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BP12358Blair Building Permit Detail Permit #: 12358 Issued: 12/29/2005 Completed: 6/30/2006 Location: 1109 S. 17th Ave. Owner: Matt & Erica Garris Address: 1121 S. 16th St. Type: Residential -New Construction Valuation: 245000 Permit Fee: 987.5 Issue Fee: 15 Deposit Amt.: 200 Blair, NE 68008 Receipt #: 15903 Phone: 402 426 3926 Section: Township: Range: Subdivision: GRANDVIEW Lot: 3 Block: 2 bedroom ranch; 3 car garage exit into from hall near util. room. Unfin. bsmnt walkout; 1 RI bath in bsmnt; Deck off of back 305 sq. ft. Lot: 125' x 625.44. TSF: 4,604 and TFA: 1924. Contractors Nielsen Construction Co. Dick's Electric Frazier Co. Frazier Co. Henton Trenching, Inc. Henton Trenching, Inc. Remarks 1/6/2006 BMS 3/24/2006 DEM 6/30/2006 DEM 6/30/2006 DEM Inspections Date 1 /4/2006 1!5/2006 1 /24/2006 2/1 /2006 2/1 /2006 2/6/2006 3!23/2006 3/23/2006 3/23/2006 3/23/2006 3/23/2006 3/24/2006 General Contractor Permit # Issued Electrical Subcontractor E2381 1/5/2006 Heating Subcontractor M1362 3/3/2006 Plumbing Subcontractor P1451 1/23/2006 Plumbing Subcontractor P1455 2!1/2006 Plumbing Subcontractor t1212 2/1/2006 Sent copy of permit. #100 test water. #5 Sewer. No gas line allowed above electrical panel. Service not approved until gas line moved. House not closed up "garage doors not installed." Install remote for water meter. No sidewalk waiver. Re-inspected in the afternoon and passed. Occupancy was granted. By AL Footings ~ Pass DEM Electrical Temporary Service Pass DEM Plumbing Groundwork Pass DEM Sewer Lines Pass DEM Water Tap Pass BRT Stop Box Card Pass DEM Plumbing Rough-ins Fail DEM Framing Fail DEM Electrical Rough-ins Fail DEM Electrical Permanent Service Fail DEM Mechanical Rough-ins Fail DEM Plumbing Pressure Test Pass Blair Building Permit ®etail 3/28/2006 DEM Electrical Rough-ins Pass 3/28/2006 DEM Electrical Permanent Service Pass 3/28/2006 DEM Mechanical Rough-ins Pass 3/28/2006 DEM Plumbing Rough-ins Pass 3!28/2006 DEM Plumbing Pressure Test Pass 3!28/2006 DEM Framing Pass 6/30/2006 DEM Final Inspection of Project Pass 6/30/2006 DEM Final Inspection of Project Fail 6/30/2006 DEM Electrical Final Pass 6/30/2006 DEM Mechanical Final Pass 6/30/2006 DEM Plumbing Final Pass r n ~ BUILDING PERMIT APPLICATION Permit Fee: 9 / • Jr~ Jurisdiction of City of Blair, Nebraska ~~ D OZ • 50 218 South 16th Street Issuance Fee: l.S• D ~ ,200 • oa dtp~•Blair, Nebraska 68008 Receipt#: ~~ aQa.s~02) 426-4191 • Fax (402) 426-4195 Permit isR a 12358 Deposit Receipt #: Issue Date: ~a ~ ~9 ~ d S Type: tl llJ ~cQQ/ ~ ~i•~t„~ JOB ADDRESS /~ LEGAL 1 . DESCR. 0 f ~ ~ ~ ^ SEE ATTACHED SHEET 2 OWNER Q ~ * VN (. ~ J C MAIL ADDRESS / ~ //As~ P/ yyORK/CEOLL PHONE ~~- 9 CONTRACT R . ~J ~ ~ 3• „~, Gn(// M~ RESS ~ ~~~~ ZIP HOME PHONE ~~~ - ~~ WORK/CELL PHONE 4. Class of Work; EW ^ ADDITION ^ REMODEL Q OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work: G~iorsyr~ ~ ~1a ~~(•,~ ~~D ~Q ~,~ w ~ u~ o f a a~ ~ 6. Valuation of Work: $o7~j' dd~ • ~ Total Sq, Footage (Including Basement and Garage): T ~~ Total Finished Area: ~ 907 ~' Floodway ^ Yes ^ No 7. Floodplain: Fringe ^ Yes ^ No Dev. Permit BFE Elev. Cert. 8. Current Zoning: K 9. State Fire Marshall Required: Q Yes ~`No 10. Special Use Permit Required: Q Yes Q'No 11. Variance Required: ^ Yes ~No 12. Minimum Setbacks: Front ~ Side ~ Ream 13. Sidewalk Required: Yes Q No Waiver Approved Site Plan Attached ~ - ~~ plate Plans Attached Approximate Completion Date a [P Inspections Required and Fees Utilities Sew Water,8~ervice S tic Re~e Stop~x Card it in 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 ab nd in accordance with the codes/ordinances of the City of Blair and the ~t eofNebra ka.lunderstan atthispermitisvoidifworkisnotcommencedwithin 180 days or is of complete Ith~ years of date of issue. Commend: ~~~~~~ SLEEPING ROOMS BELOW THE FOURTH STORY AND IN BASEMENTS ARE REQUIRED TO HAVE AN EGRESS WINDOW. Footi s p~ (PRto~R TO TAPING) Fr ming Fipal I r' ~ ~ C~4/ Ro in Fixtuy~ F' al Permy~ient Service T~ff~porary Service Mechanical __ _ /JQ ?~,Q„/l, ~4 Rou -In Fi I m in Tel a Z~Pti [,0 . Ground ork Rou -in Fi~ WHEN PROPERLY VALIDATED IIN THIS YOUR PERMIT POUNDS PRTG: Blair, NE - Rev. 8/98 ,. ~ ~ ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E Application Date: ~ ~ ~ ~ d (.Y 2381 Permit Fee: $ ' ~~ JOB ADDRESS ~ ~J / , LEGAL 1 • DESCR. O SEE ATTACHED SHE E T 2. OWNER ~ / ~ MAI~ADDRESS / / _ ~ i// / Z~ ~F ~~~ ~~~~ , WORKIC /// ELLPHONE (J/ ,A~JLADDRESS ,3. CONi C~ R , f ~ ^ PHONE ~~ /~f _ C.'G/'(i WORKIC (y ( ~ ELLPHONE (!/ 4. Class of Work: EW RESIDENTIAL D NEW COMMERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~~~ ~ ~ ~~ ~ 6. Current License on File es O No A 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 System ................. $10.00 301-400 Amp Fee ............................ $ 42.00 Signs ..................................... $15.00 401-500 Amp Fee ............................ $ 55.00 501-600 Am Fee $ 67.00 p ............................ Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 801-900 Am Fee $105.00 p ............................ 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 ~~ .r.U 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 k ill b wor w e 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 Motor(s) x $3.00 t Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR A HORIZED AGENT # Apparatus x $3.00 __ ,,2 - f ~ ~° GJ ~ 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 ~~ Z~ ~ ~' MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 13 6 2 Fax (402) 426-4195 M (402) 426-4191 Application Date: ~ ~ d Q a Permit Fee: $ ~/~'~ JOB ADDRESS /®~ e ~ _, J~ /J ~~ [/ 7~ OL/L 1 . OWNER `~ v MAIL ADDRESS ~ ~/ %~ ~` Z / ~~~HONE ~~~ t ~i LICENSE N0. ~) MAIL ADDRESS PHONE 2 CONTR TO 8. Class of Work: O COMMERCIAL ESIDENTIAL ~IEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4. Describe Work: ~ ~ ~ ~~~ ~ ~~ MECHANICAL PERMIT FEES Central A/C Tons ~ ~~ ' Furnace ~~~° ~~® BTU/H / eat P p Systems -Per Unit ° orced 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 ~ ~ ~ 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 ............................. $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 vio-ate or cancel the provisions of any other state or local law regulat' g constru r the performance of Q Permit Issuance Fee ............................... $15.00 /~ constructi p TOTAL ~~"•;~~'F~. SIGNAT E OF NTR CTOR 0 UTHORIZED AGENT ~A~ ~ z~~s 8' ~- Current License on File Yes O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~~ 'OUNDS PRTG: BIaIr. NE Rev. 4198 , PLUMBING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: l ~ a 3 ~~ O~ -~~ ~5~~ CATI O N P 1451 Permit Fee: $ /`~P` ~" JOB ADDRESS ~ ~ O ~ ~ ~~~ ' Jv - ~ 1, OWNEF4~~ ~ ~/"~'(1, f "`M1' "wJ ~' I(7 I D ,~ S / ~ ~ ZIP 'l.I ,I.H~NE ~j ! d~ 1~ 2 C TRACTOR ~_ ~ MAIL ADDRESS ~, 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. ~/ UJ Kitchen $8.00 x ~ ~~-JJ Bath ....................................... 8.00 x ~1 7` O`~ Rou h-In Bath g ....................... $4.00 x ~ ~ `~' `~' Slop Sink/Laundry Tray ......... $5.00 x '~ ~ '" Water Heater ......................... $3.00 x J ~o-J~ 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 ~ ~~•'JJ 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/Water Piping System (Commercial) ............................ $30.00 ~ ~ ~ ~®~ l ~~ ° J `~ Permit Issuance Fee ............. $15.00 SIGNATU OF C TRA TO OR UTHORIZED AGENT '-. TOTAL ~ 5 g DATE Current License on File Yes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: 'OUNDS PRTG: Blair, NE ~ ~ Rev. M9B ~~ Application Date: PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 2'~1 ~Ulp P 1455 Permit Fee: $ 35 ` ~~ JOB ADDRESS l ~ t ~ I (~~ ~ - ` I ~ ~+~ 1 . OWNER MAIL AD RES /v t.,~.~ S~ n ~O~S~r ~ ~~ tm ~ ZIP ~ ~ ~ f r ~ ~ PHONE 2. CONT A TOR MAIL DDRESS ~~>1-bn ~~r~~c.~i 1 PHONE ~ Z fit S i~v ~ ,C~a~ r LICENSE NO. 3• Class of Work: O COMMERCIAL O RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~~ ~ L ~°~5.~---- Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. Kitchen ............................... ... $8.00 x Bath .................................... ... $8.00 x Rough-In Bath .................... ... $4.00 x Slop Sink/Laundry Tray ...... ... $5.00 x Water Heater ...................... ...$3.00 x Outside Water Faucet ........ ... $3.00 x Drinking Fountain ............... ... $3.00 x Water Service ........................$10.00 ~ ! O~ ~G NOTICE Sewer ................................. l ... $10.00 10. d~ 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 spec' ied herein or not. Lawn Sprinkler System ...... ... $10.00 The granting of a permit do of Ares a to give authority to violate or c cel the,pro`vis' s f a ~ othe st or local ' ' Sprinkler System ................ ... $30.00 law regulat ; g con truct n o e p fo ance of (Commercial) constructio . ;` Gas/Water Piping System _.. (Commercial) ......................... ... $30.00 ' ~~ . Permit Issuance Fee ............. $15.00 lS- c~U ,: f~' IG ATUR OF CONTRALTO OR AUTHORIZED AGENT ;- ~ ~ ~ TOTAL ~S~~y DATE Current License on File ~'es O No O NA ,f WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~ ; ~ 1 ~ (~ POUNDS PRTG.-Blair, NE Rev. 4/9B . PLUMBING PERMIT APPLICATION. Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 r 1212 (402) 426-4191 Application Date: ~~ i ~61e Permit Fee: $ ~~ ~ ~~ JOB ADDRESS ~ I V~ (~ ~ V / 1 V ~ 1 OWNER /~' (~ ~P n ~ ~~S~ J C AILADDR6SS ~ \ ~ ~ ~IP~. /~ PHONE f r~~ ~~ t ~ AIL ADDRESS / ~ ~l ~ ~ ~~ 2 CONTRACTORS ~ PH NE ~ LICENSE N0. 3. Class of Work: ^ COMMERCIAL RESIDENTIAL EW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~ e ~ ~ SZ Comments: PLUMBING PERMIT FEES Modular Home ........................ $15.00 Water Tap Fee - 3/4" $150.00 Water Tap Fee - 1 " $200.00 W T F 1 1/ " 250 00 ater ap ee - 2 $ . 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 regulating co tructio or the erformance of construction / / / ,/,~ ~" SIGNAT E OF N A 0 OR AUT 0 ED AGENT TOTAL ~C~O-w ~~ Current License on File es O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~ n , POUNDS PRTG.-Blair, NE Rev. 10/OS CTI'Y OF BLAIR LOCATION OF r BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY '~ 9 ^ OTHER - CJ~' L'~ y _ D s NAME OF OWNER: ~,/~~a ~ y ~`JI~~~~~ CONTRACTOR • ~ ~_D71~S ~• ~ 3 DATE INSPECTION REQUESTED: / ~ 1 ~~ LY TIME INSPECTION REQUESTED: ~~• ~OG~ ~ /)') • PERMIT N0: I~~ s 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 FAILED i ^ 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 COMMENTS: ^ PRESSURE TEST ^ ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• INSPECTOR: ~~ DATE OF INSPECTION MADE: I ` D ~ • TiMF• ~ ~ .~ S Z' FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY • a BUILDING. INSPECTION REPORT ~CITY~ ~BLAIR ^ WASHINGTON COUNTY ^ OTHE ~ LOCATION OF INSPECTION• NAME OF OWNER• ~ ~ ~ ~~~~ G~i2f[.iGY CONTRACTOR • ~~~ ~' DATE INSPECTION REQUESTED 1 ! ~ ~ ~ ~ TIME INSPECTION REQUESTED• PERMTI' NO• ~~ 3f~ l TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDIlVG: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ 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 RVICETEMPORARY SERVICE ^ PRECONNECT PASS 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• FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CFI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHE ~ ~ ~~ LOCATION OF INSPECTION• ( U ~ ~` ~ ~ ~ ~ r n, ~~X1 NAME OF OWNER• ~~~ '~ CONTRALTO "~ ` ~ (Z-~lu~ ~ 2~~ DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTED• ~ PERMIT TYPE OF INSPECTION REQUESTED: ^ CONFERENCE BUILDING: COMMENTS: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL 123 S~' ^ STATUS CHECK. PASSED FAILED ^ ^ 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: COMMENTS GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PRESSURE TEST ~ ( ~ ~ ~ ~' 1 ,.,, ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED PAS D FAILED ^~~ - NOTESlREMARKS• - FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT ~CTTY O ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• ~i ` / ~~ ~~~ NAME OF OWNER• Cw~~ CONTRACTOR ~ ~-~/I I ~~ DATE INSPECTION REQUESTED: ~ ~ ~ ~ ~/ U~ TIME INSPECTION REQUESTED• ~ ~ ' ~C/ PERMIT N0~ ~ ~L~ 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 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 DATE OF INSPECTION FAXED OPPD~BURT REA TO CONNECT SERVICE: ON `, ~ITY OF BLAIR LOCATION OF BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ f/D ~ ,~Ir~r..o . NAME OF OWNEII° /~~~~ r y~'LGV 1-~~ CONTRACTORS ~ " "~-L' -~~~ ~~~5?~~C~ ~ ~~ C~• DATE INSPECTION REQUESTED• ~ ~ / _O ~ TIME INSPECTION REQUESTED• ~ ' 3C~ A •~ ~ PERMTI' NO' ~ ~v ~ [.J TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ .DECK FOOTING ^ FRAIvIING ^ DRYWALL ^ FINAL ^ PARTIAL- PASSED FAILED ^ ^ COMMENTS: UTILTPIES: ^ SEWER TAP ^ SEWER ^ SEPTIC.. ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ CVMM~IV 1J: ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT ^ PARTIAL COMMENTS: PASSED ,FAII.EI ^ ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT'HEAT ^' FINAL ^ PARTIAL COMMENTS: PASSED. FAILEI ^ ^ PLUMBING: ^ ROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL RESSURE TEST COMMENTS: PASS FAILE] ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• CTO DATE OF INSPECTION MADE• FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY T ~ ~~ 'I _ ._ __ I BUILDING INSPECTION REPORT ^ CITY OF BLAIR ^ WA/SHINGT(O~N COUNTY / / ~^] OTHER] LOCATION OF INSPECTION• / /~ / ~~L~-T/~ ~ ! ~/~ ~~ NAME OF OWNER•~~2~~5 CONTRACTOR DATE INSPECTION REQUESTED• ~ ' ~ TIME INSPECTION REQUESTED• PERMTI' NO• /` ~~~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK 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 PASS FAILED ^ PARTIAL ~ ^ COMMENTS: MECHANICAL: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PAS FAILED COMMENTS: ^ PLUMBING: ^ GROUNDWORK ~ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PAS FAILED PRESS EST ^ COMMENTS. ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED F D OPPD~BURT READ ~ ~~ ~~~ TO CONNECT SERVICE: ON BY ;, Y OF BLAIR LOCATION OF BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ //D9` ~v.~ NAME OF OWNER: ~~~ / ` ~ v" ~G-' c~9'G ~ CONTRACTOR• ~c-ff'.r~~~~ ~f~I `)'~~C~/ ~~ DATE INSPECTION REQUESTED• `~` ~~ G ~ TIME INSPECTION REQUESTED• 0' ~ v ' ~ ~ PERMIT NO• ~~~~y TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED FAIL 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 PASS FAILED ^ PARTIAL ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT FINAL ^ PARTIAL COMMENTS PASS FAILED PLUMBING: ^ GROUNDWORK ^ ROUGH-IN AL ^ WATER METER INSTALLED ^ PARTIAL PAS D FAILED ^ PRESSURE TEST ^ COMMENTS: ^ OCCUPANCY GRANTED OCCUPANCY,GRANTED ARKS~~ = ~~~1~G.L~f7C~C FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT ~CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• NAME OF OWNER• ~ ~~ ~ DATE INSPECTION REQUESTED" !y TYPE OF INSPECTION REQUESTED: ~~ CONTRACTORS .~/J~ ~~~ ~7~~~ ~~ a ~{ TIME INSPECTION REQUESTED• ~ ~ PERMTI' NO• ~ ~~ V ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMII~IG ^ DRYWALL INAL ^ PARTIAL PASSEL? FAILED COMMENTS: ^ UTILTTIES: ^ ^ COMMENTS: SEWl3~t TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PAR']'XAL PASSED ^ FAILED ^ ELECTRICAL: ^ ^ COMMENTS: ROUGH IN FINAL ^: PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL PASSED /FAILED ; ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE'- ^ 'RADIANT HEAT AL ^ PARTIAL PASSED FAILED COMMENTS: ~ ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ COMMENTS: PRESSURE TEST ~ ^ OCCUPANCY G RANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• INSPECTION TIME: ~ <<~~~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: . ~.. ~~a , , I1 if. 12~:bd' 240.00' .. 3~4.4b~ • ~ ~~f ';ilf .; I~ :+ - , ;; `; I I , ,. ~ ~. ~~i i ~ ~ ; ~ ~~ C!;: .. +` - ~~I ~~l ,.i `5;:~ ~~I + W ~~M ~' f ~"~ ~ ~r`~1 ~/0~ 1yV~ ~ ~ i~ ~, Itr F, W 1 ~ ' ~ ~~ r I ~ ~I~~. 1 + f F ~P, ~t ,.. i.: ~ "~z ~ ~ ~ , ~~` S ~ ~~ ~ ,d 1 f ~ - I1t1 ~ '~ _ _ ~ ' F mil\. +/4A,f ~ ~ ! ~: ' '~I~ ' ~ r I __ ~~ ~r ~ ~ ~ ~ ~" c ®; •J ~ 25,Clb ~ ~~++..// 126.$9' ~ e. sE~v~~Nr~~wr~r ' . _ . _ _ _ ,_ _ ... _, .. AvEwu~ ~ .:.... ..... .. . . .. .. ~.~ ~:: ~oo.oo o ~~ . _: ~. - .. ~~, ~ r~ 4 :HAVEN • ~ '~ ~~j ~! HIr.~L m ~ ~~ ' • • ~ ~ ~ , ~~~ • r ~ r i b N b S i ~~ - ~ ~ ~~ . ADDI TION. - ~ ,~i N~ . ; ~. :~ (~ iv cal O - cn -~i. • ~2s.•• _ i••.•• .oo roo.oo , io ~ rois• etas es. s e,~.s• B3 s' e3,t` iirro' ~~ Permit Number l2FScheck Compliance Certificate 2000 ~ECC REScheck Software Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\gams.rck PROJECT TITLE: Matt and Erica Gams CITY: Blair STATE: Nebraska HDD: 6506 CONSTRUCTION TYPE: Single Family WINDOW /WALL RATIO: 0.14 DATE: 12/29/05 DATE OF PLANS: 12/28/05 PROJECT DESCRIPTION: walk-out ranch 1924 sq. feet, covered and unwvered deck, 3 car garage DESIGNER/CONTRACT OR: Nielsen Construction COMPLIANCE: Passes Maximum UA = 435 Your Home UA = 319 26.7% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o. c. Window 1: Metal Frame with Thermal Break:Triple Pane with Low-E Door 1: Solid Door 2: Solid Door 3: Glass Basement Wall 1: Solid Concrete or Masonry Wall height: 9.0' Depth below grade: 8.0' Insulation depth: 9.0' Basement Wall 2: Wood Frame Wall height: 9.0' Depth below grade: 0.0' Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R-Valn~ - al ie IJ-Factor TEA 1924 0.0 38.0 48 2016 0.0 19.0 140 242 21 21 42 1260 0.0 10.0 747 19.0 0.0 0.035 8 0.028 1 0.028 1 0.028 1 73 47 Insulation depth: 9.0' COMPLIANCE STATEMENT: The proposed building design described here is wnsistent 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 3.6 Release 2 (~rmerly MECcheck) and to comply with the mandatory requirem~in the RESch~ck Inspection Checklist. Builder/Designe~i~ `--- ~ <~~ Date ~~' c~ ~ ®~ CITY OF BI,~IR ~: - ~~ BUILDING PERMtT 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 Con ctor f~~~~~~ Date /_\ ._ 218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail c'rfyotblair@huntel.net m CITY OF B~f~IR --~ ~, a,.o~'Se t a J~~~ 0 BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 refundable deposit is being collected at the time of your building permit application for all permits $10,0000 and above. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) theft of water service by either the plumber, owner or general contractor, 2) all required inspections have not been obtained, 3) occupancy occurs prior to a final inspection, 4) all permits have not been obtained, and 5) the project is completed without a final inspection being done. If any or all of these situations occur during construction, you may forfeit your deposit. I, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. C actor/Owner Contractor/Owner City of Blair /z~~-~~ Date 218 South 16th Street • Blair, Nebraska 68008 •.402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblair@huntel.net aao~pa9~3 STATE OF NEgRA$KA COUNTY OF WAgHINf~TO~!)~5 4 L ~. ENTERED IN NUMERICAL IN EX AND FILED FOR RECOAD THIS o-i-h pRY OF A.D. 20.QSe ~ _ _s_ -- AT~O'CLOCK ~- AND ECORDED IN BOOK ~~ ;m _ ___=~_9_j J~1T PAGE ~~ :~~'_ ~ _~ COUNTY CLERK ~' SIDEWALK WAIVER DEPUTY ~' ~ ~ir,, t ;~ ~ €yfi ~. The undersigned being the owners of the following described real estate €o wit: ~ ' ~ = F ~„;.ail."r'TE' `~~~~iTl, '' ,.' hereby acknowledge that they have made an application to the City of Blair for the waiver of the requirement for the construction of sidewalks in conjunction with the construction of a residence thereon. Said owners further hereby specifically agree that said waiver is not a permanent waiver, and that at any time the City of Blair requests or requires that a sidewalk be constructed on such real estate, the owners hereby agree that they will, within a reasonable time,. construct such sidewalk or participate in a sidewalk improvement district if same is created by the City of Blair. The owners hereby specifically agree that this agreement shall constitute a covenant which shall run with the land, and that upon the filing of this agreement against the real estate described hereinabove, all successors, assigns, or transferees shall be bound by the terms and conditions of this agreement as though an original party hereto. This agreement shall be binding upon the heirs, personal representatives, successors, and assigns of the undersigned. Dated: ^~ ~ 6 ~ ~ , 20 d ~ _ Owner _ STATE OF NEBRASKA `~ ) - ) ss WASHINGTON COUNTY ) Owner The foregoing instrument was acknowledged before me on ~ ~ ~ ~~ , 20~; by ~L-{-~' ~~ ~~ lC'.~L~G~1'"1`l.S . 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