BPM1637
Blair Building Permit Detail
Permit #: M1637 Issued:
Completed:
Location: 2215 Hollow Rd
Owner: Ed & Jackie Beeles
Address: 2215 Hollow Rd
4/24/2008
4/29/2008
Type: Mechanical Miscellaneous
Valuation:
Blair, NE 68008
Phone: 402 426 5958
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Section:
Subdivision:
Township:
Range:
Lot:
Block:
2.5 ton heat pump + 90,000 BTU Furnace replacement.
Contractors
General Contractor
Permit #
Issued
Remarks
Inspections Date By
4/29/2008 OEM Mechanical Final Pass
4/29/2008 OEM Final Inspection of Project Pass
4/29/2008 OEM Final Inspection of Project Fail
II D 1 0
MECHANICALPERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1637
(402) 426-4191
Permit Fee: $ iftJ. 00
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Own\1r I l \ ,'.. Mai,l~ddress, i ,\ . .pEon~ - G II
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~~nt~jt*V\ (Y")d1ail.,ddress \l (Co E U}LD ~Pti~ I\) P-reJ'Y10~'S ~7{~o~e ~~ I
3. Class of Work: 0 COMMERCIAL "e-RESIDENTIAL 0 Addition 0 Alteration 0 Repair Meplacement
Describe Work: t 'l~ '
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Application Date:
4'1 lb1 ( 0'3
Job Address
Central AlC
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BTU/H
AlC
Tons
Furnace
# of Units
Furnace
Completion Date: ~/;i-.C\ IO~
comments:, ,". ......vI
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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,
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Date
pe if
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MECHANICAL PERMIT FEE
(tCJL nUl. fl:t
Forced Air/Heat Pump Systems - Per Unit
Commercial/Residential (New). ,., ,. ,.,... ,.".,.., ..,.....,..,.,.", ..$25.00
Air-Conditioner Unit - Per Unit
Commercial/Residential (New)..,..,.....,....,.,....,.,.......,.,... ...$10.00
db,a
Forced Air Systems/Air Conditioner
Unit Replacement Per Unit Commercial/ResidentiaL,. '.. ... .,..,. ..$10.00
Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement)...,.,.,.,."....,....,. ..$10.00
Appliance Vent/Fans... ... ... ...... .., .. ...$10,00
Boiler.........,....,..,.".......".""... ..,$15,00
Duct System... ... ... ...... ...... .., .., ...... $10.00
Gas/Air Outlets.......................
x $2,00
Radiant Heat Systems/Gas/Water
Piping System,... ,.."..,.,..". ,. ,.. .... ,.,$25,00
Modular Home.,.... ... ,...,. ,.. ."." ". ...$50,00
Permit Issuance Fee... .., .., ... ... ... ...... $20.00
Total
Current License on File p-1es 0 No 0 N/A
Comment:
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WHEN PRO PERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: !< 0.9{) CUlJlJ
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOvATION OF INSPECTION'
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;'l'-lAMEQF OWNER' ( j)
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D OTHER
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COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
~bf?;rjCTOR' (';:,/ ,),l~;/5'(~/~'.I-:h il/:"'c
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DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED'
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PERMIT
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL~"FINAL D PARTIAL
D STATUS CHECK
FAILED
D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
FAILED
D
COMMENTS:
MECHANICAL: D ROUGH-IN
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
FAILED
D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
D D
NOTES/REMARKS'
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DATE OF INSPECTION MADE:
TWF-3-'~
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
~ITY OF BLAIR 0 WASHINGTON COUNTY D OTHER
LOCATION OF INSPECTION' C?Q;? 15 J-/oa"J /CO!
NAME OF OWNER' f'd ~ tf--z/r;- 5~~CTOR'~ctlhs~jl/Yh[}/~
~ '-..../.
DATE INSPECTION REQUESTED' t/--;J9~o8 TIME INSPECTION REQUESTED' AI PERMITNo,f/f Ib=3 rJ
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING tJ DECK FOOTING D FRAMING o DRYWALL ~INAL D PARTIAL
D STATUS CHECK !
FAILED
D
. :'
COMMENTS:
UTILITIES: D SEWER TAP 0 SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
COMMENTS:
ELECTRICAL: 0 ROUGH IN DAFINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE D PRECONNECT
D PARTIAL
""'lOt
~"J
?
COMMENTS:
PASSED FAILED
o D
MECHANICAL:D ROUGH-IN D A/C D FURNACE D ~IANTHEAT ~i:!tFlNAZ 0 ;ARTIAL
nf!t!:t/fif ~.z4'! a (j1 f' ;Uc<.-f
_il>l.$;.~~__ ...._ ~
PLUMBING: D GROUNDWORK 0 ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
o PRESSURE TEST
COMMENTS:
COMMENTS:
y
PASSED FAILED
o D
D OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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DATE OF INSPECTION MADE:
/'
/&9)18 TIMR-3-'~
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
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