BP10346City of Blair Building Permit Detail
Permit #: 10346 Issued: 6/16/2004 Type: Roofing permits -All types
Completed: 7/12/2004 Valuation: 7500
Location: 2029 Jackson Street
Owner: Richard Nordstrom Permit Fee: 15
Address: 2029 Jackson Street Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: (402) 426-9809
Section: Township: Range:
Subdivision: Lot: Block:
tearing off three layers and replacing with asphalt also redecking ;replacing gutters
Contractors
Nebraska Roofing Co. General Contractor Permit # Issued
Remarks
Inspections Date By
7/12/2004 DEM Final Inspection of Project Pass
~~ ~~ J BUILDING PERMIT APPLICATION
S~~- Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 10 3 4 6
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~2 ~~' ~~ y Type: r
JOB ADDRESS ~ f` ~ ~ ~
l!
LEGAL
1 . DESCR. ^ SEE ATTACHED SHEET
2 0 ER ~ ~ MAIL ADDRESS Zip ~ /„~~ ~ HOME PHONE ~~ I ^~~ ti
d WORKICELLPHONE b
~~Q~^ ,, - /
.3. C~R,~NO~Y-l.!{ ~ e r- C~ ~ j~ Q'
`-'D . l D ~ AIL ADD o` O.~ ~' V M~Q>:!'~. ~{/ G~j' e^°~
/
~P ~ r U ~ WORK/CEOL PHONE 3 7 lM" I `G /
4. Class of Work: Q NEW Q ADDITION Q RREMODEL O OTHER O FINISHED BASEMENT ~ UNFINISHED BASEMENT
Desc
5
.
ribe Work: _ J _ ~
~
n
~
1x/1-lT ^
cv[•~
0
6. Valuation of Work: $ ~SU~
Total Sq. Footage (IRCludlrtg Basement and Garage):
Total Finished Area:
Floodway Q Yes Q No
7. FIOOdplaln: 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: Q Yes Q No
Q No
Q No
12. Minimum Setbacks: Front Side Rear
13. Sidewalk Required: Q Yes 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 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
180 days or is not completed within 2 years of dat of issue.
SIGNATURE OF
Comment:
Q Site Plan Attached Complete Plans Attached
Approximate Completion Date ~n' O "C~~
Inspections Required and Fees
Utilities
Sewer _
Septic _
Buil in
Footings
Framing
Water Service
Remote
Stop Box Card
EI c ric I
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A1C
Plumbing
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: n ~
POUNDS PRTG: Blair, NE ~ Rev. BKJ6
., BUILDING INSPECTION REPORT - --
CITY OF BLAIR \~~
11 ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~ U ~ S
NAME OF OWNER;
CONTRACTOR:_
DATE INSPECTION REQUESTED: TIME INSPECTION REQUESTED: ~ / U ~ j~v
PERMIT NO:
TYPE OF INSPECTION REQUESTED:
^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOO'I;ING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINS
^ PARTIAL PASS FAILED..
COMMENTS: ~I ~ ^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
^ PARTIAL PASSED FAILED
COMMENTS: - ^ ^
ELECTRICAL ^
: .
ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
^ PARTIAL PASSED FAILED
COMMENTS: ^
MECHANICAL ^ R
: OUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL
PASSED FAILED
COMMENTS: ^ .°f ^
PLUMBING ^
: GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
- PASSED FAILED
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
TIME: ~i'~-%~
FAXED OPPD\BURT REA TO CONNECT SERVICE:. ON
BY
CI1Y OF BLI~IR
~~~~ ~~
?~
promise of~ qv~\~
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
Contractor
City of Blair
~ o
Da e
1=1
218 South 16th Street • Blalr, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail ciiyofblair@ci.blalr.ne,us ~~ ~ ~"'