BP10899City of Blair Building Permit Detail
Permit #: 10899 Issued: 7/14/2004
Completed: 11 /10/2005
Location: 1006 State Street
Owner: .Karen Olsen
Address: 1006 State Street
Blair, NE 68008
Phone: (402) 426-6472
Section: Township: Range:
Subdivision: Lot:
tear off one layer and replace with asphalt shingles
Contractors
McKinnis Roofing & Sheet Metal
General Contractor
Remarks
11/10/2005 STATUS
Type: Roofing permits -All types
Valuation: 3439.25
Roof completed per contractor. No final.
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
_ BUILDING PERMIT APPLICATION
Permit Fee: l~ .0 ~ Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 1 0 ~ 9 9
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~~~~~ Type:
JOB ADDRESS
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
2• DVy E ~ /n ~ ~
U ,\ FAIL ADD~E~~~
U (.I ~-~ ~ Zlp HOME PHONE , e / r
WORKICELL PHONE 7 u
C ~ORt ~~ • • ~ ~O ~
3• ~Il// MAIL ADDRESS ~~ n ~ ~
/K/ ZIP HOME PHONE ~ ~ ~ ~) /
WORK/CELL PHONE 7
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL OTHER Q FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: _ ~,~ ~ ~ ~
6. Valuation of Work: $`~- f 3 , ~ S Total Sq. Footage (Irtcludlrtg Basement aRa Garage): Total Finished Area:
Floodway ^ Yes
7. Floodplain: Fringe ~ Yes ^ No
^ No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes Q No
10, Special Use Permit Required: Q Yes Q No
11. Variance Required: ^ Yes ^ No
12. Minimum Setbacks: Front
13. Sidewalk. Required: Q Yes
Side Rear
Q 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 thatconstruction covered bythis 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 ifwork is not commenced within
180 days or is not completed within 2 years of date of issue.
SIGNATURE OF OWNERICONTRACTOR DATE
Comment:
^ Site Plan Attached ~/ ~ l~ ,Q ~gmplete Plans Attached
Approximate Completion Date d / ~ (J y
Inspections
Utilities Required and Fees
Sewer Water Service
Septic Remote
Building Stop Box Card
Footings Drywall
(PRIOR TO TAPING)
Framin Final
g
ri I
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in _
Final
PI r •n -
Ground Work
Rough-in _
Final
WHEN PROPERLY VALIDATED (IN THIS
Approved By: / ~„ , ,
A\C ,
THIS IS YOUR PERMIT
POUNDS PRTG.-Blelr, NE Rev. e/9fi