BP12463Blair Building Permit Detail
Permit #: 12463 Issued: 5/16/2006
Completed: 6122/2006
Location: 1418 Lincoln St.
Owner: Hank Gregory
Address: 1418 Lincoln St.
Blair, NE 68008
Phone: 402 426 4414
Section: Township: Range:
Subdivision: Lot:
Tearing old gutter off and replacing with new. Same with the soffit.
Contractors
East Central Nebraska Construction
General Contractor
Remarks
6/2/2006 DEM
Type: Eaves and Soffit Repair
Valuation: 2000
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # issued
Not complete 30 days. Changed completion date to 7/1/2006
Inspections Date By
611!2006 DEM Final Inspection of Project Fail
6/2 2120 0 6 DEM Final Inspection of Project Pass
_ ~~'.
BUILDING PERMIT APPLICATION
~ OU Jurisdiction of City of Blair, Nebraska
P mit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 ~ 2 4 6 3
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: ,
Issue Date: e'er- ~~ ~ Type: ~ ~ u~fc,(~i1~ o
JOB ADDRESS
CST c.l/~~l ~~91''~ ~ .
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
2 OWNER ~ ~ MAIL ADDRESS ~~~ ~~ / ~ IP Q
(J~ ,L yyORKICEOLL PHONE L~ ry "~~~
/
CONTFlACTO
.3. ~ ` MAIL AD RESS
~~ ~/a ZIP
~''~. 7~3 HOME PHONE ~{,liL, ~~QQ
~ WORKICELL P NE
4. Class of Work: ®NEW Q ADDITION Q REMODEL ^ OTHER Q FINISHED BASEMENT 0 UNFINISHED BASEMENT
5. Describe Work: ~~GZ~~ ~lc~/1 ~J'1
GtJ t~
6. Valuation of Work: $ pQQ~/Q. 0~ Total Sq. Footage (Including Basement ana Garagel: Total Finished Area:
Floodway Q Yes Q No
7. FIOOdplain: Fringe Q Yes Q No Dev. Permit
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 Side
Q Site Plan Attached Com I e Pla Atta had
Approximate Completion Date e ~ ~~"DlO
Inspections Required and Fees
Utilities
Sewer
Rear I Septic
13. Sidewalk Required: Q 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 acknowledge that payment
of the building permit application fee does not constitute issuance of this building
permit. I further agree that construction covered by this 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 Ciry of Blair and the
State ofNebraska.lunderstandthatth' ermitisvoidifworkisnotcommencedwithin
mays or is not mpleted wit ' 2 ars of date of issue.
~~/~-a~
SIGNATURE OF OWNERICONTRACTOR DATE
Comment
B iu Iding
Water Service
Remote
Stop Box Card
Footings Drywall
(PRIOR TO TAPING)
Framin Final
g
EI c ri al
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in ABC
Final
PI mbin
Ground Work
Rough-in Final
WHEN PROP VALIDATECy(~iQ'TRIS,SP/~(~) THIS IS YOUR PERMIT
~r /f .,
POUNDS PRTG: Blair. NE Rev. Bl96
BUILDING INSPECTION REPORT
~rI'Y O AIR ^ WASHINGTON COUNTY ^ OGTHE_R J
LOCATION OF INSPECTION: ~~ ~U U'~nG~~~ ~'
//,, ,C ~~' ~~ / / y
NAME OF OWNER• ~1 K/ ~~'~~~ CONTRACTORS( a0 ~ tom'/! ~ fc/1 ~ ~/~ ~~N S7`(/L(./ ~~'I ~O~l
DATE INSPECTION REQUESTED: ~ ~a~ ~ ~~ TIME INSPECTION REQUESTED• ~ ~ PERMTI' N0. ~~7 ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ~INAL ^ PARTIAL
COMMENTS: ~Gr(/~Q% f' ~~~~~
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: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECTOR ~ DATE OF INSPECTION
,.,.~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
CITY OF' BL~SIR
~ro~~se of a`~~\`
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 ahd 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 building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.
~.
Owner/Occupant
City of Blair
ontractor
Date
L=J -
27 8 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cifyofblair@ci,blair.ne.us ~~~'~•~"
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