E1857City of Blair Building Permit Detail
Permit #: E1857 Issued: 9/10/2003
Completed: 2/9/2004
Location: 11379 Paige's Pass
Owner: Russ Nelson
Address: 10502 Co. Rd. 21
Blair, NE 68008
Phone: 402 426 5828
Section: Township:
Subdivision:
Install 4 pole lights and one electrical gate
Contractors
Judt Electric
Remarks
Type: Electrical Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 20
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
1/14/2004 DEM Electrical Final Fail
2/9/2004 DEM Electrical Final Pass
S~ .
~~
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit E 18 5 7
Application Date: ~~~ ~ ~3
Permit Fee: $ ~~
JOB ADDRESS I I ~~ ~ /1 ~ nn n ^
1U IV wyJ
1 LEGAL
0 SEE ATTACHED SHEET
DESCR.
2. OWNER ~ c n I ~ J O I ;ADDRESS ~ ~ ~ ( ZIP / _ G~~ C wORK1C0ELL PHONE ~v`~J ~ J u ~ Q
~„
~~~ ~ ^ MAIL ADDRESS P ~NE HOME PHONE
3. CO RACTOR
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/WOORK/CELL PHONE
4. Class of Work: l7 NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: y.- ~ ~, ,~~
6. Current License on File Yes 0 No O NA Completion Date ~ a ~ ~"' a3
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13,00 Upgrade Existing Service ...... $10.00
101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00
y .................
301-400 Amp Fee ............................ $ 42.00 Signs $15.00
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
401-500 Am Fee $ 55.00
p
501-600 Amp Fee ............................ $ 67.00 ~
Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801-900 Amp Fee ............................ $105,00
Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117,00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117,00 ~~
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Each additional 100 Amps ........... $ 13.00 rcu
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mp
ee +
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New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this Sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority
te or local
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f
th
t
i
t
l th
i
i
l Receptacle/S Itch Outlets
~ • ~
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any o
e
a
ons o
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o
a
e or cance
e prov
s x $.75
Fixtures
law regulating construction or the performance of Smoke Detectors x $3.00
construction. Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
~- 4i~ ~ ~~, Power Apparatus (220 Volts)
~ ~SIGNAT E OF CONTRACT R OR AUTHORIZED AGENT # Apparatus x $3.00
~ ~' ~
1 ~ 1~~10> Permit Issuance Fee ............. $15.00
ATE
TOTAL 3 `~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By,
~f11 IAIf1C PFIT!] _Rloir NF RPV. 11/99
BUILDING INSPECTION REPORT
~ITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~~~ ~~~~ (~'
NAME OF OWNER: ~
`~ CONTRACTOR:
'
DATE INSPECTION REQUESTER?` ~ ~ TIME INSPECTION REQUESTED: PERMIT NO: ~`- ~~~
TYPE OF INSPECTION REQUESTED: ^ .CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
^_
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED`-FAILED
^ PARTIAL ^ ^
COMMENTS: -
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSE FAILED
^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED. FAILED
COMMENTS:
OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECT ATE OF INSPECTION MADE: L~ ~. ~~
( TIME.
~
FAXED OPPD~BURT REA ~J
TO CONNECT SERVICE:: ON
l- ' - -- --- - -- - - - - - - BY
-- -- -- -
~-~ ~ ~~- BUILDING INSPECTION REPORT
¢.~
~_- M
ITY OF$LAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~l7 / ~~~~ ~ J"7q'.~J~
NAME OF OWNER: ~~"'~~-~- CONTRACTOR:
DATE INSPECTION REQUESTED: TIME INSPECTION"REQUESTED: ~ PERMIT NO:
~ ~~
TYPE OF INSPECTION REQUESTED; ^ 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 i
^ PARTIAL
^ j
^
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
COMMENTS: _
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANT
NOTES/REMARKS: / ,-
INSPECTOR: DATE`OF INSPECTION MADE:
.FAXED OPPD~BURT REA TO CONNECT SERVICE.: ON BY
TIME: