M1327City of Blair Building Permit Detail
Permit #: M1327 Issued: 10/25/2005
Completed: 11 /1 /2005
Location: 1006 State St.
Owner: Karen Olson
Address: 1006 State St.
Blair, NE 68008
Phone: 402 533 8059
Section: Township: Range:
Subdivision: Lot:
Furnace Replacement. 60,000 BTU
Contractors
Washington County Heating & A/C Inc. General Contractor
Type: Mechanical Miscellaneous
Valuation:
Permit Fee: 25
Issue Fee:
Deposit Amt.: 25
Receipt #:
Block:
Permit # Issued
Remarks
Inspections Date By
11/1/2005 DEM
Final Inspection of Project
Pass
a
BUILDING INSPECTION REPORT
~TI'Y OF BLA ^ WASHINGTON COUNTY ~ ^ OTHER Q~~
LOCATION OF INSPECTIO /~~ ~ v~~ ~l~
NAME OF OWNER• 'S 33 -~6 0~ RACTOR• ~~~« ~Y' ~ ' ~ C~r~-C ~7 ~C~ .
DATE INSPECTION REQUESTED• ~ ~ TIME INSPECTION REQUESTED• `~ 1' V `~ PERMTI' NO•
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMII~IG ^ DRYWALL FINAL ^ PARTIAL PASS . FAILED
COMMENTS:
UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE- ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ f ^
COMMENTS:
ELECTRICAL: ^ -ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ~ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASS FAILED
COMMENTS: _ ~ Q ~~i~
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
TiMF• r `
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 13 2 7
Fax (402) 426-4195 M
(402) 426-4191
Application Date:
~~
Permit Fee: $
JOB ADDRESS
1 • OWNER ~~~~ MAIL ADDRESS SAM ~ ZIP ~ PHONE ~~
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2 CONTRALTO `~~ '! MnIL AD RESS
~~~G~W~, r
/~ stHONE~ ~• ~ ~ ENSE N~ ~ /,D
3• Class of Work: O COMMERCIAL RESIDENTIAL O NEW O A DITION O ALTERATION O REPAIRPLACEMENT
4• Describe Work: QC~~
Central A/C Tons MECHANICAL PERMIT FEES
~
Furnace ~~ G~BTU/H Forced Air/Heat Pum S stems -Per Unit
p y
Commercial/Residential (New) .................................................... $25.00
# of Units A/C Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) .................................................... $10.00
Forced Air Systems/Air Conditioner ~~ ' ~~
Unit Replacement Per Unit Commercial/Residential ................... $10.00
Completion Date:
Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement) ...... ..................... $10.00
Comments:
~~ „ „a~l s ~G~~
-~~~/ ~1,U~` ~ Appliance Vent/Fans ...............................$10.00
Boiler
$15
00
/1 ~ " '-' .......................................................
.
Duct System ............................................ $10.00
Gas/Air Outlets .................. x $2.00
NOTICE Radiant Heat Systems ............................$25.00
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular Home
$15
00
work will be complied with whether specified herein or not. .........................................
.
Th
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e grant
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a permit does not presume to give authority
to violate or cancel the provisions of any other state or local ~~, G~
law regulating construction or performance of Permit Issuance Fee ............................... $15.00
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S( ATURE OF OdtstT~IA~'I'OR :Fi.~IJThI~WIZEq AGENT
Current License on File es O No O NA
DA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~ ~~~~
POUNDS PRTG.~Blair, NE Rav. 4198
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