BP9982City of Blair Building Permit Detail
Permit #: 9982 Issued: 08/07/2003 Type: Decks -All types
Completed: 09/16/2003 Valuation: 1500
Location: 611 Hillcrest
Owner: Bill Pemberton Permit Fee: 15
Address: 611 Hillcrest Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 426 8695
Section: Township: Range:
Subdivision: Lot: Block:
20' x 12' wood deck -would like to place on existing concrete on west side of house with 1 step to ground
Contractors
Repair and Repaint
General Contractor
Permit # Issued
Remarks
Inspections Date By
08/14/2003 DEM Footings Pass
09/1612003 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
JS~`~ Jurisdiction of City of Blair, Nebraska
Permit Fee:
Issuance Fee:
Receipt #:
Deposit Receipt #:
Issue Date:
-7- 0'J
Type:
JOB ADDRESS ~ ~ 1
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEEr
2 OWNER ~ ~~
MAILADDRES ~j J
ZIP p v~ (3 yyORK/CEOLL PHONE ~~~ ~"" 0 (OCJS
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NTRACTDR
~/ -~ '~ MAIL ADDRESS
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HOME PHONE ^~ /~
~ ~~g WORK/CELL PHON 0.1.E
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ ~ ~ ~ t lN~~ a ~~~~ ~ Q ~,
~~ ~ ~ V d ~, ~ 2,~- ~ ~ CV 1..v ~ V
6. Valuation of Work: $ ( (~ a~ Total Sq. Footage Qncluding Basement aBd Garage): Total Finished Area:
Floodway Q Yes Q No
7. Floodplain: Fringe Q Yes Q No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes ~ No
10. Special Use Permit Required: ^ Yes to
11. Variance Required: ^ Yes No
12. Minimum Setbacks: Front Side ~ Rear
13. Sidewalk Required: ^ Yes ~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
1 0 days or is t mplet with' rs f date of issue.
SIG ' WNE NTR TOR DATE
Comment:
~~r ~, n~c, nun i~r W ~ C~a~ r~U1REMc
^ Site Plan Attached ^ Complete Plans Attached
Approximate Completion Date ~ ` ~-ate
Inspections Required and Fees
ilitie
Sewer Water S
Septic Remote
Buil i
Foo ' gs
Framing
Drywall
(PRIG TO TAPING)
F' I
Ele ric I
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A\C
Final
PI m in
Ground Work
Rough-in _
Final
WHEN PROPERLY VA~,IDAT,E6 (IN THIS S
218 South 16th Street .
Blair, Nebraska 68008
(402) 426-4191 • Fax (402) 426-4195 Permit-
Stop Box Card
09982
POUNDS PRTG: Blair, NE ~' `~ Rev. e/96
BUILDING INSPECTION REPORT
L~CTI'Y OF BLAIR ^ WASHINGTON COUNTY, ^ OTHER
/
LOCATION
~ ~ ~ ~ ~~"J~
OF INSPECTION:
O'}~. ~,
NAME OF OWNER: ~~' CONTRACTOR:
DATE INSPECTION REQUESTED: ~ ' ~ `TIME INSPECTION REQUESTED: ~ 1 PERMIT N0: ~ ~ ~~'°
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSE FAILED
COMMENTS: ^
UTILTI'IES: ^ 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: ^ QROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED_
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
FAXED OPPD~BURT REA
TO CONNECT SERVICE: ON
BY
r
-~ 5~}~~ BUILDING INSPECTION REPORT
~ i -
PTI' OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~ ~ ~ ~C~~`'"'"`v vt C~ ~ ~ ~C'J'~
~~~ 7 ~'~
NAMI~ OF OWNER: ~ ~ ~~~ti~ ~' ~ '''
CONTRACTOR: ~ ~ ,
^
~
l ~ ~ -~
/` ,
DATE INSPECTION REQUESTED: ~ ~ ~ TIME INSPECTION REQUESTED: 10'c~ a ~ PERMIT: {
~
q ~
N0:
TYPE OF INSPECTION REQUESTED:. ^ CONFERENCE ^ STATUS.CHECK ~
BUILDING: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL
^ PARTIAL ~
.PASS FAILED
COMMENTS: ~ ^
UTILITIES: ^ SEWER TA P ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
COMMENTS: ~~;_ ~ PARTIAL ^ ^
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
COMMENTS:- ^ ^
PLUMBING: ^ GROUNDW ORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
COMMENTS: ^ " ` ^
OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
j
~ ~
~l
INSPECTO ATE OF INSPECTION MADE
~"~ ~ ~
~ /~
: .
.TIME:.
FAXED OPPD\BURT REA
- -- -J- -- TO CONNECT SERVICE: ON BY
• -
i
CITY OF BLAIR
Application for Building Permit
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PLOT PLAN
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Address 1 I ' Date b 1!0 ` ~ 3
Legal Description: Lot ~ Blocl~~~~`L~f~ddition ~/~~57
Please show all measurements of existing and contemplated structures,
also show distances between structures, etc,, and property lines.
Is this a corner lot? ~ .S
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BUILDING PERMIT SUPPORTING DOCUMENTS
T his building permit packet includes various items dealing with particular code
requirements and/or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2000 International Building
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.
Owner/Occupant
City of Blair
ontractor
pa,e 7 b 3
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cifyofblair@huntel.net o,~ ,m
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