BP12089City of Blair Building Permit Detail
Permit #: 12089 Issued: 5/13/2005 Type: Sheds
Completed: 1/16/2006 Valuation: 2000
Location: 215 Arthur Street
Owner: Mel Johnson
Address: 360 Baronage Circle
Blair, NE 68008
Phone: 402 426 2430
Section: Township: Range:
Subdivision: Lot:
10x12 storage shed. No electrical. cement floor.
Contractors
Mel Johnson Construction
General Contractor
Remarks
5/18/2005 DEM
sent copy of permit. Brandy
Permit Fee: 15
Issue Fee: 15
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
1/16/2006 DEM Final Inspection of Project Pass
L
BUILDING PERMIT APPLI
~S'°',v ~ Jurisdiction of City of Blair, Nebraska
Permit Fee: ~- 218 South 16th Street
Issuance Fee: /5 ~ ~~ 3 () Blair, Nebraska 68008
Receipt #: (402) 426-4191 • Fax (402) 426-4195
Deposit Receipt #: ~~
Issue Date: ~~ '~ ~5 Type:
CATION
12089
JOB ADDRESS ~ I ~p
, `N`",",'w`
1 . DESCR. ~ ~ ~.Q.,t./vwn~ ~%~'~~T-. ^ SEE ATTACHED SHEET
OWNE iM
2, I DD _ SS ~ _ _ ~ Zlp HOME PHONE
WORKICELL PHONE
CONT CT
S. AILADDR S
,~~ U ZIP HOME PHONE l./
WORK/CELLPHONE r ~~~ a~,3~
4. Class of Work: Q NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT O UNFINISH~D~~SEMENT
5. Describe Work: ~ U ~. ~ ~., /~ l ~ ()
6. Valuation of Work: $ ~ (~ ~ U c1s2
Total Sq. Footage (Including easement and Garagel:
Total Finished Area:
Floodway ~ Yes ^ No Dev. Permit
7. FIOOdplaln: Fringe, O Yes ^ No BFE Elev. Cert.
8. Current Zoning:
l.~
,Site Plan Attached Q Complete Plans Attached
Approximate Completion Date ~~"~ .d ~~
Inspections Required and Fees
9. State Fire Marshall Required: Q Yes ~ No
10. Special Use Permit Required: ^ Yes ~No
11. Variance Required: Q Yes ^ No
i
12. Minimum Setbacks: Front ~_ Side 5 Rear ~
13. Sidewalk Required: ~j es 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 orj~ clot completed within 2 years of date of issue.
SIGNATURE OF
DATE
Comment:
MEEI 18C~ IRC, IPA, IMC AND NEG C40E REQUIREMENTS
.Utilities
Sewer _
Septic _
Water Service
Remote
Stop Box Card
ll3uildina
Footings
Drywall
(PRIG TO TAPING)
Framing Fa
EI c ri I
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in _
Final
PI mbin _
Ground Work
Rough-in
Final
WHEN PROPERLY
A1C ,
IS IS YOUR PERMIT
-" Rev. eHs
POUNDS PRIG: Blair, NE
~,.. k, BUILDING INSPECTION REPORT
,r'"~- _
~" CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION~~~~ ~/~~~~~~
NAME OF OWNER• ~~ ~ ~J~~ CONTRACTOR:
i _ _
DATE INSPECTION REQUESTED• ~ /`~ ~ ~ .TIME INSPECTION REQUESTED• ~ PERMTI' N0: ~~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^
COMMENTS: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED
^ FAILED
^
UTILTI'IES: ^
^
COMMENTS: SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
PARTIAL PASSED
^ FAILED
^
ELECTRICAL: ^
^
COMMENTS: ROUGH IN ^: FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
PARTIAL PASSED
^ FAILED
^
MECHANICAL: ^
COMMENTS: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED
^ FAILED
^
PLUMBING: ^
^
COMMENTS: GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
PRESSURE TEST PASSED
^ FAILED
^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
~.
a
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
CITY OF BLATR
Application f'or Build?ng Permit
PLOT PLAN
Add~~ess ~ /~ r t (/ Y'T ~'l~____ Date ~ ~ c`
Leoa1 Description: Lat Block Addition '~ .. _~'
Pledsa~-show all measurements of existir~ and contemplated structures,
a1.so show distances between structures, etc., and property lines,
Is this a corner ~.ot? ~___
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