BP10295City of Blair Building Permit Detail
Permit #: 10295 Issued: 6/14/2004
Completed: 8/11/2004
Location: 2610 College Drive
Owner: Richard Nelson
Address: 2610 College Drive
Type: Roofing permits -All types
Valuation: 4000
Blair, NE 68008
Phone: 426-4995
Section: Township: Range:
Subdivision: Lot:
Removing two layers down to decking and replacing with asphalt shingles
Contractors
Lastime Roofing * Guttering "Awning
General Contractor
Remarks
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
8/11/2004 DEM Final Inspection of Project Pass
~~~ BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
Permit Fee: I ~ 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 10 2 9 5
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~ Type: 1`~~( ~i' l ~
JOB ADDRESS ~ ~ ~ ~ ~ ~~~
LEGAL
1 . DESCR. -
^ SEE ATTACHED SHEET
0 E
`Z, ~ I A DRE
~ ~ Ip HOME PHONE
WORWCELL PHONE
COT T R
3, ~ - AIL ADDRES
~ ~~~~ ~( ZIP
'~''`i~^ HOME PHONE
WORK/CELLPHONE ~- l
4. Class of Work: Q NEW Q AD ION Q REMODEL OTHER Q FINISHED BASEMENT O UNFINISHED BASEMENT
5. Describe Work: ~ ~ l ~ l
~ ~.~~~ ~ ~h~ ~~ -
6. Valuation of Work: $ (~, ~ Total Sq. Footage pncluaing Basement anti Garage): Total Finished Area:
Floodway
7. FIOOdplaln: Fringe (] Yes O No
Q Yes Q No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes Q No
10. Special Use Permit Required: Q Yes Q No
11. Variance Required: Q Yes Q No
12. Minimum Setbacks: Front
13. Sidewalk Required: Q Yes
Side Rear
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 thatthis permit is void if work is not commenced within
180 days or is not co pleted within 2 years of date of issue.
~'-~(~ ~~
51G URE OF WNER/ TRACTOR DATE
Comment:
Q Site Plan Attached ~I ~ l' I®~~Cpmplete Plans Attached
Approximate Completion Date ~ ~( y
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Buil in
Footings Drywall
(PRIOR TO TAPING)
Framin Final
g
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: i!~ ,~ I nrn l (I,~~n_ ,~ d ~~~~
r V Rev. &96
POUNDS PRTG.-Blatr, NE
~a. BUILDING INSPECTION REPORT
~ITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
,. , LbCAT_ION OF INSPECTION: ~ ~ ~ U
NAME OF OWNER: ~ ~Y~~'"' CONTRACTOR:
1
DATE INSPECTION REQUESTED: ~ ` TIME INSPECTION REQUESTED: ~ ~ PERMIT N0:
f U ~ ~ S~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTLAI. PASSED FAILED
COMMENTS: ~(~ ^ ^
i--'
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:
FAXED OPPD~BURT REA
DATE OF INSPECTION MADE:
TO CONNECT SERVICE: ON
/ /
BY
TIME: _ - C./ C...r
CITY OF' BI,~~iR
aro~~se of~ a~a\\
ROOFING PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or roofing permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2003 international 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 for 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
f
ontr for
~ ~r~ ~~ Lf
Date
~~
218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cifyofblair@ci.blaif.ne.us •~ •~~~