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BP12376 ., ~~-~ ~ I ~~ ~~ ~ ~ ~~~~~~ ,~ Blair Building Permit Detail Permit #: 12376 Issued: 01/19/2006 Completed: 05/24/2006 Location: 1927 Crestridge Dr. ®wner: Contemporary Concepts Address: 19638 Mayberry St. Elkhorn, NE 68022 Phone: 968-5202 General Contractor Electrical Subcontractor Heating Subcontractor Plumbing Subcontractor Plumbing Subcontractor Section: Township: Range: Subdivision: DEERFIELD1 Lot: 130 Block: 3BR ranch; unfinished walk-out basement; 2 car garage exit from hall off util. rm. 2.5 fin bath; RI bath in basement; Deck off of back. Lot 135x77.58x135x75.42 TSF: 4061 and TFA: 1640. Contractors Contemporary Concepts Electrical Systems, Inc. Standard Htg & A/C Inc Tolliver Plumbing, Inc. Tolliver Plumbing, Inc. Remarks 01/24/2006 BMS 03/31/2006 DEM 04/03/2006 DEM 05/23/2006 DEM 05/24/2006 DEM 05/24/2006 DEM Inspections Date By 01/24!2006 DEM 03/07/2006 DEM 03/14/2006 DEM 03/31/2006 DEM 03/31/2006 DEM 03/31/2006 DEM 03/31/2006 DEM 04/03/2006 DEM Sent copy of permit. Cancelled inspection to 4/3/06 Electrical can't run in (Fiomex) No pressure test. Permit Fee: 835 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 16090 Permit # Issued E2399 02/09/2006 M1367 03/16/2006 P1472 03/10!2006 T1214 03/10/2006 No permanent address on house. Stairway handrails too low 34' - 38" Tolliver Plumbing - "Theft of Service" No meter -Direct piped No remote. Dale is re-inspecting today. Occupancy granted. Footings Pass Electrical Temporary Service Pass Plumbing Groundwork Pass Framing Fail Plumbing Rough-ins Fail Mechanical Rough-ins Fail Electrical Rough-ins Fail Framing Pass Type: Residential -New Construction Valuation: 190000 Blair Building Permit Detail 04103(2006 DEM Electrical Rough-ins Fail 04/03/2006 DEM Mechanical Rough-ins Fail 04/03/2006 DEM Plumbing Rough-ins Fail 04/04/2006 DEM Plumbing Pressure Test Pass 04/04/2006 DEM Plumbing Rough-ins Pass 05/01/2006 DEM Sewer Lines Pass 05/01/2006 DEM Water Service Pass 05/01/2006 DEM Water Tap Pass 05/01/2006 DEM Sewer Tap Pass 05/15/2006 DEM Electrical Permanent Service Pass 05/23/2006 DEM Final Inspection of Project Fail 05/23/2006 DEM Electrical Final Pass 05/23/2006 DEM Mechanical Final Pass 05/23/2006 DEM Plumbing Final Fail 05/24/2006 DEM Final Inspection of Project Pass 05/24/2006 DEM Plumbing Final Pass 06/29/2006 DEM Stop Box Card Pass BUILDING PERMIT APPLICATION ~~~ ~ o Jurisdiction of City of Blair, Nebraska Permit Fee: ~jd • D , 218 South 16th Street Issuance Fee: ~~° ~® ~~~. aG dt~o . glair, Nebraska 68008 Receipt #: v~,{402) 426-4191 • Fax (402) 426-4195 Permit- Deposit Receipt #: ~~~ ~© ~~~~' ~~ n ~ ~ ~ Issue Date: ~ ' ~ `~ "" ULP Type: ~ c:Q~! /.~9 ~"/Q~ /~c~~ 2376 JOB ADDRESS j~~ M j LEGAL 1 . DESCR. (~ ~ ~ ~ X10 ~ , ~ ~~. J ^ SEE ATTACHED SHEET OWNER ~~'w 2. ~ ~///~ ~ ~ MA RES //~~Q ~iJ/f ~ ~~(1/c.J~ /// I ~ ~~ HOME PHONE G~ / ~1 622WORKICELLPHONE / U~~'~°~~~ CONT OR .3. ~~ MAIL ADDRESS ~ ZIP HOME PHONE f ~2 WORK/CELL P 0 E ~ .~SaQ 4. Class of Work: ~EW ADDITION ^ REMODEL ^ OTHER ^ FINI HED BASEMENT ^ UNFINISHED BASEMENT 5. Describ eWo r k: ~~ • ~ J C~ ,~~~ ,~ d~ ~~~1 ~C' ~rLIQ ~~ // ®® ~~ Q7Y1 /~~CG/!~/ ~ ~Ll~'• // .-1~1E1~ fly ~ ~f1~. r ~l a~%) •Gf~ ~~ ae,~. ; ~3~x 71 ~/~~ ~~. ~a 6. Valuation of Work: $ Q aka , D D Total Sq. Footage QRCIuaIRg Basement ana Garagel: Total Finished Area: Floodway Q Yes 7. Floodplaln: Fringe Q Yes ^ No ^ 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 12. Minimum Setbacks: Front ~Q5 No ~ Side Rear ~5~ 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 by this 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 with 2 years of date of issue. ~ l /9 ~ SIGNATURE OF 0 NER/CONTRACTOR DA E Comment: MEEC IBC, IRC, IPC, IMC AND NEC CODE REQUIREMENTS SLEEPING ROOMS BELOW THE FOURTH STORY AND IN BASEMENTS ARE REQUIRED TO HAVE:AN :EGRESS WINDOW. ^ Site Plan Attached ~ c ~ C ~ p ete Plans Attached Approximate Completion Date- =f / Inspections Required and Fees ili i ~awt~ ervice Septic Sto and _ B it in Fo n (PRIOR TO TAPING) Fr ~~> /~J`~i//Retl~ EI c ric I __ C, cJ .Z C~1~~'t~/L! C, Ro ~~ ~ Pe ervice Tempg~e Service /~/ -in ~{~' PI mbin G'7~.~ ~`~ ~ ' Graun~0/6P~C WHEN PROPERLY PERMIT POUNDS PRTG: Blair, NE ~ " Rev. B/96 S~ ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 2 3 9 9 JJ ~j ',~ Application Date: ~ _ ~ _ ~ b Permit Fee: $ JOB ADDRESS ~ ~~ ~ ^ /J!) /-1 / LEGAL 1 • DESCR. O SEE ATTACHED SHEET 2 OWNER MAILADDRESS ZIP HOME PHONE WORKICELL PHONE C CT R Q MAILADDRESS ~) / G PHONE HOME PHONE 3. ~ I ~ ~ ~ / ~ ~ te ' 33 ~ ~ ~ l 1 . V. jy~(, (~. (v ty WORK/CELL PHONE r y-- 4. Class of Work: NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~„~ ,~~....Q ~N.~ 6. Current License on File Yes p No p NA Com letion Date ~ ~ New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee $ 18.00 Temporary Service $10.00 ~ J~' ~ 201-300 Amp Fee ............................ $ 30.00 Fire Alarm System ................. $10.00 301-400 Amp Fee ............................ $ 42.00 ..................................... Signs $15.00 401-500 Amp Fee ............:............... $ 55,00 501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117,00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Area) NOTICE Single/Two Family Dwellings yd I hereby certify that I have read and examined this ~ ~O sq. ft. x .045 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be com li d ith h th ifi d h i t p e w w e er spec e ere n or no . The granting of a permit does not presume to give authority Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $.75 law regulating construction or the performance of Smoke Detectors x $3 00 construction. . Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) SIGNAT OF CONTRACT R AUTHORIZED AGENT # Apparatus x $3.00 ,~' ~~ '~~~ Permit Issuance Fee $15.00 ~~ `~ DATE q TOTAL 1 f.- Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved B~ (1 POUNDS PRTG: Blair, NE ~ Rev. 11/99 MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 13 6 7 Fax (402) 426-4195 M (402) 426-4191 Application Date: ~ ~~ ~ ~~ r ®~ Permit Fee: $ ~® JOB ADDRESS ~~ ~~ 1 OWNER n~~,., MAIL ADDRE /~ ZIP ~~ ~ p~~HONE~y // (~~j .~,{ CONTRALTO . MIL DDR SS ~lL /~ P NE f~ ~/ / LICENSE N0. ~i~/'/'-r~` ~ 2. ~ y, ~ ' ~ ~ ~~ ~ ~ 1J j 'JrJr l /`Ld o Q~ /7 LL,F~ ; ~ Z 3. Class of Work: O COMMERCIAL ESIDENTIAL ~IEW O ADDITION ~ ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~PG~ g ~~~ ~~"~ Central A/C ~~ ~ Tons MECHANICAL PERMIT FEES ~~ Furnace ~~~- ~~® BTU/H Forced Air/Heat Pump Systems -Per Unit ~~ ~ Commercial/Residential (New) .................................................... $25.00 # of Units A/C ~ . G ~ Air-Conditioner Unit -Per Unit f Furnace Commercial/Residential (New) ...........:........................................ $10.00 Forced Air Systems/Air Conditioner Unit Replacement Per Unit Commercial/Residential ................... $10.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ..................... $10.00 Comments: A liance Vent/Fans $10.00 f~ • ~ ~ pp .............................. Boiler .......................................................$15.00 Duct S stem $10.00 ~~ ' ~ ~ y ........................................... Gas/Air Outlets .................. x $2.00 NOTICE Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of . .... $15.00 Modular Home work will be complied with whether specified herein or not. ................................ .... The granting of a permit does not presume to give authority to violate or cancel the provisions of any of er state or local law regulating cons~r• I or the rformance of ~ ~~'• Permit Issuance Fee ............................... $15.00 construction. ` ~Q TOTAL ~~ • SIGNATURE ~ Cp~NTRAG 0 d ~ H NT 1J ~~/ ~~.~ (, Current License on File ~es O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~`7~ /'}~~ POUNDS PRTG.~Bleir, NE Rev. 4l9B s5 PLUMING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 14 7 2 Fax (402) 426-4195 P (402) 426-4191 Application Date: ~ _ fV ~ J 6 S , Al l Permit Fee: $ JOB ADDRESS ~' 'l~ /` f C '"~ ~ r~ C r .• 1. OWNER ~ MA ADDRESS ZIP PHONEC, ~ ~~ v. 2. CONTRACT1OR U f~i~t-r ~h1 f MAIL ADDRESS 61~1 PHONE LICENSE NO. 3• Class of Work: O COMMERCIAL RESIDENTIAL NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~ _ ~~~ Comments: PLUMBING PERMIT FEES Modular Home .................... $15.00 Type of Fixture No. ~ - ~ Kitchen .................................. $8.00 x 3 ~~ ~~ Bath ....................................... $8.00 x ~+ J J Rou h-In Bath g ....................... $4.00 x S . ~ ~ `~ Slop Sink/Laundry Tray ......... $5.00 x ~ ' ~ J Water Heater ......................... $3.00 x ``~~ ~ ~ y Outside Water Faucet ........... $3.00 x U Drinking Fountain .................. $3.00 x Water Service ........................ $10.00 ~V ~ ~~ Sewer .................................... $10.00 ~~'~ NOTICE ~~~~ I hereby certify that I have read and examined this Groundwork ........................... $10.00 l application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. Lawn Sprinkler System ......... $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Sprinkler System ................... $30.00 law regulating construction or the performance of (Commercial) construction. Gas/Water Piping System (Commercial) ............................ $30.00 ~~`~ Permit Issuance Fee ............. $15.00 SI ATURE OF ONTRACTOR OR AUTHORIZED AGENT TOTAL r- ~ ~ ~ U~ ~~ `r J ~ DATE Current License on File es O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By POUNDS PRTG.-Blair, NE Rev. 4/9B PLUMING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 T 1214 (402) 426-4191 Application Date: .7 ~ ~ b' v.~ Permit Fee: $ ~ U~ JOB ADDRESS ~a~ 1 OWNER MAIL RESS ZIP PHONE 2. CO ~~QFA ~ ~ / IS . AIL ADDRESS PHONE LICENSE N0. 3. Class of W ork : O COMMERCIAL RESIDENTIAL EW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4. Describe Work: I ~ Comments: PLUMBING PERMIT FEES Modular Home ........................ $15.00 Water Tap Fee - 3/4" $150.00 Water Tap Fee - 1 " $200.00 ~ 1 " Water Tap Fee - 1 /2 $250.00 NOTICE I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Water Tap Fee - 2" $300.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatin construc 'on or the performance of construction. ;' ~. SIGNATURE 0 R OR AUTHORI rr ~~ ~ ~~~UA TOTAL U O ° JC3 DATE Current License on File es O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~Ol1NNR PRT(~ _Rlair NF ... ._._. BUILDING INSPECTION REPORT CITY b.F~ ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECT N• /~~ ~ ~~~ ~~ ' NAME OF OWNER• ~'` ~ `~~~~ ~~ ~ ~ CONTRALTO fld~~ TIME INSPECTION REQUESTED• ' ~v Q '~' r' ~~~ ~~ DATE INSPECTION REQUESTED• PERMTI' N0: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS FAILED COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE U 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 NOTES/REMARKS• "/ITS /~ / F `/ /~ PECTO DATE'OF'INSPECTION MADE: ~ ~ Tom: '" FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY ~ITY CF AIR BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ LOCATION OF INSPECT ON• /~~ ~ ~~D NAME OF OWNER• y ~~`~~ ~ ~~ ~ CONTRACTOR. DATE INSPECTION REQUESTED• ~r ` u `~ TIME INSPECTION REQUESTED: ~~. . ' "~~' ~' PERMIT NO: / ~~ ~(~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CFIECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL- ^ PERMANENT SERVICE TEMPORARY SERVICE ^ PRECONNECT PASS FAILED ^ PARTIAL /~ , /~~ ~ ^ COMMENTS: v ~"~ MECHAMCAL: ^ 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 d-,.'~~ FAXED ~PPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT _~ 1 '~ j, CITY 6F ^ WASHINGTON COUNTY ^ OTHE _ LOCATION OF INSPECTION• ( ~ ~` P ~~ ~ ~ C 1 C~ ~~ ~ `- b~ ~ ~JU NAME OF OWNER• ~~ I ~' - ~' ~1~ ~ N P~ CpTjTR,e,CTO 1 i-~~'l~ ti'Vl. '~ 1/'(,~,. I~'l. ~ ~ L~ ~ ~ .i l / l DATE INSPECTION REQUESTED• ~ ' ~ { ~~ TIME INSPECTION REQUESTED• r ~ ~" PERMIT NO: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CFIECK BUILDINGi ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: 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' PASS FAILED ^ PRESSURE TEST COMMENTS: ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: DATE OF INSPECTION / ~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON_ BUILDING INSPECTION REPORT C F BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: /~~ ~ ~~~ ~`~ ~ NAME OF /,, v DATE INSPECTION REQUESTED• y ~~~ r ~ (Y TIME INSPECTION REQUESTED• f y ' ~ ~ • ~' PERMIT NO• /~` ~ / ~-~" TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING G ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTILTPIES: ^ SEWER TAP '- ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ROUGH IN •^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT -PASSED FAILED ^ PARTLAL ^ ^ 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 ^ CONDTTIONAL OCCUPANCY GRANTED TTMF.: FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT ,CTi`Y OF ^ WASHINGTON COUNTY ^ OTHER /1, LOCATION OF INSPE ION• ` ~ ~ ~ ~ ' `~'~' NAME OF OWNER {,111 ~~ ~" CONTRACTOR • ~ ~~`~ DATE INSPECTION REQUESTED• ~ ~D~ TIIvIE INSPECTION REQUESTED• Q ~' ~' PERMIT NO• ~°~3 ~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ~' ^ COMMENTS UTILITIES: ^ SEWER TAP ^ -SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FA D ^ PARTIAL ^ COMMENTS: MECHANICAL: COMMENTS: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT .^ FINAL. ^ PARTIAL PASSED F D ^ PLUMBING: ^ COMMENTS: GR PRESSURE TES ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASS FD ^ OCCUPANCY GRANcTED ^ CONDITIONAL/OCCUPANCY GRANTED NOTES/REMARKS• [~ ` ~ / ~ G~~ O, 1 ` /~ ~ _ ~ ~~ I ,~~0~2 FAXED OPPD~BURT REA TO CONNECT SERVICE: ON B Y BUILDING INSPECTION REPORT CITY OF BL ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• I ~ ~ ~ '~' t ' NAME OF OWNER• CONTRACTORS ~vv- _ - - ~~ J /y ~~7~ la3 (~ DATE INSPECTION REQUESTED• ~ _ ~ TIME INSPECTION REQUESTED• ~ 7 ~ PERMIT NO• TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CIIECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL COMMENTS: PASSED FAILED ^ ^ UTILTTIES: ^ 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: ^ ROUNDWOR ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASS FAILED 1/~f PRESSURE EST ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED FAXED OPPD~BURT REA ;~ ~ DATE OF INSPECTION TO CONNECT SERVICE: ON ,.,~ i BUILDING INSPECTION REPORT ~~ [] CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• ~ ~ ~ ~ ~ ~ NAME OF OWNER_ ( CONTRALTO DATE INSPECTION REQUESTED 7~ J I TIME INSPECTION REQUESTED• ~ ,' ~ ~ PERMIT NO• TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK 5 BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTII,TPIES: SEWER T SEWER ^ SEPTIC WATER TAP ^ REMOTE WATER SERVICE PASS 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 FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY Cl'i'Y`bF BLAIR BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ C~-~- /Y~ / / al / C i/lC4~r/L~Cy LOCATION OF INSPECTION: ~/I~ -/ / NAME OF OWNER: ~f~1T~~9~uG, (f~7 1G0.,0 T~ CONTRALTO T ' DATE INSPECTION REQUESTED~~~' ~, ~~ TIME INSPECTION REQUESTED: ~ /J • ~ ~~ 1 ~PERMTI' NO• ~~`~ / TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMII~G ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL ERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PAS D FAILED ^ PARTLAL /~ ~ (~~ ^ ~ COMMENTS: (~ T 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 NOTES/ItEMARKS• /d.'~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY .5-15'- oc~ ~~ CITY OF BLAIR LOCATION OF BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ OTHER -- I g 2"1 Cress-~~i cl~ i~ r~ NAME OF OWNER: I~1~31 1 rl W~ I-t CONTRACTOR ~~ {'Y1I~(~rG1-F L~1.. ~ C~n~--~S DATE INSPECTION REQUESTED ~ I ~ / `'~ TTME INSPECTION REQUESTED• (~ ~~ PERMIT NO• ' ~~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED F ^ COMMENTS: UTII.ITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN FINAL. ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PAS D FAILED - ^ PARTIAL ~ ^ COMMENTS: ///`~~~ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT AL ^ PARTIAL PASS FAILED ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED .FAIL COMMENTS: ^ PRESSURE TEST ^ ^ OCCUPANCY GRANT)j,D ~~CONDITIONAL OCCUPANCY GRANTED _ / NOTES/RE/MBA fRKSQ,, /T~l~ c TE OF INSPECTION ~~ // ~1 ~c~ '' .~ .~D ,~• ~ ~~ ~~r~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY Permit # Permit Date Irl REScheck Software Version 3.7 Release 1 b Compliance Certificate Project Title: Deerfield Report Date: 01/19/06 Energy Code: 2000 IECC Location: Blair, Nebraska Construction Type: Single Family Glazing Area Percentage: 12% Heating Degree Days: 6506 Construction Site: Lot 130 Blair, NE 68008 Owner/Agent: Designer/Contractor: Contemporary Concepts 19638 Mayberry St Elkhorn, NE 68022 402-968-5202 Compliance: Passes Maximum UA: 386 Your Home UA: 247 --> 36.0% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss: 1640 50.0 50.0 18 Wall 1: Wood Frame, 16" o.c.: 2232 15.0 15.0 86 Window 1: Vinyl Frame:Double Pane with Low-E: 264 0.330 87 Door 1: Solid: 21 0.330 7 Basement Wall 1: Solid Concrete or Masonry: 1176 9.6 9.6 49 Compliance Statement: Statement of Compliance; The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheck Version 3.7 Release 1 b and to comply with the mandatory requirements listed in the RESc~ pection Checklist. ~, BuildeNDesigner Company Name Dat Deerfield ~~ 1'of 4 REScheck Software Version 3.7 Release 1 b Inspection Checklist Date: 01 /19/06 Ceilings: ^ Ceiling 1: Flat Ceiling or Scissor Truss, R-50.0 cavity + R-50.0 continuous insulation Comments: Above-Grade Walls: ^ Wall 1: Wood Frame, 16" o.c., R-15,0 cavity + R-15.0 continuous insulation Comments: Basement Walls: ^ Basement Wall 1: Solid Concrete or Masonry, 9.0' ht/7.0' bg/9.0' insul, R-9.6 cavity + R-9.6 continuous insulation Comments: Exterior insulation must have a rigid, opaque, weather-resistant protective covering that covers the exposed (above-grade) insulation and extends at least 6 in. below grade. Windows: ^ Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.330 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ^ Door 1: Solid, U-factor: 0.330 Comments: Air Leakage: ^ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. ^ Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: ^ Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: ^ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ^ Materials and equipment must be identified so that compliance can be determined. ^ Manufacturer manuals for all installed heating and cooling equipment and seNice wafer heating equipment must be provided. ^ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation:. ^ Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.5. Duct Construction: ^ All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181 B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). - ^ The HVAC system must provide a means for balancing air and water systems. Deerfield Page 2 of 4 Temperature Controls: ^ Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: ^ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. ^ Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: ^ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ^ All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: ^ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. DeerFeld Page 3 of 4 f ' Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(°F) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Deerfield Page 4 of 4 vim-- -~ «.~... .~. ~,. i. r wuu~ ~.,rnvu uw. ql~~ .t'~tl 514 P.81~01 ' LANp SURVEYORS CERTIFICATE 1 hereby certify that Ihts plot, map, survey or report was made by me or under my direct supervision and thol 1 vm a duly'Regislered Land Surveyor under the Iowa of the State of Nebrosko. '• l LEGAL GF~,SCRIPTION: PUR 0 E3 EBK 52R P 35 8K 55, P 233 ~ Lot ~''v OEERfIELO 1ST ADDITION, o subdivision, Da surveyed, plotted and recorded in WDShingtrin County, Nebroaka 50 ACCESS EASEMENT f0 THE PUBLIC 97.53' a 70.6t'_ t toss' tzs.9T f; 1x3.92' 1• +J~sa1 ^ i, ~~y7. ~ M1M1O` o~~`~ 6s'D°~ y 217.71' I ~~, I 1 A OT y~ 6 ~ J• 'j l 'OS. ;29 128 t0, . I~ 13`s ~ ~ 131 '~ 1. ~~ ias' w; 1 NdTEB 1. ALL DISTANCE ANE SHOWN NJ DECIMAL rCET. 2 ALL DISTANCES SHOWN ALONC CUINES ANE ANC daTANCES NOT CHORD DISTANCES. 3, ALL ANOlES ARE 90' UNLESS OINERYASE N0TE0. {. ALL L07 ONES ON CURVED S~REE7S ANE RADUL UNLESS OTNERWISfi NOTED: N.R. 100 SO 0 100 5• SHOWN IN PAAEMHESES O Eq i ~ Sri F D EASEMENTS, RE 6. A1,1, CUL-OE-SAC RADII •AE 62.50 FgET UNLESS NOTED O7NERWISE. 7. ALL CUI-OE-SAC 1HflaAT RADN AAE 25 FEEL UNLESS NOTED OTRERVASE 9 DIRECT L ~ ~~wnc+nr rrc. r.rte7ls~ 71ATA M AV 5 ACCESS TO ctOtVE RAD1 V5 AAC ND H tN0R0 L N LrgRD 9E 1 0.E iANGE { 77. 50' 0. 1 809. 76' S T • E • 26' 3 1 77. CS 737. SD. D 80 {{& 06' S Y ^7' 19' 1 {' 7 0 8 C 0. 0• E. ~' 3 1 •09• 0• 3. a' C9• D 0 ' 12.7D• 11.17' 7' 0' i 0' 21.26' • 5 .6E' A 00 1 .{5 77.60 5 50'50' J' 0 i Post NOte 7671 Dale a o1 ~ To F.om comept. Ca Plan¢ Jf ~ _ C~' Phon6 A ~. Fa1c1I ~_sa~ ,;`~ .•' ROBERT D. a i PfiOETT 1~ ~, ~, L5-379 ~;' ' Itura of land Surveyor I~ f~ Lti ~ •,. ~F ,~ i~'l ••..,,,,,,,..••'y,5 ~~~ '' , ~~ I ~ ~~, Aar fa, +a9> /-IIIIN pep. No. 't111a 9681f~196J*C2/0 Job Number 96a5~-?J46 ~~ ~ tamp, rynearson ~. associates, inc. ~ sngin90r9 9urv0yorE1 plenner8 wrr~ 1471[! west dodge toad, Suite 100 ph ~40214fit9.2469 'rwr+ Omaha, nabreslka 96154.2029 fax 402 •49A •.27'3D TOTAL P.01 CITY OF BL[~II~ Ar~ o~/se of BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet ,includes various items dealing with particular code requirements and/or building 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 packet is only designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I 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. Owner/Occupant City of Blair G~ r Contractor `~ ~ Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail c'rfyofblair@huntel.net CITY OF B~~1IR 'br~_ o~~se of BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 refundable deposit is being collected at the time of your building permit application for all permits $10,0000 and above. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) theft of water service by either the plumber, owner or general contractor, 2) all required inspections have not been obtained, 3) occupancy occurs prior to a final inspection, 4) all permits have not been obtained, and 5) the project is completed without a final inspection being done. If any or all of these situations occur during construction, you may forfeit your deposit. I, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/ w er Contractor/Owner City of Blair ~ D~~ Dat 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblalr@huntel.net ~~ a~~ REpUEST FOR -~~ SEWER STUB OUT LOCATIONS Address I `j ~~? C f e5-~-~,c~~, ~ D !' Lot # (Must Have) ~ ~~ Subdivision D ~e~'-~ ~ e ~ ~~ Sewer Stub Out Name d ~~ ~~r~,z,~ ~~u~h~ r' S kc~n n r Phone numbers Date `~ ~- l~ ~® ~ ~r ~~~ REQUEST FOR SEWER STUB -OUT LOCATIONS Address Lot # (Must Have) Subdivision ~ ~1 ~~~ ~ ~ f~L ... 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