BP12578Blair Building Permit Detail
Permit M 12578 Issued:
9/25/2006 Type: Industrial/Commercial - Remodeling
Completed:
4/2/2007 Valuation: 15000
Location: 525 SE. 1 st St.
Owner: Blair Seed Services
Permit Fee: 75
Address: 525 SE. 1st St.
Issue Fee: 15
Deposit Amt.: 200
Blair, NE 68008
Receipt M 17506
Phone: 402 533 2244
Section: Township:
Range:
Subdivision:
Lot:
Block:
Adding walls to enclose 2 offices, a break room, and a tag room. See plan (highlighted) Will have electric only. Will
be submitting plans to FireMarshall.
Took form.
Contractors
Blair Seed Services
General Contractor
Permit # Issued
Dick's Electric
Electrical Subcontractor
E2557 10/2/2006
Dick's Electric
Electrical Subcontractor
E2547 9/21/2006
Remarks
9/26/2006 BMP
Sent copy of permit.
11/16/2006 DEM
90.7 Electrical panels not UL listed shut down. No
Work. Section 100 Listed and Labeled.
11/16/2006 BMP
Not done per Dale. Changed completion date to 12/15/2006.
2/8/2007 BMP
Called and left a message about status of permit.
3/6/2007 DEM
Not Complete 30 days. Changed completion date
to 3/31/2007
Inspections Date By
10/11/2006 DEM
Electrical Rough -ins
Pass
10/11/2006 DEM
Footings
Pass
10/17/2006 DEM
Drywall
Pass
11/14/2006 DEM
Conference
Pass
12/4/2006 DEM
Electrical Permanent Service
Pass
1/9/2007 DEM
Status check
Fail
3/2/2007 DEM
Status check
Fail
4/2/2007 DEM
Electrical Final
Pass
4/2/2007 DEM
Final Inspection of Project
Pass
BUILDING PERMIT APPLI
Permit Feer
00,Jurisdiction of City of Blair, Nebraska
00 218 South 16th Street
Issuance Fee:15.00::-j-1 a ° Blair, Nebraska 68008
Receipt #: a6G Oo () 426-4191 • Fax (402) 426-4195
CATION
12578
Permit
Deposit Receipt #: 1750 UP ziv
Issue Date: J Type: 1 &I
JOB ADDRESS
,�•� jY
f
F' al
Electrical
LEGAL
1. DESCR.
Rouoic in
Fir)/
Fixtures
Permanent Service
❑ SEE ATTACHED SHEET
OWNER
2,
MAIL ADDRESS
ZIP
HOMEPHONE
WORK/CELL PHONE 3 ��
CONT R
3. C
MAIL ADDRESS
ZIP
HOME PHONE
WORKICELL PHONE
4. Class of Work:
❑ NEW ❑ ADDITION Q REMODEL Q OTHER Q FINISHED BASEMENT O UNFINISHED BASEMENT
5. Describe Work:U
0-01119 Gt"
G? d c�� C -2-n
a 'CIA67
1 lil/ r � U' C�,(�
V
Cl'IT.Q
�
c.l�l� � �G�i •!%
/ 6. Valuation of Work: $Footage
Total Sq. (Induding Base ntandGarage):
Total FinisheArea: p'f
Floodway Q Yes Q No Dev. Permit
7. Floodplain: Fringe Q Yes Q No BFE
Elev. Cert.
8. Current Zoning: A l A ( —
9. State Fire Marshall Required: Cres Q No
10. Special Use Permit Required: Q Yes 01 0
11. Variance Required: O Yes O No
12. Minimum Setbacks: Front Side N I Rear
13. Sidewalk Required: []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 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 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 days or is not completeSjr hin 2 years of date of issue.
OF
Comment:
DATE
MEET IBC, IRC, IPG, IMCAND NEC CODE REQUIREMENTS
POUNDS PRTG: Blair, NE
❑ Site Plan Attached/� p Compl�� Plans Attached
Approximate Completion Date / D
Inspections Required and Fees
Utilities
Sewer
Septic
Building
Footings
Water Service
Remote
Stop Box Card
D all
P 10 TO TAPING
Temporary Service
Mechanical
Rough -in _
Final
Plumbing .
Ground Work
Rough -in _
A\C -
Final
WHEN PROPERLY VALIDATED (IN THIS
IS YOUR PERMIT
Rev. ails
1 )
Frg
F' al
Electrical
Rouoic in
Fir)/
Fixtures
Permanent Service
Temporary Service
Mechanical
Rough -in _
Final
Plumbing .
Ground Work
Rough -in _
A\C -
Final
WHEN PROPERLY VALIDATED (IN THIS
IS YOUR PERMIT
Rev. ails
ELECTRICAL PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: �0�-2- 11,0 `o
CATION
Permit E 2557
U,n dt4 1 a676
Permit Fee: $
JOB ADDRESS C 1
25 `lX
1 LEGAL O SEE ATTACHED SHEET
DESCR.
/� j MAILADDRES �I(�j% yyORKHOMEPHONE�,3—=qq
2MCELL
1� '`JO
3tO
WONTRA T R r ( MAILADDRESS PHONE HOME PHONE
� J WORK/CELL PHONE
4• Class of Work: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL 0 REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: jr, L,h 6k,1 t-6 e 2 54-1
6. Current License on File >des 0 No 0 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
y
301-400 Am Fee $ 42.00
Signs ..................................... $15.00
401-500 Am Fee $ 55.00
Amp
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 Amp Fee ............................ $105.00
Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00
# of Circuits x $2.00
IF OVER 1000 Amp
Amp Fee
1 st 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
eceptacl Switch Outlets
I ures - -2-1— x $.75 S
law regulating construction or the performance of
Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
SIGNATURE OF CONTRACTOR OR AUTHO ZED AGENT
# Apparatus x $3.00
3�
Permit Issuance Fee $15.00 S
DATE
2O ��
TOTAL J
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
K LDudh&Y
POUNDS PRTG: Blair, NE Rev. 11/99
5�
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit E 2547
Application Date: -9 -dl -b5
Permit Fee: $ �' Uj
JOB ADDRESS � �S� A
v\
LEGAL
1 DESCR. O SEE ATTACHED SHEET
2 OWNER ; MAILADDRESS ZIP HOMEPHONE
WORK/CELL PHONE
3 CONT�'ORI
MAILADDRESS PHONE HOME PHONE
WORK/CELL PHONE
4. Class of Work: p NEW RESIDENTIAL p NEW COMMERCIAL 0 REMODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Work: ' 00 a'va fs�
6. Current License on File es p No O NA Completion Date /0- I -y
New Service Fee = (Amp Fee + $2.00 per branch circuit)
ELECTRICAL PERMIT FEES
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 Amp Fee ............................ $105.00
Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00
# of Circuits x $2.00
IF OVER 1000 Amp
Amp Fee 67W
1st 1000 Amp Fee ....................... $117.00
Amp Fee Circuit Total -7 `UJ
Each additional 100 Amps ........... $ 13.00
+
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.
Receptacle/Switch Outlets
The granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state or local
Fixtures—x $.75
law regulating construction or the performance of
Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) /6' x $3.00 LOJ
vi
Power Apparatus (220 Volts)
# Apparatus x $3.00
SIGNATURE OF CONTRACTOR OR AUT IZED AGENT
10— 11-0(
Permit Issuance Fee .............$15.00 01)
DATE
I r,
o`
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: :�IApproved By: 2? P'j �d-44�
POUNDS PRTG.-Blair, NE Rev. 11/99
1
❑ �;`CI`rY � F BLAIR
BUILDING INSPECTION REPORT
❑ WASHINGTON COUNTY
LOCAQNF1SPECTION " z 5 S
NAMEOF OWNER
W ( NC_l_S ,
DATE INSPECTION REQUESTED• -' l �� TIME INSPECTION REQUESTED• I PERMIT NO__r �S
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE
❑ STATUS CHECK
BUILDING: yr
COMMENTS: r
FOOTING Fl DECKFOOTING El FRAMING El DRYWALL [_1 FINAL El PARTIAL
PASSED
10
FAILED
❑
UTILITIES: ❑
❑
COMMENTS:
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PARTIAL
PASSED
❑
FAILED
❑
ELECTRICAL:
❑
COMMENTS:
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECTPASSED
PARTIAL
Jr��(
FAILED
1-1
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
PASSYD
FAILED
❑
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS -
DATE OF INSPECTION
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON_
w"FII ll
CITY OF BLAIR
LOCATION OF INSPEC
NAME OF
-BUILDING INSPECTION REPORT
❑ WASHINGTON COUNTY ❑ OTHER
2S S /s�<_/_
DATE INSPECTION REQUEST ED• ,y
TYPE OF INSPECTION REQUESTED
CONTRACTOILQ !!e/
TIME INSPECTION REQUESTED---APERMIT NO: Z s
❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑
FOOTING ❑ DECK FOOTING ❑ FRAMING RYWALL ❑ FINAL ❑ PARTIAL
PASSUD
FAILED
PARTIAL
��
❑
❑
COMMENTS:
s
MECHANICAL: ❑
UTILITIES: ❑
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ . WATER RVICE
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-
wkINSPECTOR v DATE OF INSPECTION MADE: D Ja TIME: (J
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
BUILDING INSPECTION REPORT
fcr�f OF`BLAIR ❑ WASHINGTON COUNTY El OTHER
LOCATION OF INSPECTION•
NAME OF OWNER, ZLJ_d,0 iy` la ua aa-) CONTRACTOR-
ONTRACTO
DATE
DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED- /" ' M' PERMIT N0: 10�'5 / 0
TYPE OF INSPECTION REQUESTED: /CONFERENCE
❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑" FINAL ❑ PARTIAL
PASSED .FAILED
❑ ❑
COMMENTS:
UTII TTIES: ❑ 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: F-1ROUGH-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 qD*
TiorU /Do
1
INSPECTOR- DATE OF INSPECTION MADE: / ` / � "'
T
a
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
i
BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER
LOCATION OF INSPECTION•
NAME OF OWNER <Q� �"�` CONTRACTOR
DATE INSPECTION REQUESTED_L,` Q TIME INSPECTION REQUESTED• ` PERMIT NO �o�s 7 3
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK
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 ❑ FINA
PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASS
FAILED
❑
PARTIAL�
A
�
El
COMMENTS:
�4
d`/, / ,U
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
El❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
INSPECTORG' DATE OF INSPECTION MADE: s'
FAXED PPD\BBURT REA ' 1 n TO CONNECT SERVICE: ON BY
BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION -
NAME OF OWNER ��"� CONTRACTOR -
DATE INSPECTION REQUESTED: /Aq45) TIME INSPECTION REQUESTED' PERMIT NO
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE p STATUS CHECK
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 PASSED FAILED
❑ PRESSURE TEST ❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY G ANTED
NOTES/REMARKS-
A��T 24e- ZEL=
I
`i
INSPECTOR • DATE OF INSPECTION MADE: T.
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
BUILDING INSPECTION REPORT
gmy. OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OFINSPECTION-,
NAME OF OWNER• `D4 16kC&RACTOR-
DATE INSPECTION REQUESTEDTIME INSPECTION REQUESTED: PERMIT NO.
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE
ISTATUS CHECK
BUILDING: ❑
FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL [I PARTIAL
PASSED
FAILED
❑
❑
COMMENTS:
UTILITIES: ❑
SEWER TAP [I SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
F]
PARTIAL
F]
F]COMMENTS:
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
F-1
PARTIALFl❑
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
INSPECTOR- DATE OF INSPECTION MADE:
FAXED OPPD\BURT REA TO CONNECT SERVICE:
TIME
BUILDING INSPECTION REPORT
F�Y.OF BLAIR ❑ WASHINGTON COUNTY { ' ✓✓❑ OTHER
-C gJV 4.. a_- 5 � � 'fir' , /! ��
LOCATION OF INSPEUWN• �1 `� j
U!M f
NAME OF OWNER: k� � C ;� ^ CONTRACTOR-
DATE
ONTRACTORDATE INSPECTION REQUESTED• s r 1 ~ TIME INSPECTION REQUESTED- ¢ ` % PERMIT NO:
TYPE OF INSPECTION REQUESTED: CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALLeNNn:F�IAL ❑ PARTIAL PAS ED FAILED
COMMENTS:
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
❑,, PARTIAL
❑
❑
COMMENTS: = ,,,
IN_
ELECTRICAL: ❑' 'ROUGH NAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASS
FAILED
F]
❑
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 TESTI
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS-
INSPEVr0 I __-'E#v4CAy !/, Lxe-- DATE OF INSPECTION
FAXED OPPD\BURT REA -. TO CONNECT SERVICE: ON
T
n�l
z�
T
n�l
CITY Of 15tAIQ
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 6�ont�ractor Ix
City of Blair
�=0
ate
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofbiair@huntel,net o
CITY OF I)tAIQ
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
-('
ClDate��-
Contractor/Owner
City of Blair
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cNofblair@huntel.net ,o °
a
12/04/2000
OTIS & ASSOC. INC.
OA2063
LARGEST MOTOR 65FLA
SHORT CIRCUIT 5KA
480V 3PH 60HZ 319FI A
UI_ TYPE 12 ENCLOSURE
y
12/04/
04/02/2007
M
Y..
✓.�, SMA J.YJ
I
r13 �
r
1/2006
10/11/2006
ow
—� 10/17/20
mr
04/ AY2007
J� ;
G,L r i
x r
10/17/2006 s 10/17/2006
10/17/2006
0.f/�' —-i:i-I�i••I i I LI~i i d'
b, um
4 cc
' 1
400 A
12/04/2006
04/2006
12/04/2006