BP10218City of Blair Building Permit Detail
Permit #: 10218 Issued: 7/2/2004
Completed: 8/23/2004
Location: 1038 N 28th Ave
Owner: Joyce Nelson
Address: 1038 N 28th Ave
Blair, NE 68008
Phone: 402 533 9432
Section: Township:
Subdivision:
Replacing all shingles.
Contractors
ReRoof America Corp.
Remarks
Type: Roofing permits -All types
Valuation: 6494.97
Range:
Lot:
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
8/23/2004 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
/~', U,~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
De osit Recei t #•
10218
P p
Issue Date:. ~"r~~ D~ Type:
JOB ADDRESS ~ ~ ~ ~ ^ ~, ~ •~
I/\"J Qt]
LEGAL
1 . DESCR. ^ SEE ATTACHED SHEET
2.OWNE r ~~~
MAIL ADDRESS 2
ZIP f tr 11 ~~ WORK/CEOLL PHONE ^ „~3 `" ~ ~J
V
CO TRA OR
3• MAIL ADDRESS ZIP
HOME PHONE ~,..~~~Y~~~~
WORK/CELL PHONE
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~l
6. Valuation of Work: $- ~n~~~ ~ Total Sq. Footage (Including BasementanaGarage>: Total Finished Area:
Floodway ^ Yes ^ No
7. Floodplain: 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 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 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 isvoid ifwork is not commenced within
180 d~cs-eris`ryot completed withiy>,~ years of date of issue.
Comment:
OF
^ Site Plan Attached ^ Complete Plans Attached
Approximate Completion Date
Inspections Required and Fees
tilitie ~" [®°i d~
Sewer Water Service
Septic Remote
B iu Iding
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in
Final
PI mbin
Ground Work
Rough-in
WHEN PROPERLY VALI
Approved By: r
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A\C
Final
THIS SPACEI THIS IS YOUR PERMIT
POUNDS PRIG: 81air, NE ~ // Rev. BI96
BUILDING INSPECTION REPORT
CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION• 1 ~ ~ u ~ Z~ ~ + '~ `-''
NAME OF OWNER: ~ "'""y`° ~ u~ ~ ~ ~ CONTRACTOR • ~ ~ ~ ~ " l~
DATE INSPECTION REQUESTED• ~ ~/ TIME INSPECTION REQUESTED• ~ ~ PERMIT NO• ~ U
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL~FINAL ^ PARTIAL PASS FAILED
~ ^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ ATER 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
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
FAXED OPPD~BURT REA
i
TO CONNECT SERVICE: ON BY
T ~~ A