BP12365City of Blair Building Permit Detail
Permit #: 12365 Issued: 01/09/2006 Type: Residential Remodeling
Completed: 01/24/2006 Valuation: 4000
Location: 2148 Davis Dr
Owner: Blair Housing Authority Permit Fee: 25
Address: 758 S. 16th St. Issue Fee: 15
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township: Range:
Subdivision: Lot: Block:
Restoring/Remodel-damaged bedroom wall and put in new joice and reside damaged portion. Plus egress window per
Dale.
Contractors
Mel Johnson Construction
Dick's Electric
Remarks
General Contractor
Electrical Subcontractor
Permit # Issued
E2383 01!10/2006
01 /13/2006 BMS
Sent copy of permit.
Inspections Date By
01/12/2006 DEM
01/24!2006 DEM
01/24/2006 Framing Pass
Electrical Final Pass
DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
~ Jurisdiction of City of Blair, Nebraska
Permit Fee: yl~•cx~ 218 South 16th Street
Issuance Fee: ~ ~~~ Blair, Nebraska 68008 ~ 2 3 ~ 5
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~ J ~ ~~ Type: ~~~
JOB ADDRESS
1 ~f 8 ~~~'~S ~c~-~=
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
2 R ~ ` ~;1 _ n ~~0~
r 1 MAIL ADDRESS~~ S ` ~ h1 ~ ~ ZIP WORK/CEOLL PHONE
C RAC
3• OR ~~~ MAIL ADDRESS ~~~ ~ ZIP ~ ~ r HOMNE C+~ ' ^ ~ /~/
WO CEL PHONE U
4. Class of Work: Q NEW ^ ADDITION Q REMODEL OTHER Q FINISHED BASEMENT Q UNFINISHED BASEMENT
5. Describe Work: ~~-5-'{~~'i r'1 C ~~C' VVl ~-- ~ ~- C~ Q-{~1`1 GL Yee ~ (~L~D~ COQ, ~
If'..-~ e. ~l~ ~LQFnC~ mac-( ~Y~~-~ ~ lv5 e ~~ss ~
~ ~
6. Valuation of Work: $ ~ (~~ ^ Total Sq. Footage tlncl~ding Basement ana Garages: Total Finished Area:
Floodway ^ Yes ^ No
7. Floodplain: Fringe Q Yes Q No Dev. Permit
BFE Elev. Cert.
8. Current Zoning: ~ ~ ~
9. State Fire Marshall Required: Q Yes ~No
10. Special Use Permit Required: Q Yes Qj No 1
11. Variance Required: ^ Yes [IJ~No n I
12. Minimum Setbacks: Front Side 1 V 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 bythe Building
Inspector.
I herebyagree 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 n9 o ted qin 2 years of date of issue.
O Site Plan Attached ~..~ p~orgp)ete Plans Attached
Approximate Completion Date . L CC99JJ C(~~
Inspections Required and Fees
ilitie
Sewer Water Service
Septic _
B it in
Footings
Drywall
(PRIOR TO TAPING)
Frarry'~ F~
l Sri I ~1C~-15
Rougl~n Fixtures
Fi I Permanent Service
Temporary Service
DATE
Comment:
MEE~.IDC, ttZG, l~ IM~ANp til~C CODS tiE0tltR~lUt~NTS
St,EEPING R40MS BELOW THE FOURTH
STORY AND IN BASEMENTS ARE
REQUIREDTO HAVEAN EGRESS WINDOW.
POUNDS PRTG.~Blatr, NE
M h ni
Rough-in ABC
Final
PI m 'n
Ground Work
Rough-in Final
WHEN PROPERLY V
Remote
Stop Box Card
N THIS SPACE) THIS I OUR PERMIT
Rev. Q196
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 Permit 2 3 a~~s
(402) 426-4191 ~ ~ ~ ~ ~
Application Date: ~v ~ v ~ ~ ~ Permit Fee: $ ~ ~ ~•'
JOB ADDRESS
LEGAL p SEE ATTACHED SHEET
1
' DESCR.
AIL QR SS ~
rY ~"
2 OWNER ~
1 / n~'\, \'
HONE ~
f ~~~
O
G
~
yyORK/C
~y
ELL P
3 CONTRACT - / I ~ M ILADDR ~ ~ ~ PHONE y~ORKICELL PHONE ~~ ~ ' ~ ~ I W
4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: ~ _ ~~ ~ ~ QL~-!
6. Current License on File ~es ~ No O NA Completion Date
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ..........................:. $ 13.00 Upgrade Existing Service ...... $10.00
101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00
y ................
Fire Alarm S stem $10.00
301-400 Amp Fee ............................ $ 42.00 Si ns $15.00
g ~•~~~~~~~•~~~~~~~~••••~••~~~~~~~~~•~•
............................
401-500 Am Fee $ 55.00
P
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801-900 Amp Fee ............................ $105.00
Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13.00
Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority
Receptacle/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures ~ x $.75
law regulating construction or the performance of Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
SIGNATURE OF CONTRACTOR 0 AUTHORIZED AGENT # Apparatus x $3.00
- ~ ~, - a ~ Permit Issuance Fee ............. $15.00 ~~~ ~ ~
DATE `~
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: c~ ` ~~~i' / ~
POUNDS PRTG: Blair, NE Rev. 11/99
~CTI'Y O AIR
LOCATION OF INS]
NAME OF
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^ OTHE ~
~~ ~ c~/.L
/!(~Lt~ l'I~1~7/L9~'ruerrnu• l f /~( lJ/~1~~ ~~7.
DATE INSPECTION REQUESTED' // N'!/!/KA'
TYPE OF INSPECTION REQUESTED: ~/~ ~ ~
BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING
COMMENTS:
DRYWALL ^ FINAL ^ PARTIAL PASS FAILED
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
NOTES/REMARKS:
TIM ~.~
y
TIME INSPECTION REQUESTED• PERMIT NO~l y~(~~
~0%DDa•m•
-~ ^ CONFERENCE ^ STATUS CHECK
z
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
~~ , - BUILDING INSPECTION REPORT
^ CTI'Y OF BLAIR ^ `WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~ ~~`" ~ °y'°"~'~ `~-Y
NAME OF OWNER: ~ ~~~~'(.-. CONTRACTOR: J ~ "' ` _~-°' ~ ` ~' ~ ~ ~~ )c~
DATE INSPECTION REQUESTED• ~ _ ~ ~ TIlvIE INSPECTION REQUESTED• ~ ' ~J PERMTI' NO. ~ ~ ~ "/~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ~INAL ^ PARTIAL
COMMENTS:
UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
^ PARTIAL
COMMENTS:
ELECTRICAL: ^ ROUGH IN I /I FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
^ PARTIA
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL
COMMENTS:
PASS FAILED
PASSED FAILED
^ ^
PAS FAII.ED
PASSED FAILED
^ ^
a a.ui~auuvv. IJ V1~V VIVL YY Vf\11 LJ 1~V Vl7R-liv U PllVHL U VYH IDIC 1ViL1L1C llVJ1HLLLL U YH1C 111-1L YHJJL'U I'H1Li',L.
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
0
BY
FAXED OPPD~BURT REA TO CONNECT SERVICE:
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit E 2 3 8 ~~
Application Date: I V I V ~ ~ lY
~~ /~~~
Permit Fee: $
JOB ADDRESS
(J
LEGAL
' DE R.
2 OWNER ~
~ AIL 4R SS ~1
~ / nc~~ ~
~ ~
r ~'~~
C
3
JI
yyORK/CELL PHONE ,
[~
,3 CONTRACT - { ~ M IL ADDR; ~ ~ ~
PHONE WORKlCELL PHONE ~~ ~ ~ ~ ~'
4. Class of Work: l] NEW RESIDENTIAL p NEW COMMERCIAL ~, EMODELING/ADDITIONS D UPGRADE SERVICE
5. Describe Work: ~ _ ~ ~ •~ ~ ~ ~~ f -~
6. Current License on File ~es p No O NA Completion Date
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ..........................:. $ 13,00 Upgrade Existing Service ...... $10.00
101-200 Amp Fee ...............:............ $ 18.00 Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00 Fire Alarm System ................. $10.00
301-400 Amp Fee ............................ $ 42.00
Signs ..................................... $15.00
401-500 Amp Fee $ 55.00
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ...:........................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801 -900 Am Fee $105.00
p ............................ Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117,00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
k
ill b
li
d
f
wor
w
e comp
e
with whether speci
ied herein or not.
The granting of a permit does not presume to give authority Receptacle/Switch Outlets )
to violate or cancel the provisions of any other state or local Fixtures ~ x $.75 1
law regulating construction or the performance of Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00
Permit Issuance Fee ............. $15.00 ~~~ ~ ~
DATE
TOTAL ~~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~I
r
POUNDS PRTG.-Blair, NE Rev. 11/99
CITY OF BI,~~IR
'br~_
o~~se of
BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet .includes various items dealing with particular code
requirements and/or building 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 packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I 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 Contractor
City of Blair
l v q~® ~
Date
~_
o r.
218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail c'rfyofblair@huntel.net ~ ,,,.m
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