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BP12622
Blair Bu4Jlr�agPerrmitFD�ta;�l [(j'D Inspections 06/06/2007 BMP Occupancy granted. Permit #: 12622 Issued: 11/10/2006 Type: Residential - New Construction Completed: 06/06/2007 Valuation: 236706 Location: 880 Pheasant Cir. AL Footings Owner: Bruce Rabe 12/06/2006 Permit Fee: 965 Address: 8510 12th Ave. Pass Issue Fee: 15 DEM Plumbing Groundwork Deposit Amt.: 200 Plattsmouth , NE 68048 DEM Receipt #: 17854 Phone: 402 680 6567 01/08/2007 DEM Section: Township: Range: 01/08/2007 Subdivision: ADAMSON Lot: 4 Block: 3 bedroom ranch; full unfinished basement; 2 bath; 1 RI in basement; 2 car garage; 2 egress windows in basement; deck off of the back; 1959 finished sq. ft. W t5 166V WO -4 k-) /dd LP KAR ,gd11-0o'n 14- �C � Contractors e v o q - g a if s Plumbing Pressure Test SELF General Contractor Permit # Issued Bogatz Heating and Air Conditioning Inc. Heating Subcontractor M1490 02/05/2007 C.N.J. Plumbing Inc Plumbing Subcontractor P1625 12/12/2006 Dick's Electric Electrical Subcontractor E2600 12/05/2006 Henton Trenching, Inc. Plumbing Subcontractor T1243 01/08/2007 Henton Trenching, Inc. Plumbing Subcontractor P1633 01/08/2007 Remarks 11/27/2006 BMP Paid for and took permit, 11/29/2006 AL Contractor states that were not going to cover concrete even though the air temp was below freezing all day. Writer told contractor that he was not happy with this arrangement and would pass onto Dale. 06/01/2007 DEM Reducing pressure valve on water heater. Driveway and sidewalk not complete. Kitchen sink - secure plastic lines at manifold. CAN USE FOR STORAGE ONLY! Inspections 06/06/2007 BMP Occupancy granted. Date By 11/29/2006 AL Footings Pass 12/06/2006 DEM Electrical Temporary Service Pass 12/13/2006 DEM Plumbing Groundwork Pass 01/08/2007 DEM Sewer Lines Pass 01/08/2007 DEM Water Tap Pass 01/08/2007 DEM Water Service Pass 01/15/2007 SAJ Stop Box Card Pass 02/14/2007 KAR Plumbing Rough -ins Pass 02/14/2007 KAR Plumbing Pressure Test Pass 03/15/2007 DEM Plumbing Rough -ins Pass 03/15/2007 DEM Framing Pass Blair Building Permit Detail 03/15/2007 DEM Mechanical Rough -ins Pass 03/15/2007 DEM Electrical Rough -ins Pass 03/26/2007 DEM Electrical Permanent Service Pass 03/26/2007 DEM Electrical Permanent Service Pass 06/01/2007 DEM Final Inspection of Project Pass 06/01/2007 DEM Temporary or Final Occupancy Fail 06/01/2007 DEM Electrical Final Fail 06/01/2007 DEM Mechanical Final Fail 06/01/2007 DEM Plumbing Final Fail 06/06/2007 DEM Plumbing Final Pass 06/06/2007 DEM Final Inspection of Project Pass 06/06/2007 DEM Electrical Final Pass 06/06/2007 DEM Mechanical Final Pass o ,,promise* eCITY OF BLAIR — APPLICATION FOR BUILDING PERMIT Permit #�a(l��a Date: `�� ` l% Approximate Completion Date: U' Site Plan Attached: REScheck Attached: Complete Plans Attached x _Application for: Residential l< 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_ PlumbingHeating A.CNS County Road Permit Required: Yes No Submitted: Yes No al Description of project if necessary: c Job Address: a Legal Description (if applicable) GT V -- Own e�� �a Address: Contractor: Address: X5 /O 4 4-1117 / (�6 ,40�w'yww" -�770�pl ?J'a11Sw1aeV# Phone#:�Z" Phone #: Cell #: 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 18Q.4ys or is not completed within two (2) years of date of issue. // /a -SLP ignature of Owner/Contractor Date ZONING REVIEW: Zoning/Flood Plain Utilities: Current Zoning: L Conditional Use Permit Required: Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front -�S Second Front Side _ f Side -±:�Rear Yes No A Lot Square Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: Sidewalk required: Yes, No Flood Plain: Yes No If yes, specify special requirements BUILDING INSPECTOR REVIEW: Sidewalk Waiver: Yes _ Date Waiver Approved: Number of Stories One _)�, Two Three Four Type of Residential Structure: Ranch -,6— Two Story Split Entry ko >Four High Rise (>75 ft) Raised Ranch Other Rooms Bedrooms --1- Bathrooms Fireplaces / Gas X Electric A Egress in Basement: Required: Yes No Provided on Plans: Yes No Sleeping Rooms -X Living Area Other Egress Square Footage: / Main Level: 1919 Second Level: k1.QAJE Basement: (Unfinished) (Finished) Garage: L C (®. 2 bay-_ 3 bay Detached Garage: Pole Barn: Third Level 4 bay 5+ bay Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear F7- Front Side Occupancv 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 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 system?" No X 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) (Al will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: c� PAF. 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 No Deposit Fee Permit fee is: Finished sq/ft area C X $88 $ 112 3q2 00 (not including finished basement area) Finished basement sq/ft area X $53 $ Unfinished basement sq/ft area X $26$ S 0 R3 ©0 Garage sq/ft area to Lo X $20$ 131 380 . 00 Total Valuation: $ ;?-q to . 7 b W. pD $ 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: Total Permit Fee = Deposit/Permit Fee/Issuance 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 $ 9.�S. "o RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/Industrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Building Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ :2019,66 All other permits valued under $10,000 No Deposit Fee Permit fee is: Finished sq/ft area X$60 $ $ 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 $ 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 $ 2425.00 + $1.00 per 1000 $ 9t#5.oy $ 15.00 X86• o& f -0 °" $ 11X30. 00 Additional Comments: Approved by Date: `L 1.5 For Office Use Only Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements K Sleeping Rooms below Story and in Basement required to have egress —�,— Date Permit Paid: I a 7 -DLP Permit Fee: `%P 0. ° 0 Deposit Amount Z60, CSO Receipt # r Deposit Paid by for return to 0? i/ a 36 � l> % (/r(/ Building Inspection Pouch given: Yes Y—_ No � �G � NE eLl-,6 MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 M-1490 (402) 426-4191 Application Date: s� ' (� Permit Fee: $ 75, Job Address Q[��q{� dress�a �� Zip , / Phone 1. Zaall v J�%D! T�/l1T/v�ix 1 /� ��d Y ��r0 -�-51 OwnertWk: Contract/ Ma��a� cess � Phone 2. 3. ClasCO COMMERCIAL ESIDENTIAL ew O Addition O Alteration O Repair O Replacement Describe Work: / � /% /f 4. �GIGUJaid Gli' MECHANICAL PERMIT FEES Central A/C Tons Furnace f 0 � � 6100 BTU/11 Forced Air/Heat Pump Systems —Per Unit �6- Commercial/Residential (New).........................................$25.00 # of Units A/C Furnace Air -Conditioner Unit — Per Unit / D . P Commercial/Residential (New)..........................................$10.00 Completion Date: Forced Air Systems/Air Conditioner Unit Replacement Per Unit Commercial/Residential .................$10.00 Refrigeration Units/Coolers/Lines/Compressor - Comments: Per Unit Commercial (New or Replacement)..........................$10.00 Od Appliance Vent/Fans .......................$10.00 Boiler.........................................$15.00 Notice I hereby certify that I have read and examined this o© Duct System ................................. $10.00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Gas/Air Outlets ....................... x $2.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give Radiant Heat Systems/Gas/Water authority to violate or cancel the provisions of any other Piping System...............................$25.00 state or local law regulating construction or the performance of construction. Modular Home .............................. $50.00 Signature f Cc actor r uthorized Agent Permit Issuance Fee ........................ $20.00 a� Total ' -7-5. oo Current License on File �(es O No O N/A -7-j7 Date Comment: Wt1hN rKUFhKLY VAL-10A1EL) (1N '1'H1S SPACE) 'PHIS 1S YOUR PERMIT Approved By: PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P1625 (402) 426-4191 Application Date: /,;— / '-'� — 0 Cly Permit Fee: $ '46 JOB ADDRESS ` OWNEI MAILADDRESS ZIP 1 PHONE 2 CONTRACTOF� MAILADDRESS PHONE A/ )Dd&M LICENSE NO. 3. Class of Work: O COMMERCIAL SIDENTIEW O ADDITION O ALTERATION Cl REPAIR O REPLACEMENT 4. Describe Work: XLAO D a 4p PLUMBING PERMIT FEES Comments: ModularHome ........................ $15.00 Type of Fixture No. Kitchen .................................. $8.00 x L 1ly D Bath$8.00 ....................................... x Rough -In Bath ........................ $4.00 x �— -! G G Additional Sinks ..................... $3.00 x b0 Laundry $5.00 x Water Heater .......................... $3.00 x 2 (n - Outside Water Faucet ............ $3.00 x '0e) Drinking Fountain ................... $3.00 x Back Flow/Grease Trap .......... $10.00 NOTICE ........................ Water Service$10.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All Sewer .................................... $10.00 provisions of laws and ordinances governing this type of Groundwork $10.00 �— work will be complied with whether specified herein or not. ............................ The granting of a permit does not presume to give authority Septic Tank & Laterals ........... $10.00 to violate or cancel the provisions of any other state or local law regulating construction or the performance of Lawn Sprinkler System .......... $10.00 construction. Sprinkler System ................... $30.00 (Commercial) Gas/Water Piping System (Commercial) ....................... $30.00 SIGNATURE OF CONTRACT R OR AUTHORIZED AGENT Permit Issuance Fee ............. $15.00 TOTAL U 71 ai ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 2600 (402) 426-4191 Permit E Application Date: Z ''5 " 0 (1 Permit Fee: $ o • / IP JOB ADDRESS 1 LEGAL DESCR. O SEE ATTACHED SHEET OWN MAIL AES2 ZGIIBDWWOMEPHONE ORi aCELL PHONE lD ' QJl 3. CO CTOR MAILADDRpg PHONE HOME PHONE WORK/CELL PHONE Z - 4• Class of Work: W RESIDENTIAL O NEW COMMERCIAL C1 REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work:' - d G'1t 6. Current License on File jR�es p No [I NA Completion Date 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 f D D D 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 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. 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 construction. Smoke Detectors x $3.00 Residential/Commercial Appliance # Fixed Outlets x $3.00 p Motor(s) x $3.00 24 Power Apparatus (220 Volts) # Apparatus x $3.00 SIGNATURE OF CONTRACTOR OR AUT 117FDAGENT Permit Issuance Fee ............. $15.00 %�• L�0 DATE TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: , NUUNDS PRTG.-Blair, NE Rev. 11/99 WIN PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 1633 (402) 426-4191 Application Date: 1 y�U Permit Fee: $ 14o JOB ADDRESS ✓LCs.n..I$ 1 OWNER MAILADDRESS ZIP )jj PHONE 2 CONTRACTOR MAILADDRESS PHONE LICENSE NO. 3. Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR Cl REPLACEMENT 4• Describe Work: Comments: PLUMBING PERMIT FEES Modular Home ........................ $15.00 Type of Fixture No. Kitchen .................................. $8.00 x Bath....................................... $8.00 x Rough -In Bath ........................ $4.00 x Additional Sinks ..................... $3.00 x Laundry .................................. $5.00 x Water Heater .......................... $3.00 x Outside Water Faucet ............ $3.00 x Drinking Fountain ................... $3.00 x Back Flow/Grease Trap .......... $10.00 NOTICE WaterService ........................ $10.00 ' CEJ I hereby certify that I have read and examined this application and know the same to be true All and correct. Sewer .................................... $10.00 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Groundwork ............................ $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Septic Tank & Laterals ........... $10.00 law regulating construction or the performance of construction. Lawn Sprinkler System .......... $10.00 Sprinkler System ................... $30.00 (Commercial) Gas/Water Piping System (Commercial) $30.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT Permit Issuance Fee ............. $4&.4* a 00 TOTAL DATE Current License on File Yes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: Y UNU5 PHI U. Blair, NE Rev. 10/05 S1 PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 T 1243 (402) 426-4191 Application Date:_ JOB ADDRESS 1 OWNER _ p v MAILADDRESS rZ CONTRACTOR R MAILADDRESS 3• Class of�Work: O COMMERCIAL XRESIDENTIAL 4• Describe Work: I L i �"` _ Comments: 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. -94SIiGNATURE OFC NTRACTOR OR AUTHORIZED AGENT I Comment: ZIP PHONE Permit Fee: $ 1 PHONE LICENSE NO. O ADDITION O ALTERATION O REPAIR 0 REPLACEMENT PLUMBING PERMIT FEES ModularHome ........................ $15.00 Water Tap Fee - 3/4 " Water Tap Fee - 1 " Water Tap Fee - 1 1/211 Water Tap Fee - 2 " $150.00 $250.00 $300.00 DATE TOTAL c2 O (J J Current License on File OYes 0 No 0 NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: 117 \ , A ,�. POUNDS PgTG: 81eir, NE Rev. 10/05 BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPI NAME OF OWNER• cSL� i DATE INSPECTION RE U Fl -� G% <;9-2xoi z V� Q ESTED• TIME INSPECTION REQUESTED: /' - co- %i%%7 PERMIT/ Z6P ZZ TYPE OF INSPECTION REQUESTED: S67"- NO:-- . ❑ CONFERENCE BUILDING: X FOOTING ❑ DECK El STATUS CHECK FOOTING 1:1 FRAMING [I DRYWALL E]FINAI ❑ PARTIAL COMMENTS: PASSED FAILED. �/ ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP El REMOTE El WATER ❑ PARTIAL SERVICE PASSED FAILED COMMENTS: ❑ ❑ ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY E-1 SE PARTIAL RVICE ❑ PRECONNECT PASSED FAILED COMMENTS: ❑ ❑ MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ pARTIAL COMMENTS: PASSED' FAILED ❑ ❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED El PARTIAL COMMENTS: ElPRESSURE TEST PASSED FAILED ❑ ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL' OCCUPANCY GRANTED NOTES/REMARKS 9 INSPECTOR��1� %% DATE OF INSPECTION MADE: ��/T TIMF• FAXED OPPD\BURT REA TO CONNECT SERVICE: ON— <. y ad r ft 'w A r` iLig 14 / 2006 L�_ 11j'* -1/ 2006 11/14/2006 �!A Eli �. BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION• (J �Q�p74/ NAME OF OWNER• ,7 CONTRACTO DATE INSPECTION REQUESTEDIv - U r O (P TIME INSPECTION REQUESTED• PERMIT NO• �&�� { TYPE OFINSPECTION 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 F1 PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ : ROUGH IN ❑ FINAL ❑ PERMANENT SERVICEEMPORARY SERVICE ❑ PRECONNECT PASS ❑ PARTIAL . FAILED COMMENTS: � ❑ MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ . RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS PASSED FAILED ❑ ❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED COMMENTS: ❑ PRESSURE TEST ❑ ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- REA S T ' TO CONNECT SERVICE: TIMF.� / f AIR LOCATION OF INS] NAME OF BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY_ J'w"e"'p /, DATE INSPECTION REQUESTED: /c l OV TIME INSPECTION REQUESTED- ` • to PERMIT TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL COMMENTS: PASSED FAILED F-1 n UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE, PASSED FAILED ❑ PARTIAL El 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: XGROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASS D FAILED COMMENTS: F1 PRESSURE TEST El ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: t 12/13/2006 12/13/20.06 o BUILDING INSPECTION REPORT /oCITY OF BLAIR ❑ WASHINGTON COUNTY Q LOCATION OF INSPE ION U NAME OF OWNER• f �' �e TRACT�it • CONTRACTOR - DATE N • , / ' 1 DATE INSPECTION REQUESTED:__I TIME INSPECTION REQUESTED- w PERMIT NO• I d TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK - BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ UTILITIES: ❑ SEWER TAPSEWER . ❑ SEPTIC WATER TAP ElREMOTE WATER SERVICE PAS D FAILED COMMENTS: ❑ PARTIAL y ❑ 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 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY TIME - K 4. i� _ �j BUILDING INSPECTION REPORT ,CITY OF BLAIR El WASHINGTON COUNTY ❑ OTHER ll�LOCATION OF INSPECTION:_ 71- NAME OF OWNEI -aa /� CONTRALTO � �' �I DATE INSPECTION REQUESTED: 40-�-� TIME INSPECTION REQUESTED: / ` SC/ A • C1, PERMIT NO: / cam" Gy,Z,7 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 ❑ PARTIAL PASSED ElCOMMENTS: FAILED El ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT F1 PARTIAL PASSED El FAILED ElCOMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED 'COMMENTS: ❑ ❑ PLUMBING: ❑ GROUNDWORK ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL -6ePRESSURE TEST COMMENTS: �r �''' PASAD FAILED / ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- DATE OF INSPECTION MADE: ��% , FAXED OPPDTURT REA TO CONNECT SERVICE: o BUILDING INSPECTION REPORT i -N OF BL-.WX ❑ WASHINGTON COUNTY ❑ OTHE LOCATION OF INSPE�� en i NAME OF OWNER 1( ` ~ .41 CONTRALTO a DATE INSPECTION REQUESTED- I i —Q TIME INSPECTION REQUESTED: �Q PERMIT i TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING . v1ING ❑ DRYWALL ❑ FINAL ❑ PARTIAL COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL COMMENTS: ELECTRICAL:ROUGH IN ❑ FINAL ElPERMANENT SERVICE F1TEMPORARY SERVICE ElPRECONNECT PARTIAL COMMENTS: z MECHANICAL�>ROUGH-IN ❑ A/C ''❑ FURNACE ❑ RADIANTHEAT ❑ FINAL ❑ PARTIAL COMMENTS: PLUMBING: ❑ GROUNDWORK,�<ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL COMMENTS: ❑ PRESSURE TEST ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED Nf1TRC/RRTAnnrrc• PASS FAILED PASSED FAILED PAS ED FAILED PASSED FAILED ❑ PAS$rED FAILED FAXED OPPD\BURT REA TO CONNECT SERVICE: ON 03/15/2007 w w; 03/15/2007 03/15/2007 L . .. -.. _._ � � ` '1 .. �4 �,, �, Y IR1. ..:� A. {_�- I In I + �is �•'r SO { O li� 03/15/2007 03/15/2007 Of 03/15/2007 03/15/2007 03/15/2007 03/1 . . . . . . . . . . . 4K TV+ Is 03/15/2007 1 03/]5/2007 u 'i'mil - 0 - �,� �S 4;y� , ✓ ,'+LSC i- 06/06/2007 06/06/2007 06/06/2007 �4 •S k ` N�mrp k lip/06/ Ak- 7 I 06/06/2007 06/06/2007 C, a m "I � e. ITY OF BLAIR LOCATION OF NAME OF OWNER BUILDING INSPECTION REPORT T ❑ WASHINGTON COUNTY ❑OTHER`( " CONTRACTnR• y DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED �PERMIT NO• 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 ❑ COMMENTS: PARTIAL ❑ ❑ ELECTRICAL: ❑ ROUGH IN ❑ FINAL Of PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASS 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 COMMENTS: ❑ PRESSURE TEST ❑ ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED DATE OF INSPECTION REA TO CONNECT SERVICE: o : BUILDING INSPECTION REPORT CY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER _ f S LOCATION t - OF INSPECTION- NAME OF OWNER CONTRACTOR• r DATE INSPECTION REQUESTEDTIME INSPECTION REQUESTED 4mom PERMIT NO �( TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ COMMENTS:. FOOTING ❑ DECKFOOTING ❑ FRAAMIN(Gn ] DRYWALL/` /FINAL �J❑1PARTIAL FAII D r/ COMMENTS: �` C��„�-�� � to / ❑ 1C1` UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TA ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN -FQdAL ❑ WATER METER INSTALLED ❑ PARTIAL COMMENTS: PASSED FAT100 PASSED FAILED ❑ ❑ ELECTRICAL: ❑ ❑ ROUGH INK FINAL ❑ PERMAN�PNT SERVICE U TEMPORARY SERVICE ❑ PRECONNECT PARTIAL PASSED FAII D r/ COMMENTS: �` C��„�-�� � to / ❑ I(-� MECHANICAL: ❑ ROUGH -IN ❑ AlC FURNACE ❑ RADIANT HEAT FINAL ❑ PARTIAL PASSED FAIL D COMMENTS: �� ❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN -FQdAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAI ElPRESSURE TEST COMMENTS: ❑ OCCUPANCY GRA ED ❑ CONDITIONAL O CUP ANCY GRANTED Cb LL0_jA[6 PJ J&A 5 oc�e "'._ m FAXED OPPD\BURT REA A)L� BUILDING INSPECTION REPORT ❑� CI'Y`OF BLAIR ❑ WASHINGTON COUNTY ,. ❑ OTHE D <'1 1 LOCATION OF INSPECTION: l J 11 NAME OF OWNER: a - "' e6- C_) CONTRACTOR DATE INSPECTION RE UESTED i �! TIME INSPECTION REQUESTEDco PERMIT TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL FINAL ❑ PARTIAL COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL COMMENTS: ❑ STATUS CHECK PASS FAILED PASSED FAILED ELECTRICAL: ❑ ROUGH`INS FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASS FAILED El PARTIAL/ COMMENTS: MECHANIO ❑ ROUGH -IN ❑ A/C ,❑ FURNACE ❑ RADIANT HEAT�e FINAL ❑ PARTIAL . ; / /SD FAILED COMMENTS. PLUMBING: ❑ . GROUNDWORK ❑ ROUGH -IN FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PA D " FAILED ❑ COENTS PRESSURE TEST ❑ _ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- Amp - t6, 20" / U7 Flo !'� , .if 06/06/2007 '06/2007 Pe mit # Permit 15ate CI" REScheck Software Version 3.7.3 N/i Compliance Certificate Report Date: 11/13/06 Data filename: Untitled.rck Energy Code: 2000 IECC Location: Blair, Nebraska Construction Type: Single Family Glazing Area Percentage: 0% Heating Degree Days: 6506 Construction Site: Owner/Agent: Designer/Contractor: Compliance: Passes Maximum UA: 0 Your Home UA: 0 --> 0.0% Better Than Code (UA) 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 2000 IECC requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Company Name Date Page 1 of 3 CREScheck Software Version 3.7.3 � (i Inspection Checklist Date: 11/13/06 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. If non -IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: ❑ Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: ❑ 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. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R -values and glazing U -factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: ❑ All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic -plus -embedded -fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181 B. 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. Temperature Controls: ❑ Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor 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/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Page 2 of 3 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Rangeff) Non -Circulating Runouts Circulating Mains and Runouts Heated Water 201-250 Low Temperature 120-200 Temperature (°F) Up to 1" Up 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 NOTES TO FIELD: (Building Department Use Only) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25' to 2.0" 2.5" to 4" 1.0 Fluid Temp. Piping System Types Rangeff) Heating Systems 1.0 Low Pressure/Temperature 201-250 Low Temperature 120-200 Steam Condensate (for feed water) Any Cooling Systems 0.5 Chilled Water, Refrigerant and 40-55 Brine Below 40 NOTES TO FIELD: (Building Department Use Only) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25' to 2.0" 2.5" to 4" 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 Page 3 of 3 AZt • w *Sri 19 2 it C�Zll� - B \✓ Ise 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. -'F'v""'z ��� Contractor/Owner //- z 7- o6 Date Contractor/Owner City of Blair 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net o :m ,O o4se oot 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 A4'e/__ �eki6 City of Blair Contractor -.Z z7-©6 Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel,net