BP12208City of Blair Building Permit Detail
Permit #: 12208 Issued: 07/28/2005
Completed: 01 /04/2006
Location: 10963 County Road
Owner: Lyle Christensen
Address: 10963 County Road
Type: Siding Permits -All types
Valuation: 12204
Blair, NE 68008
Phone: 402 426 9207
Section: Township: Range:
Subdivision: Lot:
Storm Damaged metal. Replacing on 2 buildings roof and siding.
Contractors
Jorgensen Contracting, Inc. General Contractor
Remarks
01/04/2006 STATUS No final was done.
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
BUILDING PERMIT APPLICATION
~ ~ ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 ~ 2 2 0 $
Receipt #: (402) 426-4191 • Fax (402 426-4195 Permit
Deposit Receipt #:
Issue Date: ~ ~~~- ~ Type: ~~ ~ c
JOB ADDRESS
~~~
'
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER JJ „ , MAIL ADDRESS ~~ Zlp
2, ~/ HOME PHONE
WORK/CELL PHONE ~/~ / _ ~y~~
`~ (~ /
q CO 0 M IL ADDRESS Z P
a7. ~~~~ HOME PHONE
, WORK/CELL PHONE ~~ _~~///~
~
4. Class of Wor . ^ NEW ^ ADDITION ^ R ODEL OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: fd ~~ ~7Q ~/ ~ j~~/~ ~ ~ ~,..7~
G C~ fJ Gam[
6. Valuation of Work: $ ~O~ aQ ~ G~Total Sq. Footage pnc~uafRg Basement and Gauge): Total Finished Area:
Floodway Yes ^ No
7. FIOOdplaln: Fringe Q Yes ^ No Dev. Permit
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 mysignature 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 ofthisapplication 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
State of Nebraska. I understand thatthis permit is void if work is not commenced within
80 da or is not comple~t~within 2 years of date~f issue.
Comment:
^ Site Plan Attached ~ _ ~~om~ t~ -Plans Attached
Approximate Completion Date L~
Inspections Required and Fees
Utilities
Sewer
Septic
it in
Footings
Framing
EI ri I
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
I mbin
Ground Work
Rough-in
WHEN PROPER
Final
Approved By:
Water Service
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A1C ,
VALIDATED (IN THIS
< <1 y~
THIS IS YOUR PERMIT
Rev.8/96
POUNDS PRIG: alelr, NE