BP10387City of BI21ir Building Permit Detail
Permit #: 10387 issued: 6/17/2004 Type: Siding Permits -All types
Completed: 10/24/2004 Valuation: 4673
Location: 1245 Kristin Circle
Owner: William Nielsen Permit Fee: 15
Address: 1245 Kristin Circle Issue Fee:
Deposit Amt,:
Blair, NE 68008 Receipt #:
Phone: 426-2368
Section: Township: Range:
Subdivision; Lat: Block:
Replace siding on two sides that were damaged by hail storm adn gutters all the way around house
Contractors
Blair Home Improvement General Contractor Permit # Issued
Remarks
Inspections Date 8y
10/2AI2004 KAR Final Inspection of Project Pass
~UIL®ING PERMIT APPLICATION
15 i(~ Jurisdiction of City of Blair, Nebraska
Per it Fee:. 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 '~ 0 3 8 7
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: a
Issue Date: l]y Type: ~ Vl, ~~
JOB ADDRESS , ~ , J
LJ ~~ "
LEGAL
1 . DESCR. ^ SEE ATTACHED SHEET
2 QWN4R {, I ~ ~ ~ MAID D SS ZIP WORKICEOLL PH
3 NTRACTOR MAILAD,DRESS ~~
' ~~ZIP yyORK/CEOLL N ~ -~
4. Class of Work: Q NEW Q ADDITION
Q REMODEL OTHER Q FINISHED BASEMENT ~ UNFINISHED BASEMENT
5. Describe Work: ~ ~ ~~~ L}n ~ P ~ ~~ ~~
m ~ ~~~~ ~ ~I ~ ~-
6. Valuation of Work: $ ~~~ Total Sq. Footage QRCluliiRg Basement and Garage): Total Finished Area:
Floodway
7. Floodplaln: Fringe Q Yes Q No
Q Yes Q No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: O Yes Q No
10. Special Use Permit Required: Q Yes 0 No
11. Variance Required: Q Yes ~ No
12. Minimum Setbacks: Front
13, Sidewalk Required: Q Yes
Side Rear
O 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
1 0 days or is not completed within 2 years of date of issue.
.,~ -4
SIGNATUR OF OWNERICONTRACTOR DATE
Comment:
^ Site Plan Attached e~~k lete Plans Attached
Approximate Completion Dat ~~ w
Inspections Required and Fees
Utilities
Sewer
Septic
Buildin
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
Plumbin
Ground Work
Rough-in
Water Service
Remote
Stop Box Card _
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
ABC
Final
WHEN PROPERLY VALIDATED (IN THIS
Approved By;
l~
THIS IS YOUR PERMIT
POUNDS PRTG.-Blair, NE Rev. 8/96
CITY OF BLAIR
BUILDINGrINSPECTION REPORT
^ WASHINGTON COUNTY ^
_. ~ f!
LOCATION OF INSPECTION• ~ ~ ~~~ ~ ~ ~. i l ;°~ f~) ~-/Y~_~6rj~-•
NAME OF OWNER: ~ ~J"~'"~ ''~_` _ `~/ Kid,; ~s1 `~;' 0 lnf .. ~'l.-
CONTRACTORS 2~- ~
/ P~
DATE INSPECTION REQUESTED ! L~ ~ a ~ y Y TIME INSPECTION REQUESTED• ~ ~ ~ PERMIT
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE
Iva
~•
^ STATUS CHECK
BUILDING:. ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL
COMMENTS:
FINAL ^ PARTIAL
`- n a
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
^ PARTIAL
COMMENTS
PASSED FAILED.
^ ^
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTLAL. ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
a ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^'!'FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
INSPECTOR: ~ Q -
~~~ l DATE OF INSPECTION MADE:
! ~ ^a ~ y /
TIn~a
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
P S FAII,ED