BP12273City of Blair Building Permit Detail
Permit #: 12273
Issued: 09/20/2005
Completed: 01 /04/2006
Location: 746 N. 12th Street
Owner: Joe Contreras
Address: 746 N. 12th Street
Blair, NE 68008
Phone: 402 533 2956
Section: Township: Range:
Subdivision: Lot:
Tearing off one layer and replacing with asphalt shingles.
Type: Roofing permits -All types
Valuation: 2000
Contractors
SELF 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
~~', ~s ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 ~ 2 2 ~ 3
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~" ~~ ~~~ Type:
JOB ADDRESS ~ /~ {~~
~/ `~~~i~
LEGAL
1 . DESCR. ^ SEE ATTACHED SHEET
OWNER
2, ~/ MAIL ADDRESS
r ~~~ ZIP HOME PHONE
WORIVCELL PHONE ~~ `o?~~J
CONTRALTO
3, MAIL ADDRESS ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: ~ NEW ^ ADDITION ^ REMODEL Q OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~iG~~Ll~ f1~L1~ ~ ~ ~~ QG~
LCD L~iO ~vtA ~ / / Lry
6. Valuation of Work: $ o~ ~~~, ~~ Total Sq. Footage pnctoang Basementana Garagel: Total Finished Area:
Floodway
7. Floodplain: Fringe Q Yes Q No
Q Yes Q 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 my signature below, I acknowledgethat 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 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 ebraska.lunderstand ~tthispermitisvoidifwgrki not commenced within
180 rsior is not plete i ffm 2 years of date of issu .
OF
DATE
^ Site Plan Attached ^ Complete Plans Attached
Approximate Completion Date ~d ~" f "" ~~~.
Inspections Required and Fees
Utilities _
Sewer _
Septic _
it in
Footings
Framing
EI ri
Water Service
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
PI m in "
Ground Work
Rough-in _
Fixtures
Permanent Service
A\C ,
Final
WHEN PROPERLY VALIDATED (IN THIS
Approved By: ~~_ ~ .J ~~
THIS IS YOUR PERMIT
Rev. 8/96
POUNDS PRIG: Blair, NE
F
CITY OF BI,~~IR
4F StS:-T.~__v:. 4
a~c~~se of av~`t
ROOFING PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or roofing 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 roofing 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 on my
own behalf assuming full responsibility as the owner/contractor for this project.
Contractor
City of Blair
~~~~~ ~S
Date
27 8 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mall cifyofblair@ci.blair.ne.us