BP12513Blair Building Permit Detail
Permit #: 12513 Issued: 07/12/2006
Com p Ieted : 08/04/2006
Location: 2065 Washington St.
Owner: Georard Goodson
P,ddress: 2065 Washington St.
Type: Roofing permits -All types
Valuation: 5600
Blair, NE 68008
Phone: 402 426 3815
Section: Township: Range:
Subdivision: Lot:
Tear off down to decking - resheet & reshingle with asphalt and ice guard.
Contractors
BradCo dba Total Roofing Company
General Contractor
Remarks
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
08/04/2006 DEM Final Inspection of Project Pass
L
BUILDING PERMIT APPLICATION
~~ ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 1 2 5 1 3
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: I ~2 ~~° Type: ~a~` I ~~'1
JOB ADDRESS
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LEGAL
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^ SEE ATTACHED SHEET
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WORKICELL PHONE ~ZW ,~~
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`~' ~ ~~lA f'1~ D6~ Ta1 MAILADDRESS ' I ZIP ~Lic414~I HOME PHONE
t",vaf-i+~ 1 `~ ~~ C~YIi~Q.i''~S~' OV'Y1Lt{~4 WORWCELLPHONE ~j7jy - 3L{ v L,
4. Class of Work: ^ NEW ^
ADDITION ^ R
E
MODEL I~ OTHER Q FINISHED BASEMENT Q UNFINISHED BASEMENT
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5. Describe Work: `~~CI.V' ~~C~~° Sl-~J 1
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6. Valuation of Work: $'~. `~ Total Sq. Footage pnduang Basement and caragei: Total Finished Area:
Floodway O Yes O No
7. FIOOdplain: Fringe ^ Yes ^ No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes Q No
10. Special Use Permit Required: ^ Yes ^ No.
11. Variance Required: ^ Yes ^ 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 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 City of Blair and the
State of Nebraska. I understand thatthis permit is void if work is not commenced within
180 days or is not completed within 2 years of date of issue.
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SIGN RE OF OWNERICONTRACTOR DATE
Comment:
^ Site Plan Attached -~ Q Complete Plans Attached
Approximate Completion Date z1 ~~
Inspections Required and Fees
'ii
Sewer Water S
Septic Remote
B iu Iding
Footings .
Framing
EI ric I
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
PI m in -
Ground Work
Rough-in _
Stop Box Card _
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS
Approved By: pp
THIS IS YOUR PERMIT
Rev. 8/96
POUNDS PFiTG: Blair, NE
BUILDING INSPECTION REPORT
~TI'Y OFABLAIR ^ WASHINGTON COUNTY ^ OTHER
/ ~ ~~,, /
LOCATION OF INSPECTION: ~d~~ ~~DD//~~Y' ~ " ~~T,
7
NAME OF OWNERS%/, DD~G~I ~ - DDGCU07? CONTRALTO l~~ ~~a ~~~
~ '
DATE INSPECTION REQUESTED• ~ o` ~ ~~ TIME INSPECTION REQUESTED• ~" ~ ~ PERMTI' N0: ~~.5~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ ST ATUS CHECK
BUILDING: ^ FOOTING ^ DECKFOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASS D FAILED
COMMENTS: ~G ^
UTILTPIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^PFRMANENT-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•
T 6 4 ~~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
CITY OF BI,L~II~
~~._ ,~ ~.
p~o~ise of a~a\\
ROOFING PERMIT SUPPORTING DOCUMENTS
This supporting document includes information
requirements and/or roofing permit requirements. It%
code items. Also, it is your responsibility to kno4v
Code requirements that apply to your project. Plea se
designed and distributed to aid you in your roo~ c
International Building Code is available for your use~~
,,dealing with particular `,code
in no way includes ALL~partcular
the 2003 International Building
understand this doc~finent is only
permit process. copy~'lof the
the Blair Pub~ie ibrary.
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
Contractor
~-ra~c~~
Date
Q-
218 South 16th Street • Blalr, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cilyotblalr@cl.blair.ne,us
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