BP10401City of Blair Building Permit Detail
Permit #: 10401 Issued: 6/18/2004
Completed: 6/24/2004
Location: 1834 Grant Street
Owner: Louis Nappolini
Address: 1834 Grant Street
Blair, NE 68008
Phone: 426-9290
Section: Township: Range:
Subdivision: Lot:
Remove one layer of shingles and install 3-tab shingles
Contractors
Denny's Roofing
General Contractor
Remarks
Type: Roofing permits -All types
Valuation: 3685
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date. By
6/24/2004 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
Permit Fee: ' 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) ,426-4195 Permit 10 4 01
Deposit Receipt #; ~ ,
Issue Date: Type:
JOB ADDRESS
t
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER
2,
~ S
~~~ I HOME PHONE
WORK/CELL PHONE
3. CONT TqP „~ l fJ 14 A~ E~~ I ,/ _ ,n„ / .
, WORK/CEOLL PHONE ~' ~a~
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL
OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~
i
6. Valuation of Work: $ , O Total Sq. Footage (IRCIudiRg Basement and Garages: Total Finished Area:
Floodway
7. FIOOdplain: Fringe ^ Yes
^ Yes ^ No Dev. Permil
^ No 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 acknowledgethat payment
of the building permit application fee does not constitute issuance of this building
permit. I furtheragree 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
180 days or is not completed withi 2 years of date of issue.
SIGNATURE OF OWNER/CO ACTOR DATE
Comment:
^ Site Plan Attached plete Plans Attached
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Building
Footings Drywall
(PRIOR TO TAPING)
Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in _
Final
Plumbing -
Ground Work
Rough-in
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved Byrn l . \ tI _ _ 9 ~ ~
A\C
POUNDS PRTG.-Blair, NE ~ I ~ Rev. B/96
CITY OF BLAIR
LOCATION OF INSP]
NAMI OF OWNER:
DATE INSPECTION
^ W
BUILDING INSPECTION REPORT
(j M-~ ^ OTHER
TIME INSPECTION REQUESTED:
PERMIT N0:
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSE .FAILED
COMMENTS: ~ ^
UTILITIES: ^ SEWER TAP ^ SE R ^ 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: ^ i ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
`°•^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
TE OF INSPECTION MADE:
~Q r
TIME: r
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON By
crnT or ~L.~R
-~
arom~se of av~\\
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 Buiiding
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.
Qwner/Occupant
City of Blair
Contractor
/~'o ~
Date
218 South 16th Street • BIaIr, Nebraska 68008 • 402-426-4191 •. Fax 402-426-4195 E-mail ciiyofblair@ci.blair.ne,us ~~ ~"~