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BP12632~ ~ ~~`~ J~" t~ ~ ~ a1 `~~-~ ~ Blair Building Permit Detail Permit #: 12632 Issued: 01/01/2007 Completed : 02/22/2007 Location: 641 S. 17th St. Owner: c/o Ray Sonderup Chris & Holly Baker Address: 641 S. 17th St. Blair, NE 68008 Phone: Section: Township: Range: Subdivision: Lot: Turn a garage into a bedroom. Will put in an egress window. Contractors Dan's Handyman Dick's Electric Remarks General Contractor Electrical Subcontractor 12/29/2006 KAR Inspections Date By 12/18/2006 DEM 12/19/2006 DEM 12/19/2006 DEM 12/29/2006 KAR 02/22/2007 DEM 02/22/2007 DEM Type: Residential Remodeling Valuation: 11200 Permit Fee: 55 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 18114 Block: Permit # Issued E2599 12/18/2006 Approved overhead service. OPPD work with electrician on time of switch over. Electrical Final Fail Electrical Rough-ins Pass Framing Pass Electrical Permanent Service Pass Electrical Final Pass Final Inspection of Project Pass Application Date: ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 2 5 9 9 Permit Fee: $ ~~'~ ' JOB ADDRESS /' „ / / ~ ,~ ,~ ~. l!J/'/ [•~' 1 LEGAL p SEE ATTACHED SHEET DESCR. 2 OWNE - MAILADDRESS ZIP HOME PHONE ~ ~~ ~ WORK/CELLPHONE c, Qi/ t ~ MAIL ADDR ® ~ ~ PHONE 3. CON C ~ /~ C ~ _~C.` (i WORK/C ELL PHONE J'~ 4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~~ ~~ ~ ~ a ~ ~,~,..~~ 6. Current License on File ~(es p No O NA Completion Date / ~ '" , ~ " U(1J 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 S stem $10.00 y ................. 301-400 Amp Fee ............................ $ 42.00 Signs ..................................... $15.00 401-500 Am Fee $ 55.00 p ............................ 501-600 Am Fee $ 67.00 p ............................ 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 j ~ •~ d 1st 1000 Amp Fee ....................... $117.00 I ~ ( ~ 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 other state or local rovisions of an Receptacle/Switch Outlets ~~ ~ ~ ~cL p y x $.75 Fixtures i 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 AUTHORIZE GENT # Apparatus x $3.00 %- /,~ - D ~ Permit Issuance Fee ............. $15.00 I J ~ ~ ~ DATE .i TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: ~ ~~~~~ -1 g "~~p ~~ ~ Approved By: ~~ ~~eT-4Q/l~1 POUNDS PRTG: Blair, NE Rev. 11/99 ~, Y O BL LOCATION OF NAME OF BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY r1 /n ~1 p DATE INSPECTION REQUESTED• /''` ~ ~ ~ ~ ~"" TIME INSPECTION REQUESTED• PERMTI' NO• ~~~ / TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL ~INAL ^ PARTIAL .PAS FAIL COMMENTS: UTH,ITIES: ^ SEWER TAP ' ^ SEWER ^ SEPTIC ^ .WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH II~~FINAL ~ PERMANENT' SERVICE ^ TEMPORARY SERVICE. ^ PRECONNECT PAS AIL COMMENTS: ^ PARTIAL ~v~ ~~~ ~~ y~ MECHANICAL: ^ ROUGH-IN ^ A/C COMMENTS: ^ FURNACE ^ RADIANT HEAT ^ FINAL. ^ PARTIAL PASSED FAILED ^ ^ PLUMBING: ^ GROUNDWORK ^ ^ PRESSURE TEST COMMENTS: ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• ~., ~' INSP v FAXED OPPD~BURT REA f- --- 7~ ~_ _ ~ :~'"' OF INSPECTION MADE: /~ TO CONNECT SERVICE: ON ~ ~ ©~ TT BY RiTF.' /r ~~ ^ OTHER n ry .. ~ _ BUILDING INSPECTION REPORT- ~TI'Y LAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• l ~ 7 L `~ ' ~ ~ n ~ n NAME OF OWNER• - ~`"`„ _ _ ,_ CONTRACTOR DATE INSPECTION REQUESTED• ~ ~ ~ ~ TIME INSPECTION REQUESTED• ~ PERMTI' N0: ~ ~~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL. ^ .PARTIAL PASS D FAILED COMMENTS: UTH,ITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS D 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• FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY CI OF BLAIR LOCATION OF INSPECTION: BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY NAME OF OWNER• Q ^ OTHER CONTRACTOR ~ r~ 2 DATE INSPECTION REQUESTED: ~~ - ~ ~ ~ ~ ~ TIME INSPECTION REQUESTED. ~ ' d `~ ~- • M ' PERMTI' NO: ~ ~ ~~J TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUII,DING: ^ FOOTING ^ DECK FOOTING ^ FRAMII~IG ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTILTPIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL~ERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT P S D 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 GRANT E D ^ CON D i T IONAL OCCUP A NC Y GRANTED NOTES/REMARKS: ~~ -- ,p ~ , ~ ?~`~~~~ "°_ ~ ~) ~^ / ~ ~ `'' `'' Ca~`~ ~G~(' `~C~rI,P~!' ~ ~ DATE OF INSPECTION MADE: /~ ~ / ~-'1~ TTMF: % ' FAXED OPPD~BURT REA TO CONNECT SERVICE: ON B BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTH E / ° f / / ( LOCATION OFINSPEC TION~ ' (~ I` ~.1~' ( f ~~~ O 1~ ~j, ~ / _ / ,~ NAME OF OWNER• r / ~ f 1 ~G~ G2~yf/C~ CONTRACTOR ~~(~t/VL CS~~~ (~ 6 , ~ /,, CL/~ DATE INSPECTION REQUESTED• ~ °~~ '" C.7 f ! TIME INSPECTION REQUESTED• ,/~' ®~ f~'!L~' PERM IT NO• ~~~ ~ 4t TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL !, 4~INAL ^ PARTIAL PASS D FAILED COMMENTS: ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL COMMENTS: PASSED ^ FAILED ^ ELECTRICAL: ^ ROUGH IN _ __ _ AL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT ^ PARTIAL COMMENTS: PASS FAILED ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL ASSED FAILED COMMENTS: ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL COMMENTS: ^ PRESSURE TEST PASSED ^ FAILED ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS • • DATE OF INSPECTION TIME. /D ~ / ~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY s o .gPromise°`Q CITY OF BLAIR -APPLICATION FOR BUILDING PERMIT Permit # Date: ~~ ~~ ~~ Approximate Completion Date: Ca~ ~,''~ ~~~ Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential ~` Commercial/Industrial New Construction Manufactured Home Modular Move-on: Home Accessory Building Other Remodel ~ Addition Accessory Building: Garage Pole Barn Other Floor Type: Dirt Concrete Electricity: Yes No Other Utilities: Public Water: Yes No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement needed: Date Agreement Received: Public Sewer: Yes No Septic Drawing Provided: If yes, responsible entity: Blair Kennard Miscellaneous Permits: Electrical Plumbing Heating County Road Permit Required: Yes No Submitted: Yes No Additional Description of project if necessary: ~ ~ ~VL 1olC~KSU r'~ ~u (I l nu,-~ t n ran ~~5~ ~ hr~ ~l A ~ Project Information: / Job Address: ~~ ~ S 11 ~ .~+ Legal Description (if applicable) Owner: ~ °~ \~ 1.~~ - Address: ~iYYtSL_ Phone#:- Contractor: u~~~ 5 ~-~Ll~'1Ci' ~ Phone #:~ Address: Q g Cell #: ~~(- ~o~ Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge this building permit application 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 a permit 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 that this permit is void if work is not commenced within 180 davs or is not completed with two (2) years of date of issue. Signature of Owner/Contractor Date ZONING REVIEW: ZoninF/Flood Plain/Utilities: / Current Zoning: ~;~ Conditional Use Permit Required: Yes No v' Date CUP A proved: State Fire Marshal Required: Yes No ~ Variance Required: Yes No Minimum Setbacks: Front Second Front Side __~vl ~~ a Rear Lot Sauare Footage: Length x Width: Driveways/Sidewalks: Sidewalk required: Yes Lot Coverage % ~~ No ~ ~ i walk Waiver: Yes _ Date Waiver Approved: Second Level: Flood Plain: Yes No ` If yes, specify special requirements: ~l BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four >Four High Rise (>75 ft) Type of Residential Structure: Ranch Two Story Split Entry Raised Ranch Other Rooms Bedrooms Bathrooms Fireplaces Gas Electric Egress in Basement: Required: Yes No Provided on Plans: Yes No Sleeping Rooms Living Area Other Egress Sauare Footage: Main Level: Basement: (Unfinished) No Third Level (Finished) Garage: 2 bay 3 bay 4 bay Detached Garage: Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Front Side Occupancy Classification: Assembly, theaters, with stage Assembly, theater, without stage Assembly, nightclubs Assembly, restaurants, bars, banquet halls Assembly, churches Assembly, arenas Assembly, general, community halls, libraries, museums Business Educational Factory and industrial, moderate hazard Factory and industrial, low hazard High Hazard, explosives High Hazard HPM Institutional, supervised environment Institutional, incapacitated Institutional, restrained Institutional, day care facilities Mercantile Residential, hotels 5+ bay Residential, multiple family Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building required to be protected by automatic fire sprinkler svstem?" No Only partially in some areas or rooms Please Specify Yes If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 13D Driveway Grade: (percentage) (Dale will review new residential construction) (AI will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: Permit Fee Calculation: RESIDENTIAL -NEW CONSTRUCTION: Building Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 All other permits valued under $10,000 Permit fee is: Finished sq/ft area X $88 (not includingfinished basement area) Finished basement sq/ft area X $53 Unfinished basement sq/ft area Garage sq/ft area Total Valuation: $ 0 TO $ 1,999 $ 2,000 TO $ 4,999 $ 5,000 TO $ 9,999 $ 10,000 TO $ 49,999 $ 50,000 TO $ 99,999 $ 100,000 TO $ 199,999 $ 200,000 TO $ 399,999 $ 400,000 TO $ 999,000 $1,000,000 AND OVER Issuance Fee: X $26 X $20 No Deposit Fee $ 15.00 $ 25.00 $ 50.00 $ 50.00 + $ 5.00 per 1000 $ 250.00 + $ 4.50 per 1000 $ 475.00 + $ 4.00 per 1000 $ 875.00 + $ 2.50 per 1000 $1,375.00 + $1.25 per 1000 $ 2,125.00 + $1.00 per 1000 $ 15.00 Total Permit Fee =Deposit/Permit Fee/Issuance Fee $ RESIDENTIAL -ADDITIONS /REMODELS and COMMERCIAL -NEW CONSTRUCTION /ADDITIONS /REMODELS: Business/Industrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Buildini= Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ All other permits valued under $10,000 No Deposit Fee Permit fee is: Finished sq/ft area ~~ ~ X $60 $ 11 ~ 2oD . 00 $ 0 TO $ 1,999 $ 2,000 TO $ 4,999 $ 5,000 TO $ 9,999 $ 10,000 TO $ 49,999 $ 50,000 TO $ 99,999 $ 100,000 TO $ 199,999 $ 200,000 TO $ 399,999 $ 400,000 TO $ 999,000 $1,000,000 AND OVER Permit Fee calculated from chart above Issuance Fee• Total Permit Fee =Deposit/Permit Fee/Issuance Fee 5~• ° ~ $ 7a~- oo.ov $ a70. ov Additional Comments: Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: ~- °~~ ~f Permit Fee:. 7/? ~ yy Deposit Amount ~ Receipt # /, ~~~ ,~ ~ ~ Deposit Paid by for return to: $ 15.00 $ 25.00 $ 50.00 $ 50.00 + $ 5.00 per 1000 $ 250.00 + $ 4.50 per 1000 $ 475.00 + $ 4.00 per 1000 $ 875.00 + $ 2.50 per 1000 $1,375.00 + $1.25 per 1000 $ 2,125.00 + $1.00 per 1000 Building Inspection Pouch given: Yes No ~~ ^i ~ L/S w•^'~w 4 ~~Z ~ - ~y ~ _ __;._. r ,J r,¢ r h~ ~ ~~.,,,