BP12423 Blair Building Permit Detail
Permit #: 12423 Issued: 4/5/2006 Type: Fences -All types
Completed: 6/8/2006 Valuation: 1600
Location: 654 N 21st St
Owner: Ryan Branz Permit Fee: 15
Address: 654 N 21st St Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 426 2009
Section: Township: Range:
Subdivision: Lot: Block:
6' treated wooden fence in the rear of property only, will not extend past the front of the house.
Contractors
SELF General Contractor Permit # Issued
Remarks
5/10/2006 DEM
Not complete. 30 days per Dale. Changed completion date to 6/5/2006.
Inspections Date By
5/10/2006 DEM
6/8/2006 Final Inspection of Project Fail
DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
lr~~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 ~ Z 4 2
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt ~: V
Issue Date: I ~`Jb Type: ~~~'`~-2
JOB ADDRESS d _ ` r ~ ~ A _ r
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER
2. MAIL ADDRESS Zlp HOME PHONE ,`.}} `~
WORIVCELL PHONE 6 ~ V U
CONiRAC R
3. MAIL ADDRESS ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
i
5. Describe Work: ~~
6. Valuation of Work: $ ~(~ V
Total Sq. Footage (Including BasementanaGarage):
Total Finished Area:
Floodway Q Yes
7. Floodplain: Fringe Q Yes Q No Dev. Permit
Q No BFE
Elev. Cert
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes ^ No
10. Special Use Permit Required: ^ Yes ^ No
11. Variance Required: ^ Yes ^ No
12. Minimum Setbacks: Front Side Rear
13. Sidewalk Required: ^ Yes ^ 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 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 date of issue.
r ! 7 ._ ~ t~
SIG ATURE OF OWNER/CONTRACTOR DATE
Comment:
'`Site Plan Attached ~ ~.Comgiet~ Plans Attached
Approximate Completion Date ICJJ 66
Inspections Required and Fees
ili i
Sewer _
Septic _
Building
Footings
Framing
EI ri I
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
Plumbing
Ground Work
Rough-in
Water Service
Remote
Stop Box Card _
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A\C ,
Final
WHEN PROPERLY VALIDATED (IN THIS
Approved By:
THIS IS YOUR PERMIT
POUNDS PRTG.-Blair, NE R~• 8196
TTY OF BLAIR
BUILDING .INSPECTION REPORT
^ WASHINGTON COUNTY ^
LOCATION OF INSPECTIONS ~D~ ~ /1( " ~ ~~ `~ r~ ,~
NAME OF OWNER_ /~ ~~~ <~l.I/1~ ~~ .CONTRACTOR: c-+-~
DATE INSPECTION REQUESTED: [l~ ~ ~ ~C/ ~ TIME INSPECTION REQUESTED_ f"t ~ PERMTI' NO• ~~ ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^
COMMENTS: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL INAL ^ PARTIAL
.~'Y~ PASSE FAILED
^
UTILITIES: ^
^
COMMENTS: SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
PARTIAL PASSED
^ FAILED
^
ELECTRICAL: ^
^
COMMENTS: ROUGH IN ^ FINAL ^ .PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
PARTIAL PASSED
^ FAILED
^
MECHANICAL: ^
COMMENTS: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED
^ FAILED
^
PLUMBING: ^
COMMENTS: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
PRESSURE TEST PASSED
^ FAILED
^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
OF INSPECTION
T L' ~®
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON B
I
CITY OF BLAIR
LOCATION OF
NAME OF
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
~~
DATE INSPECTION REQUESTED• ~" ~D ~OLv TIME INSPECTION REQUESTED• r ~ .PERMIT NO• ~ ~~°~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL INAL ^ PARTIAL PASSED FAILED
COMMENTS: ~
~.~1~ ^ ^
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 PA S D FAILED
COMMENTS: ^ PRESSURE TEST ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
2~~ ,~~ (n
INSPECTOR' DATE OF INSPECTION MADE:
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
CITY OF BLAIR
Application for Building Permit
PLOT PLAN
Address (n ~ 7 ~ ~ O[ 1 Sr ~~ Date 1 ' S `C~ 1~
Legal Description: Lot Block Addition
P1eas.e show all measurements of existing and contemplated structures,
also show distances between structures, etc., and property lines,
Is this a corner lot?
is
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Pro ert Line '
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Center Line of
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Applicant
CITY OF BI,~IR
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FENCE PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or fence 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 fence 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 an my
own behalf assuming full responsibility as the owner/contractor for this project.
~.,.-_.-1~ ---
Owner/Occupant
City of Blair
Contractor
s- ~~
Date
t=_ J -
218South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail ciiyofblair@ci.blair.ne.us ~~~ ~"~
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