BP12944
1 1
Blair Building Permit Detail
Permit #: 12944 Issued:
Completed:
Location: 1154 James Dr
Owner: Clarence & Janet Brunnert
Address: 1154 James Dr
4/7/2008
8/8/2008
Type: Residential Remodeling
Valuation: 10680
Blair, NE 68008
Phone: 402 533 3828
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
54,8
20
500
22160
Section: Township:
Subdivision: 66 HTS
Range:
Lot: 12
Block:
Gutting Kitchen-New light fixtures and new woodwork, Some minor plumbing and electrical-moving range,
Contractors
Warrick Construction Co,
e,N,J. Plumbing Inc
~ick's Electric
General Contractor
Plumbing Subcontractor
Electrical Subcontractor
Permit #
P1815
E2877
Issued
4/11/2008
4/1112008
Remarks
Inspections Date By
4/1112008 OEM Plumbing Rough-ins Pass
4/11/2008 OEM Electrical Rough-ins Pass
4/11/2008 OEM Framing Pass
8/8/2008 OEM Plumbing Final Pass
8/8/2008 OEM Electrical Final Pass
8/8/2008 OEM Final Inspection of Project Pass
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT I t)qiLLf"
Permit # t1< l.>f
Date: ' if- 7- 08 Approximate Completion Date: !.v - 15- {) 8
Site Plan Attached:
REScheck Attached:
Complete Plans Attached
Application for: Residential ~ Commercial/Industrial
New Construction Manufactured Home _ Modular
Move-on: Home _ Accessory Building Other
Remodel ~ Addition
Accessory Builaing: Garage _ PoleBarn_ Olner
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
County Road Permit Required: Yes_ No _ Submitted: Yes _ No _
Addi~ional Description of project if necessary: (JIL II.Mtj) (; tdwv - A! j1 W
'~I'f- ;f~,:'~")j~";'-'~::~7;';h'i'~/- m,,'V-L;'r
..At24~ ~
Proiect Information:
Job Address:
JIK1}; r-/_..L A.
/ I J -, V ~"ru.1;-...t 1/f ..
/30."') A il.A 1-71/--6.
(7 7vV 'rl:? '/,
Legal Description (if applicable) .Be! ~(; IIbfA ks
ownerl1.;/M1(1e/ .J ()tluJfg~dAddress:
Contractor: it)ai4I(~ L~71Shwe;l1w
filL! I/CWlU0 b.
Q:tl- /;2 //'1 f?{! /-Z
Phone#:
Phone #:
Address:
Cell #: 6~33 ~. 3!3",?t3
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature
below, ) 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) have received a copy of a permit signed by the Building
Inspector. ~erebY agree to perform the proposed work in accordance with the specifications..set forth above a.nd in accordance with the
codesjordin nces of the City of B ir and the State of N ska. I understand that this permit is void if work is not commenced within
180 days or not comple ed withi two (2) y~~ of , ,,,,,. f
. 0 -7-/iR
'. (2..._-,<-,' - L/ (
Signature of Owner/Contractor Date
ZONING REVIEW:
Conditional Use Permit Req~ired: Yes _ No X
Date CUP Approved:
St.a~e Fire Marshal Required: Ves _ No ~ Varl~nce Requlre.d: Ves - No.X,-
MinImum Setbacks: Front _ Second Front /lJ~QjL+- Side - Rear~
Lot Sauare FootaJ;!e:
Length x Width:
Lot Coverage %
/v/14
-- -- --. ------- -
DrivewavsLSidewalks:- - -- - -
Sidewalk required: Yes_ No_
-,-- .- --- -- --
Sidewalk Waiver: Yes __ No_
Date Waiver Approved:
Flood Plain: Yes No
If yes, specify special requirements:
BUILDING INSPECTOR REVIEW:
Number of Stories
One_ Two_ Three_ Four _ >Four.:...-- High Rise (>75ft)_.
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 Foota~e:
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front
Deck that affect setbacks:
Second Level: Third Level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Rear
Rear
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, Iibri:\ries, 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~ reauired to be protected by automatic fire sprinkler system?"
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 sqjft area
(not including finished basement area)
Finished basement sqjft area
Unfinished basement sqjft area
Garage sqjft area
Total Valuation:
X $88
X $53
X$26
X$20
$
$
$
$
$
$
$
$
Total Valuation
Multiplied by 0.0056 =
Issuance Fee:
20.00
Total Permit Fee = Deposit/Permit Fee/Issuance Fee
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Busi ness/I ndustrial/Ed ucational/ Assembly/Factory/Storage/Utility
*Porches with roofs/screened patios are considered additions
BuildinJ:! 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 $ 5uo. tJO
Fee - $500.00
All other permits valued under $10,000 No Deposit Fee
Construction Valuation will be computed bv Sq/ft area X $60
Accessory Buildine:s & Interior Remodeline: Proiects will be computed bv Sq/ft
area X $40
Permit fee is:
Finished sqjft area
Finished sqjft area
0:<& 7
X$60
X $40
$
$ t tJ I 10 eo. 0'>
$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
!Stf. f!i~
Permit Fee calculated from chart above
$
$
$
JL eO
20.00 - 7,.,-,
511, eo
Issuance Fee:
Total Permit Fee = Deposit/Permit Fee/Issuance Fee
Additional Comments:
ApprovedbY'.l~~~:te: 4gP8
Contingent On Approval by Fire Marshall
Meet IBC, IPC, IMC and NEC Code Requirements X
Sleeping Rooms below Story and in Basement required to have egress X.
For Office Use Only
Date Permit Paid:
Permit Fee: ::rtf, et>
Deposit Amount !SG>tj.oo /J
Receipt # /.. J . I! /!.... .
Deposit Paid by for return to: tVt'Ut/ &I:J {. ~I S /AtlI!k'~
Building Inspection Pouch given: vesJ" No
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~4t1 b-/1Po8
r 11: I 6
ELECTRICAL PERMIT APPLICATION ..~.
Jurisdiction of City of Blair, Nebraska 1'1 ~
218 South 16th Street 1 i7
Blair, Nebraska 68008
Fax (402) 426-4195 E 2877
(402) 426-4191
~
Application Date:
'1-//-08
Job Address
Service Fee = (Amp Fee + 2.00 per branch circuit)
1-100 Amp Fee.......................$13.00
101-200 Amp Fee.......................$18.00
201-300 Amp Fee.................... ...$30.00
301-400 Amp Fee......... ...... ........$42.00
401-500 Amp Fee..................... ..$55.00
501-600 Amp Fee............ ... ...... ..$67.00
601-700 Amp Fee............ ......... ..$80.00
701-800 Amp Fee......... ... ... ...... ..$92.00
801-900 Amp Fee............ ......... $105.00
901-1000 Amp..................... ...$117.00
IF OVER 1000 Amp
15t 1000 Amp Fee.............. ....$117.00
Each additional 100 Amps.. .......$13.00
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.
~
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Date
/} CJ .;)
Permit Fee: $ ~d'
cJ cUn~
Zip
Phone
o UPGRADE SERVICE
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$10.00
Temporary Service... .. .. .. .. .. .. .. ... $10.00
Fire Alarm System................. ....$10.00
Signs................................ ......$15.00
Miscellaneous Apparatus......... .....$11.00
AC/DC Circuit....................... ....$5.00
Commercial/Multi Family and All Upgrades:
# of Circuits x $2.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .045
Modular/Manufactured Homes... ...$50.00
Receptacle/Switch Outlets
Fixtures x $.75
Smoke Detectors x $3.00
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
# Apparatus x $5.00
/;? Cl,;{
Permit Issuance Fee.................. ..$20.00 6ltJ. (I t')
-2 /I CJ ;;;l
Total ...::Jot .
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: $ I~I'~
~
PLUMBL~~i!~~Zair~~~~ICATIONI J q ill [;
218 South 16th Street t7 II
Blair, Nebraska 68008
Fax (402) 426-4195 P 1815
(402) 426-4191
Application Date:
tf-//-OB
Job Address
Comments:
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions oflaws 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.
,- 11- C~ f?
Date
Permit Fee: $
?.;? tJO cO,
~O . pO:
Phone
Phone
o Repair 0 Replacement
bh1,;J cW
PLUMBING PERMIT FEES
Modular Home...... ......... ..... ..$50.00
Type of Fixture No.
Kitchen......... ...... .............. .$8.00 x
Bath... ... ... ......... ...... ... ... ... .$8.00 x
Rough-In Bath....... ......... ...... $4.00 x
Additional Sinks.................. ..$3.00 x
Laundry/Drain...... ... ......... ....$5.00 x
Water Heater................... .....$3.00 x
Outside Water Faucet..................$3.00 x
Drinking Fountain.......................$3.00 x
g tJt)
Backflow/Grease Trap........... .$10.00
Water Service... ... ... ... ... ... .. ..$10.00
Sewer............... ...... ... ..... ...$10.00
Groundwork..................... ...$10.00
Septic Tank & Laterals...... ..... $10.00
Lawn Sprinkler System............$1O.00
Sprinkler System (Commercial). $30.00
Gas/Water Piping System
(Commercial).................. .....$30.00
Permit Issuance Fee.............. ..$20.00
Current License on File
Comment:
Total
~es 0 No 0 N/A
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: Jf. /5j I...e:~~
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, 13lair,_ NE 68008
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~ITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY D OTHER
LOCATION OF INSPECTION' I/S t.f \ J MJ1 ~ 1Yt .
NAME OF OWNER' ()la--Uf1CJ7 \.. iitu-1lA1.P1t CONTRAC~OR' /-Uaui{!JL {~71sI4//(!~
DATE INSPECTION REQUESTED' Lf - I ( - 0 8 TIME INSPECTION REQUESTED' I tJ: Ot) A . fIA. PERMIT NO' /,;;? 9 If if
TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING D DECK FOOTING
D CONFERENCE
FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
P F~ED
COMMENTS:
UTILITIli::S: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
COMMENTS: ,
"RW ~ - wr L lClI .
ELECTRICAL:.;~(ROUGHIN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
z: :~ED
PASSED FAILED
D D
"
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MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING: D GROUNDWORK'.. _ ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
FAILED
D
COMMENTS:
OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE:
TThffi' /tJ-'/7
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
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BUILDING INSPECTION REPORT
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R..S:ITY OF BLAIR
D OTHER
II/.:: ,.1. . ! \7\
LOCATION OF INSPECTION' / ~ Gf' ,j o.'-/.:rt.f'r::L--" _oL,j1,
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NAME OF OWNER { CI{,vLf~rl u::- C ({,/tUcf '.,.L), . CONTRACTOR' c.A (;L/c!~> C;.l;~_, /:;rjt.,ijr.
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DATE INSPECTION REQUESTED' [3 - ,A ~. L ') .s.::-~) TIME INSPECTION REQUESTED' II).' (~) () /\ fV~ERMIT NO'
....... '-~
D WASHINGTON COUNTY
/;2 9 ~/-Ll
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TYPE OF INSPECTION REQUESTED: D CONFERENCE D STATUS CHECK
~~~~~~-e:l:~il~'t~~"....,,- '~~.:ll~~~-='t',;;'""="=-~;l\
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALS.J:~r.:FINAL D PARTIAL PyiSS FAILED
" D
COMMENTS:
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~~~~~~lO'z::.n~~,-~.:t:-.1Z<'-~~~
UTILITIES: D SEWER TAf
D PARTIAL
COMMENTS:
ELECTRICAL: D ROUGH
;.
D PARTIAL
COMMENTS:
MECHANICAL: D ROUGH-IN
D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
PASSED FAILED
D D
D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
- -"""3!':tlsZ<~~~~L~~~~~~~~~~~~'P'...;zu'F....m
PLUMBING: D GROUNQWORK D ROUGH-IN ,gFINAL D WATER METER INSTALLED D PARTIAL ~AS FAILED
D~~~ - D
COMMENTS: .
.. ~ ~~~~~ _';Z:'r.l
D OCCUPAijQ\rGRANT1M,' LJ CONDITIONAL OCCUPANCY <,;RANTEO
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