BP12950
Blair Building Permit Detail
Permit #: 12950 Issued:
Completed:
Location: 315 S 20th St
Owner: Sandra Haack
Address: 315 S 20th St
4/7/2008
6/2/2008
Type: Swimming Pools
Valuation: 59000
Blair, NE 68008
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Phone:
Section:
Subdivision:
Township:
Range:
Lot:
Block:
15 x 34 in ground pool that will be heated and lit.
Contractors
Roberts Pool and Spa
Midcon Electric
General Contractor
Electrical Subcontractor
Permit #
E2886
Issued
4/28/2008
Remarks
Inspections Date By
5/9/2008 OEM Electrical Rough-ins Pass
5/9/2008 OEM Electrical Rough-ins Pass
6/2/2008 OEM Electrical Final Pass
6/2/2008 OEM Final Inspection of Project Pass
~
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT
. Permit # /;lcr!Jtj
Date: if-7-o[) Approximate Completion Date: 5"- /-08 Site Plan Attached:
Estimated Valuation of Project: 5'4' 1000 ' dO
.
Aoolication for:
Permit Fee $20j/ssuance Fee $20
Fee: $40.00
Sign Erecting, Awnings (Per Sign)
Roofing/Siding/Soffit 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
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 Iife-
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:
$ 2Q.!lO"
/....~..... ...."'1
.~~f(), ()o )
.~-.,..._-"~..~".---
Total Renewal Remit Fee = Permit Fee/Issuance Fee
Additional Description of project if necessary:
00 crt )/.I ail cI CU1 r/ , jJ;I-
/
/5)( (scf
"'pJAJ
en tJ tPJ1 c:/
17
,
PROJECT INFORMATION:
Legal Description (if applicable)
owne~~:U1~?L- /It? a ~ Address:
Contractor: ~!lJul S tr11i1<utJ~ hi (lt5Jl 5"1-.
J:..~'.6.M fS' fJoor ? ~O'V
Address:
3/5 <-5. :Joj-i? (Pf.
Be II...- ;2+1 ,,1 PI" ~ VAe. ('~+.
Sq 0 () BB ;;low
Job Address:
Phone #:
/ / tf fIitW1
7't! Zifi1 I
I
I
i
I
i
I
i
i
I
I
11~/R -II
Phone#:
Cell #:
88 L/-t/ dl It? I
Rod
~
/&81/3v-1b (f/. JJ..e fa 7
rrn cJ, ct- (/ 8//8
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. .
d/J / /
/i:://L/J
Signature of Owner/Contractor
L./~ 7 -{) fI
Date
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: Y -1/ --d~ Receipt # J))6( Approved by:
DB
~,l" l\ '6
] "l~ u
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street dO
Blair, Nebraska 68008 . /J tt 'CJ
Fax (402) 426-4195 ( I E 2886
(402) 426-4191
Application Date: t/ .-- ;2 8 ~. () 8
Job Address
Permit Fee: $ I /, rJ~
~/5' ~.
Owner , A.
1. tz"l'l C-M?l, C )
Contractor ~/1' / Mail A es. . /. H.
2. / 1//""'0 ('tr},V . t! i;;4.I & /tJ ~
3. Class of Work: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL
Describe Work: t./ j, .:J....- I ....J./I~..t
4. /7Ja l ~ a.-nC tJ t:~
5.Current License on File Yes 0 No 0 NjA
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
1 st 1000 Amp Fee............... ...$117.00
Each additional 100 Amps.........$13.00
Notice
I hereby certify that I have read and examined this
application and lmow 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.
Signature of Contractor or Authorized Agent
Date
Phone
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
CommerciallMulti 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
i I. aO
,
,15
cW
'15'
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ~~.f2If'~1/
/'Ip r, L':!, LVVO I V: JJ/'IIVI
\.-111 vr OLI'IJII \9-VL,'+LO,9-I~I}
I~O,Oj/l
r. L
{, 6 0 f>
Q-1q...u' .
:):J
ELECTRICAL PERMIT APPLICATION
Jul'isdictionof City of Blair, Nebraska
218 South 16111 Street
Blair, Nebraska 68008
Fax (402) 426A195
(402) 420-4191
Appliciltion Date:
1/"';2g~()g
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...... ... ........ ....$1 05.00
901- WOO Amp....................... .$117.00
IF OVER 1000 Amp
111 1000 Amp .Fee............ ......$111.00
Each additional 100 Amps.........$13.00
Notice
I hereby certify tbflt r have rend lInd examined this
application lInd knolV the sflme to be true and cO)'J'ect. All
provisions of Jnws l'lnd o\'dinances governing this type of
work will be complied wilh wherher specified herein 01'
not. The gl'lInting of 1\ pel111it does not pl'OS\lmO to give
authority to violnte Or cancel the provisions ohny other
state or local law rogllll\ting construction 01' the
perform~tl1Ce of constl'llction.
Permit Fee: $
Upgrade Existing SerVice........... ..$10.00
Temporal)' Service: ..... .............. $10.00
Fil'e Alarm System.................. ...$1 0.00
Signs...................... ............ ......$15.00
Mis.cellaneous Apparatus..; . .. ...... ..$11. 00
AC/DC Circuit........................ ...$5.00
Commercial/Multi Fftnlilynnil All Upgrades:
# of Circuits x $2.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (F'inished A1"ea)
Single/Two Family Dwellings
sq. ft. x .045
Modulal'/Manufaott.l1'ed Homes.. .....$50.00
ReceptaololSwitchOutlets .
Fixtmes x $.75
Smoke Detecto1"s x $3.00
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Appamtus (220 Volts)
# Appa1"fitus x $5.00
E 2886
If. rJ5
Phone
J I. 00
.
15
WHEN PROPERLY VALIDATED (WYErS SPACE) THIS IS YOURPBnMlT
I Appl:OvedBy: . .;5. 1Uf~
-.-- ~~-.~""-~""""""'-'--...~"""""~~--'--~:~-'---""--"--~~~.~_.~:,.~~-~~.,.,...----;-~~~~~~.
BUILDING INSPECTION REPORT
, </
~CITY OF BLAIR
D OTHER
Q/5 ,5. ,~) ()\~ S +-,
LOCATION OF INSPECTION' ( J .____ I Ii
(\ P ..JII/ / / - ;? j/ J /-, /, L I f i "-1 I ., I
NAMEOFOWNER(-.,.. (.'tj'il{)). {/-- /7aa C!C- CONTRACTOR' "'C./O! !,jh 't - '-to{W
DATE INSPECTION REQUESTED' <..5~ - q - 08 TIME INSPECTION REQUESTED' / () ,''''9 () A ' ;L/t, PERMIT NO' I d crt5' ()
D WASHINGTON COUNTY
_ TYPEOF INSPECTION REQUESTED: D CONFERENCE
..~ ~,........-.-..~"""""""'~~---" ~
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
.
COMMENTS:
P ASSED FAILED
D D
~"7 ~ L
~~-..""~'-
-~~~ ,""~1!lI:'U ---~~_ ~
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
~ " ~=aL~",~~""::"",, "",~)fo. ~~~
ELECTRICAL~OUGHrN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT ~ FAILED
COMMENTS: D PARTIAL ~ LD I ~(,Q' ~~.-_""="_"""""=_,_,_"'_,_""""'_""""'_."._~"~~~--'=~
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL PASSED FAILED
D D
PLUMBING:
D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
o PRESSURE TEST
P ASSED FAILED
D D
COMMENTS:
D OCCuPANCY GRi\NTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS' .
I!l'
.
..~.
.-
.
-- ".~ .
- .'
, ~ -,
.
~
,..
,
~;.,.~:I-'~
.~~.. .'
.
:-- ~
,.
-~
"
""'~~
.
_..-.:.
,
.
"
..
'... .:.
. .
. ,
.- '-.
"1'.=4 ~'
Il
.
-
-
.-
-
~.,;.
-
.--
-
-
. -
,- -
-.....---
-
-
-
-
-
--
I~
- -
~.
~~
~~~
-
...Eatt "Touch)
. ...
,
:; ::::~Ij
is 'Eel
~ --D~.aar-
.
--"
,
i'
"
~ 11 :'.--
-----<<
'--~
-'....... '0
~
-,
.
I,.
"
-
-
.'
,
.
--
~1:l~JJ....L
~ g DDDDaoo".
o"a~O" aD
!!"-
.~-
. 0
a
.-
"i:" .. '!II>
:C' ~
~ __;;!1~
.
..'jiP
_.~""-
-- ~'
.
-
.-
-
f.~
~--='
~i
.,.~-~--_.,
.
-
~- ---
'j
BUILDING INSPECTION REPORT
~ITY OF BLAIR
LOCATION OF INSPECTION'
() ;' 1/ I
NAME OF OWNER''-" J /)/)1 U'1 &1- /it-f a el:-"
DATE INSPECTION REQUESTED' -A'-, ::50- 08
D WASHINGTON COUNTY 0 OTHER
<-315 ~)t, Po fi- J'>f.,
'01./('"
CONTRACTOR' jUI::JJN,;..,)
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
o PRESSURE TEST
PASSED FAILED
D D
TIME INSPECTION REQUESTED'
II -:r
C'rj 1 ' ' ')
2,,# ~
/ 0,.;)( ,f' cO?!,/
/ ,?Cl L:::"
PERMIT NO' )' 0 I J ()
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING D DECK FOOTING D FRAMING 0 DRYWALL
D CONFERENCE
FINAL D PARTIAL
'STATUS CHECK
;rF~
PASSED FAILED
o D
COMMENTS:
UTILITIES: 0 SEWER TAP D SEWER 0 SEPTIC D WATER TAP D REMOTE D WATER SERVICE
o PARTIAL
COMMENTS:
ELECTRICAL: 0 ROUGH IN FINAL 0 PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
o PARTIAL
COMMENTS:
MECHANICAL:D ROUGH-IN D NC D FURNACE 0 RADIANTHEAT 0 FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
Wll:'S:l:r~-""l::..---dl.._
o OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS'
-'~
-)
I
DATE OF INSPECTION MADE:
TIME'
~3 ;43
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
-
-
-
-
~
-
-
-~-
-
-
...
4U,rrJA5PJ\J
::>
-
. -
..
.
.
.