BP10268City of Blair Building Permit Detail
Permit #: 10268 Issued: 6/10/2004
Completed: 6/21/2004
Location: 1038 N 24th Ave
Owner: Tim Nellenbach
Address: 1038 N 24th Ave
Blair, NE 68008
Phone: 402 426 4076
Section: Township: Range:
Subdivision: Lot:
Tearing off one layer and replacing with asphalt shingles.
Contractors
Home Pride Companies, Inc.
General Contractor
Remarks
Type: Roofing permits -All types
Valuation:
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
6/21/2004 DEM Final Inspection of Project Pass
' ,
~ BUILDING PERMIT APPLICATIONdu-~~~~
Permit Fee: ~ ~~`~'~ Jurisdiction of City of Blair, Nebraska
218 South 16th Street 10 2 6 8
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: ~~
Issue Date: ~ yl ~ ~ ( Type: ~ ~-
JOB ADDRESS S ~+~ ~ ~ +
` "7 ~ r ' '~ ~~
`~
LEGAL
1 . DESCR. ^ SEE ATTACHED SHEET
2 OW .~ ~Q/~~~~ MAIL ADDRESS ZIP ~('r'~~ HOME PHONE ~~~` t~~r~
v V WORK/CELL PHONE 7 V
3 CO[JTRAC_ TOR ^ p
r~~~MA~A~R'SS
~ ^~y
~Z~A~~ yyORK/CELLPHONE ~~fa^~^S / /
4. Class of Work: Q NEW ^ ADDITION ^ REMODEL Q OTHER Q FINISHED BASEMENT O UNFINISHED BASEMENT
5. Describe Work: ~ ~i.~-~ ,~,~ j
6. Valuation of Work: $~~ 1 ~ Total Sq. Footage pncmdlRg Basement anli Garage): Total Finished Area:
Floodway ^ Yes Q No
7. FIOOdplain: 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: O Yes Q No
12. Minimum Setbacks: Front
13. Sidewalk Required: Q Yes Q Nc
Q No
Q No
Side Rear
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 is void if work is not commenced within
days or is not com/np~leted within 2 years of date of issue.
Comment:
OF OWNERICONTRACTOR
DATE
~ Site Plan Attached
Approximate Completion Date 0 Complete Plans Attached
4O'~ ~ ¢`Uy
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Building
Footings Drywall
(PRIOR TO TAPING)
Framing Final
EI ric I
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in _
Final
PI m in
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: ~ ~\
A\C
V Rev. 8/96
POUNDS PRTG: Blair, NE
,. _ 4 _~ ~ i BUILDING INSPECTION REPORT
CITY OF BLAIR - ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: (~ 3 ~ / v
NAME OF OWNER: J ~/ ~~'`~=~',
(~, CONTRACTOR:
DATE INSPECTION REQUESTED: L ~ ~ TIME INSPECTION REQUESTED: / ! PERMiT NO: f ~ ~f~ ° '
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ~ FINAL
^ PARTIAL
COMMENTS:
PASSE `FAILED
/
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ PARTIAL ^ REMOTE ^ WATER SERVICE
COMMENTS: PASSED FAILED j
^ ^'
i
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
COMMENTS: ^ PARTIAL PASSED FAILED
^ - ^
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:
FAXED OPPD~BURT REA
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ROOFING PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or roofing permit requirements. ft in no way includes ALL particular
code items. Atso, it is your responsibility to know the 2003 [nternationat Building
Code requirements that apply to your project. Please understand this document is only
designed and distributed to aid you in your roofing permit process. A copy of the
international Building Code is available far 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
Contractor
1 ~ - (t--I -~~
Date
~_
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cifyofblair@ci.blair.ne.us •~•"••"'