BPM1497
Blair Building Permit Detail
-- ':.
o
Permit #: M1497 Issued:
Completed:
Location: 869 N 10th 8t
Owner: Ken Vopnford
Address: 13148 16th 8t
02/27/2007
02/27/2007
Type: Mechanical Miscellaneous
Valuation:
Blair, NE 68008
Permit Fee: 10
Issue Fee: 20
Deposit Amt.:
Receipt #:
Phone:
Section:
Subdivision:
Replace old furnace with 90,000 BTU furnace
Township:
Range:
Lot:
Block:
Contractors
Beebe Refrigeration, Htg. & AlC, Inc.
General Contractor
Permit #
Issued
Remarks
Inspections Date
02/27/2007
02/27/2007
By
DEM
DEM
Mechanical Final
Mechanical Furnace
Pass
Pass
9
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1497
(402) 426-4191
Application Date:
d roo). 7- 07
Job Address
'6fo'1
Own)} I '\
1. ~eV\ vC>
Contrl}!/jor I.
2. r"ec: v€
3. Class of Work: 0 COMMERCIAL 0 RESIDENTIAL
Describe Work: fI)
4. K<
V\ ~ fMt Address
Mail Address
( V\ c; (Co.
Central A/C
Tons
Furnace
q.o I ()v0
BTU/H
AlC
# of Units
Furnace
Completion Date:
J- )."D7
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.
4 - /2 - 0 -.:;-
Date
Permit Fee: $ .3 o. 0"0
f'J v ) 0 ~ st
Zip
Phone
Zip
Phone
o New 0 Addition 0 Alteration 0 Repair
eplacement
MECHANICAL PERMIT FEES
Forced Air/Heat Pump Systems - Per Unit
Commercial/Residential (New)...................................... ...$25.00
Air-Conditioner Unit - Per Unit
Commercial/Residential (New)..................................... .....$10.00
Forced Air Systems/Air Conditioner I 0 . () ~
Unit Replacement Per Unit CommerciallResidential...... ... ... .....$10.00
Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement)........................ ..$1 0.00
Appliance Vent/Fans.................... ...$10.00
Boiler...................................... ...$15.00
Duct System. .. .. . . .. .. . . . . .. . .. . . . . .. . . . . .. . $10.00
Gas/Air Outlets.......................
x $2.00
Radiant Heat Systems/Gas/Water
Piping System........................... ....$25.00
Modular Home........................... ...$50.00
Permit Issuance Fee....................... .$20.00
Total
JO.-d:J
b ~ou
Current License on File
DYes 0 No
o NjA
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By:
Il'
....~
III
k
~
.,.
}3
~.:l
"
':':".~..
...f
,'.10.
III
ill
110
l. ~ ."
,.
'"1
~
'"
~
....
IIlI
""
iii
!J
o
,.;;
/
~;-~;..
,~
7
~" r
~
i
I'
::'t -'.1".
~(.;)~
.::
;;'1lI
.;>,.>
.~
~
\1l1l'
..
'l
~'
'/
~a
~
~
f"
,,~r
r~
~
CI
\f.
-"p ~
~~
rJ ~ /'
r:I 0 _# [I
\0.:.. ~~
~. .~p'
~ "-#<;!/ ~
'~'.
,\::,
il ~'sr
i::
I,~~
~
BUILDING INSPECTION REPORT
CITY OF BLAIR
o W ASHlNGTON COUNTY
LOCATION OF INSPECTION-
I' '\
(',I i/::'i i
/\) ~ / C'J
NAME OF OWNER'
CONTRACTOR -
t1
t;~) (": t,) ~(,:
,
DATE INSPECTION REQUESTED-
l'
TIME INSPECTION REQUESTED- (,
PERMIT NO-
J \; '1' ']
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
CJ STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL: 0 ROUGH-IN 0 AIC
PASSED FAILED
o 0
FURNACE 0 RADIANT HEAT
FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE:
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY