BP12224City of Blair Building Permit Detail
Permit #: 12224 Issued: 8/16/2005 Type: Siding Permits -All types
Completed: 2/28/2006 Valuation: 9500
Location: 11007 C. Rd. 29
Owner: Gayle Carey Permit Fee: 15
Address: 11007 C. Rd. 29 Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 426 8185
Section: Township: Range:
Subdivision: Lot: Block:
West side and North end new metal siding. Replacing metal roof also. Storm damage.
Contractors
Jorgensen Contracting, Inc. General Contractor Permit # Issued
Remarks
Inspections Date By
2/28/2006 DEM Final Inspection of Project Pass
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) 4~ 26-4195 Permit-
Deposit Receipt #: _ ~' ~ '~ ~ ~ ~ ~~ ~ ~~
Issue Date: TvrJe: < ~/
12224
JOB ADDRESS ~ ~~
LEGAL
1. DESCR.
^ SEE ATTACHED SHEET
OWN
2. ~ MAIL ADDRESS
~C2~,P Zip HOME PHONE
WORIVCELL PHONE ~~~ ~/~
CONTRACT
3. MAI DDRESS
~~~ ~~,(/f7 ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FIN
I
SHED BASEMENT- ^ UNFINISHED BASEMENT
5. Describe Work: ~,~ L
~
4 i~~~'CJ J7 /?~~~
~~ a ~ ~~ a erg ~~
~~
6. Valuation of Work: $ QD, o~ Total Sq. Footage pnc~uaing easement ana Garage): Total Finished Area:
Floodway ^ Yes ^ No Dev. Permit
7. FIOOdplaln: Fringe ^ Yes Q No BFE Elev. CerL
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes
10. Special Use Permit Required: ^ Yes
11. Variance Required: ^ Yes ^ No
12. Minimum Setbacks: Front
13. Sidewalk Required: ^ Yes ^ Nc
^ No
^ No
Side Rear
Waiver Approved
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature below, I acknowledge that payment
of the building permit application fee does not constitute issuance of this building
permit. I furtheragree that construction covered bythis permit application shall not be
commenced until I have received a copyofthis application 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
ys or is not comp`)withi~n ~2,ye~a~rs~of~date of iss/~ ~/
Comment:
^ Site Plan Attached ^ Complete Plans Attached
Approximate Completion Date' ~•'S "~~~
Inspections Required and Fees
utilities
', Sewer
Septic
Bilin
i Footings
Framing
Electrical
Rough-in
Final
Temporary Service
h ni
Rough-in
Final
PI m in
Ground Work
Rough-in
WHEN PROPERLY VALIDATED
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A1C
Final
Approved Bfy: ~
. ~
Water Service
Remote
Stop Box Card
THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRiG: Blair, NE Rev. e/9e
CITY OF BLAIR
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY
LOCATION OF INSPECT ON• /v
NAME OF OWNER• ~ ` ~(.~' C~
~~Q
DATE INSPECTION REQUESTED•~ a~ ~ TIME INSPECTION REQUESTED: ~ ~ PERMIT N0:/ aaa T
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS C~IECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL
F
IN
A
L
^ PARTIAL PASS FAILED
COMMENTS: (
~
~
/
f,~~
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
DATE OF INSPECTION
/`~^ OTHER /~~
1 ~. ~~U ~~
c
TIME: ~ ~ ~C/
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY