BP12532Blair Building Permit Detail
Permit #: 12532 Issued: 8/7/2006 Type: Signs
Completed: 10/23/2006 Valuation: 800
Location: 2244 Hollow Rd.
Owner: Kevin Christoffersen Permit Fee: 15
Address: 2244 Hollow Rd. Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 306 1493
Section: Township: Range: ,
Subdivision: Lot: Block:
4x10 illuminated sign; 14' tall. Licensed electrician will pull electric permit. See plot plan for distance from property
lines.
Contractors
Christoffersen Drywall General Contractor Permit # Issued
Dugan Electric Co. Electrical Subcontractor E2566 10/13/2006
Remarks
8/15/2006 BMP Sent copy of permit.
9/14/2006 BMP Called Kevin, and he said the sign is not done. An electrical contractor will be pulling a permit.
Extended completion date to 10/15/2006.
Inspections Date By
9/15/2006 DEM Footings Pass
10/23/2006 DEM Electrical Final Pass
10/23/2006 DEM Final Inspection of Project Pass
~' ~ ~ BUILDING PERMIT APPLICATION
~~f. -. ~ ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: , 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 ~ ~ 5 3 2
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: ~ ,
Issue Date: ~" ~ ~" U~y Type: ~~
JOB ADDRESS
7 ~O-~ LG~
O ~l ~l
LEGAL
1 . DESCR.
^ SEE'ATTACHED SHEET
OWNER -
2. ~ MAILADDRESS /~
~'Ll4 ~ .~(I/(,~i~/11~ , Q , ~ / ZIP HOME PHONE /may
~G/~ ~ d6 WORKICELL PHONE - I Ll % 3
CONT R ' _
3, MAIL ADDRESS
~~ ZIP HOME PHONE
WORK/CELL PHONE
4. Class of Work: W ^ ADDITION Q REMODEL ^ OTHER Q FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~ X ~ ~6~~~~ ~ ~!~ ' LL~ ' `, ~ p
c~G~~~ ~' Q~J
~ ffY!'-
. Valuation of Work: $ ~~~ , O ~ Total Sq. Footage pRDli,aing Basement and Garage): Total Finished Area:
Floodway
7. Floodplaln: Fringe Q Yes O No Dev. Permit
Q Yes O No BFE Elev. Cert.
8. Current Zoning:
,~No IY~ls,y- "ZS I
~N0 ~y` tS,,~Osl~`
9. State Fire Marshall Required: Q Yes
10. Special Use Permit Required: Q Yes
11. Variance Required: ^ Yes pj No
12. Minimum Setbacks: Front
Side Rear
13. Sidewalk Required: Q Yes O 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 bythis permitapplication shall not be
commenced until I have received a copy of this application form signed by the Building
Inspector.
I herebyagree 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 that this permit is void if work is not commenced within
180 days or is no pleted within 2 years of date of issue.
~_ ~~
SIGNA RE OF CONTRACTOR DATE
Comment:
`MEET IBC, IRC, IPC, tMC AND NEC CQDE REQUIREMENTS
POUNDS PRTG: Blair, NE
Q Site Plan Attached Complete Plans Attached
Approximate Completion Date ~ "~ `~ D~
Inspections Required and Fees
iii i
Sewer.
Septic
B iu Iding
Water Service
Remote
Stop Box Card
roo~Rgs Drywall
(PRI~PING)
Framing `
EI ri I Gl Gvy- JU ~
Rp~Ft•ig - n' Fixtures
Temporary Service
Mechanical
Rough-in _
Final
Permanent Service
ABC ,
Plmin
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SP HIS IS~GOf~a.PERM
a~
~J
Application Date:
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
~~-~3~~~
Permit E 2 5 6 6
Permit Fee: $ ~ o ~
JOB ADDRESS a ,a ~ ~ I~71! -~-1)~nT
1 ~ DESCR. O SEE ATTACHED SHEET
2 OWNER I' ~
/
~ MAILADDRESS ZIP HOME PHONE
~~
~. WORK/CELLPHONE
3 CO RACTOR ~~~`
MAILADDRESS PHONE HOME PHONE
~~
~' ~/'V~YJ
~
J WORK/CELL PHONE
4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: ~ c ~ ~~
6. Current License on File p Yes ~ No p NA Completion Date ~~ 0 '' l3 ' ~ b
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
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 ~ ~ J
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:
Fi
i
h
d A
(
n
s
e
rea)
NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this 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
lied with whether s
ecified herein or not
p
p
.
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)
SIGNATURE OF CO ACTOR OR AUTHORIZED AGENT # Apparatus x $3.00
/6 //, ~/~ ~' Permit Issuance Fee ............. $15.00 l ~` `~
DATE
TOTAL o~ ~ ~ y
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment:
POUNDS PRTG: Blair. NE
Approved By:
Rev. 11/99
+ • = CITI~ OF BLAIR
BUILDING INSPECTION REPORT
^ WASHWGTON COUNTY
LOCATION OF INSPECTION•
NAME OF OWNER• ` //,, 11
DATE INSPECTION REQUESTED• ~ _/ •~ TIME INSPECTION REQUESTED• ~ ~ `• V ~ ~ o~
PERMPI' NO• ' ~~
TYPE OF INSPECTION REQUESTED:
^ CONFERENCE ^ STATUSCHECK
BUILD
ING: ~ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALi
^~' FINAL ^ PARTIAL
~ PASS~f FAILED
COMMENTS: ~~" ^
UT
ILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
^
PARTIAL PASSED FAILED
COMMENTS: ^ ^ j
E
C
LE
TRICAL: ^ ROUGH W :^ .FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
^
PARTIAL .PASSED FAILED
--
COMMENTS: ^ ^
MECHANICAL: ^ ROUGH-IN ^ A/C ^ 'FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL
PASSED FAILED
COMMENTS: ^ ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ -WATER METER INSTALLED ^ PARTIAL
^
PRESSURE TEST PASSED FAILED
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
T ~~~'/~
^ OTHER
~ a ~ y ~I~ ll~~ ~~.
FAXED OPPD~BURT REA TO CONNECT SERVICE:
BUILDING. INSPECTION REPORT
~•.~
~CTTY 0 LAIR ^ WASHINGTON COUNTY ^ OTHER
LOC 'PIgN OF INSPECTION• ~~ ~ ~v~ ~~ ~~
~t,~ `
.NAME OF OWNER• ~~ ~ `~~ ~ CONTRALTO ~ `~'Q ~ 0'n ~"`°"'
DATE INSPECTION REQUESTED•/~ I (~ TIME INSPECTION REQUESTED• PERMTI' N0: ~a~3 0?
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CIIECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PAS D 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 PAS 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•
,r~ _ o~~/
DATE OF INSPECTION MADE: v T
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
-.~;:
~~ ,,
CITY OF 1#LAIR
LOCATION OF
NAME OF
BUILDING INSPECTION REPORT
WASHINGTON COUNTY ^ OTHER
~o~ SL ~ f~~4W ~G~.
i
G~i(i/
DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED: ~ ~ PERMTI' NO• ~ ~C SJ~a
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ~ ° i t'TUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PAS FAILE
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 PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ .OCCUPANCY GRA~N(T~ED ^ CONDITIONAL OCCUPANCY GRANTED /~~~ ~J~~/
NOTES/REMARKS • / Y ~ ~ ~ ~-~/ C~ j~Z.~~ ~ ~~O ,e~Z~~ /c~~~~:f1' ~ / r/ ~~D
~~7t1~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
r ~
CITY OF BI,~II~
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
ontractor
~~
Date
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblair@huntel.net ,~,•;„^m°
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TOTAL SQ. FT. 46.8 OF SIGNAGE
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STORAGE