BP12406
Blair Building Permit Detail
Permit #: 12406 Issued: 03/23/2006 Type: Residential Additions
Completed: 11/28/2006 Valuation: 50000
Location: 1114 James Dr.
Owner: Bill Warrick Permit Fee: 250
Address: 1114 James Dr. Issue Fee: 15
Deposit Amt.: 200
Blair, NE 68008 Receipt #: 16460
Phone: 402 533 3828
Section: Township: Range:
Subdivision: Lot: Block:
15x20 garage addition -roof will tie in with existing; 15x16 great room addition will tie in gable roof -will have crawl
space under siding -new; windows new/egress all bedrooms; upgrade kitchen cabinets & doors & window trims will
Contractors
Warrick Construction Co.
C.N.J. Plumbing Inc
Dick's Electric
Remarks
03/27/2006 BMS
10/09/2006 BMP
10/24/2006 DEM
11/07/2006 BMP
General Contractor Permit # Issued
Plumbing Subcontractor P1572 08!30/2006
Electrical Subcontractor E2459 04/27/2006
Bil took copy of permit with him.
Called and spoke to Bill. He is not ready for an inspection yet, he said he wouldnt be done for
about 2 or 3 weeks. Changed completion date to 11 /05/2006.
Guard rails required for deck and steps Give 30 days. Changed completion date to
11 /30/2006.
Changed completion date to 12/15/2006 per Bill Warrick.
Inspections Date By
04/03/2006 DEM Footings Pass
05/01/2006 DEM Electrical Rough-ins Pass
05/01/2006 DEM Framing Pass
08/30/2006 DEM Plumbing Rough-ins Pass
08/30/2006 DEM Electrical Rough-ins Pass
08/30/2006 DEM Framing Pass
10/24/2006 DEM Plumbing Final Pass
10/24/2006 DEM Electrical Final Pass
10/24/2006 DEM Final Inspection of Project Fail
11/28/2006 DEM Final Inspection of Project Pass
BUILDING PERMIT APPLICATION
2c~p OO Jurisdiction of City of Blair, Nebraska
Permit Fee: ~ ~,~s.bo , 218 South 16th Street
Issuance Fee: ~ ~ ~ ~° ~,t~ ~O -Blair, Nebraska 68008 1 2 4 0 6
Receipt #: y ~5~4 02) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: 3 2,~ I OE' Type: /"t~~l~~n ~ Fib h~bC~~ ~ ~GS
JOB ADDRESS I I I ~ ~~
l~
1 . DESCR. 4-~J~ IO ~p '~"I ~t
~ ~1.~ S ~~. ^ SEE ATTACHED SHEET
OW~JER MAIL ADDRESS
2, 1 ~~~a ~ J~J` S ~ ZIP HOME PHONE
WORK/CELL PHONE S~J3 ~ ~ 2~
CONTRACTOR \ MAILADDRESS
3.~~j. I ~ C ~ ~-'~~-~-'t~C~1c~1 ZIP wORKICELLPHONE~j~J~ 3~2,~
4. Class of Work: ^ NEW ^ ADDITION ^ REMODELOTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT
5. Describe Work: IrJ IC Z(~ 6.J~1~'GL ~~1.'h OY1 ' i~C~~ vJ ~ ~ ~ ~l ~ l h w K I Sf1 h ~ X < <o
~~ ~`rn ~ (~ -~ u~- 1 \ t1~ h ~ ' ~ '' ~ ~ v,/ C,i^ W I s CcC.Q vrtGCQ +° -
~du~ ~ ~ dcx~ s a~1 ( s` ~t:~e ~~ aihcn~.f-.~ ~ d~
~ -~` t w.11 r a~p a ~ c ..~ 2dQQ~ it isa~h ~..r•. ~
6. Valuation o ork: $ I~ o~ o ~ Total Sq. Footage (Including Basement ana Garage): Total Finished Area:
Floodway ^ Yes ^ No Dev, Permit
7. Flood lain: g
p Frin e Q Yes ^ No BFE
Elev. Cert
8. Current Zoning:
~1
9. State Fire Marshall Required: ^ Yes [!f ~No
10. Special Use Permit Required: ^ Yes dNo.
11. Variance Required: ^ Yes [~'I~lo
12. Minimum Setbacks: Front ~ Side ~ Rear ~
13. Sidewalk Required: ^ Yes ^ 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 bythis permit application shall not be
commenced until I have received a copy ofthis application form signed bythe 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 ~ Nebraska, l understand thatthis permit is void ifwork is not commenced within
180 da~1s or is not completed within 2 vearsef~date of issue.
SIGNATURE OFOWNER/CONTRACTOR
Comment:
^ Site Plan Attached ~~ ^ Com lete Plans Attached
Approximate Completion Date (~ ~~
Inspections Required and Fees
ili i
Sewer Water Service
Septic
Remote
Stop Box Card
B iu Iding
Footir~
Dryw
(PRI R TO TAPING)
Fr ing Fi~
Roug~ Fixtures
F~1°' Permanent Service
Temporary Service
~ z~ ~~ ~
DATE Mechanical ~ ~h ~
Rougfa~i A1C ,
Fi
MEET IBC IRC, IPC, !MC AND NEC CO~RE4UIREMENTS
SLEEPING ROOMS BELOW THE FOURTH
STORY AND IN BASEMENTS ARE
REQUIRED TO HAVE AN EGRESS WINDOW,
POUNDS PRIG: Blair. NE
Ground
C nl~l
r
WHEN PROPERLY VALIDATE ACE TH R PERMIT
Approvg¢ By:
Rev. 8/98
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 P ~ ~ 7 2
(402) 426-4191
Application Date: ~ L~Q ~DLl~
Permit Fee: $ ~i , p 0
JOB ADDRESS `//
/
MAIL ADDRESS
OWNE LA„ ~ , _ ~
1. ~~/G( G~ ZIP
~itiY PHONE
2 CONTRACT,(~i~ `. L~~~`/Y// MAILADDRESS
/
C PHONE LICENSE NO.
3. Class
Of Work: O COMMERCIAL ESIDENTIAL O ADDITION ALTERATION O REPAIR O REPLACEMENT
4. Describe Work: G~ ~ ~+
Comments: PLUMBING PERMIT FEES
Modular Home ........................ $15.00
Type of Fixture No.
/ ' ' ~~
..................................
Kitchen $8.00 x 6
~ 8'~~
Bath .......................................
_
$8.00 x
Rough-In Bath ........................ $4.00 x
Additional Sinks ..................... $3.00 x
Laundry .................................. $5.00 x
Water Heater .......................... $3.00 x
Outside Water Faucet ............ $3.00 x
Drinking Fountain ................... $3.00 x
Back Flow/GreaseTrap .......... $10.00
NOTICE
........................
Water Service $10.00
I hereby certify that I have read and examined this
application and know the same to be true and correct. All Sewer .................................... $10.00
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. Groundwork ............................ $10.00
The granting of a permit does not presume to give authority
Septic Tank & Laterals ...........
$10.00
to violate or cancel the provisions of any other state or local
law regulating construction or the performance of Lawn Sprinkler System .......... $10.00
construction.
Sprinkler System ................... $30.00
(Commercial)
Gas/Water Piping System
(Commercial) ....................... $30.00
SIGNATURE OF CONT CTOR OR AUTHORIZED AGENT Permit Issuance Fee ............. $15.00 D
3 D ~c TOTAL ~~~• ~
DATE
Current License on File
es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~~
POUNDS PRTG.-Blair, NE Rev. 10/05
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit E 2 4 5 9
Application Date: ~ I Z~ I
Permit Fee: ~~~~~s
JOB ADDRESS ~~
1 LEGAL o SEE ATTACHED SHEET
DESCR.
W E ~ ~ MAILADDRESS ZIP HOME PHONE
WORK/CELL PHONE
ONT~RACT R MAIL ADDRESS /~, 2~~ PHONE HOME PHONE
~ iS ~ ~
~~ ~~~ (
3' ~
l.[J ~Z7~ WORKICELL PHONE
~
(
4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: ~.a ~ O,~ ~~
6, Current License on File es 0 No O NA Completion Date
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00
101-200 Amp. Fee ............................ $ 18.00 Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00 Fire Alarm System ................. $10.00
301-400 Amp Fee ............................ $ 42.00 Signs ..................................... $15.00
401-500 Amp Fee ............................ $ 55.00
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801-900 Am Fee $105.00
p ............................ Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state or local Receptacle/Switch Outlets C~
Fixtures _~ x $.75 ~ 1
law regulating construction or the performance of Smoke Detectors ~ x $3.00 ~ (. dC~
construction. Residential/Commercial Appliance
# Fixed Outlets x $3.00
~~~ ~ ~ ,.L; ~, Motor(s) x $3.00
Power Apparatus (220 Volts)
SIGNATURE OF CONTRACTOR OR AUT ~ IZED AGENT # Apparatus x $3.00
(~ '- / ~'- ~ ~ Permit Issuance Fee ............. $15.00 1 ~ •~
DATE
TOTAL ~~` Z~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~ j
POUNDS PRTG.-Blair, NE Rev. 11/99
~CTI'~ LAIR
LOCATION OF INSPECTION:
BUILDING INSPECTION REPORT
^ WASHQVGTON COUNTY ^
~//~ ~
~- ~~
NAME OF OWNEi1+ ~~~~~~~,C~ CONTRACTOR• ~~~~G-/~ ~~c,l ~~~~~`Z ~`~
DATE INSPECTION REQUESTED: ~ ~ ~ ~ ~ TIME INSPECTION REQUESTED• /' ~ v ~ ' ' PERMIT NO• / °C 'T
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: OOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PA
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 PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
T . , . ~~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
~CTI'Y.0 AIR
LOCATION OF
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
NAME OF
DATE INSPECTION REQUESTED: ~~~ ~ - ~ ~ TIME INSPECTION REQUESTED: l` • ~~ A• ~. PERMIT N0: ,l d ~D L~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS FAILED
^
COMMENTS:
UTILTTIES: ^ SEWER TAP ^ SEWER. ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL:~ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS FAILED
^ PARTIAL ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/G ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL ~ PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
~ITY OF BLAIR
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
/I ~ ~ C~
LOCATION OF INSPECTION: ~ A ,~' ~"~~~~ '
NAME OF OWNERS ~~ ~~~1/U ,~~ CONTRACTOR: V G~~
DATE INSPECTION REQUESTED' (/ r~D ~!/ U/ TIDE INSPECTION REQUESTED• ~ D ~ • ~ ' PERMTI' NO:_/ ~ / ~(~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTINGAMING ^ 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 PAS 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 PASS , FAILED
^ PRESSURE TEST
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
OF INSPECTION
~~i
G /
TTMF.• G 6
FAXED OPPD\BURT REA TO CONNECT SERVICE:
!'T OF-FLAIR
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
LOCATION OFIN
SPECTION: ,// `f' (/G ~'?'!'LQ1l
e
L~ •
(( / ~
~
~~~~ //
~
/f /
~~~~
~
~~~
~~
NAME OF OWNFI~ _
/+~ CONTRACTOR: (~
C O?9 S
' ~/
,L
DATE INSPECTION REQUESTED~~D ~~`~ " ~ ~ ~ ~J . ~L
TIME INSPECTION REQUESTED:/~' ~Q ~' M • PERMIT NO• ~~7 Q~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ~INAL ^ PARTIAL PASSED
^ FAIL D
COMMENTS:
UTILTTIES: ^ SEWER TAP ^ SEWER. ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN _ AL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS D : .FAILED
^ PARTIAL /~ ^
COMMENTS: ~`-'
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL \~\ ~~ ~PASSE
D FAILED
/
i\ ^~ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL PAS D FAILED
^ PRESSURE TEST ~ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
S
DATE OF INSPECTION MADE:
T o~~
FAXED OPPD~BURT REA TO CONNECT SERVICE:
BUILDING INSPECTION REPORT
CTI'Y OF BL'AIR ^ WASHIIVGTON COUNTY ^ OTHER
LOCATION OF INSPECTION• t I ~ ~ cJC~ ~ r ~ycs ~~
1 f n, '/ y ~L
NAME OFOWNER• ~ I 1 U~l1~Y ~~- h-~ CONTRACTOR•
DATE INSPECTION REQUESTED• `1! Z~ 1~~ TIME INSPECTION REQUESTED• ~~ PERMIT N0. ~°? ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^. FOOTING
^ DECK FOOTING ^ FRAMING ^ DRYWALL ~ FINAL ^ .PARTIAL PASS FAILED
COMMENTS: }
V-~~~, R(~1 1 I I ~1~ ~-~ { n~n~_~¢ ~ ^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED-
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
^
PARTIAL PASSED FAILED
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 GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
T . /, ~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON uv
CITY OF BUf~IR
,,~
~brO~,se f Q J~~~
0
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.
Owner/Occupant
City of Blair
.J
-~~~
Contractor
~ ~ _"~;~o
Date
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cilyotblair@huntel.net
~_ I
_~:
o~~se of av~
BUILDING PERMIT DEPOSIT AGREEMENT
A $200.00 refundable deposit is being collected at the time of your building permit
application for all permits $10,0000 and above. However, the City reserves the right
to not refund this deposit if any of the following conditions occur during the
construction period: 1) theft of water service by either the plumber, owner or general
contractor, 2) all required inspections have not been obtained, 3) occupancy occurs
prior to a final inspection, 4) all permits have not been obtained, and 5) the project is
completed without a final inspection being done. If any or all of these situations
occur during construction, you may forfeit your deposit.
I, hereby .agree to the above conditions, and understand that should any or all of the
above situations occur, the building permit deposit SHALL be forfeited or discounted
upon the discretion of the City of Blair, Building and Inspections Department.
Contractor/Owner
Date
~ .C'
Contractor/Owner
City of Blair
/_\
218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblair@huntel.net o .,,.
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