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BP12927
Blair Building Permit Detajl ~ l r IE JUl 2 4 Type: Accessory Building-Remodeling Valuation: 19440 Permit #: 12927 Issued: 3/5/2008 Completed: 7/22/2008 Location: 9477 Co Rd P35 Owner: Steve Andersen Address: 9477 Co Rd P35 Blair, NE 68008 Phone: 4263146 Township: 24 Section: 38 Subdivision: 18' Addition to Existing Wick Building. Contractors Jorgensen Contracting, Inc. Remarks Inspections Date 6/9/2008 7/22/2008 By OEM OEM Range: 11 Lot: 38 General Contractor Footings Final Inspection of Project Permit Fee: Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Pass Pass 104 20 500 21913 Issued "-',~.., '. '., , ..' i' 7 CITY OF BLAIR - APPLICATION FOR BUfLDINGPERMn:: "~ u Otto .... Permit # 12' cgi Date: 3/ 5 {O~ Approximate Completion Date: 3/5 I cA Site Plan Attached: ---Xl- 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 _ P6ieBar~ Other Floor Type: Dirt C?ncrete.2SJ- Electricity: Y~s _ No .J{L. Other I 'X i flddrDovl1o ~c'X.(()hn~ iUiL/r.. 6~ Li /d/nq 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_ County Road Permit Required: Yes_ No _ Submitted: Yes _ No _ Additional Description of project if necessary: Proiect Information: qLtl1 Co reef f 35 -rL J~ 2~.{l;il Job Address: Legal Description (if applicable) Owner: S-\-eve. f\n deyse r\ Address: <1'i'11 t-O((t"I P35 ). . Contractor: J Dr- 8 eV1Sf n ( ,Dnfr ad1 n f1 Address: 5~() rtDvrf SfBlr11 r Nt (;~UD~ Phone#: Lj2fL/- 3l<-lfo Phone bY-a.!}. t.p.f'IO 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 J80.da: s or Is not completed w. ithln two,. (2) years of da,l' f issue. X" ,. f j -j-- !J ') 5 1/ ." )'l. ~7-~A)..--. . . :::f -- =-- 0 ~ Signa re of wner/rtontrac O( J Date . L/ l~Y~:~~ (j<--(/'^- Uf ZONING REVIEW: Zonin Flood Plain Utilities: , Current Zoning: "f'''.{ ../ Conditional Use Permit Required: Yes _ No ~ o Date cl\~pproved: State Fire Marshal Required: Yes _ No Variance Required: Yes - No L',O Minimum Setbacks: Front --5ii- Second Front Side "51) Side Rear--::::::...- lot Sauare Footal'!e: length x Width: lot Coverage %-f~ J /It' Driveways/Sidewalks: :1SJ \ ~ Sidewalk required: Yes_ No J' ewalk Waiver: Yes _ No te Waiver Approved: Flood Plain: Yes No If yes, specify special requirements: 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 Footal'!e: Main level: Basement: (Unfinished) Garage: Detached Garage: Addition: Porch: Front Rear Deck that affect setbacks: Rear Second level: Third level (Finished) 2 bay_ 3 bay_ 4 bay_ 5+ bay Pole Barn: Remodel: Side 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, Iibrqries, 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 buildin~ reQuired to be protected bv 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: Buildin~ Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 All other permits valued under $10,000 No Deposit Fee Permit fee is: Finished sq/ft area (not including finished basement area) Finished basement sq/ft area Unfinished basement sq/ft area Garage sq/ft area Total Valuation: X$88 X$53 X$26 X$20 $ $ $ $ $ $ $ $ Total Valuation Multiplied by 0.0056 = Issuance Fee: 20.00 Total Permit Fee = DepositjPermit Fee/Issuance Fee RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/I nd ustrialjEd ucationalj Assembly/F acto ry/Sto rage/Utility *Porches with roofs/screened patios are considered additions Buildin~ Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ t) , 0 Fee - $500.00 All other permits valued under $10,000 No Deposit Fee Construction Valuation will be computed bv SQjft area X $60 Accessory Buildines & Interior Remodeline Proiects will be computed bv SQjft area X $40 Permit fee is: Finished sqjft area Finished sqjft area f//1{'(? X$60 X $40 $ $ /tl LfLf,o,ot) . I $0 TO $49.......".....".............................................................................. $0 (plus Permit Issuance Fee) $50 TO $9,999............................................................................................ $50 $10,000 TO $99,999............................................................................................$50 + $6 per additional $1,000 $100,000 TO $249,999......................................................................................... $590 + $4 per additional $1,000 $250,000 TO $499,999......................................................................................$1,190 + $3 per additional $1,000 $500,000 TO $999,999......................................................................................$1,940 + $2 per additional $1,000 $1,000,000 AND OVER ......................................................................................$2,940 + $1 per additional $1,000 Permit Fee calculated from chart above $ I D ~qJ. 0 () Issuance Fee: $ 20.00 f of> Total Permit Fee = DepositjPermit Fee/Issuance Fee $ 0 Additional Comments: '~ 7~~ ;- .' t"".... / Approved -By: ~ L, . .-". . Date: -5/d,108 , / 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 x For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes _ No S /-€ /IE /L) ~1!tJl'k'.1e/J / ;< 17 -- -I , / ,& 1.< (JI;lI~ .I1;fT!9) ~ \ \ ~ " '''\ ,~ \\ ~ ,,\ \ \ \ \ \\ '\ '\\ ~ ~.. ~ '\\ ~'\ ~ VX<S\-r/~ ? '\" '\ \ \, , \ \ ',"\ ',-, , , " \'\ ".', , \ '. ~~. \ 1/,5/ 5A1G/t1/EEpFlJ J7PJI J J \" ~ '~ \, '\ '-, \ , ~ '~ " \ -'" \ \ '\ " '\ " " ~ '~ '\ \ '- ~ \,,\ - &//lJ/N($ C tP 1--V< MAl #JI'I t. Ii'tV ;tI ~ Y It/( I N (f ;fNtJ S;f/O/H#li iJl";< f2J /i/ g 1/1/ C /'/ !J I I I i/tl &or!J E;j I I I I IJdd,1I1# \ I II \ t '"' -..1 #~I/ #'/ ,t'e-Rd1I)$ ~ T{f) /v'}1}- r c # EllS TINd j}Er4/J, nA/V -c- '{ . '. - . 's... . . 'I.-i-, ^,( ...: -;'>1\_;~?' .~ '" "~ ~ . '",,";d "''' _' , .. ;. ~':'~';. ~ ./~~. ~"it'~ , .~l".~'~~ ~.. ... I .. ''';;l; ,~,.:J!t:- ~"_ '~'~~...' t ,1'~ ."",'". ' ',: .~:::;:~j;jS(~~~' ,,' ~'1 ." '<"",",,'" "/I' -A~,:-~. '~:J:",'i'" ",:; 1;- "."''-".." '''~,l;':!>.. E?" ~~:~t, '\:~:,~, . 1 ... ~ If '" :t~ ,"',."l<- o. .~ '-" .... :\...., ;" .".:,0;:.,....... .. ..-,,, ~~~"". ..~ J;;;~.~ "'4:.. ,'\~:~. ~~~:" '..~~~... ~:. -~..i M' ' ..... 1::;.. ' ... _'" ",'y ;5J~:.:.~.~~~:~';.~..~ ~.' , ~; ,e.A':, .;" ~._~t '" ...~.. _~"""',c "5~ '" ~ ....:":,~- ~ -,...;~ ................ "', .)0. ~~,. ,:J ~A~'-. !~~~ ,"".. -, ,3~~:~':' ": J~; .t~:':~ . ~ .~:r' . .:.~~. ~ ",\ ~ ~ :;;". ~ ~ ~ "-'''''''--' ~ ' :-... ~ ~ (" c..... \... \~ ""\ ~ ~ C\l ~ '1\ ~ ~ ~ ~ \.:) ~ . \~ ~ ~ '- ~, ~ {~, "~,, \. ..... \~ ~}' "1~ ". "\" \ 1 ~ t\ ~ \~ ~ 'I' ~ \~, ~ "~'\ ~, ~\J ~ ~ ",\ 1 1\'i ~ ~' ,,~ ~ ~\) ~ f\ ,,...--.---- " \'\.. ~ ~ -.... ~ ~ ~ ~ ~ ~ \, \~ \: ~ ~ ~~tJ\ ~ ~ ;:1 <~ "". ~ ~~\ ~~ ~ ~ ~ ~" ~~ ~ ~~I~~ ~\~~~ \\., \ \'.. '-v.j~-~ ft., f\--.. ~ ~J~ "-.. ~, (,'\ ...' ''-} >.'.. ~ ~ ~ 'V\ '~ ~ ~ ~ ~,~ " ~ '\,1., ~~ ~ ~, ~ ~~\ ~ ~ ~ ~ \ ~ ~ ~ ~ -I ~ ~ "~ ~ ~ ~ ~ ~ ~ ~ ~ ~ \ -'" ~ -' -- /'- --""""- '" .,/ ~ ~ 'i..~ ~ '" / / ~j ~ //~/ )'\ / /' / ,/ /' // // -' ,/ ... ,~~"..' ....... '... >~ ,.."~'" -- "--~.-..,.. ~~._T~._.~.__,,,,_._.~_... ~"7"C'- -.""7"._"-'''',---~",~''''~.'''.'''-.. ..,.....'C"'-O-'~0',:O::'~~~,.~~~~,......---------~~~~.~~.-,---,-----, BUILDING INSPECTION REPORT ,,/ ~ CITY OF BLAIR o WASHINGTON COUNTY , " of o :'OTHER ~ (~ q t~j, r;;7 /'7/ /~o- ,-I fj ?C)-" f t I L. ..) ''"'..../ . ,") ''" CONTRACTOR' (J/O?t"'7/ZfWl/p'~ GI TIME INSPECTION REQUESTED' CY. ' ('50d-:J . il'l . PERMIT NO' /.;;:? 9' a f""? ~ LOCATION OF INSPECTION' NAME OF OWNER'CY f~p 1/,-/' /l/}'l t:ttlAIJ p....r) I'I~ q - /)" /::j DATE INSPECTION REQUESTED' Ui , L.. t--' TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATUS CHECK ~.~",.....,,,,=...':Zr.:m>~~~~'Z:=~~=="~'>;:':!<"~~J:.Ut'~'2~.m::.w~___~m:==.,. '_. =:.t BUILDING, ;tB;.FOOTING 0 DECKFOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL ~ P'OLED COMMENTS: UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL COMMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED D 0 COMMENTS: FAILED o 0 MECHANICAL:O ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL PASSED FAILED o 0 COMMENTS: PLUMBING: COMMENTS: t:.t,. GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL o PRESSURE TEST PASSED FAILED D 0 ~i:",,",,~~ ___._ --;:; 1. o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' "'" "-,. .-- - ~ " - - ','- - - - - - , .- - '\: ;;.. . . . < - , -. . .. - :.':": .. , - ..... ",::, ~,;'" ',;-,,{ ..'" -,'. ~,., -.- - .~~- .:<A'. ...~,~;. ';.~. __";'J..~ ,-''' ..-...' ~ ; - . - -;--- ~ . ..k.._, ~-::_-:..;._'- - ...-'--'" ~ '~"_:' ~~-, -..,.- --'* ~ _ ~_.C- ----. .J..~~":' _-: -...':--' -~-...-. - - -"" . -..;--. 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'- ""- "-.' ,,' o . . , -- . - - 0' , . 0- . ."-, ,~ o '+,- , ,- , ....- '" '. .... ... -~. .... - " ....~.. '~i>iJ!rfi~ ..... ">. -.-':.... ~, . - ~ " , ,~.... , , "~i...~,;,-,,:~~;;,;:;. "".~. ..- ...-....,'- .i},~ " - '" , '0 ~ o .....""-.. ~ --- -~. --- ~------ ---. -------~---.--.-'-- -~-~-----.,-.---~ BUILDING INSPECTION REPORT I)'}). 7 UTILITIES: I o SEWER TAP 0 SEWER 0 S~PTIC 0 \WATER TAP 0 REMOTE 0 WATER SERVICE \ ".' . ',: I o PARTIAL I . \. PASSED FAILED o 0 COMMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL COMMENTS: VT PASSED FAILED o 0 MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL PASSED FAILED o 0 COMMENTS: PLUMBING: o GROUNDWORK[] ~qp'dI~~IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL o PRESSURE TESt,' ,,'/" (_../.-,; PASSED FAILED o 0 COMMENTS: o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' ~t INS DATE OF INSPECTION MADE: TIMR' /;3 ~ FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ,- .-- .-- .-- .-- .' I . j I . I,' I , . . . 'I -- .~ --- ...-- ,- -..- .. ..,- .....,- ,- -- \ . t . I I !>- ,. . - . ~ ~_.. T . 07/22/2008 0137 PM .~ - - - - ~ -. " II 7/22/2008 0137 P \\ . @YJI?f.2D08 0rjij Pi~J , . . . . , J 07/22/2008 01.38 PM 1 ! . .... . ~. ,. . , , J , I " 07/22/2008 01.39 PM . . . .~ . .. ... ..~... ...,~ tt . .