BP11651City of Blair Building Permit Detail
Permit #: 11651 Issued: 9/24/2004
Completed: 12/2/2004
Location: 2310 Colfax Street
Owner: Dave & Karen Nannen
Address: 2310 Colfax Street
Blair, NE 68008
Phone: 402-426-2957
Section: Township:
Subdivision:
siding repair
Contractors
Frank Gabby Siding & Windows
Remarks
Type: Siding Permits -All types
Valuation: 2545
Range:
Lot:
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
12/2/2004 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 1 16 5 '~
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: J
Issue Date: ~ I z NT, Type: .~l Cl i rl G
JOB ADDRESS ~ ~ ~ 1 ~`
/vl 1
LEGAL
1 . DESCR. ^ SEE ATTACHED SHEET
R , /
2. ~~ `d' MAIL ADDRES Zlp HOME PHONE -~ /
WORKICELLPHONE~UD '~~~
CONTRA R ~ ` ~~~
3, l/~- MAIL ADDRESS ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: ^ NEW ^ A ION ^ REMODEL OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ ~ r
6. Valuation of Work: $ ~~~ ~ Total Sq. Footage (Irtcluaing easement and Garage): TOtal Finished Area:
Floodway O Yes Q No
7. Floodplain: Fringe O Yes Q No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes ^ No
^ Site Plan Attached J~7 ~,Cprp~leCte`Plans Attached
Approximate Completion Date T-~~ ,!!
Inspections Required and Fees
10. Special Use Permit Required: ^ Yes ^ No
11. Variance Required: ^ Yes ^ 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 bythis permit application shall not be
commenced until I have received a copy of this application form signed by the Building
Inspector.
I herebyagree 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
180 days or is not mpl within 2 a/r//s///o{/if//,date of issue, !]
SIGNATURE OFOWNER/CONTRACTOR lr DATEY^
Comment:
tilitie
Sewer
Septic _
Building
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in
Final
Plumbing
Ground Work
Rough-in
WHEN PROPERLY VALIDATED
Water Service
Remote
Stop Box Card _
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A1C
Final
Approved By: ~ ~
THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRIG: BIaIr, NE R~• B/96
BUILDING INSPECTION REPORT
^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY ~ Q^~
LOCATION OF INSPECTION: ~~ f ~ "~'`-fib
NAME OF OWNER• ~ CONTRACT
DATE INSPECTION REQUESTED: ^ ~ ~~ TIME INSPECTION RED
TYPE OF INSPECTION REQUESTED:
~ f_
PERMTI' N0: ' I ~_~/
^ CONFERENCE ^ STATUS CHECK
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
o ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS;