BP10784City of Blair Building Permit Detail
Permit #: 10784 Issued: 7/7/2004 Type: Roofing permits -All types
Completed: 8/24/2004 Valuation: 6400
Location: 1038 N 28th Ave
Owner: Joyce Nelson Permit Fee: 15
Address: 1038 N 28th Ave Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township: Range:
Subdivision: Lot: Block:
Partial replacement of wood siding. Tear down to deck and replace with asphalt shingles. Replace all gutters.
Contractors
ReRoof America Corp.
General Contractor
Permit # Issued
Remarks
Inspections Date By
8/24/2004 DEM Final Inspection of Project Pass
- ~~~ LI ATION
,. , ~ ~ ~U~LDING PERMIT APP C
~~ ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 0 7 8 4
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ? _?~ yy Type: ~ ~~/A' ~ wU'"""~'
JOB ADDRESS ~ , ^ ~
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LEGAL
1 . DESCR. ^ SEE ATTACHED SHEET
OWN (`~ L 0 „
2 1 ' ~ N1-tJ+~.1 MAIL ADDRESS ZIP HOME PHONE
WORK/CELL PHONE
CO RA TOR ~
'3 ~ ~ m-~p/l~~ MAILADDRESS ZIP HOME PHONE (~[~~i ~~~~
WORKICELL PHONE J 7 /
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ ~~ ~ ~ ~ ,L~
(~
6. Valuation of Work: $ l9 ~ U (~ Total Sq. Footage (IrtDluaing Basement artd Garage): Total Finished Area:
Floodway ^ Yes ^ No
7. Floodplain: Fringe ^ Yes ^ No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes
10. Special Use Permit Required: ^ Yes
11. Variance Required: ^ Yes ^ No
^ No
^ No
12. Minimum Setbacks: Front Side Rear
13. Sidewalk Required: ^ Yes ^ 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 ofthis 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 that this permit is void if work is not commenced within
180 days or is not complgted within 2 years of date of issue.
SIGNATURE OF
Comment:
^ Site Plan Attached Q Complete Plans Attached
Approximate Completion Date ~ ~ rU4
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Stop Box Card
Buil in
Footings Drywall
(PRIOR TO TAPING)
Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A\C
Final
Plumbing
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By:
POUNDS PRTG: Blair, NE ~' / Rev. 8196
BUILDING INSPECTION REPORT
V
CITY OF BLAIR ^ WASHINGTON COUNTY a ^ O~(THER
LOCATION OF INSPECTION• •~ _ O~ O Z"
NAME OF OWNER• ~ " ! '" ''" CONTRALTO ~ ~`'
DATE INSPECTION REQUESTED• ~~~~ TIME INSPECTION REQUESTED• ~ ~ PERMIT NO• ~ ~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CAECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL PARTIAL PASSED FAILED
COMMENTS: ~ ~ ^
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
^ PRESSURE TEST ^ ^
- COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS~
DATE OF INSPECTION
TIMR. 9. ~.~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON-
1
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ROOFWG PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or roofing permit requirements. ft in no way includes ALL particular
code items. Also, it is your responsibility to know the 2003 Infernafiona[ Bu[Iding
Code requirements that apply to your project. Please understand this document is only
designed ahd distributed to aid you in your roofing permit process. A copy of the
Infernafiona! 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.
OwnerlOccupant
City of Blair
Contractor
~ ~
Date
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218 South 16th Street • Blair, Nebraska b8008 • 402-426-4191.. • Fax 402-426-4195 E-mall ciiyofbfair@ci.blair.ne.us •~ ~••