BP10196City of Blair Building Permit Detail
Permit #: 10196 Issued: 6/1%2004
Completed: 7/29/2004
Location: 1117 N. 25th Avenue
Owner: Marlow Newland
Address: 1117 N. 25th Avenue
Blair, NE 68008
Phone: 301-7156
Section: Township:
Subdivision:
Replacing old shingles with asphalt shingles
Contractors
ReRoof America Corp.
Type: Roofing permits -All types
Valuation: 7561
Range:
Lot:
General Contractor
Remarks
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
7/29/2004 DEM Final Inspection of Project Pass
U ~'
BUILDING PERMIT APPLICATION
Permit Fee: 15 - o ~ Jurisdiction of City of Blair, Nebraska
218 South 16th Street 1019 6
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: G r ~ ~ y Type: 1L~//'
JOB ADDRESS III 7 / ~ ~ ~ ~ ~~
LEGAL
1 . DESCR.
^ SEE ATTAC
H
ED
SHEET
2 OWNER,/~~ ~ ~ A MAIL ADDRESS (
ZIP I _ p~~o ~/ ~
y
/
rJ I ~` ~ l ~~
yyORKICEOL PHONE J
3. C NTRACTOR ~ f' v v~•>:~1. ~ f l ~ F ~ ~+L A~ RESS ~ I ~ ~ ~c~ / s~l I ~ `
WORK/CEOLL PHONE ~ / ,~ `~~ r^ ~~
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ ~CL
.~~
~j ~ t' ~
~.~/1
v
6. Valuation of Work: $~ ~~ Total Sq. Footage (InclBalrtg Ba6ementana Garage): Total Finished Area:
Floodway ^ Yes Q No
7. FIOOdplaln: Fringe Q Yes O No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes
10. Special Use Permit Required: ^ Yes
11. Variance Required: ^ Yes ^ No
^ No
^ 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 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 ofNeb ska.lunderstandtha thispermitisvoidifworkisnotcommencedwithin
180 day r is not complete~v 2 Vearsef'date of issue. ~
SIGNATURE OF
Comment:
^ Site Plan Attached ^ Complete Plans Attached
Approximate Completion Date ~ ~"~° ~ y
Inspections Required and Fees
Utilities
Sewer
Septic _
B iu Iding
Footings
Water Service
Remote
Stop Box Card
Framing
Ele rival
Rough-in
Final
' Temporary Service
Mechanical _
Rough-in
Final
Plum in
Ground Work
Rough-in
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: f t n ~ ~~ n ., d.. ,!~ ~ .,.i1
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
ABC
POUNDS PRTG: Blair, NE r ~ Rev. 6/96
BUILDING .INSPECTION REPORT
'CITY OF BLAIR ^ WASHINGTON COUNTY ^ OT
HER
H
// LOCATION OF INSPECTION: ~ ~ ~ ' ~ ~ ~ - ~ "
NAME OF OWNER: ~ ~~ 1n~ `°" ~"C CONTRACTOR:
r
DATE INSPECTION REQUESTED: ~ /~~` TIME INSPECTION REQUESTED: ~ PERMIT
I
N0:
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUH,DING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL
INAL ^ PARTIAL PASSE FAILED
F
COMMENTS: ~~ ^
UTILITIES: ^ 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: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
~~~:i
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY