BP10141City of Blair Building Permit Detail
Permit #: 10141 Issued: 4/2/2004
Completed: 4/8/2004
Location: 240 E. Highway 30
Owner: Nebraska Storage
Address: 240 E. Highway 30
Blair, NE 68008
Phone:
Section: Township:
Subdivision:
Replacing old roof with tin roof
Contractors
Joseph R. Funk Construction
Remarks
Type: Roofing permits -All types
Valuation: 10000
Range:
Lot:
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
4/8/2004 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
/~~~^ ~V Jurisdiction of City of Blair, Nebraska
Permit Fee: / 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 10141
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: / ~ "~N Type: "
JOB ADDRESS
ago ~
3~
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER
2, MAIL ADDRESS Zlp HOME PHONE
WORKICELL PHONE
3 CONTRACTOR ~
MAI~~RES~~
JJ
~`~~ ~~ i
~ 'ZIP / C7~"/ WORK/CEOLLPHONE (O~~ °S~p~~
4. Class of Work: ^ NEW ^ ADDITION ^ REMO
DEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ l~
0
6. Valuation of Work: $ ) (~ ~ ~ °
Total Sq. Footage (Including Basemenc and Garage):
Total Finished Area:
Floodway ^ Yes ^ No
7. Floodplaln: Fringe ^ Yes ^ No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes ^ No
10. Special Use Permit Required: ^ Yes ^ No
11. Variance Required: ^ Yes ^ No
12. Minimum Setbacks: Front
13. Sidewalk Required: ^ Yes
Side Rear
^ 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 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 not completed within 2 years of date of issue.
SIGN~NER/69 RACTOR DATERACTOR DATE
Comment:
^ Site Plan Attached
Approximate Completion Date ^ Complete Plans Attached
y' 3--0~
Inspections Required and Fees
Utilitie
Sewer Water Service
Septic Remote
Stop Box Card
Buildin
Footings Drywall
(PRIOR TO TAPING)
Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in ABC
Final
Plumbing .
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: (~ ,~
POUNDS PRTG: Blair. NE (1 Rev. 8/96
-~f~.___ -
BUILDING INSPECTION REPORT -- -~-- ~T...-----
C~I'Y' OF BLAIR ^ WASHQVGTON COUNTY ^ .OTHER
LOCATION OF INSPECTION`
NAME OF OWNER: _ ~~f°~ CONTRALTO ~~ ~'~ j-•~,LJ '
r
DATE INSPECTION REQUESTED• ~ ~ TIME IIVSPECTION REQUESTED• ~ PERMTI' NO• ~f
~ U ~ r
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL FINAL ^ PARTIAL PASS FAILED
COMMENTS: ~ ^
UTILITIES: ^
COMMENTS: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ ATER SERVICE
PARTIAL PASSED
^ FAILED
^
ELECTRICAL: ^
COMMENTS: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
PARTIAL PASSED
^ FAILED
^
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
PLUMBING: ^
COMMENTS: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
PRESSURE TEST PASSED
^ FAILED
^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
FAXED OPPD~BURT REA TO CONNECT SERVICEc ON
T ~ ~f~~
BY