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BP11616R-e~ ~ I -~ ~ I ~s ~~ ~~~ City of Blair Building Permit Detail Permit #: 11616 Issued: 9/20/2004 Completed: 12/21 /2004 Location: 1008 Stonecreek Drive Owner: Jim & Laura Nelson Address: 1008 Stonecreek Drive Type: Residential Remodeling Valuation: 17500 Blair, NE 68008 Phone: 426-1976 Section: Township: Range: Subdivision: Lot: Finish basement with family room, bathroom, furnace room and play room Contractors Warrick Construction Co. Dick's Electric Ray's Plumbing Remarks Inspections Date 9/23/2004 10/6/2004 10/6/2004 10/6/2004 10/15/2004 12/21 /2004 Permit Fee: 85 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 12683 Block: General Contractor Permit # Issued Electrical Subcontractor E2038 10/5/2004 Plumbing Subcontractor P1137 9/22/2004 By DEM Plumbing Groundwork Pass DEM Plumbing Rough-ins Pass DEM Electrical Rough-ins Pass DEM Framing Pass KAR Drywall Pass DEM Final Inspection of Project Pass _ BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska Permit Fee: ~ ~_ ~ ++ ~ 218 South 16th Street Issuance Fee: ~ ~ . ~ ~ I ~-~''~ Blair, Nebraska 68008 1 1616 Receipt #: ~~02) 426-4191 • Fax (402) 426-4195 Permit 2.1a~3 `-3~, ~ Deposit Receipt #: ~` Issue Date: ~ ~ TyNe: ~i f'•1. ish I~C,~S~ m JOB ADDRESS ,1 „ ~ U U ~~ LEGAL 1. DESCR. ^ SEE ATTACHED SHEET 2.OWN~R ~ ~~ Ct r MAIL DRESS ~ ZIP HOME PHONE WORK/CELL PHONE -~ CO RACTOR 3 ~ ~ ~ ~ (' ~ MAIL ADDRESS ~ ~~ ~ I ~ ~ ZIP HOME PHONE WORK/CELL PHONE~~ ~ ~~ Z 4. Class of Work: ^ NEW ^ ADDITION Q REMODEL ^ OTHER ~ FINISHED BASEMENT Q UNFINISHED BASEMENT 5. Describe Work: ~ `t - 111PX1~ ~ ~~-I'~'1 ~ ~ YY~ ~ ~'1 Llr1'1 Y' Cam. YY1 °1' ~C~YYI 6. Valuation of Work: $~, ~" Total Sq. Footage (Including Basement ana Garage): Total Finished Area: Floodway ^ Yes 7. Flootlplain: Fringe ^ Yes ^ No Dev. Permit ^ No BFE Elev. Cert. 8. Current Zoning: Q Site Plan Attached P Complete Plans Attached Approximate Completion Date TI ~ ~ S _ Inspections Required and Fees Utili i Sewer Water Service Septic Remote Stop Box Card Building Footings D I (P OR TO TAPING) Fra ng F al I ctrical ~C~k-~5 ~(Q~' Rou -in Fixtu~s FI I Permanent Service Temporary Service hank dg ~ ABC F Plumbing /'~YYI/~ ~G~-.r 9. State Fire Marshall Required: ~ Yes ~ No ~~~ 10. Special Use Permit Required: ^ Yes ~No /~_ _ 11. Variance Required: ^ Yes ~~lo '~-~O 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 acknowledgethat 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 agreeto 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 ebraska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin 180 day or is not completedlNithin 2 years of date~flissue. SIGNATURE OFOWNER/CONTRACTOR DATE Comment: .. MEET IBC,tiI~C;~RC, IMC AND NEC CODE R~QUiREMENTS SLEEPING ROOMS BELOW THE fOURTN STORY AND IN BASEMENTS ARE REQUIRED TO HAVE AN EGRESS WINDOW. 7" ~~S/~D~ ~~l WHEN PROPERLY VALJ!)ATED (IN THIS SPACE) TJ~ISJ~OUR PERMIT POUNDS PRTG.-Blalr, NE Rav &~ PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: ~~~~ P 1137 Permit Fee: $ ` ~~ JOB ADDRESS I /~) ~/ 1. OWNER ~ AI ADDRESS ZIP PHONE rZ CONT ~ MAIL AD RESS PHO E -1~ r LICENSE NO. 3• Class of Wor : O COMMERCIAL ~ SIDENTIAL O NEW ~ ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: Comments: PLUMBIN PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. Kitchen .................................. $8.00 x t Bath ....................................... $8.00 x 1 Rough-In Bath ....................... $4.00 x Slop Sink/Laundry Tray ......... $5.00 x Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x Drinking Fountain .................. $3.00 x Water Service..... .................... $10.00 NOTICE Sewer .................................... $10.00 I hereby certify that I have read and examined this Groundwork ........................... $10.00 ~_ ~~-o~ application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. Lawn Sprinkler System $10 00 The granting of a permit does not presume to give authority ......... . to violate or cancel the provisions of any other state or local Sprinkler System ................... $30.00 law regulating construction or the performance of (Commercial) construction. Gas/Water Piping System (Commercial) ............................ $30.00 Permit Issuance Fee ............. $15.00 ~ ~> r ~ , S N~CTUR NT CTOH OR AUTHORIZED AGENT TOTAL DATE Current License on File Yes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT h Comment: Approved By: SOUNDS PRTG: Blair, NE Rev. 4/98 Tl •-_ 4_ - - _ - ~~ BUILDING INSPECTION REPORT o # .~; ,_ .. 'CITY OF BLAIR LOCATION OF INSF BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ NAME OF OWNERa L~7 ~V CONTRACTORS ~ ~~ ` L~~ ~ ~~~ f d f DATE INSPECTION REQUESTED~~~ a` l'/~~ -7 TIME INSPECTION REQUESTED: /% ~ ~ PERMIT NO• ~`~~~~~~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ .DECK FOOTING ^ FRAMING ^ DRYWALL ~]/ ~ FINAL ^ PARTIAL PASS FAILED COMMENTS: ` ~/ ,C ~~%1/~~~ I~T~ cz ~~~-(li~JJ6~ J UTH,TTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL : ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS D FAILED PARTIAL ~ ' ^ COMMENTS` sue MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL PASS FAILED COMMENTS: ^ PRESSURE TEST ^ , ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• .~. i,~a~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY ~; `'~; _ I - ---~d~~_ _._. -_._ y -- __ -.... ~ `~ h ~~~~:a~r~-. ~ .a k:~ ~ Ca-1 ~~~ ~ ~ ~ ~ ~ i '_ - _...y ~. ~ ~ ~ [[ ~ 5 _ ~ PJ ~ I ~...__. ~ _..._1 ~ i --= ~ ~ ~t -_.~~ 1 ~.~~ ~ -'__'~ ~'~ I lZ ~~~ =} a _ . ..~~~FF '~~~ :~1~:~:.5t"'1 ,~, ~., -~~ ~_. _~~_~t-... ., ~. (.~ .p.E ,~~= f ~~~ j ~ :.,, ~~ ~ ~~~ ~~ ~ ~~ ~ ~ ~`~~ ~- _. _-. f E- . ~ r Tar .C ( _._.~ ~ 5 { l ~i ~ f by - ~ ~ _ _ y ~'•i j ~~+.( ~.~,t ~ V~ Y"l :. CITY OF' BI~t~IR ~~.. ,~ Aro~~se of a~~\\ BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 refundable deposit is being collected at the time of your building permit application for all permits $10,0000 and above. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) theft of water service by either the plumber, owner or general contractor, 2) all required inspections have not been obtained, 3) occupancy occurs prior to a final inspection, 4) all permits have not been obtained, and 5) the project is completed without a final inspection being done. If any or all of these situations occur during construction, you may forfeit your deposit. I, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/Owner ontractor/Owner City of Blair `~~r ate 218 South 16th Street • Blalr, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • ~-mall cllyofblalr@huntel,net