BP12981
Blair Building Permit Detail
Permit #: 12981 Issued: 5/14/2008
Completed: 6/10/2008
Location: 1428 Butler St
Owner: Jeremy Dein
Address: 1428 Butler St
Type: Patios/Driveways/Excavation & Curb Grind
Valuation: 1000
Blair, NE 68008
Phone: 426 3346
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Section:
Subdivision:
Township:
Range:
Lot:
Block:
Pouring 13 x 16 patio slab and installing patio roof - will be attaching to house frost footings - 10 from garage with
poles.
Contractors
SELF
General Contractor
Permit #
Issued
Remarks
Inspections Date
5/16/2008
6/10/2008
By
DEM
DEM
Footings
Final Inspection of Project
Pass
Pass
Date:
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT Ii /" 'a I
Permit # f~ 0/ {)
=.PItt-dOg Approximate Completion Date: Co ---3 () ,'o'%ite Plan Attach .
Estimated Valuation of Project: ~J [ 000 , 0 [)
Application for:
Permit Fee $20jlssuance Fee $20
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)
Fences (plot plan required)
Decks/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 onlv be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
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
Total Renewal Remit Fee = Permit Fee/Issuance Fee
PROJECT INFORMATION:
Job Address:
) Lf 2- 2> f)L/L+-L~ (L S-+ .
157/ofJ!
/&1 '/0 l o7ols- ~ b
Phone#:~~'- 334\0
Phone #: ~)'3~:30'ifJ --- cJiJ
Cell #:
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.
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Signature of Owner/Contractor
.5=;c../-up
Date
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid:
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BUILDING INSPECTION REPORT
D CITY OF BLAIR
LOCA nON OF INSPECTION'
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NAME OF OWNER' "J-tYe... V\tt~). ,)C}\ V-\
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DATE INSPECTION REQUESTED' ./. f. DC:,
D W ASHlNGTON COUNTY D OTHER
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TIME INSPECTION REQUESTED' lfF
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PERMIT NO' ,/~';<' 1~>;;'1
TYPEOFINSPlj:CT ON REQUESTED: D CONFERENCE DSTATUS CHECK
BUILDING: [23, FOOTING D DECK FOOTING D FRAMING D DRYWALL D PINAL D PARTIAL
COMMENTS: I p'Jli () \ V (LQn'r Df It &LJ~j7~
l' .. .. .~~~ ---~~
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE PASSED FAILED
D PARTIAL D D
COMMENTS:
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ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
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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
PASSED FAILED
D D
COMMENTS:
o OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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BUILDING INSPECTION REPORT
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~ CITY OF BLAIR
D WASHINGTON COUNTY
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D OTHER
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CONTRACTOR' ~~/
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LOCATION OF INSPECTION'
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NAME OF OWNER.( J flAJA'f1 t,L -.1ill,..i.1\->)
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DATE INSPECTION REQUESTED' d -if) .. 0.0
TIME INSPECTION REQUESTED'
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PERMIT NO' .I;;q' t} /
TYPE OF INSPECTION REQUESTED: D CONFERENCE D STATUS CHECK
~llllM:. ~~4<~-=IZ\3::l'"';A--_.........." ~- -- ~-"'"'1~~_
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DR,YWALL';~(F,~,INAL ,P PARTIAL, iP AS,'.S, FAILED
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COMMENTS: 0 L:l ,I:) c2-1'1 c.,.-:r / ,::1'1'7 a ,lC~ """"
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE PASSED FAILED
D~IAL D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
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COMMENTS:
MECHANICAL: D ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSEl) FAILED
D 0
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FAILED
D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
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NOTES/REMARKS'
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