BP12332City of Blair Building Permit Detail
Permit #: 12332 Issued: 11/4/2005 Type: Siding Permits -All types
Completed: 1/10/2006 Valuation: 4975
Location: 1763 Grant St.
Owner: Raymond Carlson Permit Fee: 15
Address: 1763 Grant St. Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 426 0245
Section: Township: Range:
Subdivision: Lot: Block:
All new vinyl siding and trim for the 2 windows. 20 ft. of gutter, also garage door t rim. Shed only.
Contractors
Blair Home Improvement General Contractor Permit # Issued
Remarks
1/10/2006 STATUS Siding was completed per contractor. No final.
Inspections Date By
BUILDING PERMIT APPLI
Permit Fee: /~~~ ~~ Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195
Deposit Receipt #: n ~
Issue Date: ~f '" ~'d~ Type:
12332
Permit
JOB ADDRESS ®
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LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER.
2. MAILADDRESS r,,,,,, ~9
L,~E%/(~' Zlp HOME PHONE ~/~ ..~
WORK/CELLPHONE p~IIY (d~
CONT 0
3. ~~ MAILADDRESS ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: ~IEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT Q UNFINISHED BASEMENT
5. Describe Work: ~ ~/~ ~/ ~ ~ ~ Zf~
Gl/IG G~Q'd'I ~ ~P,C~I~'~-~ ~ ,
6. Valuation of Work: $ ~® Total Sq. Footage (IRCIudiRgBasemeRtanaGarage): Total Finished Area:
Floodway Q Yes
7. FIOOdplain: Fringe Q Yes O No Dev. Permit
^ No BFE Elev. Cert
8. Current Zoning:
9. State Fire Marshall Required: Q Yes
10. Special Use Permit Required: Q Yes
11. Variance Required: ^ Yes ^ No
Q No
Q No.
12. Minimum Setbacks: Front Side 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 copyofthis applicationform 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
180 ys or is not completed within 2 years of date of issue.
/~-~ ~ -a5
SIGNATURE OF OWNER/CONTRACTOR DATE
Comment:
Q Site Plan Attached ^ Com lete Plan Attached
Approximate Completion Date `~ ° ~' ~~~'~~
Inspections Required and Fees
ili i
Sewer Water Service
Septic Remote
Stop Box Card
Bilin
Footings Drywall
(PRIOR TO TAPING)
Framing Final
EI ri I
Rough-in Fixtures
Final Permanent Service
Temporary Service
M ni I
Rough-in _
Final
PI mbin _
Ground Work
Rough-in _
A1C
Final
WHEN PROPERLY VALIDAT (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: a ~,-.,,r ~
CATIO N
POUNDS PRIG: Blelr, NE Rev 8196