BP12826
Permit #: 12826 Issued:
Completed:
Location: 1216 Nebraska St
Owner: Sara Tuttle
Address: 1216 Nebraska St
Blair, NE 68008
Phone:
Section:
Subdivision:
Township:
Blair Building Permit Detail
8/30/2007
10/28/2008
Type: Roofing permits - All types
Valuation: 0
Range:
Lot:
Tear off one layer and some sheeting replacement will put on asphalt shingles.
Contractors
Bennett Construction
Remarks
4/16/2008
Inspections Date
4/16/2008
10/28/2008
OEM
By
OEM
OEM
General Contractor
Not complete per Mark Bennett
Final Inspection of Project
Final Inspection of Project
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Fail
Pass
f2-()oj - 7 di;fh
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT I
Permit # 2 ~ 2b
Date: ~(3D {Ol Approximate Completion Date:) 0/31 {O( Site Plan Attached:
Application for:
Permit Fee $2Ojlssuance Fee $20
Fee: $40.00
Sign Erecting, Awnings (Per Sign)
~iding/Soffit and/or Eave Repair/Gutters
~/Door Replacement (Size Change Only)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required)
Fences (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items not covered by one of the above)
Other
v
Patios/Driveway Permits/Utility Excavation and Curb Grinding Fee $35
Curb Grind
Length
Utility Excavation
Length Un. Ft.; Width
Type: Water ; Sewer ; Other
Un. Ft
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will onlv be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit tee of $100,000 - $500,000 $250.00 $
Original permittee ot $500,000 or more $400.00 $
/
/
/
.
Issuance Fee:
$
To~al Ren~wal Remit Fee = Permit Fee/Issuance Fee
AdditIonal Description of project If nece~~ary: ~ Q. V
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PROJECT INFORMATION:
Address:
Legal Description (if applicable)
Owner: Sa.y~ --rut\- \ G
contractor:'fu 1'lLtt-:> UY1 ~fY1Ld u Y'
PfJ 0 ~ 503 \N ~7lf
J< e Vln~r-J-. - Nt
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Job Address:
Address:
S~vnL
Phone#:
Phone #: Lf;)1 -74-~
61-
Cell #:
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic
systems. By my signature below, I acknowledge this building permit application 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 a permit 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 that this permit is void if work
is not commenced within 180 days or is not completed within two (2) years of date of issue.
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)G.'7Jate
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
~~~~~-~if[=~'~~~=~~'
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Date Permit Paid: 30 101 Receipt # 2dtJ 2...3 Approved by:
f< !JJud~'~~
nU:JI,IllNG INSPECTION REPORT
./
~ITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
/;? ItiJ lilbt cuia ( f]L,
CONTRACTOR~.:51Z-1t/ r(t-
TIME INSPECTION REQUESTED' ~ re
LOCATION OF INSPECTION'
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NAMEOFOWNER~ rtVla. lur/::"u
DATE INSPECTION REQUESTED' 1-./ II- ~ tJg
PERMIT NO' /;,;78;1&
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
fl. ~ - _-p~ ~~~e:;11
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL ...~("F1NAL D PARTIAL
___ ~_ _7 _ /J3;~{~_ ___-
UTILITIES: D SEWERTAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
D STATUS CHECK
COMMENTS:
PoED E
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
="'"'tW:--........,."."..,.
MECHANICAL:D ROUGH-IN D A/C D FURNACE D RADIANTHEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
COMMENTS:
PASSED FAILED
D [j
PASSED FAILED
[] D
_..:.:.....
". .
DOCCUPANCY GRANTED D CONDITIONALQCCUPANCY GRANTED
,NOTES/REMARKS'
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BUILDING INSPECTIoN REPORT
o WASHINGTON COUNTY 0 OTHER
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LOCATIONOFINSPECFON' ; / d lip ;(jcl!Yla~l~
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NAME OF OWNER' \.... } (.1/7 C( I Vf. { r vL1' CONTRACTOR' \../..)JklZ/lV t: [,-
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DATE INSPECTION REQUESTED/O - Cj,~ D ~ DO TIME INSPECTION REQUESTED' ()\', ~y
I J~ ""7/
PERMIT NO' J c::r:v ~ (ft
TYPE OF INSPECTION REQUESTED:
--"";<-- -- --=' . - - ~-""
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0
UTILITIES:
,~~-.",....-...~
o SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE b WATER SERVICE
o PARTIAL
o CONFERENCE 0 STATUS CHECK
~~._-.~-~~~
DRYWALL-Ql~INAL 0 PARTIAL
":L/ .d -
/,,-.....C /' -n (j-J
COMMENTS:
~~~~Z---
COMMENTS:
PASSED FAILED
o 0
~""":~""'.....-
--"""........"""'~~--""""~."",.,,.,
.dIW'~
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
~~.-.;;;.......""""'"'"'~~-.
..~"'~~~..,."."..~
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
COMIyIENTS:
PASSED FAILED
o -0
""'~ ~~_---...~
PLlJMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
CO'MMENTS:
""~~'~~"-'E-~~~~
PASSED FAILED'
DO
D OCCUPANCYGRAN:TED '0 CONDITIONALO(XUPANCYGRANTED
NOTES/REMARks'
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