BP12385Blair Building Permit Detail
Permit #: 12385 Issued: 02/13/2006
Completed : 02/23/2007
Location: 1133 Park St.
Owner: Bob & Peggy Frahm
Address: 1133 Park St.
Type: Residential Additions
Valuation: 5000
Permit Fee: 50
Issue Fee: 15
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 426 3316
Section: Township: Range:
Subdivision: Lot: Block:
A 5x8 (approx.) addition to living room to square off house in front. Roof will tie in with existing, with a 4-12 pitch.
Contractors
SELF General Contractor
SELF Electrical Subcontractor
Remarks
02/15/2006 BMS Gave copy of permit to Peggy.
Inspections Date By
11/02/2006 AL Footings
11/22/2006 DEM Electrical Rough-ins
11/22/2006 DEM Framing
02/23/2007 DEM Electrical Final
02/23/2007 DEM Final Inspection of Project
Permit # Issued
E2592 11/20/2006
Pass
Pass
Pass
Pass
Pass
BUILDING PERMIT APPLICATION
Permit Fee: ~ ~_ ~CYJ Jurisdiction of City of Blair, Nebraska
~~•~ 218 South 16th Street
Issuance Fee: ~ ~'~ Blair, Nebraska 68008 ~ ~ 3 a 5
Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #:
Issue Date: a ~'~ , ~~ Type: A~~U~ I~ C~YI
JOB ADDRESS
I I ~33 PG~~ k-- ~~
LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
2 0 ER~~ ~~ ~~~^ MAIL AD~RzES~;~^~
- 1' 1
r l ZIP yy RK/CEOLLPHONE ~Z~[j-3~'~p
CONTRA OR
3. MAIL ADDRESS ZIP HOME PHONE
WDRKICELL PHONE
4. Class of Work: ^ NEW ADDITION ~ REMODEL Q OTHER Q FINISHED BASEMENT O UNFINISHED BASEMENT
5. Describe Work: A ~ t X g I C f~~ 1r~1 ~~ ~ ~~>,~~ -~ ~~ Q.. ~
~, ~• W`r1` •~~. 'tin vz ~.+X.75'~-jn ~-~ ~ ~ (~. I~-~h
00
6. Valuation of Work: $ ~ t~
Total Sq. Footage (IRCIudiRg basement ana Garages:
Total Finished Area:
Floodway Q Yes Q No
7. FIOOdplain: Fringe Q Yes Q No Dev. Permit
BFE
Elev. Cert.
8. Current Zoning:
9. State Fire Marshall Required: Q Yes ~ No
10. Special Use Permit Required: Q Yes ~No.
11. Variance Required: ^ Yes dNo
12. Minimum Setbacks: Front ~ Side ~ Rear !~
13. Sidewalk Required: Q Yes Q No Waiver Approved N/~
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By mysignature 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 ifwork is not commenced within
180 d,~!s or is not completed within years of date of issue.
a
SIGNATURE OF OWNERICDNTRACTOR DATE
Commept:
Mk~BC, IRC, II'C~ tMCAND NEC CODER~QUf REMENTS
SLEEPING ROOMS BELOW THE FOURTH
STORY AND IN BASEMENTS ARE
REQUIREDTO HAVEAN EGRESS WINDOW,
^ Site Plan Attached `Q__Complete Plans Attached
Approximate Completion Date ~ 1 - ~t~~
Inspections Required and Fees
Utilities
Sewer
Septic
Bilin
Footings
Framing
Water Service
Remote
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
I ri I N l~
Rough-in
Final
Temporary Service
Mechanical ~l)
Rough-in
Final
Fixtures
Permanent Service
A1C ,
PI m in ~ ~
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
Rev. 8/9G
POUNDS PRIG: Blair, NE
ELECTRICAL PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ ~ 2O ~
CATI O N
Permit E 2 5 9 2
d~
Permit Fee: $ ®'
JOB ADDRESS ,n~ ` '~ ~~
IY/ `/
1 LEGAL
DESCR. O SEE ATTACHED SHEET
MAILQDDRESS
2 N R ~ ~
' ~,/I~ ~~ ZIP HOME PHONE
Y ((
l ~
~
l~l - WORK/CELL PHONE
,3 COjITRA~~R MAILADDRESS
~
p PHONE HOME PHONE
o~
v WORK/CELL PHONE
4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL p-REMODELING ,DDITIONS O UPGRADE SERVICE
5• Describe Work: ~ ,~~ ' ~,v ~- ~ .h ~~~
6. Current License on File ~ Yes O No 8-~4A 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 S stem $10.00
y
301-400 Am Fee $ 42.00
p ............................
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
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
l
l
f
h Receptacle/Switch Outlets
Z~
~ ~ ` 0 ~
er state or
oca
to violate or cancel the provisions o
any ot x $.75
Fixtures
law regulating construction or the performance of Smoke Detectors x $3.00
construction. Residential/Commercial Appliance
# Fixed Outlets x $3.00
n Motor(s) x $3.00
~~
'~"-/~',~' Power Apparatus (220 Volts)
SIGNATURE OF CONTRACT R OR AUTHORIZED AGENT # Apparatus x $3.00
Permit Issuance Fee ............. $15.00 j ~ °~
DATE
TOTAL
~~ ~ ~ ~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
POUNDS PRTG.-Blair, NE Rev. 11/99
~ CITY OF BLAIR
BUILDING INSPECTION REPORT
^ WASHWGTON COUNTY ^
LOCATION OF INSPECTION• ~Y r~~ ~~ Y~ S~ ~ 6a
NAME OF OWNER•~ `~- `r ~~~~ t
CONTRACTOR: ~~ ~ S S ~ ~~ l L K~ ~ ~~ - ~ ~~~
~ 1 z~ ~ ot~
DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED• ~ 'L ~ PERMTI' NO•
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: FOOTING ^ DECK FOOTING ^ FRAMING ^ .DRYWALL ^ FINAL [~ PARTIAL PAS D FAILED
^
COMMENTS:
UTII.ITIES: ^ 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
DATE OF INSPECTION MADE: ~ r ~ ~ v "' T ~
FAXED OPPD~BURT REA TO CONNECT SERVICE:
BUILDING INSPECTION REPORT
,~}.~CIT~ OF Ei,AtIR
~ ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSP ECTION• ~,~ ~~ ~'~ .
NAME OF OWN ~ ~~^ G, ~~G~L~~7CONTRACTO ~J~
~Fi
DATE INSPECTION REQUESTED -' ~C~~ ~~ ! TIME INSPECTION REQUESTED•~" ~~ ~`'~~ ~~G~PERMIT NO• '~~ ~~
TYPE OF INSPECTION REQUESTED: r <
^ ONFERENCE ^STATUSCHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALLsINAL ^ PARTIAL PAS FAILED
COMMENTS: ^
UTILITIES: ^
^
COMMENTS: SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
PARTIAL PASSED
^ FAILED
^
ELECTRICAL: ^
^
COMMENTS: ROUGH IN _. FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
PARTIAL -PASS, FAILED
^
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^
COMMENTS: PRESSURE TEST ^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
FAXED OPPD~BURT REA TO CONNECT SERVICE:
Cl'1'Y OF BI,~IR
y ~ - - ~a~
promise of a`~a\`
IIOlYIEOWNEIZ VERIFICATION FOIZ ELECTRICAL WIRING PERMITS
print your full name on line
states the following:
L I am the owner of the single family dwelling for which I am applying for an
electrical permit.
Address: ~,~ 7j.3 }~(~.V~~--S-~-
2. - I am applying for an electrical permit for a single fa>nily dwelling and it is or will
be my principal residence.
3, I wi11 install and connect the electrical wiring far myself, without compensation
or pay from or to, any other person.
4. I have sufficient knowledge of the 2005 National Electrical Code requirements to
make an electrically safe and mechanically secure installation which will meet the
minimum standards referenced in 81-2104.
5. I am aware of all inspections required prior to a final.
6. I wi11 ca11 twenty-four (24) hours in advance for an inspection. I am also aware
that it is not the inspector's job or duty to be my instructor in electrical wiring.
7. I a>_n aware that Nebr. Rev. Stat. 51-2143 makes it a Class 1 misdemeanor to
make a false statement on a request far inspection.
S. By signing this form I am stating the above information is trice an correct.
Date
218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail ciiyofblair@ci.blair.ne.us
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