BP12975
1 8
Blair Building Permit Detail
Permit #: 12975 Issued: 5/8/2008
Completed: 8/14/2008
Location: 2142 Lincoln St
Owner: Doris Cooksey
Address: 2142 Lincoln St
Type: Fences - All types
Valuation: 1955
Blair, NE 68008
Phone: 426 4537
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Section:
Subdivision:
Township:
Range:
Lot: 9
Block: 100
PVC Weaved 6' privacy fence - in rear off of property lines
Contractors
Diamond Fence
General Contractor
Permit #
Issued
Remarks
Inspections Date
6/6/2008
8/14/2008
By
DEM
DEM
Final Inspection of Project
Final Inspection of Project
Fail
Pass
(!o/)k~ - ~M(!)
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT .
. Permit # \
Date;:J1 g \O~ Approximate Completion Date: 513/./ b~ Site Plan Attached: V/
Estimated Valuation of Project: lq~,oo
Application for:
Permit Fee $20/lssuance Fee $20
Fee: $40.00
Sign Erecting, Awnings (Per Sign)
Roofing/Siding/Soffit and/or Eave Repair/Gutters
Window/Door Replacement (Size Change Only)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required)
(t'~~~/ot plan required)
LJeCks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items not covered by one of the above)
Other
,/
.
Patios/Driveway Permits/Utility Excavation and Curb Grinding Fee $35
Curb Grind
Length
Utility Excavation
Length Un. Ft.; Width
Type: Water ; Sewer ; Other
Un. Ft
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will only be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior Iife-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee:
$
20.00
Add' ional Description of pro'ect if necessary:.
, i €'C'LV-
Total Renewal Remit Fee = Permit Fee/Issuance Fee
PROJECT INFORMATION:
~14~ L"lntOlYI ~+ 8q0647810
Legal Description (if applicableK??d ~ tJ cr r' .p~ elf <<At!, :Sf. 'ilPL.I ()O 11:3 ft!'f
own~;])Ci\S CCt>kSeA~\ Address: 6e:t ~~ Phone#: Y/Uo LIS' l
Contracto~\QV\(U)Yld ~/Vt ~~ Phone #:311- 3~) U
Address: 20 I ~ rJ lS :3 rL(J ~f
o rvwJlLR-- N~'
Job Address:
Cell #:
t;)~ [ ~Ll
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic
systems. By my signature below, I acknowledge this building permit application does not constitute issuance
of this building permit. I further agree that construction covered by this permit application shall not be
commenced until I have received a copy of a permit signed by the Building Inspector. I hereby agree to
perform the proposed work in accordance with the specifications set forth above and in accordance with the
cOdes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work
is not commenced within 180 days or is not completed within two (2) years of date of issue.
~s"::J1- CJr
late .
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid:
Lo"
Receipt # u5f.b
Approved by:
l~ LOlJ d YGLt^--
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
RECEIVED BY
NO
Pounds Printing, Blair-l.. NE 68008
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FENCE PERMIT SUPPORTING DOCUME~~
",/
This supporting document includes information dealing with particular code
requirements and/or fence permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2006 International BuildinQ
Code requirements that apply to your project. Please understand this document is only
designed and distributed to aid you in your fence 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~,p'ermit documentation on my
own behalf assuming full responsibility as the owner/contrac)or for this project.
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Owner/Occupant 1-c;;:Ji:~.Mk.? /?/qd
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City of Blair
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Date
(5)-
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@ci.blair.ne,us ::~:,OJ~~:
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BUILDING INSPECTION REPORT
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~' CITY OF BLAIR
o WASHINGTON COUNTY 0 OTHER
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LOCATION OF INSPECTION' 0" ..., if r'/'c.."?'f? C tJ/31"L,,,) ~ I .
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NAME OF OWNER- .)':d&O (O(.Ue<l~1.._) CONTRACTOR' '-.l.'L,lt"2.-'l/'/ &r;r} C:J(
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DATE INSPECTION REQUESTED' I/l - ljl' - Ur::; TIME INSPECTION REQUESTED'
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PERMIT NO'I 0' I 7..;;;;:J
TYPE OF INSPECTION
o CONFERENCE
CHECK
POED Ft2(D
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
COMMENTS: ,j1,.1/ r!.,P
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
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 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
o
FAILED
D.
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS'
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BUILDING INSPECTION REPORT
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I:::J."""'CTTY OF BLAIR
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D WASHINGTON COUNTY
D OTHER
C::7/ll:;t
LOCATION OF INSPECTION'
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NAME OF OWNER' I c'r'l.l,f.1 (. ,:50,c-:..JV--;:rj
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DATE INSPECTION REQUESTED' (~ .- ,5'" () [;,j
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CONTRACTOR' '---.,,-1.1 f:V'n1 Cl1 (::1
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TIME INSPECTION REQUESTED'
J/4 '47'~
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PERMIT NO' / P -( I_.J
TYPE OF INSPECTION REQUESTED: D CONFERENCE D STATUS CHECK
t:m'T~~~~~~~,.,.."..",~=-"""_"_~~,,,,...,~~~~~~~
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL ~dINAL D PARTIAL PASSED FAILED
D D
CONmJENTS:
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 T~MPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
CONmJENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
CONmJENTS:
PLlJMBING:
PASSED FAILED
D D
CONmJENTS:
D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS'
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