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BP12968 ViI? #"'" Blair Building Permit Detail ~ " (, '<1~ ?:'- ;;tu .. Permit #: 12968 Issued: Completed: Location: 2923 Ravae Ln Owner: Gordy Ray Address: 718 N 14th Ave 05/01/2008 11/21/2008 Type: Residential - New Construction Valuation: 235132 Blair, NE 68008 Phone: 402 426 5779 Permit Fee: Issue Fee: Deposit Amt.: Receipt #: 1316.74 20 500 Section: Township: Subdivision: SOUTHRDG Range: Lot: 25 Block: 3 bedroom Ranch with walkout basement-unfinished 2 baths 1 RI in basement. Exit from utility room into the garage. 2 car garage TFA: 2003 Deck off of main living area onthe back of the house. Contractors Gordy Ray Construction All Home Electric, Inc. C.N.J. Plumbing Inc G.M. Heat & Air Conditioning Henton Trenching, Inc. Henton Trenching, Inc. Remarks General Contractor Permit # Issued Electrical Subcontractor E2891 05/14/2008 Plumbing Subcontractor P1827 06/03/2008 Heating Subcontractor M1657 07/22/2008 Plumbing Subcontractor P1844 08/01/2008 Plumbing Subcontractor T1277 08/01/2008 11/18/2008 OEM Drywall underside of stairs and permanent address on house 11/21/2008 OEM Occupancy granted. Inspections Date By 05/15/2008 OEM Electrical Temporary Service Pass 05/19/2008 OEM Footings Pass OS/20/2008 OEM Footings Pass 06/03/2008 OEM Plumbing Groundwork Pass 06/03/2008 OEM Plumbing Pressure Test Pass 06/23/2008 OEM Deck Footings Pass 07/29/2008 OEM Plumbing Rough-ins Pass 08/06/2008 OEM Water Service Pass 08/06/2008 SAJ Stop Box Card Pass 08/06/2008 OEM Sewer Lines Pass 08/06/2008 OEM Water Tap Pass 08/11/2008 OEM Electrical Rough-ins Pass 08/11/2008 OEM Mechanical Rough-ins Pass 08/11/2008 OEM Plumbing Rough-ins Pass 08/11/2008 OEM Framing Pass 08/12/2008 OEM Electrical Permanent Service Pass 11/18/2008 OEM Final Inspection of Project Fail 11/18/2008 OEM Electrical Final Pass 11/18/2008 OEM Mechanical Final Pass 11/18/2008 11/21/2008 OEM OEM Blair Building Permit Detail Plumbing Final Final Inspection of Project Pass Pass CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT Permit # IdCtb 8 Date: ,5'- / - ()!3 Approximate Completion Date: //- / ,- () 8 REScheck Attached: k Complete Plans Attached ,Y Site Plan Attached: ~ Application for: Residential ~ Commercial/Industrial New Construction ~ Manufactured Home Modular Move-on: Home Accessory Building Other Remodel Addition --Accessory Builcing:Garage _ PoleBarn"--- Ot~ ~-- Floor Type: Dirt Concrete Electricity: Yes _ No Other Utilities: Public Water: Yes_ No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement.need~d: _ 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: c..3 /u; d!.:1 c..Y1J'7 41'7 ell.-; id~ f?uf h c~J:tUI.,n ~ . bU1 f~/(pc~ c:2 h, a .~ j /2r ckJA, b cUlftJNU1 '6 ). . , , ,. . . ~Vl ) , ...h'I..I-6 'fA jl c" c:"', . ,2 (7 CiA c;;, ~U C7' proiect,~To;:"t;on: bo~c:t J!>J!~v /W~ J,V..h,j' cMh<- c>n :J1/),,~ 12atlaJ (~ 8Q()O 87550 c~ t &:lS--' cJ~ tt I/;dtvr; ;Jcl qV 1/ Address: 7/8;:1. ILl P,~t/..I Phone#: if ;;lit? - /7 {'to-,1 ~-IAtI rdr 07/ fI~ Job Address: Legal DescriPt.ion (i~f.IiCable) 7 owner:8l2tdl cure; Contractor: [Ya:i.cff}: ay- 117r Phone #: Address: Cell #: /538~ {) !J;tp b 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 is not completed within two (2) years of date of issue. <, c: Signature of OwnerjContracto :)-/-08 Date ZONING REVIEW: Zonin Flood Plain V Current Zoning: Conditional Use Permit Required: Yes _ No.....6v- Date CU;Y"p,oved: State Fire Marshal ReqUired:~_ No Variance.Required: Yes No Minimum Setbacks: Front, Second Fron Side 7 Sidej Rear lot Sauare Foota~e: /')" 1/ ~ fL. D /, length x Width: lot Coverage % ~ 1'---- ~ ~yl./- Driveways/Sidewalks: ~ .. Sidewalk required: Yes No Sidewalk Waiver: Ye~ _--=-~-N~ ~. ~ Date Waiver Approved: Flood Plain: Yes 0 If yes, specify special r quirements: BUilDING INSPECTOR REVIEW: Number of Stories One Two Th ree 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 Foota~e:"., . , Main level: c.7J 6/'6 Basement: (Unfinished) Garage: 6i?t::;7 Detached Garage: Addition: Porch: Front Deck that affect setbacks: Second level: Third level /7 J;.f3 (Finished) 2 bay V" 3 bay_ 4 bay_ 5+ bay Pole Barn: Remodel: Rear Side Rear ctJJ!l' "Kit; ( 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, IibrClries, 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 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 sqjft area 1,5(tJ/, =? (not including finished basement area) Finished basement sqjft area Unfinished basement sqjft area /7/8 Garage sqjft area ~4i4> Total Valuation: X$88 X $53 X$26 X$20 $ i r'l '7 J I Lf 4--, () 0 $ $ 41-/-J fAt? tJ ' 00 $ \:3~,3 ,110 . (i() $ ;1;2:5} I.~;;). 00 $ ,,3/lP.1Lf Total Valuation ~ 3 5J /8;}. ,t)O Multiplied by 0.0056 = Issuance Fee: $ 20.00 Lf $ l\a3Lo.7 Total Permit Fee = DepositjPermit Fee/Issuance Fee RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/I ndustrial/Educational/ Assembly/Factory/Storage/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 $ Fee - $500.00 All other permits valued under $10,000 No Deposit Fee Construction Valuation will be computed by SQ/ft area X $60 Accessory Buildin2;s & Interior Remodelin2; Projects will be computed by SQ/ft area X $40 Permit fee is: Finished sqjft area Finished sqjft area X$60 X $40 $ $ $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 $ Issuance Fee: $ $ 20.00 Total Permit Fee = DepositjPermit Fee/Issuance Fee Additional Comments: Approved by,,-:2 ~ L}~~ate: 56~A II I Contingent On Approval by Fire Marshall Meet IBC, IPC, (MC and NEC Code Requirements X Sleeping Rooms below Story and in Basement required to have egress ,J( For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes _ No ~ it 1f lE D SEP C 9 PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska ( r) q fJ 8 218 South 16th Street / Blair, Nebraska 68008 Fax (402) 426-4195 T 1277 (402) 426-4191 Application Date: <? -1 --.00 (),J Permit Fee: $ J 0 0'- Job Address Owner/ :\ 1. t;:> Of' C ;t 1) 3 (( C;; iJ -t1 e L '" IYV:J. Ar4 b f0~t Zip Zip I J I I Phone 7t? ({), r7'7 5 Phone 3. Class of Work: Describe Work: 4. New 0 Addition 0 Alteration 0 Repair 0 Replacement PLUMBING PERMIT FEES Comments: Water Tap Fee - %" $150.00 Water Tap Fee - I" $200.00 'X' Water Tap Fee - 1~" $250.00 Water Tap Fee - 2" $300.00 Date Total Current License on File 0 Yes 0 No 0 NjA Comment: 0'" or? WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: 12.0 / ." ckJ - :/:-l r ~(.../ 't. (J J JE 111) s:r 2 9- PL UMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 ~ ~~'" Application Date: )f--/-of Job Address Permit Fee: $ Mail Address ;)0-;)3 -7lf N, iltt!:z qu~e L~ flvt Zip C fov:; r Zip New 0 Addition 0 Alteration 0 Repair 0 Replacement Sec...JC,/ ~'e/V i<.e {0,1' j\JC0 h.UV/A e PLUMBING PERMIT FEES Modular Home... ... ... ...... ... ....$50.00 Type of Fixture No. Wl1 ter 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. 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 Backflow/Grease Trap.......... ..$10.00 Water Service......... ......... .. ..$10.00 Sewer. . . . . . . . . . . . . .. . . . . . . . .. . . . . . . .. $10.00 Groundwork.. . . .. .. . .. . .. . ... .. .. ..$10.00 Septic Tank & Laterals........... $10.00 Lawn Sprinkler System...... .. ....$10.00 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 Nj A WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: 2~ /2t; fJ/~t--' !J1tv'O P 1844 u co;.) "1- 0 . ::--- Phoq) '.-S'7 '75 Phone lOr 00 I () ~ LV r E 2 4 MECHANICAL' PERMIT APPLICATION I ;}CjLP8 Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: 7 - 2 - 023 Job Address Central AlC q Tons Furnace BTU!H AlC # of Units Furnace Completion Date: Comments: 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. ~S~fC Ah.'dA gnature 0 ontractor or ut onze gent 7 ~2Z .of:; Date M 1657 Permit Fee: $ t15' . ,,0 Phone Alp tJ 1f6?nl MECHANICAL PERMIT FEES Forced Air/Heat Pump Systems - Per Unit 6. 6 45'. () D Commercial/Residential (New)......... q..... f.:!.... ../.c;.f:<!..M.... ..$25.00 Air-Conditioner Unit - Per Unit / tJ, 6 0 Commercial/Residential (New)........................... ........... ....$10.00 Forced Air Systems/ Air Conditioner Unit Replacement Per Unit CommerciallResidential...... ... ...... ..$10.00 Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement)....................... ...$10.00 Appliance V entiFans... ... ...... ........ ...$10.00 J;).OO Boiler..................................... ....$15.00 Duct System............................... ..$10.00 /dJ. c> 0 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 ,;;Jo.OO 5.00 Current License on File ...aYes 0 No 0 NjA Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: c.-.-..~;'31 ~'---" !) t,;.JNl 3 PLUMBING PERMIT APPLICATION tf) Jurisdiction of City of Blair, Nebraska , /lcilP u 218 South 16th Street { rr Blair, Nebraska 68008 Fax (402) 426-4195 P 1827 (402) 426-4191 qS. Application Date: {y '"' 3 - 08 Job Address , .. ~ a . ..~ "" -...... ... - - " .....'" WI Permit Fee: $ 1 ,;2 , 0 u ~j, il Address d29.;l3 Owner /'1 1. C:1~.~ ~~ntractow cJ 3. Class of Work: Describe Work: 4. 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. C'" , ,~~ ~\I ~ ~ - 11.- 0 r Date Phone cS'i~iP o Alteration 0 Repair Phone o Replacement ,A/<-/?J ~aM PLUMBING PERMIT FEES Modular Home...... ............. ...$50.00 Type of Fixture No. Kitchen.............................. .$8.00 x I Bath................................ ..$8.00 x .::2.- Rough-In Bath.................... ..$4.00 x t Additional Sinks.... ...... ...... .. ..$3 .00 x Laundry/Drain.................... ..$5.00 x I Water Heater... ...... ... ... ... ......$3.00 x I Outside Water Faucet..................$3.00 x 2- Drinking Fountain.......................$3.00 x f::L 00 1(j;.oO . '-f' Ob 500 .00 lj./JO Backflow/Grease Trap.......... ..$10.00 Water Service..................... .$10.00 Sewer............................. ...$10.00 Groundwork.................... ....$10.00 Septic Tank & Laterals.. .. .. ..... $10.00 Lawn Sprinkler System......... ...$10.00 Sprinkler System (Commercial). $30.00 Gas/Water Piping System (Commercial)................... ....$30.00 It) , t>O Permit Issuance Fee............... .$20.00 Current License on File Comment: Total . Yes 0 No 0 N/A WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: . ::;;.Q.. ;:. 7jr~~ c. " - I W V lie ~ _.. <P \*'.. 1 6 nr;'~ ELECTRICAL PERMIT APPLICATION ;;;;qIJ8 E 2891 Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: S - /Y-df Permit Fee: $ J) 0 ~ I Y ;) '1)> R-~ rJ. j '-t /I-, Il-v-e- Zip C:.,rfuo ff. "fCj If S w lSI71:l~ Zib~ NEW RESIDENTIAL 0 NEW COMMERCIAL 0 REMODELING/ADDITIONS f~ ~ ~ ~~ Job Address o No 0 N/ A 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 05.00 901-1000 Amp..................... ...$117.00 IF OVER 1000 Amp 1 st 1000 Amp Fee.............. ....$117.00 Each additiona1100 Amps... ......$13.00 Notice I hereby celiity 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. Signature of Contractor or Authorized Agent Date Py) b-~'--Y7 Phone <: 16- )).) o UPGRADE SERVICE Completion Date I I - I - 0 y ELECTRICAL PERMIT FEES Upgrade Existing Service............ .$1 0.00 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 d 003 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 Permit Issuance Fee.................. ..$20.00 Comment: IO~()\) 90/ tV Total d<J'u) lJO.I\.f WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved Bt_ r 2008-05-1413;03 I " tI '" "'" I Ii ,.,,.. ..... .. tl' I I All Home Elettrit, I 4028917998>> 4024264195 P 1/1 ELECTRICAL PERMIT APPLICATION Jurisdiction of City ofBlait'J Nebraska 218 South 16th Street Blair. Nebl'Qska 68008 Fax (402) 426-4195 E 2891 (402) 426A191 A~pHeation Date: S"" {"I-at Peffi1it Fee: $ J.) 0.. I Y Job Addte" Service Fee = (Amp roe + 2.00 per bl1lnch circuit) 1-100 Amp Fee... ............... .....$13,00 101-200 Ajnp Fee.................. .....$18.00 201.300 Amp Fee....... ........... .....$30.00 301.400 Amp Fee.................... ...$42.00 401-500 Amp Fee....... h... ...... .....$55.00 501-600 Amp Fee. .......... ....... .....$67.QO 601"700 Amp Fee.......................$80.00 701.800 Amp Fee..................... ..$92.00 801.900 Amp Fee....... on......., ...$105.00 901.1000 Amp............... ....... ..$117.00 IF OVER 1000 Amp lit 1000 Alnp Fee........... .... ...$117.00 EliCh ~dditi()nD1100 Amps.........$13.00 Nottee I hereby certify that 1 havo rOl'ld lllld OltamlMd this npplkntlon and know IlIe SIl.me .0 1;l~ tr\l~ Md COrrect. All provj!.ioil~ I)fIl\w~ lInd ordinllncCll govenling this type of work will he compiled wllh whl!rh~.. $pecifie(ll1ereiJj or '1QI. 'file itllntini of fl pormit doCll not presume to give authority to violiltt Or timed the provldons of IllY Qit)er sUlto or local lAW Ilg\llattl18: CO\'l$ltllclioo or the pe\'tb\'mAnc~ or conwuctlon. II ~ ,...at' ELECTRICAL PERMIT FEES Upgrade Existing Service...... ...... .$1 0.00 Tempol'lll'Y Sorvice. ___.... .... u .... $10.00 Fire Alal'm System..".. ... .. . .. . . .....$ 10,00 Signs.......... n. n............ n... ......$15.00 Miscellaneous Apparatus......... ",..$ll.OO AC/DC Circuit....................., .....$5.00 Comlnlll'oilll/Multi Famll}' And All Upgrades: # ofClrcults x .$2.00 Amp Fee Amp Fee + CIl'()lJit TQtal Now Rosidential: (Finished Mea) SinglelTwo Ftllnily Dw~llings d DO) sq. ft. x .045 Modulnr{M:llnufll~tl1rcd Homes... ...$50.00 :Receptacle/Switoh Outlets Fixtul'c$ x $.75 SIMko D(ltectol'S x $3.00 Residential/Commercial Appliance # Fixed Outlets :x. $3.00 Motor(s) X $3.00 Power Apparatus (220 Volts) # Appal'atLIs :x. $5.00 Permit Issuance Fee............... .. ..,$20.00 Comment: f()r (j~ 90"JC{ Total (} , u.J IJa.I"! 2008. !i-14 13:01 402426419~ Pag& 2 BUILDING PERMIT REVIEW OWNER: Gordy & Pam Ray BUILDER: Self PERMIT NO. 12968 CLASS OF WORK: NEW RESIDENTIAL: X NEW COMMERCIAL: ADDITION: GARAGE: REMODEL: TOTAL SQUARE FOOTAGE: MAIN: 2013 sq. ft. SECOND FLOOR: BASEMENT: 1718 sq. ft. GARAGE: 666 sq. ft. TOTAL FINISHED AREA: 2013 sq. ft. NUMBER OF BEDROOMS: 3 EMERGENCY EGRESS: Egress basement. DECK: 20' X 16' Rear Deck windows required in all sleeping rooms and PLUMBING FIXTURES: KITCHEN: yes BATH: 2 ROUGH-IN BATH: 1 UTILITY: gas, electric, water & sewer WATER HEATER: gas OUTSIDE FAUCET: 2 HEATING FIXTURES: FURNACE: gas AlC: SITE REVIEW: D. Miller CURRENT ZONING: RM 1. LOCATION ON LOT (SETBACKS) A. FRONT YARD REQUIRED: 25' B. REAR YARD REQUIRED: 25' C. SIDE YARD REQUIRED: 7' SHOWN: 25' SHOWN: 51' SHOWN: 7' 2. 3. LOT AREA REQUIRED: 6,000 sq. ft LOT COVERAGE ALLOWED: 40% ACTUAL: 9790 sq. ft. ACTUAL: 23% Plans Reviewed: Dale Miller Date: May 5, 2008 CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS CI~ STATE, ZIP CODE ;{"\ THANK YOU KEEP THIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Prinllng, Blair~ NE 68008 \ \ \ m z II II (0 ~ ~o N~ ~""-I 01 N t; \\CO-,0Z o 1'\\ = ,<OS mz 11111 , (0 ~ ~ ~o .~~~ n ""-I~ U1 ""-I" O')~ ~ to - - - - - .. - - - - - - IOO"O~~ \)J ...;=.-- . -- . - - . -- ~ lN3\',..r3S'I7'3 (Jd'l7' ~ 3d!S ,L. - - - - ~ " ,e . --' . -- IIG=,lca 11010v II c: I G~ r o -i t\) 01 ~\ ~ \tP ~ (j)\':; =mlU m\~ 1>\-1 XI~ G VJ N . 0) ~ \ ~\ ~\ \ \ ? ~ \ mz II II (0 ~ rn~~ " ""-I N""-I (0" ~w o o o)>;tJo I;tJ)>C 000;0 E3I1C< w(J)m II !" II 0 wO')w)> !,,~N-i 0') 01)> ~ .. . o o -L l I G()W IUO~ <z I m()~ E IU ~ ]>mE ~rrtG m II 0 - I '3 z: w \J' ~ ~ ~ ~ III 10L .1 K:\ 1.1 Compliance Certificate Project Title: Gordy Ray House Report Date: 04/30108 Data filename: W:\2008\Midwest\Ranch\RAY, GORDON & PAMELA (QUINCEY)\Gordy Ray rescheck.rck Energy Code: Location: Construction Type: Glazing Area Percentage: Heating Degree Days: 2000 IEee Blair, Nebraska Single Family 18% 6506 Construction Site: Lot 25 Southern Ridge Development Blair, NE 68008 Owner/Agent: Gordy Ray 718 N 14th Ave Blair, NE 68008 402-426-5779 grayconst718@yahoo.com Designer/Contractor: Gordy Ray 718 N 14th Ave Blair, NE 68008 402-426-5779 grayconst718@yahoo.com Compliance: 0.2% Better Than Code Maximum UA: 413 Your UA: 412 Ceiling 1: Flat Ceiling or Scissor Truss Ceiling 2: Cathedral Ceiling (no attic) Wall 1 : Wood Frame, 16" o.c. Window 1: Vinyl Frame:Double Pane with Low-E Door 1 : Solid Basement Wall 1 : Solid Concrete or Masonry Wall height: 8.7' Depth below grade: 8.0' Insulation depth: 8.7' Basement Wall 2: Wood Frame Wall height: 9.0' Depth below grade: 9.0' Insulation depth: 9.0' Furnace 1: Forced Hot Air95 AFUE 1403 40.0 0.0 41 505 40.0 0.0 13 1465 20.6 0.0 68 259 0.330 85 41 0.140 6 1362 0.0 1.5 180 456 20.6 0.0 19 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheck Version 4.1.1 and to comply with the mandatory requirements Ij ted in the REScheck Inspection Checklist. (~/~vf;u. 4' Name - Title ( Project Title: Gordy Ray House Data filename: W:\2008\Midwest\Ranch\RAY, GORDON & PAMELA (QUINCEY)\Gordy Ray rescheck,rck Page 1 of 4 Report date: 04/30108 1.1 Inspection Checklist Date: 04/30/08 Ceilings: o Ceiling 1: Flat Ceiling or Scissor Truss, R-40.0 cavity insulation Comments: o Ceiling 2: Cathedral Ceiling (no attic), R-40.0 cavity insulation Comments: Above-Grade Walls: o Wall 1 : Wood Frame, 16" o.c., R-20.6 cavity insulation Comments: Basement Walls: o Basement Wall 1 : Solid Concrete or Masonry, 8.7' ht/8.0' bg /8.7' insul, R-1.5 continuous insulation Comments: Exterior insulation has a rigid, opaque, weather-resistant protective covering that covers the exposed (above-grade) insulation and extends at least 6 in. below grade. o Basement Wall 2: Wood Frame, 9.0' ht /9.0' bg /9.0' insul, R-20.6 cavity insulation Comments: Windows: o Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.330 For windows without labeled U.factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: o Door 1 : Solid, U-factor: 0.140 Comments: Heating and Cooling Equipment: o Furnace 1: Forced Hot Air: 95 AFUE or higher Make and Model Number: Air Leakage: o Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed. o Recessed lights are 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated, fixtures are installed with a 3" clearance from insulation. Vapor Retarder: o Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: o o o o o Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values, glazing U-factors, and heating equipment efficiency are clearly marked on the building plans or specifications. Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves thera.ted R-value without compressil19 thElillsulation, Project Title: Gordy Ray House Data filename: W:\2008\Midwest\Ranch\RAY, GORDON & PAMELA (QUINCEY)\Gordy Ray rescheck.rck Page 2 of 4 Report date: 04/30/08 Duct Insulation: o Ducts in unconditioned spaces are insulated to R-5. Ducts outside the building are insulated to R-6.5. Duct Construction: o All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics are rated UL 181A or UL 1818. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HV AC system provides a means for balancing air and water systems. Temperature Controls: o Thermostats exist for each separate HV AC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Service Water Heating: o Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. o Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: o Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: o All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps have a time clock. Heating and Cooling Piping Insulation: o HV AC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Gordy Ray House Data filename: W:\2008\Midwest\Ranch\RAY, GORDON & PAMELA (QUINCEY)\Gordy Ray rescheck,rck Page 3 of 4 Report date: 04/30/08 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Heated Water Temperature (OF) 170-180 140-169 100-139 Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 0.5 0.5 0.5 1.0 0.5 0.5 1.5 1.0 0.5 2.0 1.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low PressurelTemperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant and Brine Fluid Temp. Range(OF) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" 201-250 120-200 Any 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 40-55 Below 40 NOTES TO FIELD: (Building Department Use Only) Project Title: Gordy Ray House Data filename: W:\2008\Midwest\Ranch\RAY, GORDON & PAMELA (QUINCEY)\Gordy Ray rescheck.rck Page 4 of 4 Report date: 04/30/08 BUILDING INSPECTION REPORT D CITY OF BLAIR D WASHINGTON COUNTY LOCATION OF INSPECTION' NAME OF OWNER IL~ ~, DATE INSPECTION REQUESTED' d 4)3 D OTHER nQVc;r: .5-- ):: L l",\ CONTRACTOR' 4f,,~ IJ"'iSfl"-fL TIME INSPECTION REQUESTED' (J fr1 (fL~-'(;' PERMIT NO' ),) '7 G f" TYPE OF INSPECTION REQUESTED: D CONFERENCE .d 'T BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL COMMENTS: UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL D STATUS CHECK PASSED FAILED D D COMMENTS: ELECTRICAL: D D PASSED FAILED D D COMMENTS: MECHANICAL: D ROUGH IN D FINAL D PERMANENT ;~~VIC~;;MPORARY SERVICE D PRECONNEC; PARTIAL ' ~QQ 6~S D r ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL LF~D PASSED FAILED D D COMMENTS: PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL o PRESSURE TEST PASSED FAILED D D COMMENTS: OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' DATE OF INSPECTION MADE: TIMR.$;t{9 FAXED OPPD\BURTREA TO CONNECT SERVICE: ON BY ." . .:.':" . BUILDING INSPECTION REPORT i q CITY OF BLAIR i ", LOCATION OF INSPECTION: o WASHINGTON COUNTY D OTHER ~::~)L[~,!i :_ V.;~ G\ \1 C\ (~:., Lel f L, \'." NAME OF OWNER- r, " l ~j()V (\!.it " \. , I) '"'l ' Y'"'C t\ \ CONTRACTOR' ,', ' i'~:~,._':,'r- (\ 'I \' (Lei \ (' ,'':,('\ ;~:,t (\,t I__:h OVI DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTED' PERMIT NO' ; .-'1 ('-i j C>. \ ~7Y" \ \0 C'\ TYPE OF INSPECTION CONFERENCE FAILED o BUILDING: FOOTING D DECK FOOTING 0 FRAMING 0 DRYWALL D FINAL 0 PARTIAL COMMENTS: UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL FAILED o 0 COMMENTS: .,,_...,.~~...~~= 'Tm~~~_. ~ J:..... .,m."1:!::~.::aol4.l~",,~.....= ....."""""""""'~~"""""~~""=~~~~ ELECTRICAL: 0 ROUGH IN D FINAL D PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED D 0 COMMENTS: ~~~""""""'''''=-~~~~''lZ::!W~~''''''''~''''''''''~~'''''''''';;'''''>'I'"''-~~~~~~",~"",",,''''''==..."""""""'-==~~~""_,."",,""""""'~ MECHANICAL:D ROUGH-IN D AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL COMMENTS: PASSED FAILED D 0 1:$l'~'"?~~'m..""""~l:T"~~~.~~~-=~"';:~~~""''''''''''''''''''-='''~~~~.e.~~'''"''"'--:;;t:-7...~~ PLUMBING: o GROUNDWORK 0 ROUGH-IN D FINAL 0 WATERMETERINSTALLED 0 PARTIAL o PRESSURE TEST PASSED FAILED D 0 COMMENTS: ~a~~~~un:m:7~~-"""~-z-~~.;ZZS.':':':4t::$f;:1:n,=~,::!;Q;~:zcr:;~tti!Z~iZ~..~~~~ o OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED NOTESIREMARKS- '- , 1J,""- (. ..~".' co' " _'," TIMF~2 .1 ,. ,( BUILDING INSPECTION REPORT ~~ITY OF BLAIR LOCATION OF INSPECTION' /''} rj) NAME OF OWNER' ~IY1Cl,/1. /G-<-r/ " tI . DATEINSPECTIONREQUESTED,S;7 tJ~ ()E o WASHINGTON COUNTY D OTHER /) a /') "I rf) _..__1 c;:x 7 cA '-...") <- 0 t/~ L)?11 /..) /7 /0}'''-' ' ,t." ~ 'j CONTRACTOR'(Q~O~~~' ~~~ '--" # / (j TIME INSPECTION REQUESTED' Ii. '() C) .1'7 fA . (1-J1E;/~ e/:t en-] PERMIT NO' /j;) Cflj 8 TYPE OF INSPECTION REQUESTED: BUILDING: ./ D CONFERENCE o FINAL D PARTIAL D STATUS CHECK P F~LED PASSED FAILED o D COMMENTS: UTILITIES: D FJTING. D DECK FOOTING '_ J .p );UA))JfrJ1&JJ wttLl D SEWER TAP 0 SEWER D SEPTIC D WATER TAP D D PARTIAL -? , REMOTE D WATER SERVICE COMMENTS: ELECTRICAL: 0 ROUGHIN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT o PARTIAL PASSED FAILED D D "~ COMMENTS: MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL PASSED FAILED D D COMMENTS: PLUMBING: GROUNDWORK 0 ROUGH-IN D FINAL 0 WATERMETERINSTALLED D PARTIAL D PRESSURE TEST PASSED FAILED D 0 ,.,. COMMENTS: D OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED )" I ~ <:-,./ / NOTES/REMARKS' ',/ >-:2J,,{o i 7/UU,.I J--<J /1 tJ -....",..---- J / pJJ tl1n iJ?11 g/ CY"L -n1J ell a-lt/ e c;-# r-I .l::v'l44r~ . I / -_._--~--- ."...~-....'""---~~ ~--- .'1' DATE OF INSPECTION MADE: '7[3 TThffi'// r~1 FAXED OPPD\BURT REA TOCONNECTSER~CE: ON BY , . ~:-",a" . . ,~ ., , , 'f' , ' ".......""-... ~.~, - '.,"'~" "".. ~ -'~- . '... -- ~.... .' .~. .~.,'.;....., , --._.:t~_.._,~",_..-., " "". ~ - ~ -.. . .,,,,,," - p- .l ,:,;,...~~;t.ci~~~ :: 3-C .."'" _.,~~- .- ,.' .~.-, . . - ,-- I . ~.. -~. ~ j"": ~_~ 1:.-" -~ " ,,~, - ... ...,~ -. ~ -..-.,'..... ,., ;&.', .... -<<..:-. - ~ ~:>I'- ~ :""~ , --il" ' ... _ rwI. ~ _ ".-<(- ~-'.J ",~;;'~,,~ >r-i.L.-_ .__.._.j';'4':ll!"~'" ., .;,. ...;;.."" ~- -~, 'V ..:.. -;~ { '-;- 'L:'.- .- - . . '.-, .. ~ . 1 <'" , . ,'" . :.... ,. ~~ r't, .'f.> ;j!>' > , IJ< ~. >:f , 1(<0'''; , , ~ ~ II ~. r., ,....~ "" . ,y- - 'f.;.. " ~ l.. (, ".:. , . " " . .. 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J'. \~tJ-;'" ~ ;C, ,,;><' t ...:. ,... . ,to:- ,...3"'\;, ~ ....,. ,~. . - - - - ,.,;..~ ... --- - ----- - ----- - . - ....-., . - .. , ~O\ 15 r _ _r'_ Ko.vQ,~ k~, H 0 M E S .1 America Be "our own builder and save! . 1-888-2OtJ-4460 "" \\. honu's.,'ucl...lunnc"s.(Oorn I .. \ I .. - .', ~. ~ - ~- .... ~ I I - I - - . , - II ~ - ~ I - . ~ . - " ."1.'" . .,w'.... '" , ''-,....... - '.. ~.. -'" '-. ......-.,. ...' 'F_ ~, ':,S~,~-::' "'~~-'lJ,: -, ,-,. '... ~ .t.., ~. ' "'" """. ... , . I .- . . -.' 0;:0:' -'- BUILDING INSPECTION REPORT ~CITY OF BLAIR D OTHER /') CJ ...., 9 .-J" 0< /;;:<.:::5 /">... a va..11 ex./r7 . /l r"-) / I! 'j) , CONTRACTOR' (-:71::1'7 h kCU;/., C/<I<v I!Jlktl/b11Q/ ....? ,aJ)- () / (f TIME INSPECTION REQUESTED' ~ ,.gL. ~ .n). PERMIT NO' /29' itJ8' I TYPE OF INSPECTION REQUESTED: D CONFERENCE - BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL D WASHINGTON COUNTY LOCATION OF INSPEQ'ION' /1 ,.....-, NAME OF OWNER ("'I b1 (J(f /(c:~ DATE INSPECTION REQUESTED' {f! - -..:j - 08 D STATUS CHECK PASSED FAILED D D COMMENTS: UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL . \ ROUGHIN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT PARTIAL PASSED FAILED D D COMMENTS: ELECTRICAL: D D PASSED FAILED D D COMMENTS: MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL PASSED FAILED D D COMMENTS: PLUMBING: ~ROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL . ~RESSURE TEST COMMENTS: ~""1 D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' DATE OF INSPECTION MADE: TIMF.' 3 p;J INSPECTO ' FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY l""' .- .. , - , . ~~~~ .".-- ,,?';f:-'~;;;r - . t":'" - -- ~-o;._..#-' ....:.r-.._.gf.:;;...,..."" 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BUILDING INSPECTION REPORT 8::,'CITY OF BLAIR LJ WASHINGTON COUNTY NAME OF TIME INSPECTION REQUESTED' LOCATION OF DATE INSPECTION TYPE OF INSPECTION REQUESTED: BUILDING: 0 FOOTING o CONFERENCE FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL o STATUS CHECK COMMENTS: UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL FAILED o COMMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o 0 COMMENTS: MECHANICAL:D ROUGH-IN 0 A/C 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL PASSED FAILED o D COMMENTS: PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED D PARTIAL o PRESSURE TEST PASSED FAILED o D COMMENTS: PASSED FAILED o 0 o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' INSPEC TIMF' / /~/t> 7 FAXED OPPD\BURTREA TO CONNECT SERVICE: " ~- -':;;.~ :'!t~;,;.~"~ ... ;t'<;,...,... ,-~ ~;~,. . ~~~'~-"';:-~;;.:~- ., -",,,,, -c. '-~".;':;". ~ '.2~~fr~~~e~. ";!'>';1E,;"(if. '.". '~~i: - ...... .. 1lIII",,':. '. ...., -.... '",.' :ec " " ~.' -'. .:S~~._'!""'-"_ -~, ~. ':;:'>!l ~ -. ., "Ili .~""'< "" ~ , , - . . , I ~ - !! G &::: UI\IaWr - - :'k '". ... ~ . "'.:. .:. -...._.;~ .. .....j,;~ -....:- "'.-r._ . ....J;:., "', ~. ,-- ...: "',,:,i' -<.~ .~ . .. ..' - . - I , . , r~ J , " , -, 1 :!#'q ~J -~1' ~- , , ~ ,- ;f '"'-. BUILDING INSPECTION REPORT ~/" ::i::SITY OF BLAIR o WASHINGTON COUNTY o OTHER /1 /7 ""?..-? < I .) , < r"'---? ,,,,",,, ~/ l/ /1l 1//->-';, /J ()' I C. 1.../ ,,,-- L~' v &LJt~ ,./J f ~ r"'-; ,_-I J CONTRACTO' r: AI' /::litlli (,p'fJ c7,j /" /;1" (/ 1 /'/'"'"'/ . / ./ I L1 .... ,1 ' ..I '_..Ai ; TIME INSPECTION REQUESTED' , ' t) Ui I yL' 'PERMIT NO' / ,:/' 7 LPlJ) LOCATION OF INSPECT-IQN' /. I itJ' (",,) -""" '.o")r 1 ,;41 /~......., / ) NAME OF OWNER,(-j7&J Ie ,'I /:..L.l.l.j.,,~" DATEINSPECTIONR~UESTEDV /1.- olkl~ 08 TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATUSCHECI{ ~]'='~~":l::==:c..~~~~~~"'-'?~~~.I2:.-~~~.t.. . BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED o 0 COMMENTS: ~':;.~~~~~"--~~~~~~.zn:e.~~...:::;~i.llz.t:l;>=~''''''''''''''''~~~~~~~..!'l:l:i~ UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL PASSED FAILED DO COMMENTS: ~~~"tt."=-~==:~""""""'"'''''''''~~=~~~W~~.,i!r"~~ICW'~'='~~~ ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o [J COMMENTS: ~---s:.~::m:~~,,=~~~~~~~~....<z:'Z.~~"3~~~=~~=", MECHANICAL:O ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL PASSED FAILED o 0 COMMENTS: PLUMBING: o o PRESSURE TEST o FINAL 0 WATERMETERINSTALLED 0 PARTIAL COMMENTS: ::J OCCUPANCY GRANrEO 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' '= . -- . "'11III - II II .- ~ J:'~'-::; . --''L' .. ~ t ~.,~ Ii,," ~__-t . " .;--~ . .- , , - . ~ - .' .oJ.;:' /'. <L~'; . . " ".;'. p"h. . . . -, . ;:.... . r~ , i .... " I -~.' , , \ \ .... .. .. BUILDING INSPECTION REPORT OF BLAIR D WASHINGTON COUNTY NAME OF DATE INSPECTION REQUESTED' 1 TIME INSPECTION REQUESTED' f " T">{ ,.1 1.,j PERMIT TYPE OF INSPECTION D CONFERENCE D STATUS CHECK BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL PASSED FAILED D D COMMENTS: UTILITIES: D SEWER TAP D PARTIAL D SEPTIC..cO: WATER TAP D REMOTE SERVICE 7 F3ED COMMENTS: ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT D PARTIAL PASSED FAILED D D PASSED FAILED D D COMMENTS: MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL PASSED FAILED D D COMMENTS: PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL D PRESSURE TEST COMMENTS: D OCCUPANCY GRANTED DCONDITIONALOCCUPANCY GRANTED NOTES/REMARKS' DATE OF INSPECTION MADE: TIME' /1) /~~ INSP. FAXED OPPD\BURT REA . . \ .. T " .y ''"-< ~ " " '.. . '.~ ~ ~ '-" ~ .., - ....~ .. , . ..~ 'J.../ , .,I.....,,..l,, . , '", ... .,..~)., ., ~ #. .. .:,{', ',' . I al L' . ,.- ,-r .~... ,f € .. ~~~.... -"wi:..;,.._ ....-:...r;,.,.t: ~ ..,,- ~"{~l.,"~ . ';"'VI.' . ..".. "'..... ~ "'- ':f'''' _ '.....V.......r.... . ,,~-.. .~~~< *-- , ~..JI). . .~ '. . _. . ..., . .. ,..~-~...-, ~~ 'r -', "fw.~'#~..~'._~ ;:. .y: r.S. ~ ,--. '.. ~. .. <;'~:" .' .. .( '\:: .....,... - ~. \.... .". <:.'_ ,~_'"",, -r- ~ ...'" 1:. ".. .~.. 't "':r-._u" ..~ ; ~. ~"j '~~"',*..,.". .",'f{Oif':'i i"1 . ~&jf&tf~ ,~; '\~, .""',;,::;,;,,,,,, '. ."..., t ~~6:-'~"'~""" ',t-""'l "" . '~ ! -, "":~~It~ ,. '" "'\ '.II \ 'V~ 'Y:r _ "~"'.../ :'~~!1~1 i.~;.. fi" >-. i'r':...t' ,..r~" J'.', t~.JJ.,. ~ ~<:~ " ". .... .,-\:M \1?:'II_~~;l"'" .... .~ ~~'J.:~- , - ~~-...... /;f./ ..... /' .'-' ~ .,"'.- ...... - . .. . .f- -- , ~~~~'~~'~.~'~~"~~~~~'~""~"'~'~~'~~~"""~,rc-~.~-~,~~~~..~,.~~.="""'" ,) .- ~CITYOFBLAIR BUILDING INSPECTION REPORT D W ASHlNGTON COUNTY D OTHER ,~(::; ~-7 -;;~J ____-I Dj 7 c7', ~~)/~(::r LloJ' (x/J/). /1' f.r7 . CONTRACTOR' i C~~ /f'1Lfj.l1 (ILO~tj.-~.) TIME INSPECTION REQUESTED)JiJ~(;{. ,U PERMIT NO' / a q ttlB 9.' :? O.A ,{Vi" o CONFERENCE CHECK FRAMING D DRYWALL D FINAL D PARTIAL LOCATION OF INSP~~TION' ,--, NAME OF OWNER/-1111 cI /;f_ {/~l u{ '-' 0 I.. - J.. DATE INSPECTION REQUESTED' (5 -/1 " 0 B) TYPE OF INSPECTION BUILDING: D FOOTING D DECK COMMENTS: UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D~~ 0 D COMMENTS: ::~~A~DF~MAN~T~~ ~:;~CE D~;;; 0 FIN-;[J~-~ Ftj;;' COMMENTS: PLUMBING: D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL D PRESSURE TEST COMMENTS: FAILED D D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED NOTESIREMARKS' - , . -'-~~..:.;....::....-_c :....a.. .~~ . . . , . . I' nIl' ..11;1'1 , ~. " , . . , I , . . 'I ~;,i I . I ] D I. I , , I - \ ,J~lI If'"P .. . , I' J . . D - ..... - ~ ,;or " I I I , I . . i . \ .l :~ CITY OF BLAIR BUILDING INSPECTION REPORT ~.""""""'""'---'---'---'--'-----""""-"---"'-'""'"~.:-~~-,~~..~~,~,.-_~,~1'""'"'""'7~~ LOCATION OF INSPECTION' /... , ,f -~; Ie! /' \ NAME OF OWNER!~7"yj ,<''tit JC..tZj,!.j , / ! (j ( , r',> '1 ,~ ..) "'>""t......, ... / --- /. [) DATE INSPECTION REQUESTED' (.I I L ()() D WASHINGTON COUNTY , tl 'J A '1:" ,w'rAj;), l} ??{'t'ittj~h'/fJ.~'!fI ,_.;?C1.A ,,;7, ::<}' V" ."" ..lJ.,fY-- V u ,,-" 't .... .... CONTRACTOR' (7/ (f7 (..i:4^ (i TIME INSPECTION REQUESTED'1')..l-~'( . D OTHER '[?'-J l/'''' {; l'::~./ ~VI . I'"'-.........~_.t / C,.'l..-- ~_~~_ vr l ......~" ~j ,z. 0...(-1' I I PERMIT NO' / c- / ('7 {LtJO TYPE OF INSPECTION REQUESTED: D CONFERENCE D STATUS CH.ECK ~ "'~~~~~-=~:l:U!'"~=no~=n'''''-'''''~-,-~ ""'='==~====s::.~r.!Si~~~ BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL PASSED FAILED D D COM:MENTS: UTILITIES: D SEWERTAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL PASSED FAILED o D COM:MENTS: ELECTRICAL: D . ROUGH IN D D PARTIAL SERVICE D TEMPORARY SERVICE D PRECONNECT COM:MENTS: MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL COMMENTS: PLUMBING: D GROUNDWORK D ROUGH~IN D FINAL D WATER:METERINSTALLED D PARTIAL D PRESSURE TEST PASSED FAILED D 0 PASSEQ fAILED> D Q' D OCCUPANCY GRANTED CONDI'fIONAL OCCWANCY GRANTED NOTES/REMARKS' ,...-, , '. ,.., . 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''''-'''':'C'';'''/ "'~'<':"".",~~'''V'';r'''''''~ _,U",,'~' . ,"'L_' '",>-' ~.....,..,........".,,,'\,. ,.., .. .'. ,;>~....~..,,~,.~,_~,...~~_....,.~ '='~"""".'C""---'-"~"'-"-' ,.. ~, .~,.,. . ,EC'~ITY OF BLAIR o WASHINGTON COUNTY 0 OTHER ("~...., ;; q ;1.3 /.::a tI a..I dn . CONTRACTOR' c......~ C211'l-f TIME INSPECTION REQUESTED' Lf ,/){,) D ,t}7. PERMIT NO' / t;2? (p 13 { TYPE OF INSPECTION REQUESTED: 0 CONFERENCE DSTATUSCHECJ\: ~~ ~~~~--.................~ ~~ j:."-.",.,.""",,. BUILDING: 0 FOOTING D DECK FOOTING 0 FRAMING 0 DRYW ALL ~INAL 0 PARTIAL LOCATION OF INSPECTI~N' /( I /--:7 NAME OF OWNER' (.:::7 IY1 dJ..-i. 1::..tv.J... I ~ I I JJ ~, DATE INSPECTION REQUESTED' / - v - 08 COMMENTS: ~~. COMMENTS: UTILITIES: 0 SEWER TAP D SEWER 0 SEPTIC D WATER TAP D REMOTE 0 WATER SERVICE o PARTIAL ." ,', " P A$SEDFARED CJe] . ELECTRICAL: D ROUGH.IN~"""FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL COMMENTS: ~ -'"', -:mu~~-"'='~~1"W:".lZ::'Z;.::Z:l~"frti:::':m:~:ll:lI:1~~""",_"",__.."..,..~~ MECHANICAL:O ROUGH-IN D AlC D FURNACE 0 RADIANTHEAT ~AL 0 PARTIAL -,/~- COMMENTS: ~""""''''''':F'~ .'... ~= ...... .- ._~ 1J ~~a.~"!lIll\!.ll~~~k._ ..~ PLUMBING: 0 GROUNDWORK 0 ROUGH-IN':~FINAL D WATER METER INSTALLED 0 PARTIAL o PRESSURE TEST COMMENTS: __~;:"."':""""'/"'" ','.'.. F A,it.......'.E..D., . D . '. ~,.,~.. PA.....S........S.. .,.'........ P,.An...,.,.....'..,..'...E P .....C] . :J OC:cUPANCYGRANTED 0 ~~....DC0wAN., ~.T~ ),?\ NOTES/REMARKS"4pl3A) / .' 1l.j)J)~ sS ))LY;~iLL ~j ;Io~~~,..~.:: . " ,...., " .. :.1 U diJ~~!fJ€, Q ~ '<)'ik1It <;;1 _ ~:::C"_<;'.. ''''.'.:_'.~;.c:.~:-,; co::":: -:+"~ < ...c.,:' ,~ ',.~.':.'-'" -""., !':"-<,>::";':"-~", ;":~:,, ;.,....".:' .' 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Ilr """ l~: I, ,I :-:'::, ~.1 I,: i . .h! dJ,'i~(IH ',,' r I . I. , -1 -"'"II BUILDING INSPECTION REPORT D CITY OF BLAIR D WASHINGTON COUNTY D OTHER '''''"1/'';1 LOCATION OF INSPECTION' c. ,; "r'; NAME OF OWNER' \. CONTRACTOR' ~'. ~ DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTED' . ~...c,ri, '~"1fi';;"';"t;:'~l:;Y7~.~"i"" \. PERMIT NO' ii"',; ,/ {. ',l~ ,,/ TYPE OF INSPECTION REQUESTED: BUILDING: D FOOTING D DECK FOOTfNG D FRAMING D DRYWALL D CONFERENCE FINAL D PARTIAL D STATUS CHECK P1D F~ED PASSED FAILED D D COMMENTS: UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL COMMENTS: ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT D PARTIAL PASSED FAILED D D COMMENTS: MECHANlCAL:D ROUGH-IN D AlC D FURNACE D RADlANTHEAT D FINAL D PARTIAL PASSED FAILED D D COMMENTS: PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED 0 PARTIAL D PRESSURE TEST PASSED FAlLED D D GRANTED D CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' INSP- FAXED OPPD\BURTREA