BP10103~~ ` City of Blair Building Permit Detail
Permit #: 10103 Issued: 1/23/2004
Completed: 2/20/2004
Location: 2310 Colfax Street
Owner: Dave and Karin Nannen
Address: 2310 Colfax Street
Blair, NE 68008
Phone: 426-2951
Section: Township: Range:
Subdivision: Lot:
Putting on new vinyl siding
Contractors
Frank Gabby Siding & Windows
Remarks
Type: Siding Permits -All types
Valuation: 9000
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
2/9/2004 DEM Status check Fail
2/20/2004 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 1010 3
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: -
Issue Date: _ ' ~ ~ ~ Type:
JOB ADDRESS
LEGAL
1 . DESCR.
~
^ SEE ATTACHED SHEET
2 OWNER (
o{/ ~~j ,/') , ,,^
~ ` I D RE~~ ~ 2 ~ ~4~ I Cii Jl
~ (~, ZIP I /~ . n WORK/CELL PHONE ~ ~ '' I
~(~_
NT TO
d C M IL ADDRESS
D ~ ZIP
HOME PHONE
WORK/CELL PHONE r I
4. Class of Work: ~ NE ~ AD ION ^ REMODEL OTHER ^ FINISHED BASEMENT ~ UNFINISHED BASEMENT
5. Describe Work: ~~} I l~l~J n~
6. Valuation of Work: $ ~. Total Sq. Footage (IRCluding Basement and Garage): Total Finished Area:
Floodway ^ Yes Q No
7. Floodplaln: Fringe Q Yes Q No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes
10. Special Use Permit Required: Q Yes
11. Variance Required: Q Yes Q No
12. Minimum Setbacks: Front
Q No
Q No
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 that this permit is void if work is not commenced within
180 day not com ted within~of date of issu ~ f
~~/j ~~ _"
Comment:
OF OWNER/CONTRACTOR
DATE
Q Site Plan Attached ~ ~a ~[~ ~o~nplete Plans Attached
Approximate Completion Date 7 ~~((
Inspections Required and Fees
ilitie
Sewer
Septic _
Buildin
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
Plumbing
Ground Work
Rough-in
Water Service
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
ABC
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved
POUNDS PRTG: Blair, NE i t ~ Rev. 8/96
BUILDING INSPECTION. REPORT
CITY OF BIJAHt ^ WASHINGTON COUNTY
,• ^ OTHER ~^~' ~
LOCATION OF INSPECTION: !~ ~~ ~~~~ ,~~%~~~~~ .
i
~
"
c
NAM
x OF OWNER:
~
~ CONTRACTOR:
DATE INSPECTION REQUESTED
l/~ ~~ ~
: TIME INSPECTION REQUESTED:
PERMIT
N0:
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE
^ STATUS. CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL
^ PARTIAL
P
COMMENTS: ,/
//~ / /~
~
f
/ ASSE AILED
J ^
UTILITIES; ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ W
A
T
ER SERVICE
^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
^ PARTIAL PASSED FAILED
COMMENTS: ^
MECHANICAL: ^ ROUGH-IN ^ A!C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ pART~L
_ PASSED FAILED
COMMENTS: ^ ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
PASSED FAILED
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
FAXED OPPDIBUR'~ REA TO CONNECT SERVICE: ON
BY -