BP12384City of Blair Building Permit Detail
Permit #: 12384
Issued: 2/3/2006
Completed:
Location: 334 N. 16th St.
Owner: Ron VanVleet
Address: 334 N. 16th St.
Blair, NE 68008
Phone: 402 533 2550
Permit Fee: 15
Issue Fee: 15
Deposit Amt.:
Receipt #:
Section: Township: Range:
Subdivision: Lot: Block:
Putting in a Fire wall and Fire door. Also putting in a wall to display fireplaces. Wall to display fireplaces will also
enclose furnace. Putting holes in wall displaying fireplaces to vent them.
Contractors
Washington County Heating & A/C Inc. General Contractor
Remarks
2/9/2006 BMS
Sent copy of permit.
Type: Industrial/Commercial -Remodeling
Valuation: 1000
Permit # Issued
Inspections Date By
2/6/2006 DEM Framing Pass
3/15/2006 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
Jurlsdlctton of Clty of Blatr, Nebraska
Permit Fee: ~~' o ~ ~ w 218 South 16th Street
Issuance Fee: ~~ ~ b0 Blair, Nebraska 68008 ~ 2 3 a 4
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: / ~~+ ~ ~ _ ~~
Issue Date: r ~ ~ U (p Type: C1~?/Y~'l..P/~Q,l 0
JOB ADDRESS ~ / ~'
/_IL /~
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LEGAL
1. DESCR. ^ SEE ATTACHED SHEET
2.OWNER ~ ~ MAILADDRESS G~~"~
~,~y/ ~ ZIP WORKICEOLLPHONE - p~~~Q
CONT C OR
3. ~~~ MAIL D ESS
(~~ j~C , s
~,GV ZIP HOME PHONE
WORK/CELL PHONE 5 ~ - ~5'Sb
4. Class of Work: ^ NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: ~` ~ ~ ~ ~ - QZ ~~
~~ ~ ~ ~/Gt-C/" ~7J
~ ~DLP ~0 CIJ..~ ~~ ~i a ~a C1 ~ ~' ~~~' ~~~ t'.~lyl
6. Valuation of Work. ~~dD , ~ ~ c ~n .r,;...
Total Sq. ~ootage ~nclu ing Basement and G e): ~v ~ f/i~
Total Finished Area:
Floodway Q Yes Q No
7. FIOOdplaln: Fringe Q Yes Q No Dev. Permit
BFE Elev. Cert.
8. Current Zoning: ~~C
9. State Fire Marshall Required: ^ Yes ^ No
10. Special Use Permit Required: Yes ^ No. C167~rn2.d
11. Variance Required: ^ Yes ~tNo
12. Minimum Setbacks: Front Side ' "~ ' Rear
13. Sidewalk Required: ^ Yes ^ No Waiver Approved~f~
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 ofNebrask nder nd~at his per ' ' void ifworkisnotcommencedwithin
180 days or is p ed rs of date of issue.
SIGNATURE OFOWNER/CONTRACTOR DATE
Comment:
MEET IRC, tRC, IPC, IMC AND NEC CODE REQUIREMENTS
^ Site Plan Attached ~ ~ ^~ ~eXe Plans Attached
Approximate Completion Date J [[~~
Inspections Required and Fees
iliti
Sewer _
Septic
Water Service
Remote
Stop Box Card
Building
Footings D
all
_
( IOR TO TAPING)
Fra~
/ Fin
EI
ri I
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
Plum in .
Ground Work
Rough-in _
WHEN PROPERLY
Fixtures
Permanent Service
A\C ,
Final
TED (IN THIS SPACELT.k4
PERMIT
POUNDS PRIG: Blair, NE R~• ft/96
BUILDING INSPECTION REPORT
~TT . F AIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION• ~J ~ ' " /~ ~v
,r~~ / /
NAME OF OWNER• ~~~ ~/ ' ' ~~ ~ ONTRACTO ~~~`~ G~1~I ~` '
/! /n ~ a
DATE INSPECTION REQUESTED: ~ ~ f.~' ~ D'-" TIME INSPECTION REQUESTED• PERMPI' NO• /°~~U / ~„~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS D FAILED
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASS FAILED
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED .
NOTES/REMARKS•
ll
FAXED OPPD~BURT REA
TO CONNECT SERVICE:
BY
• BUILDING INSPECTION REPORT. •
~ITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION• ~~ / /~L f l1~ ~~ C ~~
NAME OF OWNER• ~~ ~~n~""`'' ~ CONTRALTO vv~~~ a~ ~~~=C1~9
DATE INSPECTION REQUESTED• ~ ~ S QcJ~ TIIvIE INSPECTION REQUESTED• ~ T PERMIT NO• / °?`38
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL AL ^ PARTIAL PAS ,FAILED
COMMENTS: ^ }
~~ ~a~ ~~
UTILTPIES: ^ SEWER TAP. ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATE SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT 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 GRA/NfTE~ ^ CONDITIONNAL OCCUPANCY GRANTED 7~
NOTES/RE S• / `G " ~J~ ~/ /~ ~l ~~ ! ~~ /~~'~ (!~-~~ ~r/ ~/ ~/ ~`°" 'cam
~~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
CITY OF BLAIR
Application for Building Permit
PLOT PLAN
Address ~~37 /~L~ ~U'~ ~1~' Date a" ~ `()~P
Legal Description: Lot Block Addition
Please show all measurements of existing and contemplated structures,
also show distances between structures, etc,, and property lines.
Is this a corner lot?
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Pra ert I' Line.--.,
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Indicate` Forth
Applicant
CITY OF BUt1IR
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ro~jse of
BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet .includes various items dealing with particular code
requirements and/or building 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 packet is only
designed and distributed to aid you in your building 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.
ti
Owner/Occupant Contractor
City of Blair
ate
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218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblair@huntel,net
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