BP10616City of Blair Building Permit Detail
Permit #: 10616 Issued: 06/28/2004
Completed: 01 /05/2006
Location: 2120 Jackson Street
Owner: Crystal Vogt
Address: 2120 Jackson Street
Type: Roofing permits -All types
Valuation: 4894
Blair, NE 68008
Phone: 402 426 8736
Section: Township: Range:
Subdivision: Lot:
Tearing off one layer and replacing with asphalt shingles. Replacing all gutters.
Contractors
Home Pride Companies, Inc. General Contractor
Remarks
01/05/2006 STATUS No final was done.
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
~~
BUILDING PERMIT APPLI
~~ 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
Deposit Receipt #•
Permit
10616
Issue Date: ~ ~~ ~'~Uy Type: ~ ~/~ r ~~1.~
JOB ADDRESS
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LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
2 OWNER ~
(, MAILADDRESS Zlp HOME PHONE (f~ ~~ ~ ~~~
WORK/CELL PHONE `~
3. CO~ ~ ~ ~~ U ~ ~r ~ i~ MAILADDRES~ I
y ZIP yyDRKICEOLL PHONE ,J~fa "~,5~
4. Class of Work: Q NEW Q ADDITION Q REMODEL
Q OTHER o FINISHED BASEMENT ~ UNFINISHED BASEMENT
5. Describe Work:
rR'~- ~ ~ ~
\ c~
v
6. Valuation of Work: $ ~ ~]y Total Sq. Footage (IRCIudiRg Basement and Garages:
Total Finished Area:
Floodway Q Yes
7. FIOOdplain: Fringe ^ Yes O No Dev. Permit
^ No BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes
10. Special Use Permit Required: Q Yes
11. Variance Required; Q Yes Q No
Q No
Q No
12. Minimum Setbacks: Front Side Rear
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 specif ications 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
days or is not complete within 2 years of date of issue.
SIGNATURE OF OWNERICONTRACTOR DATE
Comment:
Q Site Plan Attached ~ 0(t~p~ ~e Plans Attached
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Water Service_
Septic Remote
Stop Box Card
Building
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
Plumbing
Ground Work
Rough-in
Drywall
(PRIOR TO TAPING)
Final
Fixtures
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: I ,/~ ~ ,. ~ J do
CAT I ®N~ -~ o~~
Rev. Bl96
POUNDS PRIG.-Blair, NE