BP12217City of Blair Building Permit Detail
Permit #: 12217 Issued: 08/09/2005 Type: Roofing permits -All types
Completed: 01/04/2006 Valuation; 62500
Location: 2242 Wright Street
Owner: Good Shepherd/ Johansen Manor etc.
Address: 2242 Wright Street
Blair, NE 68008
Phone: 402 426 4663
Section: Township: Range:
Subdivision: Lot:
Tearing off one layer and replacing with asphalt on all buildings.
Contractors
Dave's Roofing 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
. h visdiMinn of CiN of Rlair Nwhraaka
Jurlsdtctlon of Clty of Blatr, Nebraska
Permit Fee: /~ ~ U 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 12 217
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~'" ~'~6~~~ Type: ~ ~
JOB ADDRESS ^~ r ~ ,
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LEGAL
1 . DESCR.
Q SEE ATTACHED SHEET
2.OW lfi /
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/ /~L~~~~//LADDR SS
«// ~ ZIP WORKICELLPHONE p?~'~~
CONT CTOR
'3, ~ MAIL A , ~ S ~~~/ A ~~~~ Z~ ~~~ ~ HOME PHONE ~~ ~ ~/~~ ,
dI~ WORK/CELL PHONE !T/~
4. Class of Work: NEW Q DDITION Q REMODEL Q OTHER Q FINISHED BASEMENT Q UNFINISHED BASEMENT
5. Describe Work: ~ ~~ ~~ ~~~ ~
Gc~
6. Valuation of Work: $ ~ JrDO• ~ d Total Sq. Footage (Inoluaing easement ana Garage): Total Finished Area:
Floodway ^ Yes ^ No Dev. Permit
7. Floodplaln: Fringe ^ Yes ^ No BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes Q No
10. Special Use Permit Required: Q Yes Q No.
11. Variance Required: Q Yes Q No
12. Minimum Setbacks: -Front
13. Sidewalk Required: Q Yes
Side Rear
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 acknowledge that payment
of the building permit application fee does not constitute issuance of this building
permit. I further agree 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 ofNebraska.lunderstandthatthispermiti voidifworkisnotcommencedwithin
180 day not complete thin 2 y a~r o date of issue.
SIGNATURE OF
Comment:
T_
DATE
Q Site Plan Attached y C m lete~lans ttached
Approximate Completion Date ~~ ~~~ "~~Q~
Inspections Required and Fees
Utilities
Sewer
Septic _
in
Footings
Water Service
Remote
Stop Box Card
Framing
E c ri
Rough-in
Final
Drywall
(PRIOR TO TAPING)
Final
Temporary Service
ni I
Rough-in _
Final
in -
Ground Work
Rough-in _
Fixtures
Permanent Service
A\C ,
Final
WHEN PROPERLY VALIDATED IN THIS
Approved By: j
/J
THIS IS YOUR PERMIT
Rev. 8/96
POUNDS PRIG: Blair, NE
CITY OF BI~~~IR
aro~~se ~ ,t a~a~~
0
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.
I have read the above disclosure and accept this buildyng permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.
OwneNOccupant
City of Blair
~_ ~- ~~
Date
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mall cityofblair@cl.blair.ne.us