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BP12566SLF 900Z/8 1 /Z I 90OZ/81/Zl pp- oo I, �L Jr, LOOZ/9 I/vo LA/9l/VO :77 _Mwrr tpi tX COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED. COMMENTS: F-1PRESSURE TEST ❑ ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED�� NOTES/REMARKS- FAXED OPPD\BURT REA TO CONNF -BUILDING T CITY 0F❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION- NSPECTION NAME NAME OF OWNER i CONTRACTOR ` t Sys. vFf € ..•£ '`S a DATE INSPECTION REQUESTED - TIME INSPECTION REQUESTED- lPERMIT as ' F NO• r r"�,6,!,: TYPE OF INSPECTION REQUESTED _ _ _ ❑CONFERENCE Ll STATUS CHECK BUILDING: ❑ FOOTING❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILTTIES: ❑ .SEWER TAP_,��.st.,�--� ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: t ELECTRICAL: ❑ ROUGH IN ❑ FINALS-❑-�PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAIL ❑ 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: F-1PRESSURE TEST ❑ ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED�� NOTES/REMARKS- FAXED OPPD\BURT REA TO CONNF �N_CITYOFBLAIR, LOCATION OF INSPI ❑ WASHINGTON COUNTY ❑ OTHER <, NAME OF OWNER ` °a+. CONTRACTOR DATE INSPECTION REQUESTED Q TIME INSPECTION REQUESTED- PERMIT NO• =t TYPE OF INSPECTION REQUESTED _ _ _ _ ❑ CONFERENCE ❑STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ `SEPTIC ❑ 4 WATER TAP ❑ REMOTE ❑ WATERSERVICE r. . PASSED FAILED F1 PARTIAL ❑ ElCOMMENTS: ELECTRICAL: ❑ ROUGH IN ❑FINAL " PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT� /PAS �� FAILED ❑ PARTIAL ,, COMMENTS:I ,u x El 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 gPPD\BURT;REA� �A TO CONNECT SERVICE: a p J a - • CD A s, r ' l.. L BUILDING INSPECTION REPORT CITY ❑ WASHINGTON COUNTY ❑ OTHER f_ LOCATION OF INSPECTION: NAME OF OWNER -- f`f (%' r`' r' ` CONTRACTOR DATE INSPECTION REQUESTED fi — TIME INSPECTION REQUESTED- PERMIT NO f f='= TYPE OF INSPECTION REQUESTED _ ❑ CONFERENCE El STATUS CHECK BUILDING: ❑ FOOTING ❑DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATERSERVICE 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 ❑ FINALE] WATER METER INSTALLED ❑ PARTIAL PASSED FAILED -_ PRESSURE TEST El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• INSPECTO�I �- :� „ 4 DATE OF INSPECTION MADE. ` '' a, r TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: ON _By �' _ __. -.� _.__....-w-�. -_ ti _ .ter-r-�-�,, ,o.,.,.��—=.----; _. __�, �' ii .�_ __ 1_ BUILDING INSPECTIONJW r CITY OF }HAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION" NAME OF OWNER- " 17 r"" f �' f CONTRACTOR DATE INSPECTION REQUESTED ��' �<��) �- Q TIME INSPECTION REQUESTED- PERMIT NO• TYPE OF INSPECTION REQUESTED: BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL COMMENTS UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ PARTIAL COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PARTIAL COMMENTS: ❑ CONFERENCE FINAL ❑ PARTIAL ATUSCHECK PASS FAILED REMOTE ❑ WATER SERVICE PASSED FAILED ❑ ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT FAILED MECHANICAL: ❑ , ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HE .�� AT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F1PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED I .11- FAXED OPPDIBURT REA TO CONNECT OF INSPECTION MADE: 6_ TI ME RVICE: ON BY U-~--- �-_--_-_ ___ - ^.__-_--__---___ [ -- ------- |--- _-_---- l-! � '� �� 46 vu A4 "'LiL, 460 P!, oLi 4f "14,4tjo for IA, - fr, cw lt-� 09/26/2006 09/26/2006 I Blair Building Permit Detail k r,„rj I U ill 'Tip Permit M 12566 Issued: 9/13/2006 Type: Accessory Building Completed: 6/19/2007 Valuation: 14000 Location: 1468 Nebraska St. Owner: JJ Schueth Permit Fee: 70 Address: 1468 Nebraska St. Issue Fee: 15 Deposit Amt.: 200 Blair, NE 68008 Receipt #: 17447 Phone: 402 677 0775 Section: Township: Range: Subdivision: Lot: 7 Block: 8 BC 820 Sq ft. garage with frost footings cement floor electrical 2 door garage entering off 15th St. Old garage will be removed and replaced with this structure. Contractors SELF General Contractor Permit # Issued SELF Electrical Subcontractor E2540 9/13/2006 Remarks 9/13/2006 BMP Took copy of permit with. 2/8/2007 BMP Changed completion date to 4/30/2007 per JJ 4/16/2007 DEM Re -inspection 4/17/2007 5/4/2007 DEM Will be ready for final next week. Changed completion date to 5/31/2007. Inspections Date By 9/26/2006 DEM Footings Pass 12/18/2006 DEM Electrical Rough -ins Pass 12/18/2006 DEM Framing Pass 4/16/2007 DEM Electrical Permanent Service Fail 4/17/2007 DEM Electrical Permanent Service Pass 5/4/2007 DEM Status check Pass 6/19/2007 DEM Electrical Final Pass 6/19/2007 DEM Final Inspection of Project Pass a x A t _ Q CD CD T•r. . BUILDING CT [❑ CITY 0 , BLAIR ❑ WASHINGTON COUNTY( ❑ OTHER. --- LOCATION OF INSPECTION NAME OF OWNER. "` �i' 1, /Y, CONTRE �s fP DATE INSPECTION REQUESTEB• TIME INSPECTION -- -- r*Tcnu!Tinv RFnTTFRTVD: PERMIT NO• ❑ CONFERENCE ❑ STATUS CHECK ❑ FOOTING ❑ DECK FOOTING FRAMING ❑ DRYWALL FINAL PAR ❑ BUILDING: COMMENTS: El SEWER SEPTIC ❑ WATER TAP ❑ REMOTE F-1WATERSERVICE E]❑ PASSED FAILED l UTILITIES: SEWER TAP ❑ PARTIAL COMMENTS: ELECTRICAL:. ROUGH IN ❑ FINAL ❑PERMANENT SERVICE ❑TEMPORARY SERVICE ❑ PRECONNECT f ❑ PARTIAL ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASV, D FAILED El PASSED FAILED ❑ ❑ DATE OF INSPECTION MADE:./2�v6—, FAXED OPPD\BURT REA TO CONNECT SERVICE: TllV11:--J- 06/19/2007 -,rise 01 A., � ,states the following; print your full name on line above: 1. I am the owner of the single family dwelling for which I am applying for an electrical permit. Address: MUS *LCoSKa S4. 2. I am applying for an electrical permit for a single family dwelling and it is or will be my principal residence. 3. I will install and connect the electrical wiring for myself, without compensation or pay from or to, any other person. �. 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 will call 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 am aware that Nebr. Rev. Stat. 81-2143 makes it a Class 1 misdemeanor to make a false statement on a request for inspection. �. By signing this form I am stating the above infonnation is true an correct. V 0 (e Bate 218 South 16th Street ^ Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@ci.blair,ne,us 12/18/2006 BUILDING PERMIT APPLI Permit Fee: Jurisdiction of City of Blair, Nebraska � ` � Issuance Fee: 1 ` � �'� � 218 South 16th StreetBlair, Nebraska 68008 Receipt #: I qq (402) 426-4191 ® Fax (402) 426-4195 Deposit Receipt #: Issue Date: I Type: �Ut 12566 Permit JOB ADDRESS � �t"� K4LEGAL 1 . D SCR. 11 ffOs Lo � is Lo 2 L ® SEE ATTACHED SHEET OWNER `� 2. t J C�� I � MAIL ADDRESS Q ZIP 0,4 �t K YI 1-7-()-7] HOME PHONE t WORK/CELL PHONE CONTRACTOR 3. I MAIL ADDRESS ZIP HOME PHONE WORKICELL PHONE 4. Class of Work: .71 NEW ® ADDITION ® REMODEL ® OTHER 71 FINISHED BASEMENT 71 UNFINISHED BASEMENT 5. Describe Work: ( s C cwct L Viii �l "t UC � � t `h ( C 11 13 ,(1 CCk1 2- doo Q_ C c, (-AQ-C teal " o c Get a L� Y +��vC c� �I C t 1 i `�\ t q� c r 6. Valuation of Work: $ t �4 C) ()C 00 Total Sq. Footage (including Basement and Garage): Total Finished Area: Floodway Q Yes Q No %. Floodplain: Fringe Q Yes Q No Dev. Permit BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: ® Yes CNo 10. Special Use Permit Required: ® Yes No, 11. Variance Required: ® Yes rfNo 12. Minimum Setbacks: Front Side '20 Rear 13. Sidewalk Required: ® Yes ® No Waiver Approved 1� NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered bythis 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 completed within 2 years of date of issue. Comment: d ,Site Plan Attached ® Complete Plans Attached Approximate Completion Date I'a�04eoy\6e r z L-_- Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card Buildin og s FDrywall (PRIOR TO TAPING) Fra/ Electrical F Temporary Service Mechanical Rough -in _ Final Plumbing Ground Work Rough -in _ Fixtures Perm nt Service A\C Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS—IS Y04JR PERMIT POUNDS PRTG: Blair, NE Rev. 8/96 Tv Of BtAIQ b,.o /se of A 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. 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. 6. &JL4-,,., City of Blair 5el�- Contractor Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cifyofblair@huntel.net N 0 N Iv QD 30'-0" 20'_0„ w 0 IV 0 Z m aN, / / 20'_0„ w 0 IV 0 Z m aN, a-awre-la 9" i, Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 2540 Application Date: 9, I ('3 1 Cil. Permit Fee: $ — JOB ADDRESS 1 LEGAL DESCR. O SEE ATTACHED SHEET OWNER r MAILADDRES ZIP HOME PHONE 2. � CA) k_VY�C� cJ r' `� WORK/CELL PHONE 3 CONTRACTOR MAILADDRESS PHONE HOMEPHONE WORKICELL PHONE 4. Class of Work: NEW RESIDENTIAL O NEW COMMERCIAL ® REMODELING/ADDITIONS 0 UPGRADE SERVICE 5. Describe Work: fZG�J 6. Current License on File p Yes to A 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 ................ $10.00 201-300 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: 901-1000Amp................................. $117.00 # of Circuits x $2.00 "20 .a) 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. 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 $3.00 construction. -x Residential/Commercial Appliance # Fixed Outlets x $3.00 ► 3 Motor(s) x $3.00 Power Apparatus (220 Volts) SIGN RE OF CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 Permit Issuance Fee ............. $15.00 ! C DATE �j TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: 6 POUNDS PRTG.-Blair, NE Rev. 11/99 'orom'se of a 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. I�Nxo� oA-r_.Lodjj��> , 5 e K— Ponfractoripwirler Contractor/Owner I [t v -o(, Date 13 �Jk"� City of Blair 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 - E-mail cityofblair@huntel,net o�pm:w.,,. BUILDING INSPECTION REPORT lb --"CITY OF I'. ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION; 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 GRANTED NOTES/REMARKS: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY