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BP11091City of Blair Building Permit Detail Permit #: 11091 Issued: 7/23/2004 Type: Roofing permits -All types Completed: 11/17/2005 Valuation: 3200 Location: 578 S. 25th Street Owner: Larry Onnen Permit Fee: 15 Address: 578 S. 25th Street Issue Fee: Deposit Amt.: Blair, NE 68008 Receipt #: Phone: Section: Township: Range: Subdivision: Lot: Tear off one layer and replace with asphalt shingles Contractors Paul Construction General Contractor Remarks 11/17/2005 STATUS Roof completed per contractor. No final. Block: Permit # Issued Inspections Date By ~~ ~ BUILDING PERMIT APPLICATION ~ ^ ~ Jurisdiction of City of Blair, Nebraska Permit Fee: -Y 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 110 91 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: Issue Date: ~ ~d 3~~y Type: JOB ADDRESS ~j ,r~ ~~b LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER 2. MAIL ADDRESS ZIP WORKICEOLNPHONE CON CTO .3. ~, MAIL ADDRESS ZIP HOME PHONE WORK/CELL PHONE 4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work: ~,,y ~,.,~ 6. Valuation of Work: $ ~ j ~(~ ~ Total Sq. Footage pncl~dlog Basement and Garage): Total Finished Area: Floodway Q Yes 7. Floodplain: Fringe Q Yes Q No Dev. Permit Q No 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 ofthis application form signed bythe Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in cordance with the codes/ordinances of the City of Blair and the State ofNebr k .lu derstandthatthispermitisvoidifworkisnotcommencedwithin 180 days or t c plated within 2 years of date of issue. ' j ~~"vY SIGNATURE F WNERICONTRACTOR DATE Comment: ^ Site Plan Attached , a7 ^ Complete Plans Attached Approximate Completion Date "~ a'~'UN Inspections Required and Fees ili i Sewer _ Septic _ Bilin Footings Framing EI ri I Rough-in Final Temporary Service Mechanical _ Rough-in Final PI mbin Ground Work Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: n /1 Water Service Remote Stop Box Card Drywall (PRIOR TO TAPING) Final Fixtures Permanent Service A1C POUNDS PFlTG.-Blair, NE ~ R~• 8/98 CITY OF P~I,.~II~ ~~~ o~~se of -~~~~ d~~ a~ ROOFING PERMIT SUPPORTING DOCUMENTS This supporting document includes information dealing with particular code requirements and/or roofing permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to know the 2003 Internati©nal Building Code requirements that apply to your project. Please understand this document is only designed ahd distributed to aid you in your roofing permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. Owner/Occupant City of Blair Contractor ~-- ~ 3~ ~~ Date 218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cityofblair@ci.blair.ne.us