Loading...
BP10386City of Blair Building Permit Detail Permit #: 10386 Issued: 6/18/2004 Completed: 7/6/2004 Location: 2044 Grant Street Owner: John Nielsen Address: 2044 Grant Street Blair, NE 68008 Phone: 4262920 Section: Township: Range: Subdivision: Lot: Tearing down to deck and replacing with asphalt Contractors Bennett Construction General Contractor Remarks Type: Roofing permits -All types Valuation: 6019 Permit Fee: 15 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 7/6/2004 DEM Final Inspection of Project Pass BIJIL®ING PERMIT APPLICATI®N Jurisdiction of City of Blair, Nebraska Permit Fee: 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 10 3 8 6 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #; Issue Date: ~- ` ~~,~ - Type: JOB ADDRESS LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET 2 0 R A ,~ d MAIL ADDRESS y ZIP ~i ~UV a yyORKICEOLL PHONE ,~~ ~ ~ Sa' Q 3 CO CTOR ~ ~ r~ ~ AI~DDC~ S ~ ,'`~ V , , ' ~ ZIP WORKICEOLL PHON /~'~I` ~ T r'-~~ 4. Class of Work: ^ NEW ^ ADDITION ^ R E MODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work: v 6. Valuation of Work: $ ~ (, ~ S ~ Total Sq. Footage (IRCIudiRg Basement ana Garage): Total Finished Area: Floodway Q Yes Q No 7. FIOOdplain: Fringe ~ Yes Q 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 13. Sidewalk Required: ^ Yes Side Rear ^ 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 that this permit is void if work is not commenced within 18 s or I not completed w' 'n 2 years of date of issue. SIGNATURE OF OWNER/CONTRACTOR DATE Comment: ^ Site Plan Attached ^ 6 , lete lans Attached Approximate Completion Date ~O U ~ G Inspections Required and Fees Utilities Sewer _ Septic _ Water Service Remote Stop Box Card Building Footings Drywall (PRIOR TO TAPING) Framing Final Electrical Rough-in Final Temporary Service Mechanical Rough-in _ Final Plumbing Ground Work Rough-in _ Fixtures Permanent Service A\C Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: t ~ POUNDS PRTG.~Blair, NE ~ ~ Rev. 6/96 BUILDING.INSPECTION REPORT ~ CTPY OF BLAIR ((~-, ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: _ ~ (~ y Y NAM); OF OWNER: - `~ CONTRACTOR: DATE INSPECTION REQUESTED: ~' ~ ~'IME INSPECTION REQUESTED: ~ ~ PERMIT N0: ` U TYPE OF INSPECTION REQUESTED: ^ .CONFERENCE BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ p,~T~, COMMENTS: ~ ~ ^ STATUS'CAECK PASSED FAILED ~ ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE. ^ WATER SERVICE ^ .PARTIAL PASSED. FAILED ' COMMENTS: ^ ELECTRICALc ^ ROUGH IlV - ^ FINAL ^PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PARTIAL ^ PRECONNECT PASSED SAILED 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 ^ CONDITIbNAL OCCUPANCY GRANTED ;~ NOTES/REMARKS: 1 CITY OF ~I,~~IR - ~ ~~~ -. aro~/se of qvd\ ROOFING PERMIT SUPPORTING DOCUMENTS This supporting document includes information dealing with particular code requirements andlor roofing permit requirements, It in no way includes ALL particular code items. Also, it is your responsibility to know the 20Q3 tnternatiorfat BuiidinQ C©de requirements that apply to your project. Please understand this document is only designed anddistributed 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. 1 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. OwnerfOccupant City of Blair ~ ~ a~ ~ Contractor ~ .~ ~~~ D to ~- 218South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cityofblair@ci.blair:ne.us e::•.n.m