BP11787City of Blair Building Permit Detail
Permit #: 11787 Issued: 10/22/2004
Completed: 2/3/2005
Location: 860 N 10th Ave
Owner: Mark Olson
Address: 860 N 20th Ave
Type: Roofing permits -All types
Valuation: 4500
Blair, NE 68008
Phone: 804-897-0900
Section: Township: Range:
Subdivision: Lot:
tear off one layer to decking and replace w/asphalt
Contractors
McKinnis Roofing & Sheet Metal
General Contractor
Remarks
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
2/3/2005 DEM Final Inspection of Project Pass
~~ o~,BUILDING PERMIT APPLICATION
?(~j ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 1 17 8 7
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt # ~~
Issue Date: o ~~ Type: d~
JOB ADDRESS ~~~ ~ ~~~--T
( /7
LEGAL
1. DESCR. ^ SEE ATTACHED SHEET
2.0 I '
K ~ MAIL ADDRESS Zlp HOME PHONE
WORK/CELL PHO
3, CO ~OR~
~ ~ l MAIL ADDRESS
C ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: ^ NEW ^ ADDITION Q REMODEL OTHER ^ FINISHED BASEMENT Q UNFINISHED BASEMENT
5. Describe Work: ~~;~' ~•~ ~~~ ~~~.; ~ ~
-~ Lc.~c~. c.,~ a
6. Valuation of Work: $ e~~ ~^ Total Sq. Footage pnaua~ng easement aria Garage): Total Finished Area:
Floodway Q Yes ^ No
7. Floodplain: Fringe Q Yes ^ No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ~ Yes Q No
10. Special Use Permit Required: ^ Yes ^ No_
11. Variance Required: ^ Yes Q No
12. Minimum Setbacks: Front
13. Sidewalk Required: Q Yes
Side Rear
0 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 furtheragree that construction covered by this permit application shall not be
commenced until I have received a copy of this application form signed bythe 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. l underss~~nd thatthis permit is void if work is not commenced within
180 days or is not complet$~ within 2 years of date of issue.
t~Y _
Comment:
DATE
~ Site Plan Attached ~ ~~ y~ Cc~plete Plans Attached
Approximate Completion Date ~S Cs',",,,)
Inspections Required and Fees
Utilities _
Sewer_
Septic _
B it in
Footings ,
Framing
EI ri I
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
lumbin .
Ground Work
Rough-in _
Water Service
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A`C ,
Final
WHEN PROPERLY VALIDATED (IN THIS S
Approved
THIS IS YOUR PERMIT
POUNDS PRIG: Blair, NE Rev. 8/96
a -~ ~ ,Q BUILDING INSPECTION REPORT
CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
.LOCATION OF INSPECTIONS ~ l/ 1l / ' /(/ ~ ~~~Q
NAME OF OWNER: tJ ~.SQ~ CONTRACTOR: ~/~ ' / ~~C, ~L~
DATE INSPECTION REQUESTED•~~~~~~ TIME INSPECTION REQUESTED• ~ / PERMPI' NO•
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE n STATUS CHECK
BUILDING: ^
COMMENTS: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL
D PASSED
~ FAILED
^
UTILITIES: ^
^
COMMENTS: SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ W TER SERVICE
PARTIAL PASSED
^ FAILED
^
ELECTRICAL: ^
^
COMMENTS: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
-PARTIAL PASSED
^ FAILED.
^
MECHANICAL: ^
COMMENTS: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED
^ FAILED
^
PLUMBING: ^
COMMENTS: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
PRESSURE TEST PASSED
^ FAILED
^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
I
ATE OF INSPECTION MADE: ~ T1MR• /~l
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY