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BP12236City of Blair Building Permit Detail Permit #: 12236 Issued: 8/29/2005 Type: Industrial/Commercial -Remodeling Completed: 2/9/2006 Valuation: 20000 Location: 1600 Great Plains Centre Owner: Great Plains Communications Permit Fee: 100 Address: 1600 Great Plains Centre Issue Fee: 15 Deposit Amt.: 200 Blair, NE 68008 Receipt #: 15118 Phone: 402 426 9511 Section: Township: Range: Subdivision: Lot: Block: Removing existing walls to make a training room. Going back to original heating. Electrical stripped out of existing rooms. See plans. Contractors Hardy Construction, Inc. Dick's Electric Remarks General Contractor Electrical Subcontractor Permit # Issued E2290 8/30/2005 912/2005 DEM Inspections Date By 9/21/2005 DEM 9/21/2005 DEM 2!9/2006 DEM 2/9/2006 DEM Sent copy of permit. Brandy Electrical Rough-ins Framing Final Inspection of Project Electrical Final Pass Pass Pass Pass BUILDING PERMIT APPLICATION Permit Fee: ,Q . y~ purisdiction of City of Blair, Nebraska //~° 0 218 South 16th Street Issuance Fee: /~~-d~ ~p0 • ~O Blair, Nebraska 68008 12236 Receipt #: 315, 0(402) 426-4191 • Fax 402) 426-4195 Permit Deposit Receipt #: Issue Date: ~ ~ %~ q ' d~~ Type: 6¢~~~~ JOB ADDRESS G~" 0 ~ ~~~ ~~ LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET 2.OWN ~~~ MAILADDFJESS L~ IZIP /~ ~j f W RKICEDLNPHONE ~~(S' - ~V // CONT CT 3. MAILADDRESS ~ ZIP HOME PHONE ~~~ '~U WORK/CELL PHONE 4. Class of Work; NISHED BASEMENT ^ UNFINISHED BASEMENT NEW ^ ADDITION REMODEL ^ OTHER Q FI 5. Describe Work: D /J~ ! ~ ~ ~ ~~~[~~, ~ ~ ~ ~ ~ ~ p ~t~ GG~'1'l~ - ~Q 6. Valuation of Work: $~D ~Q , ~~Total Sq. Footage Qndualog Basement ana Garage): Total Finished rea: Floodway 7. FlOOdplain: Fringe ~ Yes ^ No O Yes ^ No Dev. Permit BFE Elev. Cert . "-~ 8. Current Zoning: 9. State Fire Marshall Required: ~es Q No 10. Special Use Permit Required: Q Yes ~f No 11. Variance Required: Q Yes o 12. Minimum Setbacks: Front Si a Rear 13. Sidewalk Required:~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 furtheragree that construction covered by this permitapplication shall not be commenced until I have received a copyofthis application form 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 that this permit is void if work is not commenced within 180 days or is not completed within 2 years of date of issue. OF Comment: '~~3 ISC, IRC, IPC, IMC AND NF~60QE REDI1tR~M~~~S ~~~ ". ~~~~ '. Q Site Plan Attached Com lete Plans Attached Approximate Completion Date ~' Inspections R quired and Fees ili i Sewer Water Service Septic Bilin Footings Remote Stop Box Card F 'g Drywall (PRIOR TO TAPING) ri ~/ )~(~ C.~-in Fixtures I~1d1 Permanent Service Temporary Service Mechanical ~ R - -In A\C Plumbing Ground Work Rough-in _ Final WHEN PROPERLY VALIDATED (IN THIS S PERMIT Rev. B/98 POUNDS PRTG: Blair, NE ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 2 2 9 0 Application Date: ~° ~ c.~~`~S Permit Fee: $ ~ ~ °i~ JOB ADDRESS ~tiW~~ 1 LEGAL Q SEE ATTACHED SHEET DESCR. 0 ER t MAIL ADDRESS ZIP HOME PHONE 2 ~~ ~ ~ • / U,M9 WDRK/CELL PHONE 3 CO RACT R /~D MAILADDRESS ~~PHONE HOME PHONE ~~~ s~~ j~ / ~ O CELL PHONE / W RK/ 4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL EMODELING/ADDITIONS D UPGRADE SERVICE 5. Describe Work: 6. Current License on File Yes O No p NA Completion Date ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2,00 per branch circuit) 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 y ................. Fire Alarm S stem $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 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 complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets 3 ~ ~ ~ e`f ' to violate or cancel the provisions of any other state or local ~ x $.75 p - F ixtures law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 e Motor(s) x $3.00 Power Apparatus (220 Volts) ,_ GGJATURE OF CQNTRACTOR OR AUTHO ED AGENT ,. :~ ' # ApparatUS X $3.00 . ,_: `(~ •~~~ Syr Permit Issuance Fee .............$15.00 ~~%(~l7 DATE TOTAL ~ ~' ~' WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By. POUNDS PRTG: Blair, NE Rev. 11/99 BUILDING INSPECTION REPORT ~CTI'Y O AIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: / (~/D~ ~.?//l~Q ~ ~i~t"LYI/y1GL ~~'T~~ NAME OF OWNER:: ~~1~(~(~ ~~~~ ..fiY1 ~CCINTRACTOR• / ~ ~`^"~ ( ~~• DATE INSPECTION REQUESTED: ~ ~D~ ~ ~ a~ TIME INSPECTION REQUESTED~~ H •/ 1 • PERMTI' N0: ~~~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ .FINAL ^ PARTIAL COMMENTS: PAI S~D FAILEL ` ^ UTII.TI'IES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL COMMENTS: PASSED FAILEL ^ ^ ELECTRICAL: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT ^ PARTIAL COMMENTS: PASS D FAILEI ~ ^ MECHANICAL: ^ ROUGH-IN ^ A/C. ^ .FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL COMMENTS: PASSED FAILEL ^ ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL ^ PRESSURE TEST COMMENTS: PASSED FAILEI ^ ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS DA E OF INSPECTION MADE: ~ ~~BURT REA TO CONNECT SERVICE: ON BY ` M1 i ', % l ~. TTY OF BLAIR LOCATION OF NAME OF OWP BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY //~ ~ DATE INSPECTION REQUESTED• ~ ~ ~~ ~~ .TIME INSPECTION REQUESTED: /7 ~ PERMIT NO• ~~ ~`~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CLIECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ~,, FINAL ^ PARTIAL PAS D FAILED COMMENTS: f / ~~~~/ /,(~ `t~G /~JG~G ~~~ ^ 1~ Q ~~ UTILITIES: ^ 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 ^ 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; J '/' TIM FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY CITY OF BI,f~I1~ .~~ 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 07 ~ pv Date /\ 21.8 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblair@huntel.net CITY OF BI~t\IR -~ ~oro~/ o 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 forteited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/Owner City of Blair 7 Dat /_\ 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblair@huntel.net o ~,„ ~I 0 ~~ a ~~. f .c .~ ,~ ~ ~~ ,~ ~ E,~~ ~ ~ ~~~~~~~ i '~ ~ ''~ __ \ _~ ~ mil' t~..k. ~ - .,i l q,-~ { a '~ I ~; ~~•• ~ f ~~ fi° `\~. `, ~ . ~i~'~- i rr'~1 ~; I. r ~~ ' ~~; ~~ r I ~,,: b .i i -- . i u ~•