remote
9467
Permit
Stop Box Card
B i in
Footings Drywall
(PRIOR TO TAPING)
Framing Final
ri
Rough-in
Final
Temporary Service
Fixtures
Permanent Service
nl
IG ATURE OF OWNER/60N RACTOR DATE Rough-in ABC
Comment:
Final
PI m in
Ground Work
Rough-in Final
WHEN PROPERLY VA ATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: I .~ ~~
~J
Rev. 6/96
POUNDS PRTG: Blair, NE
~.
- BUILDING INSPECTION REPORT
TTY OF BLAIR ^ WASHINGTON COUNTY P ^ OTHE
LOCATION OF INSPECTION: ~~~ ~ ~j ~ ~~~l~~
NAME OF OWNER: ~~ ,~'r~~./~ CONTRACTOR:
DATE INSPECTION REQUESTED` ~J u ~ ~ ~ ~l c!/
TIME INSPECTION REQUESTED: PERMIT N0:
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED FAII.ED
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 PASSED FAILED
^ ^
COMMENTS: ~
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
TE OF INSPECTION MADE: ~ ~ TIME:
~c
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
-~.:~ ; ~:_ ~ BUILDING INSPECTION REPORT
CTI'Y OF BLAIR ^ WASHINGTON COUNTY
LOCATION OF INSPECTION: ~/ S Z ~ V
NAME OF OWNER: ~~~ n ~
DATE INSPECTION REQUESTED:
^ OTHER_
Zi s t ~~
~~n rr,.
~~`~ ~/~ ~
TIME INSPECTION REQUESTED: / ' ~ ~ PERMTI' N0: / ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE I-l RTATrT.c ruFru
BUILDING:
COMMENTS: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL
~ ~
PASSED
^
FA
UTILTPIES:
COMMENTS: ^ SEWER TAP
^ PARTIAL ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED
^ FAILED
^
ELECTRICAL:
COMMENTS: ^ ROUGH IN
^ PARTIAL ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED
^ FAILED
^
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:
DATE OF INSPECTION MADE:
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON
CONTRACTOR: ~ U fl - ^ ! ~~ (~`Jr ! S .~ ~ ~- ~ ~~ ~ l ~~1
~~ CJ O~ TIME::
BY