BP12918
Permit #: 12918 Issued:
Completed:
Location: 2831 Westridge Dr
Owner: Mike & Lori Bensen
Address: 2831 Westridge Dr
Blair, NE 68008
Phone: 426 3924
Section: Township:
Subdivision: COLL-HGTS
Siding and Soffits for house,
Contractors
Frank Gabby Siding & Windows
Remarks
Inspections Date
3/13/2008
3/13/2008
By
OEM
OEM
Blair Building Permit Detail
2/8/2008
3/13/2008
Range:
Lot: 18
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Type: Siding Permits - All types
Valuation: 6000
General Contractor
Final Inspection of Project
Conference
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit #
Pass
Pass
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l-
(iI/
20
20
21715
Issued
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CITY OF BLAIR '~""dMISeELLANEOUS BUILDING PERMIT 0
Permit # I;;,q/ 0
Dat~~ Approximate Completion Date::'?' IS f08 Site Plan Attached:
Estimated Valuation of Project: ~ it? I CCso, f'tD
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Application for:
Permit Fee $20jlssuance Fee $20
Sign Erectin Awnings (Per Sign)
Roofing;( idin ~ and/or Eave Repair/Gutters
Window/Door Replacement (Size Change Only)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required)
Fences (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items not covered by one of the above)
Other
Patios/Driveway Permits/Utility Excavation and Curb Grinding Fee $35
Curb Grind
Length
Utility Excavation
Length Un. Ft.; Width
Type: Water ; Sewer ; Other
Fee: $40.00
~d6,OD
Un. Ft
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will onlv be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee:
Total Renewal Remit Fee = Permit Fee/Issuance Fee
Additional Description of project if necessary:
$
$
20.00
40.00
PROJECT INFORMATION:
Job Address: 2~3 \ W (S-fY~c\~ Drz... [Yt D05o~ '13
Legal Description (if applicable) ~ Mr 1~.Ji~i1'fS lJdd;;tof / 811h :p~ /8
Owner: M\ kci- ~~ e:t,hserl .Address: S Nt'YlL Phone#:~::t~ ~ ~<idL(
Contractor:~.r\'~ G:,.~l:hL{ S \c\\Y1'3 ~ Wth dO\AlS Phone #:~ 3 (3..,)-
Address: \) 0 I?o~ 2 S Cell #:
f) l ~ " V' N c G, <6oug
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 days or is not completed within two (2) years of date of issue.
y 0 -
I i}gnature of Owner/Contractor
;(7 - 7/- C/ Y
Date
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: Z }8! 0 ~ Receipt # 7- \ -1 , 5 Approved by: 'K U\\) dfU2. i1-
BUILDING INSPECTION REPORT
!3I(CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
01
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LOCATION OF INSPECTION'
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{!f.)~i() .:~~-.t.; (,..l'}'i:?
NAME OF
CONTRACTOR'
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TIME INSPECTION REQUESTED'
c</ '7
DATE INSPECTION REQUESTED' )
TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL
tsJ:.CONFERENCE
D STATUS CHECK
FAILED
D
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
/'
DATE OF INSPECTION MADE:
TIMR' II~: /6
TO CONNECT SERVICE: ON
BY
~
Jr. liT '1" r" 7,~" ~ r-'"\ ^ () ["T'n
~lw1lL.L.I:.~J ~_..J V 0 J~ iJ
CITY OF BLAIR~='-MISeEt:LANEOUS BUILDING PERMIT
Permit # ld-,ql"8
Date~ Approximate Completion Date::?' IS 10'8 Site Plan Attached:
Estimated Valuation of Project: ~ (PI a.m. ()U
Application for:
Permit Fee $20/lssuance Fee $20
Fee: $40.00
Sign Erectin Awnings (Per Sign)
RoofingA idin 0 and/or Eave Repair/Gutters
Window/Door Replacement (Size Change Only) ,
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required)
Fences (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items not covered by one of the above)
Other
~d(J.OD
Patios/Driveway Permits/Utility Excavation and Curb Grinding Fee $35
Curb Grind
Length
Utility Excavation
Length Un. Ft.; Width
Type: Water ; Sewer ; Other
Un. Ft
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will onlv be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee:
$
$
20.00
40.00
Total Renewal Remit Fee = Permit Fee/Issuance Fee
Additional Description of project if necessary:
PROJECT INFORMATION:
Job Address: 2~3l W {si'-nd~ l)rL [3'10050&73
Legal Description (if applicable) ~ Mer I~Ji~+S Add;;lot /8 1/ & Pc!-18
Owner: \'1\1 kef ~~ ~seYl Address: S NYYVL. Phone#:~~lo ~~qdL(
contractor:~.Y\~~'~L{ S\c\\Y1~ ~ Wlh(JO\A)S Phone#:~3 (3~
Address: \> 0 &~ 80 Cell #:
1) l;;)~ V' Nc C, ~5ng
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 days or is not completed within two (2) years of date of issue.
hgnatur. of Owner/Contractor
'i7 - ~- c:? ?
Date ,
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: Z. ]81 0 ~ Receipt # 1- \ '1 '5 Approved by:
~ LwdfUtL
BUILDING INSPECTION REPORT
D1(CITY OF BLAIR D WASHINGTON COUNTY D OTHER
'LOCATIONOFINSPECTION' ;J83/ t{J,.,M/~df!Y ))1-
it ( <....--( , ~ 1/
NAME OF OWNER' -1J1-tiI f t:7<tfU L75.fJr~ CONTRACTOR' V4t111R.. Ga,tf/J~
Q l"l /\8 . /7-r- PERMIT NO' /L'JO fa
DATE INSPECTION REQUESTED', ') ~ ? - f../ ~ TIME INSPECTION REQUESTED' ~ L- ~ Lf U
, /
TYPE OF INSPECTION REQUESTED: A ~ONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING D DRYWALL 0 FINAL D PARTIAL
D STATUS CHECK
KF~
PASSED FAILED
D D
COMMENTS:
UTILITIES: 0 SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
ELECTRICAL: D ROUGH IN 0 FINAL 0 PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
o 0
COMMENTS:
COMMENTS:
",,,l:.. P.li!2ll:~iZ
MECHANICAL:D ROUGH-IN D AlC 0 FURNACE D RADIANTHEAT D FINAL 0 PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING:
COMMENTS:
o GROUNDWORK 0 ROUGH-IN 0 FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
o 0
o OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE:
TIMF: II; It!;
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
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