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BP9494V ~~ ~ ~ ~-4 Blair Building Permit Detail ~;~~_ _. Permit #: 9494 Issued: 02/24/2003 Type: Residential Remodeling ~ ~~~~ Completed: 02/28/2007 Valuation: 18000 Location: 141 N. 21st St. Owner: Jeff Willis Permit Fee: 90 Address: 141 N. 21st St. Issue Fee: 15 Deposit Amt.: 200 Blair, NE '8008 Receipt #: 3386 Phone: 402 426 287 Section: Township: Range: Subdivision: Lot: Block: Add stairs in the addition and plumbing in upstairs bathroom to complete BUILDING PERMIT #7498. New work - remodel kitchen with bathroom and dining room. This will take place of the current kitchen, dining, bedroom & bath. Contractors SELF General Contractor Permit # Issued Remarks 09/23/2005 BMS Building permit renewed for 9494 with PERMIT #12281 09/23/2005 BMS Sent copy of renewal permit. 07/05/2006 BMP Called and Left a message for Jeff at work on status. Jeff: 359 6881 07/05/2006 BMP Spoke to Jeff and he should be done by October. Changed completion date to 10/31/2006. Inspections Date By 02/02/2001 DEM Framing Pass Partial 02/02/2004 DEM Electrical Rough-ins Pass Partial 09/28/2004 DEM Electrical Rough-ins Pass 09/28/2004 DEM Framing Pass 02/09/2005 DEM Status check Fail 02/28/2007 DEM Electrical Final Pass 02/28/2007 DEM Final Inspection of Project Pass - o ~- Y~ ~ . City of Blair Building Permit Detail Permit #: 7498 Issued: 12/10/1998 Completed: 2/26/2003 Location: 141 N. 21st Street Owner: Jeff Willis Address: 141 N. 21st Street Blair, NE 68008 Phone: 426-2872 Permit Fee: 198.5 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 3386 Section: Township: Range: Subdivision: Lot: Block: Add on 2 stories, remodel 2 bedrooms -second floor. Addition 16'8" x 28' PERMIT WAS RENEWED 12-31-98. $213.50 RENEWED PERMIT A SECOND TIME ON 1/08/2001 -PERMIT #9091 Contractors SELF Judt Electric SELF SELF SELF Remarks Inspections Date 12/17/1998 1 /21 /1997 7/28/1997 7/30/1997 7/31 /1997 10/24/1997 10/24/1997 12/30/1999 1 /13/2000 2/6/2003 2/24/2003 2/24/2003, 2/24/2003 2/24/2003 General Contractor Electrical Subcontractor Heating Subcontractor Plumbing Subcontractor Electrical Subcontractor BY DEM Footings DEM Electrical Temporary Service DEM Electrical Permanent Service DEM Electrical Permanent Service DEM Electrical Permanent Service DEM Electrical Rough-ins DEM Framing KAR Plumbing Rough-ins DEM Drywall DEM Final Inspection of Project DEM Plumbing Final DEM Mechanical Final DEM Electrical Final DEM Final Inspection of Project Type: Residential Additions Valuation: 36700 Permit # 225 224 223 222 Pass Pass Fail Fail Pass Pass Pass Pass Pass Fail Pass Pass Pass Pass Issued 1 /20/1997 11/25/1996 10/22/1997 10/22/1997 Partial Partial Partial Partial Partial Partial Partial Partial 4. Class of Work: ®NEW ®ADDITION ®REMODEL ;~ OTHER Q FINISHED BASEMENT ®UNFINISHED BASEMENT 8. Current Zoning: 9. State Fire Marshall Required: ®Yes 10. Special Use Permit Required: ®Yes 11. Variance Required: ®Yes ®No Q No ® No. 12. Minimum Setbacks: Front Side Rear _ 13. Sidewalk Required: ®Yes ®No Waiver Approved _ N071CE 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 by this 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 codeslordinances of the City of Blair and the State of Nebraska, understandthatthispermitisvoidifworkisnotcommencedwithin 180 da s ord n completed within 2 years of date of issue. SIGN T E F NER/CONTRACTOR DATE Comment: ~~ri~.~T BC, IRG, IPC, IMC AND NEC CODE REQUIREMENTS Q Site Plan Attached ~~~Co ete Pttached Approximate Completion Date ~L.~ ll~~ Inspecti®ns Required and Fees il' ie Sewer. Septic _ B it in Footings Water Service Remote Stop Box Card Frarpi'ng EI cGGrical Rou -in F' al Temporary Service Mechanical Rough-in _ Final PI m in _ Ground Work Rough-in _ Drywall (PRIOR TO TAPING) F~ Fixtures Permanent Service A\C Final WHEN PROPERLY VALIDATED (IN.THIS SPACE) TJ~IS~ YOUR PERMIT Rev. 8/36 POUNDS PRIG: Blair, NE JOB ADDRESS / //~ ~~- LEGAL 1. DESCR. O Nb ( b'"~ BLK. TRACT - ^ SEE ATTACHED SHEET R ,~ pL ADDRESS ~ ~ IP ~~ ~ ~~ P~E~ ~ /' ®L~' ONTRA OR 3. MAIL ADDRESS ZIP PHONE 4. Class of Wo O NEW ADDITION O REMODEL 5. Describe Work: ~_ ~ O Finished Basement nfinished Basement r~ ~ i e~ I). Total Sq. FOOtage (Including Basement and Garag ' ~G' TOtal FlnlShed Area: 7. Valuation of Work: $ ,~~ ~~ Floodway 8. Floodplain: Fringe O Yes O No O Yes O No Dev. Permit BFE Elev. Cert. 9. Current Zoning: _~T,C/`~~~-- 10. State Fire Marshall Required: O Yes ®No 11. Special Use Permit Required: O Yes ®No 12. Variance Required: O Yes ®No 13. Minimum Setbacks: Front. `~. Side ~ Rear 14. Sidewalk Required: O Yes ®No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. Bymysignature 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 by this permit application shall not be commenced until I have received a copy of this application form signed bythe 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 ofNebraska.lu derstandthatth' ermitisvoidifworkisnotcommencedwithin 180 days or is lete 2 years of date of issue. ~Z ~~s~~ SIGNATURE OF OW CONTRACTOR DATE Comment: L~Site Plan Attached o plete Plans Attached Approximate Completion Date ~ ~f /`~ Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card Buildinc Footings Drywall (before finish) Framing Final Electrical Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in A\C Final Plumbing . Ground Work Rough-in Final WHEN PROPERLY ALIDATED IN THIS SPACE) THIS IS YOUR PERMIT Approved By,--~~ ,, POUNDS PRTG: elair, NE _ri" ' Rev. B/96 Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit Application Date; ~ ~~~ ~ -`~~~ Permit Fee: $ ~~~~ ~ ~-~ JOB ADDRESS ~ ~ l~~ ~ ~ ,~~` ~~ i LEGAL 1 • DescR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET ,Z OWNER }j ~ 1 6 ~ MAILADDRESS ZIP Cr PHONE 3 CONTRACTOR ~,e. MAIL ADDRESS PHONE LICENSE NO. 4• Class of Work: O NEW RESIDENTIAL ®NEW COMMERCIAL EMODELING/ADDITIONS O UPGRADE SERVICE `• Describe Work: 6• Current License on File tes O No ®NA ELECTRICAL PERMIT F S New Service Fee = (Amp Fee + $2.00 per branch circuit) 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 S stem $10.00 y """"""""' 301-400 Am Fee $ 42.00 p ............................ 401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00 501-600 Amp Fee ............................ $ 67,00 Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total NOTICE New Residential: (Finished Area) I hereby certify that I have read and examined this Single/Two Family Dwellings application and know the same to be true and correct. All sq. ft. x .045 provisions of laws and ordinances governing this type of k ill b li d i h h h ifi h i wor w e comp e w t w et er spec ed ere n 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 Rece tacle/Sw' ch Outlets ~ q ~, - ~" ~s ~ Fixtures ~-~ x $.75 I ~ law regulating construction or the performance of construction. Residential/Commercial Appliance # Fixect Outlets x $3.00 Power Apparatus (220 Volts) # A aratus x $3 00 . pp . IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT Permit Issuance Fee .............$15.00 .. ..~ t ~~: t-~~~ DATE T®T~L t ~3~ ..:~ _~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS,~I~` YOUR PERMIT Comment: ~ Approved Sy: ~`.~''` ,,~°~ %~ ~,/~_ POUNDS PRTG: Blair, NE ~~ Rev.1TJ95 ~. Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: Issue Date: ~ ~~~) ~~~ TYPe~ ~'n f" ~ Q ~~~` ~~ ~ ,~~ JOB ADDRESS ~ ~ ~ ~~~ LEGAL 1 . DESCR. ^ SEE ATTACHED SJ~~ , OWNER 2, ~,~ _ ~ ~ t ~ MAIL ADDRE S ~ ~ ~ ~ ~ ~'I` ~, Zlp HOME PHONE ~ WORKICELL PHONE CONTRACTOR 3. MAIL ADDRESS ZIP HOME PHONE WORKICELL PHONE 4. Class of Work: ®NEW ADDITION [~~REMODEL ®OTHER Q FINISHED BASEMENT Q UNFINISHED BASEMENT 5. Describe Work: ~ ~ r - 6. Valuation of Work: $ ~ ~,'~( ~, r~l;, Total Sq. Footage (Incl~diog BasementaRdGarage): Total Finished Area: Floodway O Yes 7. FIOOdplain: Fringe Q Yes ^ No Q No Dev. Permit BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: ®Yes ®No 10. Special Use Permit Required: ®Yes Q No 11. Variance Required: Q Yes ^ No 12. Minimum Setbacks: Front 13. Sidewalk Required: ^Yes Side Rear Q No Waiver Approved 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 by this 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 accordan a with the codes/ordinances of the City of Blair and the State of Nebraska.lunderst ndthatthis errnlt svoidifworkisnotcommencedwithin 180 days or is not c p withi ears of date of issue. G ATURE 0 TRACTOR DATE ® Site Plan Attached Q Complete Plans Attached Approximate Completion Date ~ ~ ~ I ° ~' '~ Inspections Required and Fees Utilities - Sewer Septic Buildin T Footings F~ Electrical RR~gf~ Fi Temporary Service M hani Rog -In _ ~~ Plumbing , Ground Work WHEN PROPERLY VALIDA~ By: Water Service Remote Stop Box Card ~, Drywall (PRIOR TO TAPING) ~i>~ Fixtures Permanent Service A\C THIS IS YOUS-RFRMIT POUNDS PRTG: Blair, NE Rev. e/96 JOB ADDRESS I ~ e ~ g ~ - II LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER Z MAIL ADDRESS t ~' Zlp HOME PHONE /~ WORK CE L HONE /' , J ` ~ ~. / L P CONTRACT MAIL ADDRESS ZIP HOME PHONE 3. WORKICELL PHONE 4. Class of Work: ^ NEW ADDITION. ^ REMODEL ^ OTHER ^ FINISHED BASEMENT NFINISHED BASEMENT l ~~ I/~. 5. Describe Work: j ~) ~ ,. ~~ ~' c 6. Valuation of Work: $ `'~ Total Sq. Footage pnDluding Basement and Garage): Total Finished Area: Floodway O Yes ®No Dev. Permit 7 FIOOdplain: Elev. Cert. . Fringe O Yes ^ No BFE 8. Current Zoning: ^ Site Plan Attached ^ o plete Plans Attached ~ f Approximate Completion Date - 9. State Fire Marshall Required: ^ Yes ^ No Inspections Required and Fees 10. Special Use Permit Required: ^ Yes ^ No Utilitie 11. Variance Required: ^ Yes ^ No Sewer Water Service 12. Minimum Setbacks: Front Side Rear Septic Remote 13. Sidewalk Required: ^ Yes ^ No Waiver Approved Stop Box Card Buildin NOTICE Footings Drywall Separate permits are required for electrical, plumbing, heating, ventilating and air (PRIOR TO TAPING) 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 Framin Final permit. I further agree that construction covered by this permit application shall not be g commenceduntillhavereceivedacopyofthisapplicationformsignedbytheBuilding El i t l Ins ector r ec ca p . I hereby agree to perform the proposed work in accordancewith the specifications set Rough-in Fixtures forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska.lund~rstandthatthispermitisvoidifworkisnotcommencedwithin Final Permanent Service 180 days or is rtot'som~leted within 2 years of date of issue, /e~pN~~ Temporary Service DATE SIGN U E O O • Mechanical AT R F 1/CONTRACTOR WNE) k Rouah-in nor Final Plumbin Ground Work Rough-in Final WHEN PROPERLY V~k~~IpATED (IN THIS SPACEI THIS IS YOUR PERMIT Y Rev. 8/96 POUNDS PRTG.-Blair, NE ~' Perr Issue Rece Depc Issu L i.c C 2.~ C 3.~ .t, 4. t/Id55 OI vvurn. LJ IVLYV U wvr,.v.. >,~ < jRESS )RESS L, .._..JODEL ~.~ > .9~ ,j i ,,~ ~ ~ .~ ~_~~~~~- ~~~ ~,;~< ,~,i~ L.~ ~. 7. ~ ~~a ,v~ l1.' ~~~ ~ ~~ :J;~~ ~~ 8 ~ 9 J~ ~ ~,;-~' ~ c ~ ,. / ! ~ j3 ~~ - - - x c ,.a, , nn~ ~--~ i ~. ~~ ® ~~ le pR De BF ` /~ Q t.~ I -~ ~~ . R~ rov,._ latir Atha ~f thi on s by tF ecifi~ bf BI ~mei Bulidina 4TTACHED SHEET TONE NFINISHED BASEMENT ,1 ~ 1~ ~~ ~ Area: Coete PIS t~ached l~ d and Fees Service ie Sox Card ~o ~~ E ~M POUNDS PRTG: Blair, NE ~~ ~~~ ~/9/~~ WHEN PROPERLY VALIDATED (IN. I His YOUR PERMIT Rev. 8/96 BUILDING INSPECTION REPORT ` CIT\=OFBL.A{R ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• ~, ~ _ _ ", NAME OF OWNER• CONTRACTOR• • ~~ ~ , ~ DATE INSPECTION REQUESTED• `'~' TIME INSPECTION REQUESTED ° ~~' k''J PERMTI' NO• ~ ~ TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ DECK FOOTING ~ FRAMING ^ DRYWALL ^ FINAL PARTIAL COMMENTS: ' UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ^ PARTIAL COMMENTS: ELECTRICAL: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL COMMENTS: PA FAILED 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 PASS FAILED PASSED FAILED ^ ^ ^ STATUS CHECK SC /v ~, ~~se of a July 5, 2005 Jeff Willis '[~~ N. 21~ Street Blair NE 68008 Ci'I~ OF BI~~~II~ Re: Building Permit 9494 -Residential Remodel Dear Mr. Willis, This letter is to inform you the above permit will expire on August 31, 2005. Please be advised that you will need to contact our office no later than Wednesday. August 31, 2QQ5 to request a final inspection of this project, or you wifl be rectutred to renew this permit for an additional two-(2} year period since the fence has not been started. Enclosed, please find a copy ofi the building permit for your reference. If you have any questions regarding this issue, feel free to contact me. Thank you in advance far your cooperation in this matter. Sincerely, Brenda Wheeler City Clerk Enc. s _ 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 E-mail cityofblair@ci.blair.ne,us ~~ oa'~.~rr ........ --. -.... _ _. - _.. -. ,._ ~^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER ~ ,t r_. ,, ~` ~ ~' 1` ~ ~~/ T r ~ > f LOCATION OF INSPECTION: t ' ° rt°~ ~~'~ NAME OF OWNER: I ~~ F ~ ~ ~~~ ~ ~ CONTRACTOR: ~~ ~ ~~ ~ ' ~ ~ ' . .~- DATE INSPECTION REQUESTED: ' {' Y ~'~ TIME INSPECTION REQUESTED: ' ~-~ PERMIT N0: / TYPE OF INSPECTION REQUESTED: ^ C®NFERENCE l ^ STATUS CIiECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIlVG ^ DRYWALL [~ FTNAL ^ PARTIAL PASSED FAH.ED~ ~, ~ ` f '_ COMMENTS "~ ^ ~ ~ ~ ,~ f ..r : _ _ r r _ .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 [ I FINAL ^ PARTIAL ~ ~~ ~ ~ ~~ PASSED FAILED ^ ^ COMMENTS: ~ PLUMBING: ^ GROUNDWORK ^ ~ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIALS ~ PASSED FAILED ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: _,, ~ .,,~~~ ~~ ,., ~ FAXED OPPD\BURT REA -~'C--/`SATE OF INSPECTION MADE: TO CONNECT SERVICE: ON f~ ~ ~~ TIME: BY IJ G I I ^ CITY OF BLAIIt ^ WASHIIVGTON COUNTY ^ OTHER ~: LOCATION OF INSPECTION: a ~~' ~ k~` ~ "~~ ,, __ NAME OF OWNER:'{ i ~ CONTRACTOR: DATE INSPECTION REQUESTED: t' ~~ ~ ` +' PERMIT N0: - :°~ ~. TIME INSPECTION REQUESTED: ~~ ~~ F~ ~ ~ ~~ TYPE OF INSPECTION REQUESTED: BUILDING: `~ . r _v.. q f~ > 9 t ~ ^FOOTING ^ FRAMING [~ DRYWALL ^ FINAL `~ `~ ` - UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT. SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: ~SSED sag xoTES> ^ FAILED ~s~ rroTas~ NOTES/REMARKS: ` DATE OF INSPECTION MADE: ~ _ f ~ y ~ ~ TIME; ~~u.~~ j CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPI1\ ^ YES ^ NO BLR 1 __ __ - „` -- ,~ CITY OF' BI,t\Il~ =a_ fro ~ ~J~~ ~~Se o f q January 15, 2003 Jeff Willis 141 N. 21St Street Blair, Nebraska 68008 Re: Building Permit 7498 -Residential Addition Dear Mr. Willis, This letter is to inform you the above permit will expire on January 31, 2003. Please be advised that you will need to contact our office no later Fr~'dav, Januarlr 31, 2003 to request a final inspection of this project. This permit can not be renewed again., Enclosed, please find a -copy of the building permit for your reference. If you have any questions regarding this issue, feel free to contact me. Thank you in advance for your cooperation in this matter. Sincerely, Brenda Taylor City Clerk .. _. ~ . Enc 218 South 1 bth Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cii)rofblair@huntel.net ,~~° ~~ ~E 4~f •-~ Vii. .~ ~~ ~~ A i ~ ~~ ~" } ~:. `1 1 .. ~..F. V Nanr OFfkt r g N [nPo CenGr V - ~ ~ ~ ~ c / ~~ \ d ~ J gr 'D OD z r ~ z~ ~J ~~ o0 3 ii U N ~ ~~ ~~ t~7 C, ~ y '' ~° D ~ ~ w fi---~~~A~ e L_ ~ m V W ~ A ELECTRIC ~ 'y' ~ro A~ ~~ m ~~ ~ 8i ~~~ ~~~-V-~N o ~ _ ~W~.~ - ~ N ~~- LI ~ W ----4- N w N ~ N ~r v '~ 0 ~ Q fn ~ ~ N a, O ? A~ OW ~~ .~ ,o ~; ,% 1 ` fJ .+ N ~ W A I OD ~ ~I. . ' ~ ~. ,1 N ~ 1 fl ~.~'* 11 ~` ~ ~1 <~ ~M ~ ~3~ f I ~F~i' ~ v~. 1~~'~,R~11 ~ ~~~ '. "~,'LLt Y ry ~', (y Y,. i hi~Yi nx f r ' ~,:~.,i; ~ ,- ~~~ . ~~; , i... I ', i~ ' i `. f 4. ~ - I- • ~. ~~ yi;5 1. ~_n. ~_! i~ UIL ING INSPECTION REPORT ~^ Cl'"Y OF ALF,iR ^ WASHINGTON COUNTY ^ OTHER P"` LOCATION OF INSP ECTION- " a .+ ~ ~ ~~ ~ ~~ ~ ~ ~ ~ a C ,~` - ~, , ~~ NAME OF OWNER• ~ CONTRACTOR • '~ ' DATE INSPECTION RE UESTED ~ ~ w Q ~- _ TIME INSPECTION REQUESTED• PERMIT NO• ,. _~. , TYPE OF INSPECTION REQUESTED: ~` ° . ~~ ~ `~ ^ CONFERENCE ~ -_ • ~TATUS CHECK ~ BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL ~ _ ~ ~ PASSED _ FAILED COMMENTS: 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 q ^ PRESSURE TEST "COMMENTS: OF INSPECTION FAXED. OPPD~BURT REA TO CONNECT SERVICE: ^ ^ PASSED FAILED ^ ^ D,~T /•/lS Y __ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED Cl~T'Y,QF [3LAIR ^ WASHINGTON~OUNTY ~~ ^ OTHER ~l ~ d .~` LOCATION OF INSPECTION: ~!'`~ .>'~ ~'~ ~ r ~ NAME OF OWNER: ~ _ ~ ~-~- ~ w~`~ CONTRACTOR: ~~~y a ;~ ~° ~ ,~ ~~~ 1 ~ DATE INSPECTION RE UESTED:~`r~" ''~~~`~;- Q ~ TIME INSPECTION REQUESTED PERM ,.~' ~~~.~`j~~ ' : IT N0: a^ TYPE Or INSPECTION REQUESTED: ^ C®1®TFEILENCE - STATUS CFIECI~ BUILDING: ^ FOOTING ^ DECKFOOTING ^ FRAMING ^ DRYWALL^ FINAL ^ PARTIAL PASS ~~ FAILED ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE l ~ ~ ~ LD 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 COMM f ^ ENTS: _~ ~. ~ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ~ FINAL ^ WATERMETERINSTALLED ^ PARTIAL PASSED FAILED ~ ^ COMMENTS: ~ ^ OCCUPANCY GR~1*~TFn n ('n~TT1TTI0IS~AL OCCUPA'~~('°Z' rR ±'t'TP'D , t -~ .~ ~ ,? ~ - ~ s, , ~ ~'J ~~ ~~ / ,~- NOTES/REMARKS: r. / `~ . ,...~.,~ - r • f - ~ .'` ~..__. ~~ fJ ~ ~ ~°~ _ f ~,. _ ~ „~ e. ~ ,. ,,, ~, r y __ , . ~ - ' ,/, ;f ~ r f °'~ INSPLCsI'012_ ~._n~. ' ~ _ .. ~' f _. '° ~,~ Irv-``'` `-- ~'~ ~ ,r ~' ~ ~, ~ '~~° 'BATE OF INSPECTION MADE:. ~ G--~' ~` ~ ~~ "' TIME: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY T ~F~ ~- vP • ^~ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~~ ~ ~ ~ `•~ = ~ NAME OF OWNER: ~ ~- ~~ ~ °~ ~. `` -~ ~ CONTRACTOR: " ._ _,, DATE INSPECTION REQUESTED ~- ~ PERMIT NO: ~ ~ ~'~ ~ ~''~ ;,. TIME INSPECTION REQUESTED: ' ~ y3_ .'F- TYPE OF INSPECTION REQUESTED: ~. BUILDING: ~ '~~ ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING ` ~ :; ~ .-. ti 4, , . .., s ,~ ~ ~, , ~~._., y. ^ GROUNDWORK LJ ROji~I IN ^ FINAL '; RESULTS OF THE INSPECTION• PASSED (sE~rroTas~ ^ FAILED (sEE rroTES> N(ITF~/R FM D R K e• CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1 DATE OF INSPECTION MADE: TIME: J ~ ~ , CITY OF BZ~II~ p~o~~se of 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 2000 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. I 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. Contractor City of Blair ~V~O -cam Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel,net CITY OF BL~IR ^ WASHII~IGTON COUNTY ^ OTHER { 3,_,~, LOCATION OF INSPECTION: r~ ~ ~ ~, - ~°'~ ~ NAME OF OWNER: _ _ r ~ F ~-~ ` °~ CONTRACTOR: ~ `-% `3 DATE INSPECTION REQUESTED: ~`~' ~,t~ f `P (,,~ pERMITNO: °~ $~~ TIME INSPECTION REQUESTED: f ~ • ~ ~~° _ TYPE OF INSPECTION REQUESTED: BUILDING: FOOTING ^ FRAMING ^ DRYWALL ^ FINAL `UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-W ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: ~ASSED (sEENO1~ES> ^ FAILED (sEE rroTES~ NOTES/REMARKS: DATE OF INSPECTION TIME: /(~°G~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1 "y°fBlai~ January 12, 2001 Jeff Willis 141 N. 21St Street Blair, NE 68008 Re: Building Permit 7498 Dear Mr. Willis, On December 10, 1996, you obtained a building permit to add an addition to the above address. On December 31, 1998, a renewal permit was issued, permit #8375. To date, the addition of this project has not been completed. This letter is to inform you this permit has expired. If you plan to complete this project, there will be a $213.50 renewal. charge. This will be your second and final renewal at this rate.'' Ifahis project is complete a final inspection may be completed and your deposit of $200.OQ,may be returned to you. Please cont~ct~our_offce~by January 19, 2001 to set up a final inspection or to apply for a new buiadmg`permit ;:: If you have ~ny further questions in this matter, feel free to contact our office. Sincerely, Brenda Taylor City of Blair 210 S. 16TH STREET, FLAIR, NE 600002010 ®(402) 4264191®(402) 426°4195 FAX ®E~NIAIL: cityofblair@huntel.net EOllAL HOUSING OPPONNNIN ry promise.., T_,,- - UILING INSPECTION I~,~ T ~, ~_'1 CIT't OF BLA;IR ^ WASHINGTON COUNTY ^ OTHER a i ~ f` LOCATION OF INSPECTIpN: ~ ~ I ~ ~ o ~"° ~.-~ ~ NAME OF OWNER• CONTRACTOR • v '~ , DATE INSPECTION REQUESTED• • ~ m TIME INSPECTION REQUESTED• ~ ~ ^~ ' ~_ ~ - PERMIT TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ~'fi FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PAS FAILE D COMMENTS: ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ CO PARTIAL ^ ^ MMENTS: ELECTRICAL: f'=` ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL PAS D FAILED COMMENTS: ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL ~~ a ` PASSED FAILED COMMENTS: ~ ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL 'PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS INSPECTOR PATEOF INSPECTION MADE: _ T FAXED OPPD~BURT REA TO CONNECT SERVICE: ON By .~y~ ~];CCIY OF BLAIIt ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~ ~~~,~~ `~ ~~~ ~' ~ ~~ NAME OF OWNER: CONTRACTOR: F~ DATE INSPECTION REQUESTED: _ _ _ _~ ~~' ~~~~ PERMIT N0: TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES:. ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS •. ~ , ^ PERMANENT SERVICE .TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: ~ P INS DATE OF INSPECTION MADE: ~m..~ b ~ ~` ~~ °'~ ~~ ,~ TIME: ~~/~ CALLED OPPD\ TO tCQNNECT VICE: ^ YES ^ NO ~, WANT OFFICE STAFF TO CALL OPPD\ ! `~~ ~ • ~ ^ YES ^ NO BLR 1 ___ ___ ITI I S C l , C'I'1-;, ~') f~ f3L,~1J•R ^ WASHINGTON COUNTY ^ OTHER ~~ 3 LOCATION OF INSPECTION: "~~~'~ ~ _~~ ~ NAME OF OWNER:_ _ _ _ CONTRACTORS _ j st ~ DATE INSPECTION REQUESTED• " ~"~' TIME INSPECTION REQUESTED~~=__ PERMIT TYPE OF INSPECTION REQUESTED: _ ^ CONFERENCE BUILDING. ^ FOOTING L ~~ ^ DECK FOOTING ^ ~ FRAMING ^ DRYWALL ; ~ FINAL ^ PARTIAL _ STATUS CHECK PAS D FAILED COMMENTS ~~ ~ ^ UTILITIES: ^ ^ ~ ,~ ~wv~ ~, _ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PARTIAL _ ~ PASSED FAILED COMMENTS: ^ ^ ELECTRICAL: ^ ^ COMMENTS ROUGH Ili ^ hINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL ~PASS~ FAILED ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PAR~~, PASSED FAILED COMMENTS: ~ ^ ^ PLUMBING: ^ COMMENTS: ^ GROUNDWORK ~~ ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PRESSURE TEST '~~" ~~` PASSED ^ ~~ FAILED ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED ~ ~~~ ~ ~'~' FAXED OPPD\BURT REA TO CONNECT SERVICE: r TIME:.~__~~~ BY CITY OF BLAIR ^ .WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~ ~ ~~ ~f $ `~~ '~ a ~ \ ~ ~`~ ~F t NAME OF OWNER: ~ ~ v ~ , . CONTRACTOR: ~ ~ ~ ._~ ~ ~~ °~~ ~ ~._ DATE INSPECTION REQUESTED:_ ~ ~ ~ ~ PERMIT N0: ~ ~ ' ~ ~~ TIME INSPECTION REQUESTED: b ; ~ ~ ~ TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ~' "~,, ELECTRICAL: ~~ ~ ~ ^ ROUGH IN ~^~FIXTURES ^ FINAL ^ MOTORS PERMANINT SERVICE ^ TEMPORARY SERVICE ~` MECHANICAL: ^ ROUGH-IN ^ A/C PLUMBING: ^ GROUNDWORK ^ FINAL ^ ROUGH-IN ^ FINAL ~ ,c r- 'G ~ __,% - 4 i ~.~. RESULTS OF THE INSPEC - N: - ^ PASSED ~s~rro~rES~ LED (sue rroTES> NOTES/REMARKS: ~ ~ ~ ~ ' DATE OF INSPECTION ~`~!' TIME:. ~'- CALLED OPP~ ~~~ ~ TO CONNECT SERVICE: YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1 ~^-... Application Date:~~' ~~ _ ~ _ 1 ~ Permit Fee: $ ~(` JOB ADDRESS I ~'rl / ~~' ~( ~~ c~,~ / LEGAL ~ • DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET 2. OWNER //i MAIL ADDRESS ZIP PHONE 3• CONTRACTOR MAIL ADDRESS ~ii~~ PHONE LICENSE NO. 4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL EMODELING/ADDITIONS O REPLACEMENTS 5• Describe Work: Comments: PLUMBING PERMIT FEES Type of Fixture No. Kitchen .................................. $8.00 x Bath ....................................... $8.00 x / ~. ~ C~ Rough-In Bath ....................... $4.00 x Utility ..................................... $5.00 x .~ > . C:~ (1, Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x ~ ~ C~~-~~ Water Service ........................$10.00 N®TIC Sewer .................................... $10.00 I hereby certify that I have read and examined this Groundwork ........................... $10.00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals ..........$10.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Lawn Sprinkler System .......... $10.00 to violate or cancel the provisions of any other state or local Sprinkler System $30 00 law regulating construction or the performance of ................... . construction. (Commercial) `~ Permit Issuance Fee ............. $15.00 r~ ~~ ~--~ ~'A SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT "~ ' T®T~~ ~ f ` DATE Current License on File Yes ^ No ^ NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS, IS YOUR PERMIT Comment: Approved By: /' ~~ alt., ~~ SOUNDS PRTG: Blair, NE Rev. 12/95 Permit Fee: / 2~~ ~ ~ Jurisdiction of City of Blair, Nebraska 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 Deposit Receipt #: ~©ra3G~ ° (402) 426-4191 ®Fax (402) 426-4195 Permit Application Date: ~!' `' '~ ~~ ~<~~`~~~~ Issue Date: /%~ ~~ ~~ ~~ ~~ JOB ADDRE'S/S AA // LEGAL 1 . DESCR. LOT N9. ~/ I~L.. p~cL~ I `~" °~ BLK. C~ ~ / TRACT ~ ~ ®SEE ATTACHED SHEET OW ER ~ MA~jR ADDRESS ZIP 2 r. ~n."~ p, ~'~-~ tom- G' 4- ~g~.,n'"tI' ~ ,~(sL ~ ~63'J72tr ~U/ ~~" 7PHONE ~~ ~ ~/ CONTRA TOR ~~~~~ AIL ADDRESS 3 ZIP PHONE . ~ 4. Class of Work: O NEW ,~~4DDITION I~.REMODEL 5. Describe Work:~~~ ~,, ~ ~~hl.~o ~ ~,r~~~~ ~ ~~~~~~~~ O Finished Basement l~lJnfinished Basement 8. Total Sq. Footage (IncludingBasementandGarage>: / ~ ~® ,D •~ Total Flnlshed Area: ~~ _~ 7. Valuation of Work: $ ; j ~,, '`J~ C~ , Floodway O Yes O No Dev. Permit $. FIOOdplain: Fringe O Yes O No BFE Elev. Cert. 9. Current Zoning: I~ ~~Site Plan Attached ,~ ~c;omplete Plans Attached 10. State Fire Marshall Required: O Yes O No Approximate Completion Date Inspections Required and Fees 11. Special Use Permit Required: O Yes O No Utilities 12. Variance Required: O Yes O No Sewer Water Service ~~ ,,~~..,, ~ ~ ~ 13. Minimum Setbacks: Front ~ Side/ Rear ~~ Se tic p Remote 14. Sidewalk Required: O Yes O No Waiver Approved B !L' 'Idi Stop Box Card ul na , NOTICE Footings ~ Drywall's Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge that payment (before finish) of the building permit application fee does not constitute issuance of this building Framing .s Final° permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of this application form signed bythe Building ~ r~ " ~ ~ ~~ Inspector. Electrical ~ °" ( ~ ' I hereby agree to perform the proposed work in accordance with the specifications set Rough-in ~°'~ Fixtures forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska.~understandthatthispermitisvoidifworkisnotcommencedwithin Final °~ Permanent Service 180 days or is n completed within 2 years of date of issue. Temporary Service ~ /! ~5+~~ SIGNATURE F OWNER/CONTRACTOR DATE Mechanical , . Rnnnh.in °'" ~ non Final °' v l V PluPlumbinp ` ~('`(~ ~{ ~i~~,,, Ground Work °- Rough-in -' Final WHEN PROPERLY VALIDATED (IN THIS SPACELTI-}1S IS YOUR PERMIT POUNDS PRTG: Blair, NE Rev. 6/96 f~~~, -~ ~ GAL u; ~~~,~~~~~~u~` ®%tiL"'L'_''~ ,1~~~ ,'~~ Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 ~ Application Date: /'/'- "~ '~` ~ ~' ~ ~~~ Permit Fee: $ ~~rc~a JOB ADDRESS LEGAL LOT N~,9 BLK. TRACT y~ ~ O SEE ATTACHED SHEET 2 OWNER MAII,ADDRESS ZIP PHONE ,3, CONTRA TOR MAIL ADD~/RESS PHONE ~j LICENSE NO. ~.~ ,w1~. J`-,~z,.n~ ~o`~ ~ ~- ~?s ~ 02..E 4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL MODELING/ADDITIONS O REPLACEMENTS 5. Describe Work: ~~~ <~ c~-~c.~~',~~~,e.g~~~ ~za s?'L~~ ~=~<~.'~~-~~~J Comments: MECHANICAL PERMIT FEES Forced Air Systems Per Unit Commercial/Residential (New) ...................................... $25.00 Air-Conditioner Unit Per Unit Commercial/Residential (New) ...................................... $10.00 Refrigeration Units/Coolers Per Unit Commercial (New or Replacement) .............................. $10.00 NOTICE I hereby certify that I have read and examined this Forced Air Systems/Air Conditioner 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. Unit Replacement fOo~ ~ Per Unit Commercia Residential Replacement) ........................ $10.00 The granting of a permit does not presume to give authority ,~ ~ G~,~,~~.~ to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Permit Issuance Fee $15.00 ~$° ~ ~~,~~ TOTAL ~ _v.__ ~ ~ i -~. NATURE OF CONTRACTOR OR AUTHORIZED AGENT ®NA O Y ®N Li Fil C f_ ~ 5 `~~ ~ o cense on e es urrent DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT comment: Approved By: ~- ~'fG-~' POUNDS PRTG: Blair, NE Rev. 12/95 LT 3 C "^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER ~ ~°. ,~'r'~`~ ,~ ,,' _,'° LOCATION OF INSPECTION: `~ ~ `~ "° f NAME OF OWNER: ~ ``~'"~ ' ~ -~- °} -~;~ CONTRACTOR: DATE INSPECTION REQUESTED: PERMIT NO: ~ N ~'' kr TIME INSPECTION REQUESTED: `` `°' TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ~~~PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: rt'= ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: - PASSED (sEaxo~s~ ^ FAILED (sue xoTES> NOTES/REMARKS: DATE OF INSPECTION ,,~ CALLED OPPD~'"~ TIME: ~` ~~ TO CONNECT SERVICE: WANT OFFICE STAFF TO CALL OPPD\ YES t~ ^ NO ^ YES ^ NO BLR 1 JOB ADDRESS 0~~ ~ ~ LEGAL LOT N0. BLK. TRACT ~ • DESCR. ®SEE ATTACHED SHEET WNER MAIL ADDRESS 2. ZIP PHONE ~t-,~~ ACT ~~ MAIL ADDRESS~_ j PHO LICENSE N0. 4. Clas f Work: ®NEW RESIDENTIAL ®NEW CO MMERCIAL ~~ EMODELING/ADDITIONS ®UPGRADE SERVICE 5• Describe Work: -, • -- ~ 6• Current License on File Yes ®No ® N New Service Fee = (Amp Fee + $2.00 per branch circuit) EL CTIL PERMIT FEES 1.100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Am Fee p ............................ $ 18.00 Temparary Service ......,......... $10.00 ~'~ ~"~1 201-300 Amp Fee ............................ $ 30.00 301 400 A F Fire Alarm System $10.00 """"""""' - mp ee $ 42.00 401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00 501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 ,~ ~`" 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92,00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp 1st 1000 Amp Fee ....................... $117.00 Amp Fee Each additional 100 Amps ........... $ 13.00 Amp Fee T Circuit Total NOTICE New Residential: (Finished Area) I hereby certify that I have read and examined this SinglelTwo Family Dwellings application and know the same to be true and correct. All sq, ft. x 045 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 Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $ 75 law regulating construction or the performance of . construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 ,, Power Apparatus (220 Volts) # A a pp ratus x $3.00 NAT E CO TRACTOR OR AUTHORIZED AGENT ~ ~ ~~~ ~ , ~ Permif Issuance Fee ............. $15.00 ~~ DATE T®TAL ,~ WHEN PF~~PERLY VALIDATED (IN THIS SP THIS IS Y®UR PERMIT Comment: Approve .~~ ~., YUUNDS PRTG: Blair, NE Rev. 72/95 TJI ~ ~ ~ ~~I S CTIO E T CITY OF BLAIR ^ WASHIlVGTON COUNTY ^ OTHER ~ t°°'~ LOCATION OF INSPECTION: ~° ~ ~ ~` ~~ NAME OF OWNER: ~ ~~ •~' CONTRACTOR: - 9 DATE INSPECTION REQUESTED: " _. ~ PERMIT N0: TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ~`', "~ i~ J g` 1 s b RESULTS OF THE INSPECTI N: - ^ PASSED (sEExoTas>'FAILED (sue xo~s> OTES EMARKS: C '~ ~~~ ' L ®\~ ,~ .., ~_ J X7%1 /~ DATE OF INSPECTION MADE: ~ TIME.. `'` CALLED OPPD\ TO CONNECT SERVICE: ^ YES: ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO' BLR 1 November 1, 1998 Jeff Willis 141 N. 21st Street Blair, NE 68008 Re: Building Permit 7498 Dear Mr. Willis, On December 10, 1996, you obtained a building permit to add an addition to the above address. This permit will expire on December 10, 1998. Please contact our office by December 1, 1998 to set up a final inspection. If this project is not complete, please contact our office to apply for a new building permit. Thank you, Amy L. Stephens City of Blair ;I x •°^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER , p R /P Y I p !~ _yF- f~ d tax - LOCATION OF INSPECTION: f f ~°` Per', ,`~, = l/],~`~ ~~;~°_; NAME OF OWNER: ~ ~'" ' ~ `~ ~ ~ ~ CONTRACTOR: ~` ` " ' " DATE INSPECTION REQUESTED: ~ ° `~~ ~ PERMIT N0: `~ ( ~ `~ TIME INSPECTION REQUESTED: ,;~ . ._ TYPE OF INSPECTION REQUESTED: BUILDING: ^ POOTING F~" 'FRAMING ^ DRYWALL ~ ^ FINAL UTILITIES: w i t ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ~ T ~/~ y / ~ ^ REMOTE ^ WATER SE RVICE `-" 1~~~ ELECTRICAL: ~~~ ~°s~'~ , [:ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ROUGH-IN ^ A/C ^ FINAL df PLUMBING: ^ GROUNDWORK OUGH-IN ^ FINAL R ^ RESULTS OF THE INSPECTION: ~,/ I ~ PASSED (sEExo~s) ^ FAILED (sEExoTES) DATE OF INSPECTION MADE: ~ '~E~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF.TO CALL OPPD\ ^ .YES ^ NO BtR ] ~~,_~:, I I { 5U' ~ %~ ~ I ,. 2'-6° { { ~. I { ~. ~ r I I i. I r { I ,: ~ ; I ~ 'l in I ~7 ~ I { 1. 1 I I I ! , I ~i I I i.' 17' } / I ~ ~-- dad 1 ! ~- i W I ~ ~ I NEW ~ ~ I N ° ~ i G~]NC, (V ~ J 1 10' { DRIVE i D i I ~, ~ ~i ~ I m ~ NEW ! ~ ~~ ~ .I i ADDITIC7N - ~ ~ ~.. r ~= r r~ ~STEPS~ I \~ ~ ~ __ 1 1 I \ it--12' I ~ ~ . C3 { 8 1~'-6° ~~ ~XTSTTNC~ \ ~ ~~ STRUCTI.IRE ; ~ ~ I ~, ~ I I ~ 'REP10DELEIi I \ (U } 1 .STEPS A { ~ ~ i ~ 6,. ~J ~-----t-35'-60 i i r ~ ~ ~ I I 1------- --------~--~~ 1 --- ----\ ~i.~ ~\ 7IIP IIF CliRB ~\ -~ 1 i ~ <i2'-6' FRDM CENTER ~ { LiP{E ^F STREET' ;` (U ~ \\ ~ \~ ~, ~ ~ ~~. STREET PAGE 1 of 14 lM1LLiS RESII3ENCE - 141 N. 21st, BLA1R, NE REV: 3.1 B.C. N1/2 OF LOTS 1 & 2, $LOCK 9J 1/20 SCALE iz~~/~b DESIGNED B~': ~iLERiaN DEVELOPI~fENT, ANC. 1~, _ .'°, SOLTTH ELEVATION CLEFT SIDE) t3ORTH ELEVATION (RIGHT SIDE) DENERAL NDTES: - THIS nddkloNremndel to be built In strict ompllance with governing nunlclpol codes (city, county, state & federaU - Calculated dimensions take precedence over CatSd dMenS{9n5. - contrnctor to verify au m cots on fob site, StrUCturai & frarr{ng nemb2rs ~ntllcated e tnseU only on speaes of lumber• tha} sutsfy }}ie respective - Anynstructurnt anc! frnNng nenbers not Indicated are to be sized by cgn}racton - contrnctor .o eonfirn the s¢es, spnem9 qnd ;pecte, of lumber alt slructu~ul and f.urary nenLe.-n. - stnndnrd c rete masonry Units (Ctdu's) are to be used For nil fow{dntlon [pnstrU[tton. - Att new ext, walls tq be of 2x6 wood franc construction Insulated with mm. R-1? fiberglass hntt Insulation. ELECTRICAL NOTES: - Provide new ]10v outlet for dishwasher & garbage dlsposgl. - Relocate existing 220v aut!o_t In Basement Ln~.indry for New Lamdry, - All outlets &S faxthroon-= are t~s Le wh-ed gr.`cund fault. - All outlets In fatchen althin six feet of Wtchen sink are to be wired Around fault. - All outlets In laundry raon to be wired ground fault, `wy' a Mn& vnN aoa ® nm. xmg, v.yi cen ® ~iws. v,.,1 aoe m ® me n a =pu.> Qa °" ry a. xay wyi cmw (vp x:.agart vyyn am w~a vow nm ROD & BOLT SCHEDULE BLT. fiII3. Af1& SPAC4FG F SPAE4 ra e..~uoa "~ .+<. ti filed 3 Fngcacnrg x.qe myaeanny a#a EAST ELEVATION iFR~NT) ~YEST ELEVATION (REAR) 28' 6~_~.`Y~_2~_g.~'_'-6~-a. - - BRICK ABOVE GRADE T 17N Ffll iN7lATIfIN fiNl Y -`T'-2~-B' 9'-4'~. - I 4 _~F- I I NDTE na / r xe ~ STAIRS I ( 3 \~ I2 CUURJES 6'x16] C/nom. FLny~ ~ _ I _ ~ ~ _M / _ Uf' I I I ~ BLOCK _ A I ~ ~ FL. LIGHT }L. LIUN1 ~ ~ ~_4, AI NCK FIIR i ANDTNF. Tp DL a' utcilEa mAn ~ i-- ! I FUUNDATIDN. DUUBLE I ~ ! Frane ~ ~ Rllw ARIf:K KNFF WAI I ~ T,tr NE 11 a _ I Wnll " ' 8'x16' AROUND PERIMETER r ~8~ I I3A~E~`IEN`~ CP•iU's ~ ~ i FL~ LTGHT ~ Conc. A tns, 5,_q. 1 4 q, m ;n i ;a ~ I NNFINISHED) ' r, 2' g' `~` ~ ~ s - BRICK rAB[IVE ~ cU xvnc ~ B wnlc, i GRADE FL LIGHTS FL. LIGHT ~ s7ERs C ~ C NVPC ~ ' N. ~_ / q _Bi r/ W ~ I /~--4' tone. Floor , ~ -~ ' ENTRY STEP + ~ with Poly ~ i ~' ~ ~ LANDING I m Vnpor Bar, Typ. s~„ v~ ` @ { 2 ~ ~n { 17 eic~nr ~ 9 q ~ Corbels ns ` Re7rared . ~cnvE wr noa< R,~4' CUNC, ~} SLAB w - e ~~ ^ I} i >-- I u- ~ 1 ~ ~ ~ ~ _ WASTE ._.. _ _ ELECTRICAL nv r~rw vm~e ~• ~ ' _ ~ ~ PANEL ¢ i.---3'-q' WATER j -~ ~ STEP UP FROM -] -~ ~ NLW IU ULU 1 1 'i `~ 1 1 EXISTING BASEMENT 1:<~ 1 42" Wall HTR N ~ ~,_ _____~..__ __._ ~ ...y-___~__~.~_._ _ hAa ~- /i ;~. Exlsting Structure-~ ~ CRA`1'LSPACE ' `~ NQTE,: ALL FOOTINGS ItIUST BE SET NO LESS THAN 1 42" RF.T,OIy THE FINTSH GRADR. 'i ..;,~ _] _~__ _ l _ ,_ _ - ~ ~_._____ __ /~ Cor^beis as Ll Required ;~ ~ a`I'EI'S 4' Conc. Slab Set 1' Be4oa Ense 1 uF Duur Thresrrutd `BRICK ABI]VE GRADE l - - _~~ (IU ~ 2 --r y I Provide Block Leos ~`~„ ~ ~ ~_~ ~~I J , T~ s„ppnrt cnM-.-steps REV: 3.1 WILLIE RESIDENCE - 141 N. 21st, BLAIR, NE I/6 SCALE 1~/5/~~ DESIGNED DY: ALEIZ,ION DEVEI~®PMENT, INC. 1" = 6° ~---- 5'-10' --~+- 2'-n` 11'-2' 2' --~-- 6'-4' Wf \. uv.r, FB N e ~~\ ~ ..: ~ TA ~.I=,J y~o~ ,~~E MASTER , ~ ~ s °; ~~"~ ~'U - BEDROOM ~ ~ ~ ''' ~J'' ~~ y' ~ ~' \ \ 1~ ../ ~/ 'v ~ 4 wqL I ~O ~ 52` C, FAN ,` ~QF~` ~ ._Q- ve-u ;d ~ ~ ~ 5, i, }YAL%-1N CLUS%'1' ~ i'-a ~ ~. __==-==N - ~ ~ 7'-i~' Q cQf \ ~~'~ \ \ xvac ,,1~+" BATH io ,~--, 13'-6' ° xvpc P ~--~ 3 ~ 6 4 X222?~ c'~ 1'-4' 2'-18° 9 ~ W / ,~ n O 6 ~ 6 ! ~ 1 ) i Fl -O- ~w \\..JJ M 2'-4`-y- 2'-8' ~ g•_g• Hunt rrvac '-J S'-SO' T-2' - 2' -• ~~. j S7FPS 4r'~ I i cF .{ Gpa rv ~ 42° C. FAN 1 ~ /~ WS } QQL / l ~~ V V ~ N ~/ _ _J -j ~~ g '~ n7.1 ro iro ~ 42' C, FAN j BED300M { ~ fQ- ~~'~ BEDROOM J i F' - L ~ ''~~ ~ 11) PLANT 'NELf '~i ` t cbs,o~ u ~nowN ,~ B4 I I .. ~?~ SUPP I ~ - ? A?~~ ~ :r.2vFr - , .~. {, W4 N - '4'~\\~\~ 3'-10' ~a iu `\ L~ r n103 M~n.vc; ne.i LAUNDRY ~ na.l rrno-nvnv _ &-NIHG BOPRO _ _ _ WALK-IN i•ASAILY r 1~ CLOSET m `._~. -, DESK / CUMPUTER ~ ~y~, ~ uwrsa, - --- m - - - - - AREA J ~ ~~ I1 OPEC .._ ,--Io-a_-____~~ '1_~~~ ~,us,=. -. _ ,_ _ $ELOW r/ Exls+ing Y#rracture~/ DEAD SPACE 23'-4" ' - - - - ~ ~- Ronf Wore / ~ :nfi FaMx~--~` `~ ' P.aFier Brace - Ses P.after Pstet~ \ ~ / / 1 yr nrywau ~ exa ewe~;<r ~ ~ CE) Ex4 Tw Plates-~ / ~~ i-l- / 1 C+ICtNg 2~1 Rniter Cmn\t. J ~\~ ~~ Eslsronp Rxs sae a 1oa<~,, l °,e'`i°`dla:i r"o ~~ of \ 2x6 Frame Wnlt 1" Insulated wj 1/2' DrYwntl Fnsnnq -ose flste- Choa}yt~nfl L x_13 bull illsut, w 5' Lay "' y[ BaseWuur~~i tAauldln Siding w ~ B Ea~t~ vas mcfear (-3/4' Subfloor 1 2x6 End HB Slll R-19 Batt Insul, 2x10 Floor Jolst ~flGtCf5ZV4) -8' T~;J, Naii EvutFq AB Fiaar JWet ~ tnsta8 exc uricR vsne E~sstrq MasorcM The FoWa4on SL JL m 1 1 ~~~TI ~~~~~1 V Etcfin8 s• Cmc Slab '~--Int ~4 VaLL [obziru[UOn yr ]myrml z.t s~ele nat. ~ebverd _ ~a,a•suerlaw~ r.~ y_4t 5iH• -ry.aLL +4 Fkv3?r Pln+vs 2x4 Vall CnnstructGt ~u~t. a c~s~ value a-~r~ ,~ 2' MYwnll r 2na aese Plnie / FvseC,~.d 3/4' SWfbvr U'-13~ 17n. k'loor Jm,t Level F4st Floor inne:~°°r y t-~15 Flsor Ja'st orotcAedl ll2' OrYwall 3~5 Sal Plnte I. N tiu S~ l~9'hyJrror Aslt .. I ~ ~ ~~ \~ :$ ~1wb~vd ~tLRerF. RoY ~~ I _ 1. 1 ~ ~ IE Courses c a• Exu.•s a• cano sme 3' PYlO, Draim TAv l-tl4 A.eHar 1-e•.is• Emt. EaK. Foaaatl ~~ T~~ A~~~~~I~T~I~G ~r 1 iz~ iz ECTI~N ,B, 1~ 11 ~1 5~ 61 ~z ~ ~ SECTIEN 'B' ~ ~l ~~ ~~ II J ! FUP.NACE VENT ~ ! ,..11_.__®.__®~.~_.~___ __ ~ ,~®___~___~~ 1~ ~j 1 EXISTING R~~F ~z~ ~z 4)16' &<t. Sheeting h.^Pha1t Sh;rglrs.-~ '-2X6 Rafter ,/ Vlnyt Gutter ~ `2,x6 Ev.t. Wall 1x6 Fas~in Board) i Vinyl Soffit / / 2x2 8tv~ker'~J 1' ins. Ext. >heetrnp-'/ 9L 6 1 1 ~~. ~~V1' V YlG~~t'11V V1 Rgfter Support Bear+ \ t3)-2x12 Laminated ~~~ ~ ~ ~..~m\ tn, i T-6lia' i\\\. \ /~ / \\ IN \ \~.\ ~ ~-2z6 Rafter \ -r- C 16' G.C, ~\ 1 Pi ` 2x4 Rnftar Arnro 2x6 Ext, Wall E 8'-0' P.bove Subfloor 7P .CIIAFI 1117R R~FT~R ~3~T~IL <SECTI^N A) Rgfter• Support Hegn iHJ-2x12 Lgmmated l // i~ N ~~\\ / /jam 2x6 Rafter \ ~~\ Lam' \~ 2x4 Int, Walls 2x6 Ext, Wglf ~ ~1 l~8'-D' Above Subfloor ~c^x4 Rgfter• Hruce SET EXT. WALL HEIGHT TO HATCH E;;T, 'dALL HEIGHT Gf NEW ADAITIGN CSECTI^N B) City of Blair BuilcJing Permit Detail Permit #: M1033 Issued: 2/9/2004 Completed: 2/10/2004 t_ocation: 141 N 21st Street Owner: Jeff Willis address: 141 N 21st Street Blair, NE 68008 Phone: 402 426 2872 Section: Township: Range: Subdivision: Lot; Replacing old A/C and furnace with new 3 ton AIC and 100,000 BTU furnace. Contractors Getzschman Htg & Sheet Metal General Contractor Remarks Type: Mechanical Miscellaneous Valuation: Permit Fee: 20 Issue Fee: 15 Deposit ~-mt.: Receipt #: Block: Permit # Issued inspections Date By 2/10/2004 DEM Mechanical Final Pass ]~ CTTY OF BLAIR LOCATION OF INSPECTION• i NAME. (lF (1WNFR• ?~~ ^ OTHER_ CONTRACTOR UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED COMMENTS: ~ PARTIAL ^ ^ ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ . , MECHANICAL: ^ ROUGH-IN A/C FURNACE ^ RADIANT HEAT ^ FINAL PARTIAL PASS FAILED COMMENTS:-- ;~, ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED COMMENTS: ^ PRESSURE TEST ^ ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS • `~ ~ t - ~~?-~ 1 1 ~~ INSPEC~~9 TE OF INSPECTION MADE: ~ O T s FAXED OPPD~BURT REA TO CONNECT SERVICE: ON uv _ _ __, BUILDING INSPECTION REPORT ^ .WASHINGTON COUNTY ~_ s f Application Date: ~ ~ ~~ Permit Fee: $ JOB ADDRESS ^N ~ j ~ ,ry ~ ` `j ~ s g 1 OWNER ` MAIL ADDRESS ZIP PHONE ~i ~ ~ ~~~.~~ 2 CONTRAC R ~' ^ - MAIL ADDRESS PHONE LICENSE NO. 3• Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR REPLACEMENT 4. Describe Work: Central A/C ,~ Tons MCWANICAL PERMIT FEES Furnace ~ Ql~ ~ ~~ ~ BTU/H Forced Air/Heat Pump Systems -Per Unit # of Units A/C Commercial/Residential (New) .................................................... $25.00 Air-Conditioner Unit -Per Unit Furnace Commercial/Residential (New) .................................................... $10.00 Forced Air Systems/Air Conditioner ~'p.ca ~~ ~ (~ ~/ Completion Date: Unit Replacement Per Unit Commercial/Residential ................... $10 00 I Refrigeration Units/Coolers/Lines/Compressor - V ~~ Comments: 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 N®TIC Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this application and know the same to b tr d t All e ue an correc . provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Modular Home ......................................... $15.00 The granting of a ermit does not resume t i th it p p o g ve au or y to violate or cancel the provisions of any other state or local ~ v law regulating construction or the performance of Permit Issuance Fee ............................... $15.00 construction . T'OT'AL ~~~., 1 SIGNATURE OF CO RACTOR OR AUTHORIZED AGE .~-~ ~ f%~~` Current License on File Yes O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: j, ~ ~~.~~ POUNDS PRTG: Blair, NE Rev. 4/98