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BP9955City of Blair Building Permit Detail Permit #: 9955 Issued: 7/14/2003 Completed : 10/25/2004 Location: 2310 Colfax Street Owner: David Nannen Address: 2310 Colfax Street Blair, NE 68008 Permit Fee: 200 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 9552 Phone: 402 426 2951 Section: Township: Range: Subdivision: Lot: Block: Adding a covered deck on south side of house and remodel kitchen - 28 inches off of ground Contractors Ogle Construction Steve Rounds Young Plumbing Remarks General Contractor Electrical Subcontractor Plumbing Subcontractor Permit # E1860 P0985 Inspections Date By 9/24/2003 DEM Plumbing Rough-ins Pass 9/24/2003 DEM Electrical Rough-ins Pass 9/24/2003 DEM Framing Pass 10/25/2004 DEM Plumbing Final Pass 10/25/2004 DEM Mechanical Final Pass 10/25/2004 DbM Electrical Final Pass 10/25/2004 bEM Final Inspection of Project Pass Type: Residential Additions Valuation: 40000 Issued 9/22/2003 9/22/2003 ~~ ~ BUILDING PERMIT APPLICATION Permit Fee:'~UC) ~ U O f ,~I~risdiction of City of Blair, Nebraska ' u, ,~~~ . r ,~ 218 South 16th Street Issuance Fee: } ~ u ~ ~ Blair, Nebraska 68008 Receipt #: 1•r1~(402) 426-4191 • Fax (402) 426-4195 Permit- Deposit Receipt #: G `~')~. Issue Date: ~ ~ ~~- U Type: / - ~ /1 ~ ~C~ JOB ADDRESS LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER 2. MAIL ADDR S ~ /1 -e " ~ ZIP HOME PHONE ~Z(p ~ 2 ~~ WORK/CELL PHONE t. f g' CO CTOR 3. "~ MAIL ADDRESS ~~ ~ ~ ZIP HOME PHONE LfZ(~. Zis~/ ~~ g WORKICELL PHONE 4. Class of Work: Q Q ADDITION ~iEMODEL Q OTHER Q FINISHED BASEMENT Q UNFINISHED BASEMENT 5. Describe Work: ~iLCJLC~C ~'L GL_ co v ~~1'~~(,~ ~ ~ ~ I'L I ~f ~Z~~(1L~ ~g 6. Valuation of Work: $ Wv Total Sq. Footage tlncmdiog Basement ana Garages: Total Finished Area: Floodway 7. Floodplaln: Fringe Q Yes Q No ^ Yes ^ No Dev. Permit BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: Q Yes ~Ao 10. Special Use Permit Required: Q Yes ~No 11. Variance Required: Q Yes ~No 12. Minimum Setbacks: Front ~. Sitle ~ Rear 13. Sidewalk Required: Q 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 acknowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered bythis permit application shall not be commenced until I have received a copy ofthis application form signed bythe 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 not completed within 2 years of date of issue. OWN Comment: DATE Site Plan Attached Q Complete Plans Attached Approximate Completion Date Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card Bw.ldina Footings Framing Electrical Drywall (PRIOR TO TAPING) Final Fixtures Rough-in Final Temporary Service Mechanical Rough-in _ Final Permanent Service A1C Plumbing Ground Work Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By;/ ~~1 w /~// ~-~' ~, 09955 POUNDS PRTG: Bletr, NE - Rev. 8/96 ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~, zz ~..~-~ Permit E 18 6 0 Permit Fee: $ 55' ~~ JOB ADDRESS 2 3 ~ D C~ 1 ~~.- ~ 1 LEGAL DESCR. p SEE ATTACHED SHEET 2 OWNER ZM31 S uDRESS ZIP WORKICOELL PHONE ~ ll e, NCB l~ 2{'1 ' C ~ (~0. ' ~.5~- N ~ J I CONTR{~~OR MAILADDRESS PHONE WORKICOELLPHONE ~~o~p- ~~~{,~ 3. E ~ ~ ~. +`~i ~ rs ~ 3~U ~w ~ e~- 4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL ~f REMODELING/ DITIONS O UPGRADE SERVICE 5. Describe Work: eC~C~ I ~ 6. Current License on File ~''~es p No O NA Completion Date ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00 201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00 y ................. 301-400 Amp Fee ............................ $ 42.00 Si ns $15.00 g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 401 -500 Am Fee $ 55.00 p ............................ 501-600 Amp Fee ............................ $ 67,00 Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Area) NOTICE Single/Two Family Dwellings I hereby certify that I have read and examined this sq. ft. x .045 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets ~ 5U 5 d ~~ to violate or cancel the provisions of any other state or local x $.75 Fixtures ~ law regulating construction or the performance of Smoke Detectors 6 x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 X Power Apparatus (220 Volts) ~ ( ~ ~~ SIG TURE OF CONTRACTOR OR AUTHORIZED AGENT x $3.00 # Apparatus ' " ~~~~ Permit Issuance Fee ............. $15.00 /~ • ~ DATE TOTAL ~~~ ~Q WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG.-Blair, NE - Rev. 11/99 ~~ ~- PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 0 9 8 5 (402) 426-4191 Application Date: ~ r °~a ~ ®3 Permit Fee: $ ~ ~ ~~ JOB ADDRESS ~ ~ i1 q ~ I~ V MAILADDRESS 1. OWNER A ~ C~J~~~ Iv ~ ZIP / (`~~~ (i (, Q (~ Q PHONE LICENSE NO. ~ MAIL ADDRESS PHONE 2 CONT ACTOR P~o-~~ ~.y bF~.Ca~~. r~C ~Y0~3 ~b fs' y~ ~.~ 3. Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR REPLACEMENT 4. Describe Work: ~ f~ ~~ ~ ~ ~ Comments: PLUMBI G PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. ~ ~" ~ Kitchen $8.00 x _ Bath .................................... ... $8.00 x Rough-In Bath .................... ...$4.00 x Slop Sink/Laundry Tray ...... ... $5.00 x Water Heater ...................... ... $3.00 x - Outside Water Faucet ........ ... $3.00 x Drinking Fountain ............... ... $3.00 x Water Service ........................ $10.00 NOTICE Sewer ................................. ... $10.00 I hereby certify that I have read and examined this Groundwork ........................ ...$10.00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals ....... ...$10.00 work will be complied with whether specified herein or not. Lawn Sprinkler System ...... ... $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Sprinkler System ................ ... $30.00 law regulating construction or the performance of (Commercial) construction. Gas/Water Piping System (Commercial) ........................ .... $30.00 ~ Permit Issuance Fee ............. $15.00 ,~~1717 SIGNATURE OF C TRA R OR AUTHORIZED AGENT ~ 2 ~ J TOTAL J ~ ~ - DATE Current License on File OYes O No ~ NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~nlINf1C PRTf: .Blair NF Rev. M98 .,_, ~ ~ _ _, BU~LDI~TG`INSP~ECTION REPORT ~~ ~` a s , CITY OF BLAIR ^ WASHINGTON COUNTY. ~ ,. , ~ .: ^~/~ ^ OTHER LOCATION OF INSPECTIO v_'Sl ~G ~/C~~ NAME OF OWNER~1! Y/7 /~// ~~L~ DATE INSPECTION REQUESTED• ~~ ~~ TII~E INSPECTION TYPE OF INSPECTION REQUESTED: PERMTI' NO• ^ CONFERF,NCF. I LCT A Tiie nrrn~,v isUlLllllVh: U ' FOOTING DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL ''`-' - ---_ `•., ..'••-,•.•' PASS FAILED COMMENTS: ^ UTILITIES: ^ ^ SEWER TAP ^ SEWER ^ .SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PA PASSED COMMENTS: c RTIAL ^ FAILED ^ ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPOR R ^ A Y SERVICE PARTIAL ^ pRECONNECT PASS FAILED COMMENTS: ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED "'COMMENTS: ^ ^ PLUMBING ' ^ : GROUNDWORK ^ ROUGH-IN ~ FINAL ^ WA ^ TER METER INSTALLED ^ PARTIAL PRESSURE TEST PAS D° FAILED COMMENTS: i ^ ^ OCCUPANCY GR ANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• BUILDING INSPECTION REPORT.' ~s ~: ___ ~ o ^ CITY OF BLAIR ^ WASHINnGTO(N COUNTY ^ OTHER LOCATION OF INSPECTION: ~ v 1. ~ ~ ~\~ l ~ ~~ NAMi~ OF OWNER: ~' Q ~ - ` "E ~ CONTRACTOR: ~-~ ~ ! `-1 6)`-"-~ --_ `-t Z I -- ~' ~ ~~ DATE INSPECTION REQUESTED: ~ . ~ Z~~ ~ ~"' TIME INSPECTION REQUESTED: ~~~ ~ ~ PERMIT N0: ~~ ~ S TYPE OF INSPECTION REQUESTED: e ^ CONFERENCE ^ STATUS CHECK 1 BUILDING: .COMMENTS: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSE FAILED PASSED FAILED ^ ^ PASS a ., FAILED ^ i UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL COMMENTS: ELECTRICAL:~ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL COMMENTS: (\ ~~ C~ ( O r~ ~~ COMMENTS PLUMBING: COMMENTS: J ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL l/ ^ GROUND WORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL LJ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: PASSED FAILED ^ ^ i INSPE- TE OF INSPECTION MADE: ~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY 328.85'(R) C;~~~ l . a ~ ~I' " ~ rG~ I ° T.L. 4,.31 ~ u " I ~ ~ ~i N 00'08'33" W .. n 15.00' I TAX LOT 328.62'(R) S 88'48'49" E ~ w 15.00'(RddA) ~~ S 89.48'49" E ~ 264.05' ~ ~f '3 ~ ' / ~ s5.oo' l , 60 i` ~ ~:: w Z' ~ . ~ ~ ~ ~ ~~ TRACT 1 i `h 1.19 ACRES p 27.87 ~ ~ "n ~ n C11 OD ?. ~ N 89'56'13" W N Gi ~ S eB~3'S8" W ~ W v 81.98' 5.4~ GARAGE 5' 27.52' ~ •' ~ O + ~ ~ D N 527 8'48'.23' N 3~0.4o h'~j~ ~ ~ , ~ '~` ti `~ N ro N 00'08'33" W N Sg'g, ~ x-~ :,: ~ ~ 4.55' 72j Spe ~' :p S 00'08'33" E ?3 b' i p 5.87 ~, I " W\ (n '`' ~ 45.x7 _ r., ~ I ~ °f r°~` COLFAX ~ ~ PdoPOSEO ~ ~ STREET ~ EASEMENT, ~ --------- ~# ~o ~ - N f0 TRACT 2 201 ACRES 24.3' T. L. 525 tig `~ 328.34'(M) 328.5'(R) N 89'56'13" W T. L. 526 u al ~ c o o ~;, a .. n N T. L. 444 0 ^ O O ~c~ ® Zc`~o ~~ ~ ~ n 8 ZV ~~ Ez r r ZZ -(~ ~~ ._ ~~ .E, ~ ~ ~ ~ ~O~o ~ ~~ ~z~ ~~ N~ ~.~~~ ~~~ ,« r .- -,_ c g d J Z~ ~- ~ G i 0'Lo `~' ~~ ~~l 4 ~' ~ ~ ~~ tl c,,~_ ~ '~ i,, ii ~ r, j ~, -( iii ~ 1 ~js s ~ ~ 1f " _,- = r ~~ ~ ~ - ~~ ~~ ~~~~ ~ ~~ ~.i - __ ~ ~~~~r v - i! - ~~~~ _. - _ ~` __ .- _- __ __ _ _ - - ~~I i 9 ~/~' r ~ u. ~ - f _ a- _ , ~ ._. _. _ _ _ ._ .. _ _ _ I~ ...~. ~ ` i v_ ~ ~ _.. __ _.- i. i_ _ _.. ....__. _ .-_ _- - -.... .._ ... ~ -- ~li -I- - - -- - .__ -_- -. .__------- - ---- -- - ___.. __ .. - - -. _.. ~. I l - _ ,I - --- _ _-_~___ Y__ _ - #_ -- - ___- ~ _ i I. ~:; l - -- - ' 1 _ ~~ ~ i r ,. ~ E. _ - i a .. 1 i; ~; -.. - _ ~! _.-- ~----~ --- is l l - - '- -- - - - Iil !ii r. CITY OF BI,~IR ~~ Aro~~se f a J~\` 0 BUILDING PERMIT SUPPORTING DOCUMENTS i 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 ont actor ~l ,- Da e 218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-41,95 • E-mail cityofblair@huntel.net CITY OF BI,~1IR _. ~ e of BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 refundable deposit is being collected at the time of your building permit application for all permits $10,0000 and above. However, the City reserves the right to not refund this deposit if any of .the following conditions occur during the construction period: 1.) theft of water service by either the plumber, owner or general contractor, 2) all required inspections. have not been obtained (this includes drywall prior to taping), 3) occupancy occurs prior to a final inspection, 4) all permits have not been obtained, and 5) the project is completed without a final inspection being done. If any or all of these situations occur during construction, you may forfeit your deposit. I, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/owner Contract r/Owner City of Blair Date _~ 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cilyofblair@huntel.net o „ -,,,