BP11896City of Blair Building Permit Detail
Permit #: 11896 Issued: 12/6/2004
Completed: 1 /27/2005
Location: 1818 Grant Street
Owner: Esther Olson
Address: 1308 Grant Street
Blair, NE 68008
Phone: 402 426 3331
Section: Township:
Subdivision:
Roof (1) Layer tear off and replace.
Contractors
Home Pride Companies, Inc.
Remarks
Type: Roofing permits -All types
Valuation: 7306.48
Range:
Lot:
General Contractor
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
1/27/2005 DEM Final Inspection of Project Pass
L/~ /~~
~ BUILDING PERMIT APPLICATION
,,\\ Jurisdiction of City of Blair, Nebraska
Permit Fee: 1 ~ UU 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 1 18 9 6
Receipt #; (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: ~~~~
Issue Date: ~~ ~y Type:
JOB ADDRESS I ~I O V ~ w ! ~ '
LEGAL
t . DESCR.
^ SEE ATTACHED SHEET
2.OWNER ~c~~r a/SO~ /A~IuDDRESS a~ ~
J 55 ZIP HOME PHONE ~-~~
WORKICELL PHONE
CONiRACTO 11 MAILADDRESS
3. Y ((y~ C S ~. ZIP HOME PHONE
((/O ~ WORK/CELL PHONE
4. Class of Work: NEW Q ADDITION ^ REMODEL Q OTHER Q FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~((~ ~ (~ ~~~~ C l~
6. Valuation of Work: $ ~ ~D . ~{ ~ Total Sq. Footage (lncluaing Basement and Garage): Total Finished Area:
Floodway Q Yes Q No Dev. Permit
7. Floodplain: Fringe Q Yes Q No BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: 0 Yes Q No
10. Special Use Permit Required: ~ Yes ^ No
11. Variance Required: ^ Yes Q No
12. Minimum Setbacks: Front Side Rear
13. Sidewalk Required: Q Yes 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 that construction covered bythis 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
of Nebraska. I understand thatthis permit is void if work is not commenced within
180 ys or is not compljt~ within 2 years of date of issue.
OF OWNER/CONTRACTOR
DATE
Comment:
^ Site Plan Attached / ~~pl to Plans Attached
Approximate Completion Date
Inspections Required and Fees
ili i
Sewer _
Septic _
Bilin
Footings
Water Service
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Framing
EI c rical
Rough-in
Final
Fixtures
Permanent Service
Temporary Service
Mechanical
Rough-in _
Final
PI m in _
Ground Work
Rough-in
Final
WHEN PROPERLY VALIDATED
Approved By: ~ ~/~',
A1C
IS SPACEI THIS IS YOUR PERMIT
Rev. 8/98
POUNDS PRIG: Blair, NE
CTI'Y OF BLAIR
i
LOCATION OF INSI
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY
/~/~
^ OTHER
NAME OF OWNER: (- [~T/J~ [J~c~U7'7 CONTRACTOR ~~~~ ~~
DATE INSPECTION REQUESTED• ~J~~ ~~ TIME INSPECTION REQUESTED• PERMIT' N0: ~~U /
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ~,~ FINAL ^ PARTIAL PASSED 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
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ .ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ .OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
OF INSPECTION
l,.
TIME: i /- --~ _
FAXED OPPD~BURT REA TO CONNECT SERVICE:
4,
F
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