BP11591City of Blair Building Permit Detail
Permit #: 11591 issued: 09/16/2004 Type: Roofing permits -All types
Completed: 01/04/2006 Valuation: 5000
Location: 213 Riverview Drive
Owner: Ralph Volk Permit Fee: 15
Address: 213 Riverview Drive Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 426-8105
Section: Township: Range:
Subdivision: Lot: Block:
Removing one layer and replacing with asphalt; replace siding on north side of house (vinyl); replace garage door and
gutters also
Contractors
SELF General Contractor Permit # Issued
Remarks
01/04/2006 STATUS No final was done.
Inspections Date By
BUILDING PERMIT APPLICATION
(~,~~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008 1 15 91
Receipt #: (402) 426-4191 • F (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: ~ Type:
JOB ADDRESS _ f ~'~ /t , ,
\ ~V/~`'',~"Iv~ t ~Q ,
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LEGAL
1. DESCR. ^ SEE ATTACHED SHEET
OWNER
Q, M L~4 RESS ZIP HOME PHONE
WORKICELL PHONE ~ ' ((~~
CONiRACTO
`3, MAIL ADDRESS ZIP HOME PHONE
WORKICELL PHONE
4. Class of Work: NEW ^ ADDITION REMODEL OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work:
- ~ ~
(r~-- ~
6. Valuation of Work: $ ~e ~ Total Sq. Footage pRduding Basement and Garagel: Total Finished Area:
Floodway
7. FIOOdplain: Fringe ^ Yes ^ No Dev. Permit
^ Yes ^ No BFE
Etev. 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 shat l 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 plet~ w~f fin 2 years of date of issue.
OWN
,-- , ~ .-
DATE
Comment:
POUNDS PRIG: Blair, NE
^ Site Plan Attached ~ ~~(Compl~tg Plans Attached
Approximate Completion Date n
Inspections Required and Fees
i iti
;i
Sewer Water Service
Septic Remote
Stop Box Card
Bilin
Footings Drywall
(PRIOR TO TAPING)
Framing Final
EI ri I
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in ABC ,
Final
Plumbin
Ground Work
Rough-in Final
WHEN PROPERLY,VALIDATED (IN THIS SPACE) THIS ISt YOUR PERMIT
Approved By: /~/ ~ ~ ~ ~i ~ ~ ~
Rev. 8196
clr~ or ~Ln~R
~~
Lb
~br - Ja\\
o~ise 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 and 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.
wner/ ccupant Contractor
City of Blair
D to
1.:..1
218 South 16th Street • Blalr, Nebraska 68008 • 402-426,41.91 ••: Fax402-426-4195 E-mail cityofblair@cl.blair.ne.us ~~ ~~~~