BP12570Blair Building Permit Detail
Permit #: 12570 Issued: 09/18/2006 Type: Fences -All types
Completed: 10/26/2006 Valuation: 600
Location: 1055 Nebraska St.
Owner: Mary Gosker Permit Fee: 15
Address: 1055 Nebraska St. Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 426 5957
Section: Township: Range:
Subdivision: Lot: Block:
4' chain link fence. On west side, south side, and east side. To enclose back yard. 2 gates. 1 on West side and one
on south side
Contractors
SELF General Contractor Permit # Issued
Remarks
09/18/2006 BMP took copy of permit.
Inspections Date By
10/26!2006 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
~Jr ~ U Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street ~~
Issuance Fee: Blair, Nebraska 68008 ~ ~ ~ ~ ~
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: _~° ~~ ~ OLv Type: ~7
JOB ADDRESS ~DSJ ~~~QQ ~Gt, ~T
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
OWNER
2. MAIL ADDRESS Zlp
C~QijiJZ Q HOME PHONE
WORK/CELL PHONE 9
CONTRA 0
3. MAIL ADDRESS ZIP HOME PHONE
WORKICELL PHONE` ~p`j~ '~~~j /
4. Class of Wo ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: L~ ~ G'I ~ ~'~ r DU
G~9 Cell D ~ R ~ ~G~•
- /
6. Valuation of Work: $ ~~o , ~ ~ Total Sq. Footage (IRCIDdiRg Basement ana Garage): Total Finished Area:
Floodway ^ Yes
7. Floodplain: Fringe Q Yes Q No
Q No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: ^ Yes ^ No
10. Special Use Permit Required: ^ Yes ^ No
11. Variance Required: ^ Yes ^ No
12. Minimum Setbacks: Front
13. Sidewalk Required: ^ Yes
Side Rear
^ 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 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 ifwork is not commenced within
180 days or is not completed within 2 years of date of issue.
SIGNATURE OF
~~
DATE
Comment:
POUNDS PRIG: Blair, NE
^ Site Plan Attached ^ Complete Plans Attached
Approximate Completion Date ~/~ "/C~' Dw
il'ti
Sewer _
Septic _
Water Service
Remote
Stop Box Card
Bilin
Footings Drywall
(PRIOR TO TAPING)
Framing Final
c ri I
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in A1C ,
Final
PI m in
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: ~ ~ ~,
Rev. 8/96
Inspections Required and Fees
CITY OF BLABZ
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
LOCATION OF INSPECTION• ~D ~ / a~DC CCU
NAME OF OWNER• ~/ ~~~ `l/ S~ CONTRALTO
DATE INSPECTION REQUESTED' ~~ °~~rG TIME INSPECTION REQUESTED• PERMIT NO• /~~ ~~
TYPE OF INSPECTION REQUESTED: ^ .CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL ~~-INfAL ^ .PARTIAL
COMMENTS: -PASSE FAILED
UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
^ PARTIAL
COMMENTS: PASSED
^ FAILED
^
ELECTRICAL: ^ ROUGH IN ^ 'FINAL ^ PERMANENT SERVICE ^ .TEMPORARY SERVICE ^ PRECONNECT
^ PARTIAL
COMMENTS:
PASSED
^ .~
FAILED
^
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL.
COMMENTS: PASSED
^ FAILED
^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ .FINAL ^ WATER METER INSTALLED ^ PARTIAL
^ PRESSURE TEST
COMMENTS: PASSED
^ FAILED
^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
DATE OF INSPECTION
FAXED OPPD\BURT REA
TO CONNECT SERVICE:.
:s~v
C~' ; r~ Trn~f ,
BY
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South
Alley
East
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North 1055 Nebraska St.
CITY OF BL~~R
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~ro~~se of avd\\
FENCE PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or fence 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 and distributed to aid you in your fence permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
1 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.
a~:~
Owner/Occu t
City of Blair
Contractor
Date
LJ-
218South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cityotblair@ci.blair.ne.us ~'~ ~"'
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