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BP12377
„_ z 3l ~ ~'~-lo~z~ Blair Building Permit Detail Permit #: 12377 Issued: 1/24/2006 Completed: 8/15/2006 Location: 1221 Skyline Dr. ®wner: Dave & Harriet Waite Address: 451 S. 16th St. #107 Type: Residential -New Construction Valuation: 225000 Permit Fee: 937.5 Issue Fee: 15 Deposit Amt.: 200 Blair, NE 68008 Receipt #: 16107 Phone: 402 533 5244 Section: Township: Range: Subdivision: SKYLINE RI Lot: 10 Slock: 4br ranch with walkout basement (ICF Home) 3 car attchd. garage-off of utility rm. 3 bathrm; sm. deck off of Great room in rear. TSF: 5152 TFA: 3100 Contractors SELF C.N.J. Plumbing Inc Getzschman Heating; iLC Henton Trenching, Inc. Henton Trenching, Inc. Hipnar Electrical Remarks 1/25/2006 BMS 5!9/2006 DEM 8/8/2006 DEM 8/1012006 DEM 8/15!2006 DEM Inspections Date 1 /25/2006 1/25/2006 2/1 /2006 v22/2oos 4/27/2006 4127/2006 4/27/2006 s/2/2oos 5/2/2006 5/4/2006 5/5/2006 General Contractor Permit # Issued Plumbing Subcontractor P1463 2!21/2006 Heating Subcontractor M1413 7/21/2006 Plumbing Subcontractor T1218 4/25/2006 Plumbing Subcontractor P1496 4/25/2006 Electrical Subcontractor E2394 1/31/2006 Sent copy of permit. Vent Fans. Remote needs Hooked up. Exposed wires thru-out house. Panel not labeled. Kitchen not complete. Plumbing in kitchen not complete, Occupancy granted. ey DEM Footings Pass DEM Conference Pass DEM Electrical Temporary Service Pass DEM Plumbing Groundwork Pass AL Sewer Lines Pass AL Water Tap Pass AL Water Service Pass DEM Plumbing Rough-ins Pass DEM Plumbing Pressure Test Pass BRT Stop Box Card Pass DEM Plumbing Rough-ins Pass `' f Blair Building Permit Detail 5/5/2006 DEM Framing Pass 5/5/2006 DEM Electrical Rough-ins Pass 5/5/2006 DEM Mechanical Rough-ins Fail 5/10/2006 DEM Mechanical Rough-ins Pass 5/10/2006 DEM Framing Pass 6/6/2006 DEM Electrical Permanent Service Pass 8/8/2006 DEM Final Inspection of Project Fail 8!8/2006 DEM Electrical Final Fail 8/8/2006 DEM Mechanical Final Pass 8/8/2006 DEM Plumbing Final Fail 8/10/2006 DEM Final Inspection of Project Fail 8/10!2006 DEM Electrical Final Pass 8/10!2006 DEM Mechanical Final Pass 8/10/2006 DEM Plumbing Final Fail 8/15/2006 DEM Plumbing Final Pass 8/15/2006 DEM Final Inspection of Project Pass BUILDING PERMIT APPLICATION 3°-1 ~ Jurisdiction of City of Blair, Nebraska Permit Fee: ~j'~ d_ S~ Issuance Fee: /~^ ~~J , 218 South 16th Street aC~u- °© Blair, Nebraska 68008 X 2 3 7 7 Receipt #: ~ ~S d ~ (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: 1 Co ! ~ ~ Issue Date: ~ ~ y ~ ~ ~ Type: e~ ~u ~ C JOB ADDRESS r 1. DESCR. ~ b~ r~ ~ v S ~ (`~ n e ~ ~ ~ Z ^ SEE ATTACHED SHEET ~U `` ZI ~y HOME PHONE 2.OWNEDa~~ ~ ~rr ~~ W~Y1C MAILA_D~rSS S ~~~ ~~1 ~~~ / ~0 VV ~^~~ ~~ / y 1 d WORKICELL PHONE '+ CONT C 0g, 3• £~~ ~j MAILADDRESS ZIP HOME PHONE WORKICELL PHONE 4. Class of Work: Q NEW ^ ADDITION ~ REMODEL ^ OTHER Q FINISHED BASEMENT Q UNFINISHE D BASEMENT 5. Describe Work:~ ~71~° Q . y 2q~1Gh y~ W~I~~~~•-~ ~~~~-'y1C1~ ~~I~ ~o~~ ~ ,~ ~ I-F~,C~C~ ~~~ ~ ~ o ~ ,1; ~ R,~ ~ ~~~~w r, ~ ~ 1 dPC1C ~ ~ o ~v~~ ~ ~o r ~ ~~ ~. 6. Valuation of Work: $ ~as O~ D Total Sq. Footage pncluaing Basement anli Garage): ,~~,S~e~- Total Finished Area: 3 ~ U ~ Floodway ^ Yes 7. FIOOdplain: Fringe O Yes Q No Dev. Permit Elev. Cert. ^ No BFE 8. Current Zoning: ^ Site Plan Attached ^ Complete Plans Att ched Approximate Completion Date ~ ~U " ~~ U I Inspections Required and Fees 'liti ~~Yt o~ >~""°~' erv ce Septic ~ S x and B iu Idinq F s p Fra (PRIOR TO TAPING) al EI c ri I ~t•t.J1/~-G./v -in F' es J'"'°' P Went Service Tempor rvice \ M hani I ~ot/'~2 $G h /~ I al ~ Pl-um~m ~ Vv .~ et~ttl work G L -In ~~' WHEN PROPERLY VALAATFA (IN THIS $PA-IFS IS YOUR PERMIT 9. State Fire Marshall Required: Q Yes ~ No 10. Special Use Permit Required: Q Yes ~No. 11. Variance Required: Q Yes ~No 12. Minimum Setbacks: Front ~ Side ~ Rear 13. Sidewalk Required: ~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 acknowledgethat payment of the building permit application fee does not constitute issuance of this building permit, I further agree that construction covered by this permitapplication 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 day r is not com tad 'thin 2 y ars of date of issue. 0-a~~~~ SI NATURE OFOWNER/CONTRACTOR DATE Comment: ~EE~~~!G~~~O~M~~N~L~~~~HE ~U~~RI ~TS STOP ''~ »`'~' ~ BASEMENTS ARE lY, W ~ . ~t L a.J ~ •,,! . POUNDS PRTG: Blair, NE ReV, g~96 ~ r PLUMBING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Dater ~ ~ ~ CATI O N P 1463 C_x7f Permit Fee: $ ~ ~°' JOB ADDRESS ~ ~i 1. NER ~~ 't~g~pgDRES~ `/ ~,y ~ ~ M ~ P l ~ ~ lL U W ~ `~~NE -' ~~ 2• ~NT „'t" 4 V I~VI-~ i ~ ` MAI_ L ADDRESS `~~ ~31a~~r c~~~~ `~ v"`E ~~~~7 3• Class of Work: O COMMER IAL RESIDENTIAL ANEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: a ( ~ ,[~ ~u Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 _ - Type of Fixture No. Kitchen $8.00 x ~ o ~©~ ~ ~ `U~ Bath ....................................... $8.00 x Rough-In Bath ....................... $4.00 x Slop Sink/Laundry Tray ......... $5.00 x ~ ~ °©~ Water Heater ......................... $3.00 x ~_ 3 • C~ O t id W t F ~ ~ ~ ' ~~ u s e a er aucet ........... $3.00 x Drinking Fountain .................. $3.00 x -- - Water Service ........................ $10.00 NOTICE Sewer .................................... $10.00 I hereby certify that I have read and examined this Groundwork ........................... $10.00 ~ C~-~ application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Lawn Sprinkler System ......... $10.00 to violate or cancel the provisions of any other state or local law regulating construction or the performance of Sprinkler System ................... $30.00 construction. (Commercial) Gas/VVater Piping System (Commercial) ............................ $30.00 Permit Issuance Fee ............. $15.00 ~~-~ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT a ~O ( TOTAL OJT ~ / D DATE Current License on File ~eS O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ruUNUS YH f(i.-Blefr, NE Rev. M99 ~~ PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 T 1218 (402) 426-4191 Application Date: ~ ^ ~~ r J ~ rJ Permit Fee: $ ~ UU JOB ADDRESS ~ 1 ~ 1 ~ ,I~ _ 1 OWNER ^ ` ~ ~, LS,.,.M~AIL AD~SS ~ ~ ~ f~, ~ ~~ ZIP ~ ~HO~^~ ~~ 2 CO,NTRACTO~ ~ ~ MAIL ADDRESS _` .~ PHONE LICENSE NO. 3. Class oo f Work: O COMMERCIAL RESIDENTIAL EW O ADDITION O ALTERATION ~ REPAIR O REPLACEMENT 4• Describe Work: ' tt Comments: PLUMBING PERMIT FEES Modular Home ..................:..... $15.00 Water Tap Fee - 3/4" $150.00 Water Ta p Fee - 1 " $200.00 T t W F " 1 1/ $250 00 er ap a ee 2 - . NOTICE I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Water Tap Fee - 2" $300.00 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 provis s of any other state or local law regula ' g struct' n o t o performance of constructi I r "~ - SIG TUR OF CO A OR OR AUTHORIZED AGENT r` TOTAL ~ ~ DATE CurrentLicenseon File Oyes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRIG: Blair, NE Rev. 10/0 ~~ PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street , Blair, Nebraska 68008 14 9 6 Fax (402) 426-4195 P (402) 426-4191 Application Date: ~ "' ~~~" ~ ~' Permit Fee: $ ~~` " JOB ADDRESS ~ ~ 1 ~ ~ ,^ p 1 . 0 ER ~ ~ ~~ M1gIL ADDRES ,~ ,},~ / ~~ ZIP .`•~ ~~~ .,PHONE ~ ~~ 2. CO TRACT R ~~ n MAIL ADDRESS i PHONE LICENSE N0. 3• Class of Work: O COMMERCIAL RESIDENTIAL NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~ ~ ~' ,~, ~_ ~~~ Comments: PLUMBING PERMIT FEES Modular Home ................:..... $1b.00 Type of Fixture No. Kitchen .................................. $8.00 x Bath ....................................... $8.00 x Rough-In Bath ....................... $4.00 x Slop Sink/Laundry Tray ......... $5.00 x Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x Drinking Fountain .................. $3.00 x Water Service ........................ $10.00 /U °'~ NOTICE Sewer ....... ............................. $10.00 ~ U ` hereby certify that I have read and examined this Groundwork ........................... $10.00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. The granting of a permit does not sume to give authority Lawn Sprinkler System ......... $10.00 to violate or cancel the provision o any other state or local ' Sprinkler System ................... $30.00 law regula g c tru on or the performance of (Commercial) co uctio . Gas/Water Piping System (Commercial) ............................ $30.00 Permit Issuance Fee $15.00 ~ ~ SIGNAT R OF T ACT OR OR AUTHORIZED AGENT 'E ' TOTAL ~ ~V ~ ( ~ ~^ j ~ _9 - !~ J C.< <sC_._ DATE Current License on File OYes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blair, NE )/ Rev. 4/98 ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 2 3 9 4 Application Date: ~ / 3i'. rl C7 ~ Permit Fee: $ (~~ " ~~ JOB ADDRESS) ~ ~ 1 ~ ~ I~ ~ ~ ~~ LEGAL L lJ 1 • DESCR. 0 SEE ATTACHED SHEET 2.I WNER ~ 1 1^, L~ MAILADDRESS ~ ~~ ~ ~ ZI ~r ~c~••..C~ WORK/COELLPHONE ( (~ wt..t. S t511~ ~~~ ~`f CO TRACTOR j ~ MAILADDRESS PHONE HOME PHONE '~!~ 3. ~ C~~-(~Y~ C~ Q3~~ ~ ~-~.y._ ~r~ I/ WORKICELL PHONE KD '- ~~~j' 4. Class of Work: ~ NEW RESIDENTIAL f~ - O NEW COMI ,M~ ERCIAL 0 REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: .~ ~ ~y ~YI~C C~ ~ Vl// ~ Y LCSU~_ `~ ,~~1,1 ~ ~ b~,,~ 6. Current License on File O Yes p No p NA Completion Date New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ..........................:. $ 13.00 101-200 Amp Fee ............................ $ 18.00 201-300 Amp Fee ............................ $ 30.00 301-400 Amp Fee ............................ $ 42.00 401-500 Amp Fee ............................ $ 55.00 501-600 Amp Fee ............................ $ 67.00 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 901-1000 Amp ................................. $117.00 IF OVER 1000 Amp 1st 1000 Amp Fee ....................... $117,00 Each additional 100 Amps ........... $ 13.00 NOTICE I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of 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 law regulating construction or the performance of construction. OF CONTRACTOR OR AUTHORIZED AGENT ELECTRICAL PERMIT FEES Upgrade Existing Service ...... $10.00 Temporary Service ................ $10.00 Fire Alarm System ................. $10.00 Signs ..................................... $15.00 Miscellaneous Apparatus ...... $11.00 AC/DC Circuit ........................ $5.00 Commercial/Multi-Family and All Upgrades: # of Circuits x $2.00 Amp Fee Amp Fee + Circuit Total New Residential: (Finished Area) Sin le/Two Family Dwellings Q j ~ O y sq. ft. x .045 ~ ~ I - ~U Modular/Manufactured Homes ....... $30.00 Receptacle/Switch Outlets Fixtures x $.75 Smoke Detectors x $3.00 Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) # Apparatus x $3.00 ~- ~ / °-(~ Permit Issuance Fee $15.00 ~ s~C~ DATE TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: IU~~ POUNDS PRTG: Blair, NE Rev. 11/99 MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 1413 Fax (402) 426-4195 M (402) 426-4191 Application Date: ~'" v~ ~ ' ~ (r~ /~,~ a° ao Permit Fee: $ JOB ADDRESS 1 OWNE MAI ADDRESS ZIP PHONE 2 CON ACTOR MAIL ADDRE S . PHONE ,~s1~ICENSE NO. ~tZs' ~ ~~•~ f ~ EGG ~ ~ 3~ . kE 7a - ~ b 3• Class of Work: O COMMERCIAL RESIDENTIAL ~IEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~ ~ ~~ MECHANICAL PERMIT FEES Central A/C Tons i~Jr ° Furnace BTU/H - ---_ __ Forced Air/Heat Pump Systems =Per Unit Commercial/Residential (New) .................................................... $25.00 # of Units A/C Air-Conditioner Unit -Per Unit Furnace Commercial/Residential (New) .................................................... $10.00 Forced Air Systems/Air Conditioner Unit Replacement Per Unit Commercial/Residential ................... $10.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ..................... $10.00 Comments: A liance Vent/Fans $10.00 /~° ~ ~ PP .............................. Boiler .......................................................$15.00 U Duct S stem $10.00 ~y ~ v y ........................................... Gas/Air Outlets .................. x $2.00 NOTICE Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of ..............................••••••••$15.00 Modular Home 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 `~ ~ Q $15 00 Permit Issuance Fee law regulating construction or the performance of ............................... . construction. TOTAL ~(1 • 00 SIGNATURE OF CO ACTOR OR AUTHORIZED AGENT ~~ ~ , ~,~ Current License on File ~es O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPADE) THIS IS YOUR PERMIT Comment: Approved B ~~~Qj~ Rev. 4/98 POUNDS PRTG: Blair, NE BUILDING INSPECTION REPORT ~~ITY'OF E1,AIR ^ WASHINGTON COUNTY ~ ^ OTHER ~ LOCATION OF INSPECTION• ~~` ~/ ~~~C~%~~-f' ,,// NAME OF OWNER•~~y~ ,~ ~Q~.~L/ ` ~~ CONTRACTOR• `-~~ DATE INSPECTION REQUESTED• ~v ~ TIME INSPECTION REQUESTED: ~/ ~ D D A '/"1 pERMTI' N0: ~~3 TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ COMMENTS: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED FAIL UTILTPIES: ^ ^ COMMENTS: SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PARTIAL PASSED ^ FAILED ^ ELECTRICAL: ^ ^ COMMENTS: ROUGH -- AL ^ PERMANENT SERVICE .^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL PASS FAILED ^ MECHANICAL: ^ COMMENTS: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT _ FINAL ^ PARTIAL PAD FAILED ^ PLUMBING: ^ ^ COMMENTS: GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL PRESSURE TEST PASSED ^ FAIL D ^ OCCUPANCY GRANTED CONDITIONAL OCCUPANCY GRANTED NOTES S• / / y}~- !~-~ ~~ l /lam(/ FAXED OPPD~BURT REA !X~t".C/ DATE OF INSPECTION TO CONNECT SERVICE: ON TiMF.~ /~ ~ V `(~ BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ OTHE '~TI'Y OF BLAIR ~ n~ ~ ~ • LOCATION OF INSPE ON• ~ • ` / 1Q, ~ ~~~ CONTRALTO NAME OF OWNER• -~ ~y ~ dQA ~/y PERMIT NO• / !/ ' ~ '(f~~ TIME INSPECTION REQUESTED• /• DATE INSPECTION REQUESTED• STATUS CHECK ^ CONFERENCE ^ TYPE OF INSPECTION REQUESTED: PASSED FAII~D BUILDING: ^ FOOTING ^ DECK FOOTING ^ pRAMING ^ DRYWALL ~INAL PARTIAL ^ COMM~iv 1 J: UTILTPIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SER ^ PARTIAL COMMEN ls: ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNE ^ PARTIAL r+nartrrtAl.TTC• MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT COMMENTS: PLUMBING: ^ GIZOUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL ^ PRESSURE TEST r r».~,... .. _~-- ^ ^ PASS - ~ P/AS~ G -- FAIL~D ^ PASSED FAI~D ^ j~~j COMM~ivi~: , ^ ' OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED ~ A A~~,_ Trnrt~• /` • r~ ^ PARTIAL FAXED OPPD~BURT REA TO CONNECT SERVICE: ON - -- BUILDING INSPECTION REPORT ~. ~CTTY OF BLAIR ^ WASHIIVGTON COUNTY ^ OTHER LOCATION OF INSPECTION• I v ~ 1 I `51C ~'~ I ~ ~ ~ ~ ~" NAME OF OWNER• 1vv~-,~ ~ ~ ~-~"• ~~ CONTRACTOR• ~~ `~ /~ -~ ~ ~`-~-~~ ~ DATE INSPECTION REQUESTED• ~o I ~ i `-"'` TIME INSPECTION REQUESTED: I `~ ~ PERMIT NO• (~- ~~ ~ I L 2 '1 '1 TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ COMMENTS: FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED ^ FAII.ED ^ UTII.ITIES: ^ ^ COMMENTS: SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PARTIAL PASSED ^ FAILED ^ ELECTRICAL: ^ ^ COMMENTS: ROUGH IN ^ FINAL PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL PAS ~! 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• DATE OF INSPECTION TTMF.: /~ `s v REA~D\~ ~~ TO CONNECT SERVICE: ~rj BUILDING INSPECTION REPORT i ~(Y' ~TI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OT' HER LOCATION OF INSPECTION• ~~°7~ ~ 1 •~ NAME OFOWNER:,/~~ CONTRACTOR: ~J DATE INSPECTION REQUESTED• C , '~ ~D " ~ lU TIlvIE INSPECTION REQUESTED• I ' v - ' PERMIT NO• ~ ~J 7 TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING FRAIvIIIVG ^ DRYWALL ^ FINAL ^ PARTIAL P~ED FAILED COMMENTS: ^ UTILTPIES: ^ 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: "~ ~ ~ I- `JPtiIQ,~~I ~~ ~ ^ 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 - BUILDING INSPECTION REPORT ~~ ,~ ~CTTY OF BLAIR ^ WASHINGTON COUNTY ^ OTHE LOCATION OF INSPECTION• ~~ NAME OF OWNER• / ~ 6 ~~ ~"~d' CONTRACTOR: ~4~'/ ~ /-/ `~'rI G~/L 3~/~ "3.3~ !J DATE INSPECTION REQUESTED: ~~ ~- U [D TIlvIE INSPECTION REQUESTED• / ~~ ~ PERMIT NO' ~ °~~~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS FAILEI; COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED.. FAILEi; ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL;~ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS D . FAILET ^ PARTIAL ^ COMMENTS: MECHANICAL: "ROUGH-IN ^ A/C ^ FURNACE ^ _ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAIL COMMENTS: PLUMBING: ^ GROUNDWORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PAS D FAILE] ^ PRESSURE T ^ COMMENTS: Y GRANTED ~'fIONAL CCUl ^ OCCUPANCY GRANTED ~ ~~ / ) NOTES/REMARKS• U ~ ~ ~~ ~~ RCTO / ~ DATE OF INSPECTION MADE: FAXED OPPD~BURT REA TO CONNECT SERVICE: ON ll// ~~ TTMR' ` BUILDING INSPECTION REPORT ^~ CITY LAIR ^ WASHINGTON COUNTY. ^ OTHER ? LOCATION OF INSPECTION: ' °' NAME OF OWNER: ''l ~ ~t,1 j -- sJ~ -~j57 W I CONTRACTOR DATE INSPECTION REQUESTED• ~~ r ~ TIME INSPECTION REQUESTED• I ,• ~ ~ PERMIT NO• I ~ " TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTH.TPIES: ^ 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 PRESSURE T ST PAS D FAILED ~ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• TIMF.~ < • ~/ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CITY OF B ^ WASHINGTON COUNTY ^ OTHE LOCATION OF INSPECTION• ~ ~~ `''-t" " ' NAME OF OWNER: /~~~~^~ ~ `"" """"` CONTRACTOR • ~~/J'I ~ / I ~`~i/~ G~~~ DATE INSPECTION REQUESTED' `T ~~ ~ ~~~ TIME INSPECTION REQUESTED• `~~ PERMTI' NO•~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTILITIES: ^ SEWER TAP SEWER ^ SEPTIC WATER TAP ^ REMOTE WATER SERVICE PA S SED 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 INSPECT01~~-~~ - DATE OF INSPECTION MADE: Z ~ TII~~~ / ~ `~`'~~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY. ^ CTI'Y BLAIR LOCATION OF IN ECTI~OfN~: NAME OF OWNERI y ` BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ THE t ~ 1 S~c~ ~~ ~~ ~ DATE INSPECTION REQUESTED~~ TYPE OF INSPECTION REQUESTED: ~~ / ~-~! TIME INSPECTION REQUESTED: ~ ~ `~ `~ ,q ~ 1 `~ PERMPT NO• ~ / ~~ ^ CONFERENCE ^ STATUS C~IECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED 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 PASSED FAILED ^ ^ COMMENTS: PLUMBING: ~ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASS FAILED ^ PRESSURE TEST _ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED r T FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY ^ CTI'Y F BLAIR LOCATION OF BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ f~ l ~!~--~~ ~ ~ n,~ I. NAME OF OWNER• ~~~ ~~- ~ ` ~ ~ CONTRACTO~t: ~ `~ / ~ ~ ~~-~ DATE INSPECTION REQUESTED• Z ~ + ~ ~~ TIME INSPECTION REQUESTED• ' 'a~~ ~ PERMTI' N0: ~ p' ~~ j 1 ~ z ~ `~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMWG ^ DRYWALL ^ FINAL ^ PARTIAL PASSED 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 PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED / FAX OP, PD~RT ~E- ~; BUILDING INSPECTION REPORT ~CTI'Y OF B ^ WASHINGTON COUNTY ^ LOCATION OF INSPE ION: ~ ~ ~ ~%~~-'~ NAME OF OWNER• %U`~ ~ ~~~~" ~ CONTRAC I~ ~ '~~_ ~ " ~ ' ~ ~ ~9~ ~ ` DATE INSPECTION REQUESTED• `~' TIME INSPECTION REQUESTED• ' 1 RMTI' NO' 7 TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: OOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS 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 PASSED FAILED ^ ^ COMMENTS: r, PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ _' PARTIAT; : PASSED FAILED ^ PRESSURE TEST ^- ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REIVIARKS• I TIME. j v FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT ~Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPE ION• /+/o'~I ~,~ NAME OF OWNER• L ~ ~C.~~%~~(/ CONTRALTO DATE INSPECTION REQUESTED• C/ ~ ~S ~ (/ l~ TIIvIE INSPECTION REQUESTED• C/ ~I •!"1 PERMIT N0~ / ~~ / -TYPE OF INSPECTION.,REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL INAL ^ PARTIAL PASS FAILED COMMENTS: UTILTPIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT P SS ^ PARTIAL A ED ^ FAILED ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ ° FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN INAL ^ WATER METER INSTALLED ^ PARTIAL PASS FAILED ^ PRESSURE TEST _ - - - ^ COMMENTS: OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED DATE OF INSPECTION MADE: T /' I ~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: RF.4check Compliance Certificate 2003 IECC REScheck So$ware Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\Waite Residence.rck PROJECT TITLE: Harriet & Dave Waite Residence CITY: Blair STATE: Nebraska HDD: 6506 CONSTRUCTION TYPE: Single Family WINDOW /WALL RATIO: 0.18 DATE: 10/11/OS DATE OF PLANS: July 4, 2005 PROJECT DESCRIPTION: One story Ranch, built with ICF's, with walkout basement. DES IGNER/CONTRACTOR: Dave Waite COMPLIANCE: Passes Maximum UA = 511 Your Home UA = 435 14.9% Better Than Code (LTA) ,~ ~ ia~~~ Permit Number ~ ~%~ os Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor iTA Ceiling 1: Flat Ceiling or Scissor Truss 1988 38.0 0.0 60 Wall 1: Insulated Concrete Forms 549 25.0 18 Window l: Vinyl Frame:Double Pane 77 0.330 25 Door 4: Glass 53 0.330 17 Wall 2: Insulated Concrete Forms 800 25.0 28 Window 2: Vinyl Frame:Double Pane with Low-E 24 0.330 8 Window 3: Vinyl Frame:Double Pane with Low E 6 0.320 2 Window 4: Vinyl Frame:Double Pane with Low-E 23 0.330 8 Window 5; Vinyl Frame:Double Pane with Low E 11 0.320 4 Window 6: Vinyl Frame:Double Pane with Low-E 13 0.320 4 Window 22: Metal Frame:Double Pane with Low E 13 0.350 5 Door 1: Solid 20 0.350 7 Door 2: Solid 20 0.350 7 Wall 3: Insulated Concrete Forms 410 25.0 16 Window 7: Vinyl Frame:Double Pane with Low-E 26 0.320 8 Window 8: Vinyl Frame:Double Pane with Low E 6 0.320 2 Wa114: Insulated Concrete Forms 270 25.0 11 Window 9: Vinyl Frame:Double Pane with Low-E 10 0.320 3 Wall 5: Insulated Concrete Forms 610 25.0 19 Window 10: Vinyl Frame:Double Pane with Low-E 29 0.330 10 Window 11: Vinyl Frame:Double Pane with Low-E 23 0.330 8 Window 12: Vinyl Frame:Double Pane with Low-E 11 0.320 4 Window I3: Vinyl Frame:Double Pane with Low-E 13 0.320 4 Window 14: Vinyl Frame:Double Pane with Low E 10 0.320 3 Window 15: Vinyl Frazne:Double Pane with Low-E 36 0.320 12 Window 16: Vinyl Frame:Double Pane with Low-E 15 0.320 5 Door 3: Solid 20 0.350 7 Basement Wall 1: Insulated Concrete Forms 720 25.0 21 Wall height: 9.0' Depth below grade: 8.0' Insulation depth: 9.0' Window 17: Vinyl Frame:Double Pane with Low-E 24 0.320 8 Window 18: Vinyl Frame:Double Pane with Low-E 24 0.330 8 Window 19: Vinyl Frame:Double Pane with Low-E 26 0.330 9 Window 19 copy 1: VinyLFrame:DoublePane with Low-E 13 0.320 4 Window 21: Vinyl Frame:Double Pane with Low-E I 1 0.320 4 Basement Wall 2: Insulated Concrete Forms 369 25.0 15 Wall height: 9.0' Depth below grade: 4.5' Insulation depth: 9.0' Basement Wall 3: Insulated Concrete Forms 243 25.0 9 Wall height: 9.0' - Depth below grade: 7.0' Insulation depth: 9.0' Floor 1: Slab-On-Grade:Heated 66 7.0 52 Insulation depth: 2.0' Furnace l: Forced Hot Air, 78 AFUE Heat Pump 1: Air Source, 12 HSPF, 12 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2003 IECC requirements in REScheck Version 3.6 Release 2 (fi~rmerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Date RFScheck Inspection Checklist 2003 IECC REScheck So$tvare Version 3.6 Release 2 DATE: 10/04/05 PROJECT TITLE: Harriet & Dave Waite Residence Bldg. Dept. Use Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: Above-Grade Walls: 1. Wall 1: Insulated Concrete Forms, R-25.0 assembly R-value Documentation must be submitted verifying the overall assembly R value. The R-value must be developed in accordance with accepted engineering practice. Comments: 2. Wall 2: Insulated Concrete Forms, R-25.0 assembly R value Documentation must be submitted verifying the overall assembly R-value. The R-value must be developed in accordance with accepted engineering practice. Comments: 3. Wall 3: Insulated Concrete Forms, R-25.0 assembly R-value Documentation must be submitted verifying the overall assembly R-value. The R-value must be developed in accordance with accepted engineering practice. Comments: 4. Wall 4: Insulated Concrete Forms, R-25.0 assembly R-value Documentation must be submitted verifying the overall assembly R-value. The R value must be developed in accordance with accepted engineering practice. Comments: 5. Wall 5: Insulated Concrete Forms, R-25.0 assembly R-value Documentation must be submitted verifying the overall assembly R-value. The R-value must be developed in accordance with accepted engineering practice, Comments: Basement Walls: 1. Basement Wall l: Insulated Concrete Forms, 9.0' ht/8.0' bg/9.0' insul, R-25.0 assembly R-value Documentation must be submitted verifying the overall assembly R-value. The R-value must be developed in accordance with accepted engineering practice. Comments: Exterior insulation must have a rigid, opaque, weather-resistant protective covering that covers the exposed (above-grade) insulation and extends at least 6 in. below grade. 2. Basement Wal12: Insulated Concrete Forms, 9.0' ht/4.5' bg/9.0' insul, R-25.0 assembly R-value Documentation must be submitted verifying the overall assembly R-value. The R value must be developed in accordance with accepted engineering practice.- Comments: ~ Exterior insulation must have a rigid, opaque, weather-resistant protective covering that ~ covers the exposed (above-grade) insulation and extends at least 6 in. below glade. [ ] ~ 3. Basement Wall 3: Insulated Concrete Forms, 9.0' ht/7.0' bg/9.0' insul, ~ R 25.0 assembly R-value ~ Documentation must be submitted verifying the overall assembly R value. ~ The R value must be developed in accordance with accepted engineering practice. ~ Comments: ~ Exterior insulation must have a rigid, opaque, weather-resistant protective covering that ~ covers the exposed (above-grade) insulation and extends at least 6 in. below grade. ~ Windows: ] ~ 1. Window 1: Vinyl Frame:Double Pane with Low-E, U factor: 0.330 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 2. Window 2: Vinyl Frame:Double Pane with Low-E, U-fctor: 0.330 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 3. Window 3: Vinyl Frame:Double Pane with Low-E, U-fictor: 0.320 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 4. Window 4: Vinyl Frame:Double Pane with Low E, U factor: 0.330 ~ For windows without labeled U factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 5. Window 5: Vinyl Frame:Double Pane with Low-E, U factor: 0.320 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 6. Window 6: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 7. Window 22: Metal Frame:Double Pane with Low-E, U-fctor: 0.350 ~ ,For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 8. Window 7: Vinyl Frame:Double Pane with Low-E, U fictor: 0.320 ~ For windows without labeled U-fictois, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 9. Window 8: Vinyl Frame:Double Pane with Low-E, U-fictor: 0.320 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 10. Window 9: Vinyl Frame:Double Pane with Low-E, U-fictor: 0.320 ~ For windows without labeled U-actors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ] ~ 11. Window 10: Vinyl Frame:Double Pane with Low-E, U-factor: 0.330 [ ] I 12. I I [ ] I 13. [ ] I 14 i I I [ ] I ls. [ ] I 16. I I I [ ] I 17. [ ] I 18. I I I [ ] I 19. [ ] I 20. i I I [ ] I 2I. I 22. For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 11: Vinyl Frame:Double Pane with Low-E, U-factor: 0.330 For windows without labeled U-fictors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 12: Vinyl Frame:Double Pane with Low E, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 13: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 14: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe natures: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 15: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 16: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U factors, describe iPatlues: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 17: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 18: Vinyl Fcame:Double Pane with Low-E, U factor: 0.330 For windows without labeled U factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 19: Vinyl Frame:Double Pane with Low-E, U-fictor: 0.330 For windows without labeled U factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 19 copy 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Window 21: Vinyl Frame:Double Pane with Low-E, U factor: 0.320 For windows without labeled U-factors, describe fatures: # Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Doors: 1. Door 4: Glass, U-factor: 0.330 Comments: 2. Door 1: Solid, U-factor: 0.350 [ ] ~ 3. [ ] ~ 4. Floors: 1. Floor 1: Slab-On-Grade:Heated, R-0 (uninsulated) Comments: Heating and Cooling Equipment: 1, Furnace 1: Forced Hot Air, 78 AFUE or higher Make and Model Number 2. Heat Pump l: Air Source, 12 HSPF, 12 SEER or higher Make and Model Number ~ Air Leakage: [ ] ~ Joints, penetrations, and all other such openings in the building envelope that are sources of air ~ leakage must be sealed. [ ] ~ Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly ~ with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a I 3" clearance from insulation. ~ Skylights: [ ] ~ Minimum insulation requirement for skylight shags equal to or greater than 12 inches is R-19. ~ Vapor Retarder: [ ] ~ Required on the warm-in-winter side ofall non vented framed ceilings, walls, and Boors. ~ Materials Idenfification: [ ] ~ Materials and equipment must be installed in accordance with the manufacturer's installation instructions [ ] ~ Materials and equipment must be identified so that compliance can be determined. [ ] ~ Manu~cturer manuals fir all installed heating and cooling equipment and service water heating ~ equipment must be provided. j ] ~ Insulation R-values, glazing U fictors, and heating and cooling equipment efficiency must be clearly ~ marked on the building plans or specifications. ~ Duct Insulation: [ ] ~ Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] ~ Return ducts in unconditioned attics or outside the building must be insulated to R-4. ~ ] ~ Supply ducts in unconditioned spaces must be insulated to R-8. ] ~ Return ducts in unconditioned spaces (except basements) must be insulated to R-2. _ ] ~ Where exterior walls are used as plenums, the wall must be insulated to R-8. ~ Insulation is not required on return ducts in basements. I Duct Construction: [ ] ~ Duct connections to flanges of air distribution system equipment must be sealed and mechanically fastened. [ ] ~ All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), ~ mastic-plus-embedded-fabric, or tapes. Tapes and mastics must berated UL 181A or UL 181B. ~ Exception: Continuously welded and locking-type longitudinal joints and seams on ducts ~ operating at less than 2 in, w.g. (500 Pa). [ ] ~ The HVAC system must provide a means for balancing air and water systems. Comments: Door 2: Solid, U-factor: 0.350 Comments: Door 3: Solid, U factor: 0.350 Comments: ~ Temperature Controls: [ ] ~ Thermostats are required ~r each separate HVAC system. A manual or automatic means to ~ partially restrict or shut o$'the heating and/or cooling input to each zone or door shall be provided. ~ Service Water Heating: [ ] ~ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the ~ water heater has an integral heat trap or is part of a circulating system. [ ] ~ Insulate circulating hot water pipes to the levels in Table 1. ~ Circulating Hot Water Systems: [ ] ~ Insulate circulating hot water pipes to the levels in Table 1. ~ Swimming Pools: [ ] ~ All heated swimming pools must have an on/o$~heater switch and require a cover unless over 20% ~ ofthe heating energy is from non-depletable sources. Pool pumps require a time clock. ~ Heating and Cooling Piping Insulation: [ ] ~ HVAC piping conveying quids above 105 ~ or chilled fruids below 55 ~ must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pin e Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature (Fl Un to 1" ~ to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pi~ina SXstem Tykes Ran e F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 106-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) i . ~ CITY OF BI,t\IR A~~ o~~se of 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 Contractor/Owner City of Blair ~ ~~~ z~ Date /_\ 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail ciiyofblalr@huntel,net oa m F-__ :`~ ^~,_ ~, o`~ .. ;~ '; .... a.,~n,,, wa "~ s° l'd~ } a. .. ~ _ ... ti., a ~, ~, a~1, .; ~ ~~~ ^; ~, ~u ti ~.;~\ 1 ~~ ~ V i ~~~~ ~~~ ~ ~~ '~ M "~: w ? I ~~~Miy~J'i {I k ~li ~ i ~ L.~ ~~ 1' I~f .~~G. 1_... .. ' ~'" I ~ ~4 b ~ k' ~ u i ~ ,,,~It d1~ yi ~ ~ ~ ~ Q ~~~ +i~ • ~ ~~ ~ d~ a ~~ ~f:~~, ~ ~ i ~' a'~~ ~ ~ ,, i Sri , _ ~ t Fr _) i ~ .C .~~t r - ~3i 7~.', }1[1 ag~~~ 4 l ~r+~~~.,1h1 M~o~Ita, i. ~ ~ ~'n a +1~Y'501~1.' .. ~~.~ 't,.. '1 ,, ,.. ~~~~~ ~:. ~~~ .~ ~ _ ~r ~ ~ ~ ~ ~ , ~ ki `~ ' ~ NV 7 Age ~ ~' ~ }~' ~ ° ; ~ _ ` ~Fi y.a a~ e d ~ " ~ ~ W ~ L ~ ~ t ~ ,~ II ~ ~ ~~IY~ : • 1 '~ f : .ir ~ ~ I ~ n ~A ~ ~ ~~ ~~ ~ d m 17 ~~ Z 1i. ~ ~ .M ~ - 1• I4 ~~. i . ~ -' ,~ ~~ . ii ~~ 1 ..1 ~ i I ~ 1- L~._ _ .'`,'~ .. 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