BP12248,~ ~
City of Blair Building Permit Detail
Permit #: 12248 Issued: 9/6/2005 Type: Residential Remodeling
Completed: 3/14/2006 Valuation: 51500
Location: 677 Hillcrest Dr
Owner: Tim Carrigan Permit Fee: 317
Address: 677 Hillcrest Dr Issue Fee: 15
Deposit Amt.: 200
Blair, NE 68008 Receipt #: 15180
Phone: 402 426 2456
Section: Township: Range:
Subdivision: Lot: Block:
Taking the second story guest bedroom and change it to a laundry room and remodel main level bath-it will no longer
house laundry room. Closing in deck to house hot tub.
Contractors
Ward's Kitchens & Baths, Inc. General Contractor Permit # Issued
Backlund Plumbing Plumbing Subcontractor P1468 3/2/2006
Gatchell Electric Inc. Electrical Subcontractor E2414 3/2/2006
Gatchell Electric Inc. Electrical Subcontractor E2292 8/31/2005
SOS Heating & Cooling Heating Subcontractor M1294 9/6/2005
Remarks
9/13/2005 BMS Sent copy of permit.
2/15/2006 BMS Left message at wards kitchen and baths to call me back about status.
3/1 /2006 BMS Spoke to ward's kitchen and told them Backlund needs to pull a plumbing permit before we
final.
3/3/2006 BMS Waiting for Gatchell Electric to send in permit.
3!7/2006 BMS Have all of the permits. Ward's is done with their work, so they are not required to renew
their registration. Waiting for electrician to be done, and then Dale will final. The electrician
will need 2 more weeks. Changed completion date to 3/21/2006.
Inspections Date
9/14/2005
9/14/2005
9/14/2005
9/14/2005
11 /8/2005
11 /8/2005
11 /8/2005
11 /8/2005
3/14/2006
3/14/2006
By
DEM Plumbing Rough-ins Pass
DEM Mechanical Rough-ins Pass
DEM Electrical Rough-ins Pass
DEM Framing Pass
KAR Plumbing Rough-ins Pass
KAR Mechanical Rough-ins Pass
KAR Electrical Rough-ins Pass
KP,R Framing Pass
DEM Plumbing Final Pass
DEM Mechanical Final Pass
Partial
Partial
City of Blair Building Permit Detail
3/14/2006 DEM Electrical Final Pass
3/14/2006 DEM Final Inspection of Project Pass
~' BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
Permit Fee: 3 «~ ~~ ~ ~~~ ~ 218 South 16th Street
Issuance Fee: ~-~~ ~~ ~ Blair, Nebraska 68008
Receipt #: ~~:2) 426-4191 • Fax (402) 426-4195 Permit-
Deposit Receipt #: 1 r5 ~ ~ I
Issue Date: ~~ CJc Type: ~~'~ ~~~~
JOB ADDRESS
~~ ~
I
Ir~~~ ~ in
~
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
~ Wi Rnn ~~ '
I r 1 l ~ MAIL ADD S~~
c~ ZIP HOME PHONE
WORK/CELL PHONE
C, O~ITRA~T R ~ '^
3'\u~~-/U;L ` 1' ! _/ ~~~
°f' MAILADDRESS ~~
{V, (`"]6 ~~m ~
~ _ZIP
l~iJ11/nI^` f G~ HOME PHONE ~ i' ~ /
WORK/CELL PHONE r
4. Class of Work: ^ NEW ^ ADDITION REMODEL ^ OT
HER ~ FINISHED BASEMENT
^ UNFINISHED BASEMENT
5. Describe Work; (~ ' n ~ ~ ~ S I
(~.~.`.. ~ Ci ~ LL
~ i-
~ ~~ i ~ --- t n h
~l t 1K~ I~G~ YY1 L,'~GlC~eI1 ~~ JX r~.U/j'1 (,(/l~ O ~ ~'`.~-'I prlQ
6. Valuation of Work: $ , ~ Total Sq. Footage Qncluaing easement ana Garage): Total Finished Area: ~~ ~ ~ 6 , j
Floodway es
7. Floodplain: Fringe ^ Yes Q No
Q No Dev. Permit
BFE Elev. Cert.
8. Current Zoning:
1..~
9. State Fire Marshall Required: Q Yes (~ No
10. Special Use Permit Required: ^ Yes [~No.
11. Variance Required: Q Yes [~No
12. Minimum Setbacks: Front ~~ Side ~ j Rear ~ S`
13. Sidewalk Required: ~j 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 thatconstruction 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 des/ordinances of the City of Blair and the
State of Nebraska.lunderstandthatt ' 'void ifworkisnotcommencedwithin
180 d is t~compJete~.diith' years of to of issue. /~ j
OF OWNERICONTRACTOR
Comment: __; ,
MEET IBC, IRC, IPC, IMCAIVpK~=~~DER~QI~IREMENT$
SLEEI'ia(~ ROOMS B~.QWTHEfOURTN
STORY AND IN BASEMENTS ARE
REQUIRED TO HAVE AN EGRESS WINDOW.
O Site Plan Attached
Approximate Completion Date
Inspections Required and Fees
ili i
Sewer Water S
Septic Remote
B it in
Footings
F Ing
O Complete Plans Attached
Stop Box Card _
Drywall
(PRIOR TO TAPING)
~~
~a:.-I+c.~,~l I
Royg~- ~' Fixtures
Temporary Service
h ni
Rough-in _
Final
A1C
WHEN PROPERLY VALIDA'
Permanent Service
12248
PERMIT
Rev. 8I9G
POUNDS PRIG: Blair, NE
' PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
~>,~~ 218 South 16th Street
( 0~'7 l Blair, Nebraska 68008
`-- Fax (402) 426-4195 P 7 4 6 8
(402) 426-4191
Application Date:~d~~ D (~'
Permit Fee: $ ~" ~
JOB ADDRESS
1 . OWNER MAIL ADDRESS
~~Z/ ~ ~ ZIP
G~~'~ PHON /,, ~-•
(~" ~~ ~J
rZ CONTRALTO MAIL ADDRESS
~~
~
~ P~~~ ~ ra~ o/~
ja 7~ LICENSE NO.
G
~~
1
3• Class of Work: O COMMERCIAL ~ESID TIAL O NEW O ADDITION ALTERATION O REPAIR O REPLACEMENT
4. Describe Work: ~l" rZ.'/"L~Ol7 OI-,G'n ~C.~ ~ ~dD~ ~ iYl/ l~' ~.l~lc.~ /~~DG~.f'
Comments: PLUMBING PERMIT ES
Modular Home ...................... $15,00
Type of Fixture No.
Kitchen .................................. $8.00 x
Bath ....................................... $8.00 x
Rough-In Qath ....................... $4.00 x
Sink/Laundry TI ray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet .,......... $3.00 x
Drinking Fountain .................. $3.00 x
Water Service ........................$10.00
NOTICE Sewer .................................... $10.00
I hereby certify that I have read and examined this Groundwork ...........................$10.00
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.
The granting of a permit does not presume to give authority Lawn Sprinkler System ......... $10.00
to violate or cancel the provisions of any other state or local Sprinkler System ................... $30.00
law regulating construction or the performance of
construction. (Commercial)
Gas/VVater Piping System
~~ / (Commercial) ............................$30.00
..r ~~l~,~pf~
Permit Issuance Fee ............. $15.00 `
--
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
TOTAL /-~ ~`,
~~" [~ L/
DA E Current License on File s O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: `
~~ . v ~
POUNDS PRTG: Blair, NE Rev. 4/9B
1
ELECTRICAL PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ -°~ ~~ `--i"
CATI O N
Permit E 2 414
~~ ~~
Permit Fee: $ ,
JOB ADDRESS ~ /
1, LDEGAL ~ ~G~/y~.+' O SEE ATTACHED SHEET
0
/' A / ' „MAIL AD RE S~~ ~ q „~t,~~~P (~iYY~
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.
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J(~ ~ ~
ELL PHONE
ORKIC V(/
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MAIL ADDRESS PHONE HOME PHONE
3 CONTRACTOR
WORKICELL PHONE
4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL EMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work:
~ ~
~
,/ _ ,
6. Current License on File }Yes o O 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 Fire Alarm S stem $10.00
y
301-400 Am Fee $ 42.00
p ............................
Signs ..................................... $15.00
401-500 Amp Fee ............................ $ 55.00
501-600 Amp Fee ............................ $ 67.00
Miscellaneous Apparatus ...... $11.00 ~J ~ ~
1~! ,~v~ ~11~
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
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
(~
9 Motor(s) x $3.00
~ ~~ C~~
v G~ (a/' ~ Power Apparatus (220 Volts)
SIGNATU OF CONTRACT R OR AUTHORIZE GENT # Apparatus x $3.00
` Permit Issuance Fee ............. $15.00 ~~ ` ~~
DATE TOTAL ~~~~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
POUNDS PRTG: Blair, NE Rev. 11/99
1 ~ '
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit ~ 2
Application Date: 3" a'~
3
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: '
~,. ,.~.,~ eerr_ _ni~~. u~ Rev. 11/99
Permit Fee: S' 3
ros ~oRESS / _ ~ n ~
lP -1
~
0 SEE ATTACHED SHEET
1. DESCR.
OYVNEB. .
2. `C ~ ~ , k1AILADDRE~t~~(~'~1QlY' DP WORK/CELLPHONE
1'~
PhI~NE HOMEPFIONE
GONr Ofl LADDtaESS
s. hell c ~~ ~~I I (o . 29~ S'~• m ~/Z woRwcEUP-+orrE ys 1-3.9G~
4. Class ct Work: O NEW RESIDENTIAL O NEW. COMMERCIAL REMODELING/ADDRIrJNS ' ' ~ UPGRADE SERVICE
~. Describe Work: - .
6. Current License on Fite es p No p NA Comp{etion Date
ELECTRICAL PERMIT FEES
New Service Fee . _ (Amp Fee +52.00 per branch ttircuit) .
1-100 Amp Fee ............................ 5 13.00
Upgrade Existing Servioe.:....310.00 ~ .
101-200 Amp Fee ............................ S 18.00 Temporary Service................$10.00
. 201-300 Amp Fee ............................ 530.00 Fire Alarm System.................310.00
301-400 Amp Fee ............................ 5 42.00
Signs .....................................515.00 ..
401-500 Amp Fee ............................ 555.00
p ..........................
501-600 Am Fee S 67.00 Miscellaneous Apparatus f!e c Tu /3 r~e.R ~H~T ~%
......511.00
~` 601-700 Amp Fee ............................ 580.00 AC/DC Circuit ........................ 55.00
701-800 Amp Fee ............................ S 92.00
p ............................
801-900 Am Fee 5105.00
Commerdal/Mutti-Family and All Upgrades:
901-1000 Amp .............................:... 5117.00 ~ of Circuits x 32.00
.
IF OVER 1000 AmP -
.~
Amp Fee _
1st 1000 Am Fee 5117.00 '
p .......................
Each additional 100 Amps........... 5 13.00
Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE SinglejTwo Family Dwellings
1 hereby certify that I have read and examined this sq. 9L 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 ....... 530.00
work will be complied with whether specified herein or rwt:
The granting of a permit does not presume to give authority
Receptade/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures ~ ~ x 3.75 ~ ~ a
law regulating construction or the performance of Smoke Detectors x 33.00
construction. Residential/Commercial Appliance
M Fixed Outlets x 33.00 ,
Motor(s) x 33.00
Power Apparatus (220 Votts)
s~cNaruRE of corrrr~croR oR ~unaR~ ~Enrr !1 Apparatus x 33.00
...
,._
. ~~. ~ r ~ a o 6
1 S`- cX~
suance Fee .............315.00
Permit Is
°~~ TOTAL 3 ~ ~ G
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 2 2 9 2
(402) 426-4191 Permit E
~31 D 5
Application Date:
~,®a
Permit Fee: $
JOB ADDRESS ~ ~ ~
1 LEGAL p SEE ATTACHED SHEET
DESCR.
OWNE MAILADDRESS ~ ,,,,,, // ZIP HOME PHONE ~f/ s ~f/~t~
2. ,,,1/fj~f0 V , P.~jj'(J L~1~~~ ~-C~ WORK/CELL PHONE v~LQ ~` / ~./
CONT TOR ~ ILAD RESS ~ PHONE C~~~i~ HOME PHONE
~~ ~ ~~D
3' ~
~ ~
~
~
WORK/CELL PHONE
G! f I t
~-C t" ~ f
(~/ '
4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: ~y/~p~...i~ ~'L~"ja~~ ~ ~~ ~Q/ ~>
6. Current License on File Yes p No O NA Completion Date f0~ / ~~OD$~
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 Fire Alarm S stem $10.00
y
301-400 Am Fee $ 42.00
p ............................
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
to violate or cancel the provisions of any other state or local Fixtures ~J!~ x $.75 o?a• J
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
A
2
V
l
~J Power
pparatus (
20
o
ts)
SIGNATURE OF CONTRACTOR OR A IZED AGENT
L~ # Apparatus ~i x $3.00 c--~. Q D
,~ //~~~
gg
C~~G~
~
~
Permit Issuance Fee .............$15.00 ~ ~L•(~
DATE ~a
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: d~
POUNDS PRTG: Blair, NE Rev. 11/99
ELECTRICAL PERMIT APPLI
- Jurisdiction of City of Blair, Nebraska
216 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
.. -
Application Date: 3 ` - ~ a °
roe AooaESS o,
/~~~ a ~~i--r`--
1 • oESCR. '7 ?
2. owNEa.
g ~i- M t
:.
~ MAIL ADDRESS
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
O SEE ATTACHED SHEET
(ADDRESS
DP HOME PHONE trt..2, j,^ ,Y, ~,° ~S(~
WORK/CELL PHONE
PHDNE HOME PHONE
~. --~- - - ~ hell c ~~ 6y~c~ . 2Q~ ~. lm ~~Z wORK/CELLPHONE ys1-3.9w
4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL ,~iEMODELING/ADDITIONS ' ' O UPGRADE SERVICE
r3. Describe Work: ~ ~ ~
6. Current License on File es O No . O NA Completion Date o l ~ o a j
_ ELECTRICAL PERMIT FEES
IVew Service Fee . _ (Amp Fee + 32.00 per branch arcuit) -
1-100 Amp Fee ............................ 3 13.00 -
Upgrade Existing Service ......510.00 ~~ .
101-200 Amp Fee ............................ S 18.00 ~ Temporary Service................510.00
201-300 Amp Fee ............................ 530.00 Fire Alarm System ................. 510.00
301-400 Amp Fee ............................ 3 42.00 Signs ~ .........515.00
............................
..
401-500 Amp Fee ............................ 355.00
501-600 Amp Fee ............................ 3 67.00
Miscellaneous Apparatus ......511.00
'` 601-700 Amp Fee ...................... 380.00
...... AC/DC Circuit ........................ 55.00
3 92.00
............................
701-800 Am Fee
P
Commerdal/MuBi-Family and All Upgrades:
801-900 Amp Fee ............................ 3105.00
901-1000 Amp ................................. 31.17.00 # of Circuits x 52.00
-
IF OVER 1000 AmP ~ Amp Fee _ -
1 st 1000 Amp Fee ....................... 3117.00
Each additional 100 Amps 3 13.00
~P Fee + Circuit Total
New Residential: (Finished Area)
NOTICE SinglelTwo Family Dwellings
1 hereby certify that I have read and examined this Sq.1L X .045
application and know the same to be true and correct All
provisions of laws and ordinances governing this type of
ModulaNManufactured Homes....... 530.00
work will be complied with whether specked herein or not.
The granting of a permit does not presume to give authority
ReceptadelSwitch Outlets
to violate or cancel the provisions of any other state or local Fatures ~- x 5.75 ~ ~, . S G
law regulating construction or the performance of Smoke Detectors x 53.00
°O"s~"~1On- Residential/Commercial Appliance
} # Fixed Outletsl ?~lc,,.k.r.- x 53.00 3 ° ~
Motor(s) x 53.00
~ ~/~, ~ Power Apparatus (220 Votts)
a
StGNa~niRE of coNrRACTOR oR AunaRizED ~cENr # Apparatus x 53.00 3 ~
/3l /a.- ~ ° S~ Permit Issuance Fee 515.00 1 S - UV
- ~~ TOTAL ~ ~ r U G
CATION
Permit
Permit Fee: 5'
POUNDS PRIG.-&air, NE ~' ~~~
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 12 9 4
Fax (402) 426-4195 M
(402) 426-4191
Application Date:
Permit Fee: $ ~~~ 11
JOB ADDRESS ~ ~ ~ Vim/
~~PHO~ „~
~ MAIL ADDRESS ZIP _
1 OWNE •-
/
`~
2 CONT PHONE„ ~~0~~ LICENSE N~~~
~ MI~JL ADDRESS ~~~ I_„
CTOR
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3. Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION 'ALTERATION O REPAIR O REPLACEMENT
4• Describe Work: ~ -p0 , ~lf
MECHANICAL PERMIT FEES
Central A/C Tons
Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) .................................................... $25.00
# of Units A/C
Air-Conditioner Unit -Per Unit
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 ~Q ' Ud
PP ..............................
Boiler ....................................................... $15.00
Duct System ............................................ $10.00
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 Modular Home ......................................... $15.00
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 orlocal
law regulating construction or the performance of ~~', ~D
Permit Issuance Fee ............................... $15.00
construction.
TOTAL G~ D
SIG RE OF NTRACTOR OR AUTHORIZED AGENT
~j~
~
Current License on File ~es O No O NA
7 0
DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
POUNDS PRTG: Blair, NE flev. 4/9B
CITY OF BLAIR
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^ OTHER
'LOCATION OF INSPECTION: ~ ~ ~`~t~`^'~""" ~
NAME OF OWNER: CONTRACTORS /' 1 ~"~.I ~ ~ ~ ~ ~ y~'
DATE INSPECTION REQUESTED• ~ ~ I~ TIME INSPECTION REQUESTED• v ~ ~~ PERMIT NO• ~ ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^. DECKFOOTING~FRAMING ^ DRYWALL PARTIAL
~ ~ PASSED FAILEL
~ ^
COMMENTS: OUY1.~,
UTH,ITIES: ^ SEWERTAP:;_^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ W TERSERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: . ,ROUGH FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED' FAILET
.~--//
- I__I rriic i lrii, -
COMMENTS: ~
u
MECHANICAL ROUGH-IN' ^ A/C ^ FURNACE ^ RADIANT HEAT ~L~ARTIAL PASS D FAILED
^
COMMENTS:
PLUMBING: ^ GROUNDWORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASS D FAILED
^ PRESSURE TES ^
~ -
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCC
UPANCY GRANTED
NOTES/REMARKS• /
,~/ ~ .--
~~
- ~
FAXED OPPD~BURT REA
~"~"?</ DATE OF INSPECTION
TO CONNECT SERVICE: ON
BY
a.~v !
,~ BUILDING INSPECTION REPORT -
CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~ ~ ~ ~ 1 ` C V ~-!~ ~~
NAME OF OWNER• ~ t m ~~ r ( ~ 1 CONTRACTORS "a rCI ' S ~ ~~ C ~Q- ~ ~ ~ ~J Ib 1 I
DATE INSPECTION REQUESTED• I 1 ~ I U S TIME INSPECTION REQUESTED• '~~~ PERMTT NO• ~ 2 Z ~ I
TYPE OF INSPECTION REQUESTED:
^.CONFERENCE ^STATUSCHECK
BUILDING: ^ .FOOTING ^ DECK FOOTINGFRAMING ^ DRYWALL ^ FINAL ^ PARTIAL AS D FAILED
COMMENTS: ~Gt`~(11ypYY1 /
UTH.TTIES: ^ 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 T T , ~ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
.~ _ r
DATE OF INSPECTION MADE: ~/ ~~~ T
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
,~;
~CTI'Y OF BLAIR
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
LOCATION OF INSPECTIONS /O ~ 1 /7 ~-LfJ' Pi(.~0 .LLI
NAME OF OWNER: ~'"Gt~l ~~~ 4 w'~ Gl/Q~1~ ~C/ ~Z:f7~l~
CONTRACTOR
DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED• PERMIT NO• ~~~ ~'"U
TYPE OF INSPECTION REQUESTED Jl ~ O ~ ~~%30 A' M
^ NFERENCE ^ STATUS CFIECK
BUII,DING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL INAL ^ PARTIAL PASS FAILED
COMMENTS:
^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN~INAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS FAILED
^ PARTIAL ~ /~ ~ / , ~ ~ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT FINAL ^ PARTIAL PASS , FAILED
^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL PAS FAILED
^ PRESSURE TEST ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
DATE OF INSPECTION
/.' ~
FAXED OPPD~BURT REA TO CONNECT SERVICE:
City of Blair
218 South 16~h Street
Blair, NE 68008
Voice (402) 426-4191
Fax (402) 426-4195
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CITY OF BI,f~IR
9
Ar~
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 forteit 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.
l
Contract r/Owner
Contractor/Owner
City of Blair
~_ ~
Dat
/\
~~
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblalr@huntel.net ~~°
CITY OF BI,t1Il2
-~
'br~_
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
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cilyofblalr@huntel.net
Date
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