BP11784City of Blair Building Permit Detail
Permit #: 11784
Location: 2150 Park St
Owner: Dale Olsen
Address: 2150 Park St
Issued: 10/22/2004
Completed: 1 /28/2005
Blair, NE 68008
Type: Roofing permits -All types
Valuation: 5000
Phone:
Section: Township: Range:
Subdivision: Lot:
tear off two layers and replace w/asphalt and replace gutters
Contractors
McKinnis Roofing & Sheet Metal
Remarks
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
1/28/2005 DEM Final Inspection of Project Pass
~~~ BUILDIN PERMIT APPLICATION
G
~ Jurisdiction of City of Blair, Nebraska
Permit Fee: ~ 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit-
Deposit Receipt -
Issue Date: - ~~ Type:T~~~
JOB ADDRESS ~ / ~ ~ ~~~
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
WNER
2, `-~ ~~ M I ADDRESS
~ ZIP HOME PHONE
WORK/CELL PHONE
3. CO RA~O ~ i ~, ~ O /~ MAIL ADDRESS
!
,1 ,I^ ZIp WORKICEOLL PHONE
4. Class of Work: ^ NEW ^
^ ADDITION
REMODEL OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ ~ ~~'(~`' ~ ~ ~ r ~~ (~~ ~
6. Valuation of Work: $ ~(~~~ Total Sq. Footage (IRCIuaIRg Basement ana Garage): Total Finished Area:
Floodway
7. FIOOdplaln: Fringe Q Yes
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 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 acknowledgethat 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 ofNebrask lunderstandthatthispermitisvoidifworkisnotcommencedwithin
180 days or is nc~i~completed within 2 years of date of issue.
~ _ _ ~~ .. ., I_ _ r
DATE
Comment:
^ Site Plan Attached Q,Com~le
te Plans Attached
`
Approximate Completion Date _ ~
~
1 ~~tt ''~~``11cc
Inspections
ili i Required and Fees
Sewer Water Service
Septic Remote
Stop Box Card
Bilin
Footings Drywall
(PRIOR TO TAPING)
Framing Final
E ri I
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A1C
,
Final
PI m in _
Ground Work
Rough-in
Final
WHEN PROPERLY VALIDATED (IN THIS SP
Approved By: ~ ~ , r , _ ~ , _
11784
THIS IS YOUR PERMIT
Rev. 8/96
POUNDS PRTG: Blair, NE
BUILDING INSPECTION REPORT
CITY OF BLAIR ~ ^ WASHINGTON COUNTY ^ OTHER
J LOCATION OF INSPECTION: ~l~Q ~~~ ~~T
NAME OF OWNER` / /~iJ ~I CONTRALTO ~~~
DATE INSPECTION REQUESTED• ~~~~ ~~ TIME INSPECTION REQUESTED• ~~ PERMIT NO• /~~ '
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
'BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASS 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
^ ^
COMn~NTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
5~~-- ~~ ~ ~'~ - ~ -~ -~- ~-~'" ~'~ DATE OF INSPECTION MADE: / ~ '~ ~ ~ TiMF.: •. _ ~ ~ ~~ ~~- -~
FAXED OPPD~BURT REA TO CONNECT SERVICE: