BP9575City of Blair Building Permit Detail.
Permit #: 9575 Issued: 4/28/2003 Type: Roofing permits -All types
Completed: 6/4/2003 Valuation: 7500
Location: 1171 Maple Drive
Owner: Ed & Delores Peters Permit Fee: 15
Address: 1171 Maple Drive Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 426 4269
Section: Township: Range:
Subdivision: Lot: Block:
Reroofing -will tear down to the decking and install new asphalt shingles; some siding repair on south and west
sides of house
Contractors
Frank Gabby Siding & Windows
General Contractor
Permit # Issued
Remarks
Inspections Date By
6/4/2003 DEM Final Inspection of Project .Pass
_ BUILDING PERMIT APPLICATION
~' Jurisdiction of City of Blair, Nebraska
Permit Fee: ~`J 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 9 5 7 5
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt ~:
Issue Date: ~ ~ ~~~ Type: ~ob~ ~~ I~~ ~`'1
JOB ADDRESS y I
' I
LEGAL
1 . DESCR. Q SEE ATTACHED SHEET
2 OWZIER • ~ ~ MAIL ADDRES ) _ I~
~ ZIP WORK/CEOLL PHONE ~ ~-~~ ~QC,
CO~RACTOR _ i ~ ~
3, 'Ynl.-/l(~ ~IU, ~ MAIL ADDRESS ~ ~ ZIP HOME PHONE ..~ ~ ~~
WORK/CELL PHONE
4. Class of Work: Q NEW Q ADDITION Q REMODEL OTHER Q FINISHED BASEMENT Q UNFINISHED BASEMENT
5. Describe Work: ~ ~~~ fi ~ \ ~~ ~,~ ~ ~ ~ G {- (7~
~ ~r o~ S' ~ ~~ ~ ~
~
))11
6. Valuation of Work: $ ~ ~U~~ ~ U Total Sq. Footage (IRCluding BBSement aRd Garage)
: Total Finished Area:
Floodway ^ Yes ^ No
7. FIOOdplain: Fringe ^ Yes ^ No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes Q No
10. Special Use Permit Required: Q Yes Q No
11. Variance Required: Q Yes Q No
12. Minimum Setbacks: Front
13. Sidewalk Required: Q Yes
Side Rear
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 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 days or is_ of com ted within 2 years of date of issue.
SIG ATURE OF OWNERICONTRACTOR DATE
Comment:
Q Site Plan Attached V^ ~ ~Q Co~ let Pla~~ttached
Approximate Completion Date `~ I
Inspections Required and Fees
Utilitie
Sewer _
Septic _
Buildin
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
PI mbin
Ground Work
Rough-in
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: ~~
Water Service
Remote.
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A1C ,
Rev. 8/96
POUNDS PRIG: Blair, NE
BUILDING INSPECTION REPORT
CITY OF BLAIR ^ WASHINGTON COUNTY OTHER
fff L~~-OCATION OF INSPECTION: ~' ~ 1 ~ " ~ ~ ~'
NAME OF OWNER: ~ ~ ~~ ~ ~ ~ CONTRACTOR: ~~ ~ n I C' ~~~``'~1
DATE INSPECTION REQUESTED: TIME INSPECTION REQUESTED: PERMTI' N0: ~{ `~ / 5
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
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:
FAXED OPPDIBURT REA
ATE OF INSPECTION MADE:
TO CONNECT SERVICE: ON
BY
TIME: / O r ~ "