BP12211City of Blair Building Permit Detail
Permit #: 12211 Issued: 8/3/2005 Type: Roofiing permits -All types
Completed: 8/9/2005 Valua#ian: 8147
Location: 1020 James Street
Owner: Roger Olson Permit Fee: 15
Address: 1020 James Street Issue Fee:
Deposit Amt.:
Stair, NE 68008 Receipt #:
Phone:
Section: Township: Range:
Subdivision: Lot:
Tear off one layer and replace with asphalt house and garage.
Contractors
FKR Roofing
General Contractor
Remarks
Block:
Permit # lssued
Inspections Date Sy
8!9/2005 DEM Final Inspection of Project Pass
"~P BUILDING PERMIT APPLICATION
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
Deposit Receipt #:
C C
Issue Date: o "~~' a~ Type:
JOB ADDRESS
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LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
ER
2, ,~~j ~ M ADDRESS
~ Zlp HOME PHONE
WORKICELL PHONE
CONT CTO Q
3. ~~ I l MAILADDRESS
~~
~ I ZIP HOME PHONE ~^~, _,~~
WORK/CELL PHONE ~~J Z~
4. Class of Work: ^ NEW Q A DITION ^ REMODEL ~ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~{~ ~ ~ l ~- ~ ~/' (~ ~ ~ Q~
- ~ ~ ~' ~l.-~`~
6. Valuation of Work: $~ ~u
~, ~' Total Sq. Footage pnauaiRg Basement aRd Garage):
Total Finished Area:
Floodway Q Yes O No
7. FlOOdplain: Fringe Q Yes O No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes Q No
O Site Plan Attached _ Complete Plans Attached
Approximate Completion Date ~'
Inspections Required and Fees
10. Special Use Permit Required: ^ Yes ~ No
11. Variance Required: Q 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 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 of Nebraska. I understand thatthis permit is void if work is not commenced within
180 days or is not completed within 2 years of~3te issue.
8'-~-~S
DATE
Comment:
Permit
12211
utilities _
Sewer
Septic
Building
Footings .
Framing
I ri
Rough-in
Final
Water Service
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
Temporary Service
Mechanical
Rough-in _
Final
Ground Work
Rough-in
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By/
A1C ,
Rev. 8/96
POUNDS PRIG: BIaIr, NE
a ~.._
TTY OF BL
BUILDING INSPECTION REPORT
^ WASIBNGTON COUNTY ~ ^ OTHER_
LOCATION OF INSPECTION_ / U C
NAME OF OWNER• D S ~~ (J
. ~
DATE INSPECTION REQUESTED• /~ V
~ ~
I
TIME INSPECTION REQUESTED•
PERMIT o`
NO•
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSE . FAILED
COMMENTS ^
:
UTH,ITIES: ^ 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 0 ^
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
..,.
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
CITY OF' BI,f~IR
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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 International Building
Code requirements that apply to your project. Please understand this document is only
designed and 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.
1 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
ontractQ
~ -- vS
Date
LJ -
218South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cityofblalr@ci.blalr.ne.us ~~ ~"'