BP11723City of Blair Building Permit Detail
Permit #: 11723 Issued: 10/8/2004
Completed: 11 /29/2004
Location: 1021 Mary Beth Cir
Owner: David & Carol Neff
Address: 1021 Mary Beth Cir
Blair, NE 68008
Phone: 426-2818
Section: Township: Range:
Subdivision: Lot:
Tear off siding and gutters and replace with new
Contractors
Blair Home Improvement
General Contractor
Remarks
Type: Siding Permits -All types
Valuation: 4803
Permit Fee: 15
Issue Fee:
Deposit Amt.: ,
Receipt #:
Block:
Permit # Issued
Inspections Date By
11/29/2004 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
Permit Fee: r~ : ~ Junsdtctton of Ctty of Blalr, Nebraska
218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 1 17 2 3
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: Cl) 'b ~U~ Type: ~~X~C, ~ y U~
JOB ADDRESS
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LEGAL
1 . DESCR.
^ SEE ATTACHED
SHEET
2.OWNER ~ e /`"U "U `
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:~ MIL DDRESS
ZIP {,
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WORKICEOLL PHONE O ~~~0 /~
3. C~ 'W~ ~ U rL1ADDRESS ~~ ZIP _
I
O_ ~ ®~`, WORK/CEOLL PHONE ya ~~ ~ y ~ ~,
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISH
E
D BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ Q,Q~ ' , ,,7 ~v,.-~ f v~ .r~,~,~1,,
6. Valuation of Work: $ ~ ~(}3 ~ Total Sq. Footage (Incluaing Basement ana Garage): Total Finished Area:
Floodvray ~ Q Yes O No
7. Floodplain: Fringe Q Yes Q No Dev. Permit
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 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
180 days or is not completed within 2 years of date of issue.
~ /~`®0 ro-~~
SIGNATURE OFOWNER/CONTRACTOR DATE
Comment:
^ Site Plan Attached ~~,~ 17 Complete Plans Attached
Approximate Completion Date d'~ U '1
Inspections Required and Fees
Utili ie
Sewer Water Service
Septic
Buildin
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in
Final
Plumbing .
Ground Work
Rough-in _
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS SP
Approved By: ~ n
THIS IS YOUR PERMIT
POUNDS PRIG: Blerr, NE ~ R~'• Bl96
- BUILDING INSPECTION `REPORT.
^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER (,,,
LOCATION OF INSPECTION' ~ ~~ ~'~ ~ F' ~~~lg-.- I1~ ""
pf U
NAME OF OWNER h~~.~ CONTRACTOR ~ ' "' "'`~
i"' r + l
DATE INSPECTION REQUESTED ~ ~ ~ C~ 1 TIME INSPECTION REQUESTED• PERMIT N0. 1 '~ t
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL
COMMENTS: FINAL ^ P~.{A~RT14AL
~%t V /J~M PAS D FAILED
^
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:
TIMR G /~ ~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY