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BP11858r City of Blair Building Permit Detail Permit #: 11858 Issued: 11/17/2004 Completed: 1 /10/2005 Location: 2163 Lincoln Street Owner: Linda O'Niel Address: 2163 Lincoln Street Blair, NE 68008 Phone: 402-426-9296 Section: Township: Subdivision: siding/gutters Contractors Frank Gabby Siding & Windows Remarks Type: Siding Permits -All types Valuation: 15042 Range: Lot: General Contractor Permit Fee: 15 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 1/10/2005 DEM Final Inspection of Project Pass BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska Permit Fee: ~~~ ~ 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 1 18 5 8 Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: r ,_ Issue Date: ~} Type: ~ I ~~~ t n JOB ADDRESS ~. r ~~ - ~ LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET '~ 2.OVyNEji ~ / ~ ~ I n I L~~`` LfJ' tt ~~ AIL ADD~IESS ,(./ ~ ZIP HOME PHONE ~ ~ ~~~ J WORKICELL PHONE ~ (~J 3. ~~ p ~ / ~"`""-~~l II,ADDR S ~~ ZIP WORK/CEOLLPHONE 4. Class of Work: ^ NEW ADDITION Q REMODEL OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work: C~n ~ 6. Valuation of Work: $ `~~ (~ ~ ~ ~ Total Sq. Footage pBCluding easement ana Garage): Total Finished Area: Floodway ^ Yes ^ No 7. Floodplain: Fringe ^ Yes ^ No Dev. Permit BFE Elev. Cert 8. Current Zoning: 9. State Fire Marshall Required: Q Yes Q No 10. Special Use Permit Required: ^ Yes ^ No 11. Variance Required: Q Yes Q No 12. Minimum Setbacks: Front 13. Sidewalk Required: ^ 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 furtheragree that construction 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 if work is not commenced within 180 days or is not completed ' hin 2 ars of t of issue. ^~l~®~/ SIGNATURE OWNER/CONTRACTOR DATE Comment: Q Site Plan Attached /~ / O~Colnu et Plans Attached Approximate Completion Date ,,Si Inspections Required and Fees ili i Sewer _ Septic _ B it in Footings Framing EI c ri I Rough-in Final Water Service Remote Stop Box Card _ Drywall (PRIOR TO TAPING) Final Fixtures Permanent Service Temporary Service Mechanical Rough-in _ Final PI m in . Ground Work Rough-in _ Final WHEN PROPERLY VALIDATED (IN THIS Approved By: ~ ~, , , A1C , THIS IS YOUR PERMIT ' Rev. 8/96 POUNDS PRTG.-Bleir. NE ~s , . ~ ~~ - BUILDING INSPECTION REPORT u CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OFINSPECTION• ~l (l~/ ~0~(/~'DL~t/ ~S?T~ NAME OF OWNER• ~ ~~~~ 4 /~~~L CONTRACTOR• ~i~A"' ~ ~-~~~~ DATE INSPECTION REQUESTED~L Q ~~ TIME INSPECTION REQUESTED• ~ ~ PERMTI' NO• / /~/~// TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS I.HECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL F,INA~ ^ PARTIAL 6 ~ PASS ~ FAILED ^ 'COMMENTS: ~ ~J ~ UTILITIES: ^ ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PARTIAL PASSED ^ FAILED ^ COMMENTS: ELECTRICAL: ^ ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL ~ PASSED ^ FAILED ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED ^ FAILED ^ COMMENTS: PLUMBING: ^ ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL .PRESSURE TEST PASSED ^ FAILED ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• T ` ©~* FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY µ- : ~ ~,,, ~..~.i ry.,,.., ~_ _ . _ , ~ -