BP12986
Blair Building Permit Detail
Permit #: 12986 Issued:
Completed:
Location: 2546 S Hwy 30
Owner: Woodhouse Chrysler
Address: 2546 S Hwy 30
5/22/2008
9/25/2008
Type: IndustriallCommerical - Additions
Valuation: 188940
Blair, NE 68008
Phone: 402 426 4126
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
945
20
500
22536
Section: 14
Subdivision:
Township: 18
Range: 11
Lot: 272
Block:
67x47 foot addition onto Woodhouse Chrysler used for service drive.
Contractors
McClean Design & Construction
Judt Electric
Skinner Plumbing
Wolfe Electric
General Contractor
Electrical Subcontractor
Plumbing Subcontractor
Electrical Subcontractor
Permit #
E2899
P1833
E2921
Issued
6/4/2008
6/17/2008
7/25/2008
Remarks
Inspections Date By
6/4/2008 OEM Footings Pass Partial
6/17/2008 OEM Plumbing Rough-ins Pass
6/18/2008 OEM Plumbing Rough-ins Pass
9/25/2008 OEM Electrical Final Pass
9/25/2008 OEM Final Inspection of Project Pass
'It,,,!....._
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CITY OF BLAIR - APPLICATION FOR BUILDING PER~~~it # IcJ C; 8 If;
Date: "L:)~;;;J d -08 Approximate Completion Date: fJ- (5 -08
Site Plan Attached: X'.
REScheck Attached:
Complete Plans Attached ~
Aoolication for: Residential Commercial/Industrial ~
New Construction Manufactured Home Modular
Move-on: Home AcCeSSOry~, ui ing Other
Remodel Addition ~
~Accessory BuilCling: Garage _ POle Barn_ Ottrer ~n_____~___~._._ u
Floor Type: Dirt Concrete Electricity: Yes _ No
Other
Utilities: Public Water: Yes_ No Private Well
If yes, responsible entity: Blair OPPD Line Kennard
Agreement-needed: _ 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 _
~
ELECTRICAL PERMIT APPLICATION '
( zQ8 IJ
E 2921
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: t7 - ;;25-0 t)
/:2-:7 75
Permit Fee: $ [,)", .
Job Address
Zip Phone
Phone
EW COMMERCIAL 0 REMODELING/ADDITIONS 0 UPGRADE SERVICE
;7< 1 ",l!)ci,(td t'l7'1
0&-0' 0 N/A Completion Date
ELECTRICAL PERMIT FEES
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.................... .$105.00
901-1000 Amp....................... .$117.00
IF OVER 1000 Amp
151 1000 Amp Fee............ .. ....$117.00
Each additional 100 Amps.. .. .. ... $13.00
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.
Upgrade Existing Service............ .$10.00
Temporary Service................. ... $10.00
Fire Alarm System.................. ...$10.00
Signs. . . . .. . . . . . . . . . ... . . . . . . . . . . .. . . ......$15.00
Miscellaneous Apparatus........ ......$11.00
ACmC Circuit....................... ....$5.00
CommerciallMuIti Family and All Upgrades:
# of Circuits x $2.00 /8 ' v ()
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .045
Modular/Manufactured Homes... ...$50.00
Receptacle/S~itch O~J~s;f .2:3
Fixtures ~ ~x $.75
Smoke Detectors x $3.00
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s).Q x $3.00
Power Apparatus (220 Volts)
# Apparatus x $5.00
/$. {JU
Jt~D ,3&. 5
9.00
rJ t). i.) ()
Permit Issuance Fee.................. ..$20.00 C7'
Total ~
ft:) .75'
WHEN PRO PERL Y V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ~~.,.;;J I '
. ,,15 ' /J~Ulhv
7 -2<)~0g-
Date
Comment:
"
ELECTRICA~ p:RMrftl\PPflPcATION
f;1qB&J
E 2899
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
2R
App]ication Date:
11-1,-oB
Job Address
~. bV
Permit Fee: $ c " '/
J~
Zip
4 ;J f)~r:: LI 'd 1/
Phone
20
Zip
o NEW COMMERCIAL 0 REMODELING/ADDITIONS 0 UPGRADE SERVICE
~ 0 tJ Ct-;'11
o 0 N/A
Service Fee = (Amp Fee + 2.00 per branch circuit)
1-100 Amp Fee......... ... ... ..... ...$]3.00
101-200 Amp Fee...... ............... ..$18.00
201-300 Amp Fee...... ............... ..$30.00
301-400 Amp Fee...... ............ ... ..$42.00
40]-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................... ..$105.00
901-1000 Amp....................... .$117.00
IF OVER 1000 Amp
151 1000 Amp Fee............... ...$117.00
Each additional 100 Amps.........$13.00
Notice
I hereby certifY that I have read and examined this
application and lmow 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
nol. The granting of a permit does not prcsumc to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction.
t
27 0 Jl
Date
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$10.00
Temporary Service.................... $10.00
Fire Alarm System............ ..... ....$10.00
Signs................................. .....$15.00
Miscellaneous Apparatus......... .....$11.00
AC/DC Circuit...... ...... ........... ....$5.00
Commercial/Multi Family and All Upgrades:
# of Circuits x $2.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
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
1/- t:rtJ
Permit Issuance Fee..............,'... ..$20.00 r t)t!
,,? t?O
Total') J.
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 0- 78/~
~"
ZONING REVIEW:
Zonin Flood Plain V
Current Zoning: Conditional Use Permit Required: Yes _ No A-
s$ate CUP Approved:
State Fire Marshal Required: Yes No _ Variance / uired: Yes _ No
Minimum Setbacks: Front iJ.fT Se 0 d Front . Side +- Side _ Rear
lot Sauare Footage:
length x Width: lot Coverage %
Driveways/Sidewalks: ____~
Sidewalk required: Yes_ No_
Sidewalk Waiver: Yes
Date Waiver Approved:
No
Flood Plain: Yes __ No
If yes, specify special requirements:
BUilDING INSPECTOR REVIEW:
Number of Stories
One Two
Three
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 Footage:
Main level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front
Deck that affect setbacks:
Second level: Third level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
front Side
Rear
Rear
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, libraries, 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
(not including finished basement area)
Finished basement sqjft area
Unfinished basement sqjft area
Garage sqjft area
Total Valuation:
X$88
$
$
$
$
$
$
$
$
X $53
X$26
X$20
Total Valuation
Multiplied by 0.0056 =
Issuance Fee:
20.00
Total Permit Fee = DepositjPermit Fee/Issuance Fee
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
B usi ness/I nd ustrialjEd ucationalj Assem bly/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 Buildine:s & Interior Remodeline: Proiects will be computed bv SQ/ft
area X $40
Permit fee is:
Finished sq/ft area
Finished sq/ft area
Y/~f
X$60
X $40
$ 12s<qlfO,oO
$
$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...................................................................................... $1,1fiO T $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
'3<)),"1lo
Permit Fee calculated from chart above
$
q 4<,00
Issuance Fee:
$
5 00
20.00 :::: 9 Co .
Total Permit Fee = Deposit/Permit Fee/Issuance Fee
$ I4-Lo
O{)
Additional Comments:
ApprOVedbY:~~'Ct~~te: -~~q/c/a
Contingent On Approval by Fire Marshall )(
Meet IBC, IPC, IMC and NEC Code Requirements J(
Sleeping Rooms below Story and in Basement required to have egress
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: 1..0 ~ / '7'~()8
C"
. ,/1 ~
(t1'
P 1833
Pennit Fee: $ \--.:?t>. th...." ~l.
Job Address
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.
Signature of Contractor or Authorized Agent
Date
aGlcUtTt~~
PLUMBING PERMIT FEES
Modular Home......... ... ... ... ....$50.00
Type of Fixture No.
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
"r-I"t c,ree.pt-" f'
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
I
10. DU
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WHEN PROPERLY V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 3 <" )1' " '-f', '" )
". J/cUJ.I~
~-'. u-'
Permit Issuance Fee............... .$20.00
Current License on File ~es 0 No
Comment:
Total
o NjA
CITY OF BLAIR, NEBRASKA
Phone 402-426-41 91
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing,--alair,_ NE 68008
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
P1.833
Application Date: /.t; ""/7'''08
Pennit Fee: $ c!?O, t> t> ? .
Job Address
dJ 5'tfbJ
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
petformance of construction.
ad~~1U
PLUMBING PERMIT FEES
Modular Home... "'.. "',......... .$50.00
Type of Fixture No.
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
"J:"I" t e('eep+-o ('
Backtlow/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/W ater Piping System
(Commercial)... ............... .....$30.00
I
j 00
().
.
Comments:
Current License on File
Comment:
Total
es 0 No 0 N/A
Permit Issuance Fee............... .$20.00
WHEN PROPERLY VALIDATED (lNTHIS SPACE THIS IS YOUR PERMIT
Approved By: 3, jJJ I- ~~
.,,- _.,~:-: -~-----;::------:---,~~---~ ,-----~-----..~.,.--,.--~.~~,......,......,~_.~-
BUILDING INSPECTION REPORT
~CITY OF BLAIR 0 W ASHlNGTON COUNTY 0 OTHER
n.c:-/ L. I \\ I J _ ::?()
LOCATION OF INSPECTION' t?(..:.J '/ (/I \.J. /7W Z" "-..J I "J , ,"'"
/. / lL, ' - 11 /1 t;.1 n lid --.--/,)/7/l ,11.1/1 A.~ . (1-, S 1 ,Ulrl..J./'- "
NAMEOFOWNER L.{,/OrY')'l'tt/[..{..:M' C;/7vt-CAl &1 CONTRACTOR' 1/ I L~ L_t)'CA/1VL-- jJ 11 ~'WC.e.lo7,-,
, I
DATE INSPECTION REQUESTED' ( Y .,'" L,f.... Qtj TIME INSPECTION REQUESTED' 6J . . 0 () po. f)1 . PERMIT NO' /,;2 C; 8 {pi
.
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: ~~FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL PARTIAL
o STATUS CHECK
P~ F~ED
COMMENTS:
...... ~~~""..~~ t:.l:>Lt.--'--
-~:.'=~
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
CO:MMENTS:
PASSED FAILED
o 0
~.:;;;.;;;.~
--
...
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
PASSED FAILED
o 0
""~~~1t!U~~"'~"""'""'''''''''''''''''''''''''''''r'~r~~_~~~__
MECHANICAL:D ROUGH-IN 0 A/C 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
CO:MMENTS:
PASSED FAILED
o 0
~~~~""~,-","~~,,.,..z->_~~~~
~m-~~~~...~
CO:MMENTS:
o GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
PLUMBING:
~~~~""""'~~~""wt;:cr"'."'- '-~_""''''':.._'''''''''
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
w~~
DATE OF INSPECTION MADE:
~fiI~
TIMR'cJ~~ 6 f ;
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
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BUILDING INSPECTION REPORT
. ,/
er~CITY OF BLAIR
o OTHER
r?<:::." "!- / t
LOCATION OF INSPECTION' c'~" J '7 - LJ.1 ~ }/ .
/ j .l~/ //'~7" ,) ~/
>' /~I'f. - / pI ,," / .. // /..., ,I t ;~ 11./ .,f' r'
NAME OF OWNER,lr ./ot"tJfdfJt.t{1-P ( ~ /,,It'.1 JL)!_.!~'L-) CONTRACTOR' ,
, , / '
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DATE INSPECTION REQUESTED' (j:J - I -O!.~J
o W ASHlNGTON COUNTY
II
f.~ tJ U
/ I
I
'7 ;'
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TIME INSPECTION REQUESTED' (: 00 f '\'1\ .
/ ,.....c::;; ?, I
PERMIT NO' 01 It,; t.J?
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATUS CHECK
lI7ll:~~~..._=~_ .~~~~~~~-"___=_~_~~~=~
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
o 0
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATERSERVICE
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
d 0
COMMENTS: .
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
FAILED
o
PLUMBING: 0 GROUNDWO~::ROUGH~IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
COMMENTS:
. FAILED
tJ
~~~~~~~~~""""'l1~~
o OCCUPANCY GRANTED ~ CQNDITIONAf"C;lC1~AN'CY GRlN:ED //'=-) " I! I
NOTES/REMARKS' )\//) )~JLpl1i/1A1'-7 &1) 'ji.:JJ/t''I1'lJ:}w
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BUILDING INSPECTION REPORT
~~tiiy OF BLAIR
D WASHINGTON COUNTY
D OTHER
,
(;? 5t;/u /II;') tl c..fi)
CONTRACTOR- ~l7/lc1J t!J!;{l~n
LOCATION OF INSPECTION'
.) I' }'/
;/ I YJ .,.),4.. /-}/I (I;; '/' __II
NAME OF OWNER' ",c/vv/o',,/r{/l-d:.-f 1/.//..;./ 0.......--0'1
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DATE INSPECTION REQUESTED.&f . /8-' 0 t::J
TIME INSPECTION REQUESTED'/O., 'it! .A '/',( ,
/ ;-:.:r(." f
PERMIT NO' I'~'r 0 (jJ
TYPE OF INSPECTION REQUESTED: D CONFERENCE D STATUS <<::HECK
~~~~~'1m'",.T~~~ !T _~~~--p-~...." -1a
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PART~ PASSED FAILED
D D
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
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D D
COMMENTS:
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D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTEStREMARKS'
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1 8
Code Review
NEBRASKA STATE FIRE MARSHAL
PLANS DIVISION
8/6/2008
M 08022-08
Greg Higginbotham
ACME OMAHA SPRINKLER CO.
PO BOX 3745
OMAHA, NE 68103-
(402) 344-0110
Woodhouse Chrysler Addition
Hollow Road & Hwy 30
Blair
986
Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act.
* Approval is conditional upon conformance with comments listed in remarks.
ISprinkler Shop Drawing
_IAddition to Fire Sprinkler
,
REMARKS:
Drawing is for new addition.
1. Drawing is approved for layout and design.
Alt Phone: (712) 322-9281
Occupancy Type: Business
Estimated Start Date: 8/6/2008
Fire Protection Features:
Sprinkler Total ~ Spinkler Partial 0 Range Hood System 0 Sprinkler Other:
Fire Alarm Manual Sys. 0 Smoke Detection 0 Heat Detection 0 Fire Alarm Other:
Email:
Construction Type:
Estimated Completion Date: 8/13/2008
Page 1 of 1
PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION.
FINAL ONSITE APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE.
SIGNED:
r:J.J
David Autry
Reviewed By: Main Office
246 South 14th Street
Lincoln, NE 68508-1804
(402) 471-2027
Contact for Inspection: District B
438 W Market
Albion NE 68620-1241
(402) 395-2164
BUILDING INSPECTION REPORT
.' ;'
,12;:::CITY OF BLAIR D W ASHlNGTON COUNTY D OTHER
LOCATION OF INSPECTION' ;2S'LrLp S, f-lu.J4 3(:) [~;[10 -.38(()5
NAME OF OWNER' It.I:..?oc.J!;() (//J_l) cflvt!;S.l.tl CONTRACTOR' '11ft! {!JJ./CZ71 -L~/QTI ~' (~'1-tJ 6. '
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DATE INSPECTION REQUESTED~7 ~# 6/3 TIME INSPECTION REQUESTED'; J .' 00 /j -eVll PERMIT NO' / d c:; l3 G;;
TYPEOFINSPECTIONJrnQUESTED: D CONFERENCE D STATUS CHECK
~ .. .~4~'~~7 ,-~~~~~~JH~~~~~~
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL ;s:FINAL D PARTIAL'f ~D FpED
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
ELEOTRtCAp D ROUGH IN~FfNAL D PERMANENT SERVICED TEMPORARY SERVICE D PRECONNECT
D PARTIAL
COMMENTS:
MECHANIGAL:'D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
FAILED
D
PASSED FAILED
D D
GROUNDWORK D ROUGH-IN 0 FINAL D WATERMETERINSTALLED D PARTIAL
PRESSURE TEST
PASSED FAILED
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D 0
D
<::(>MMENT$:
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D:6eGtJpANCYG~ANrED 0 CONI>ITIO~AL OCCUPANCY GllANTED
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BUILDING INSPECTION REPORT
~.' /'CITY OF BLAIR
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o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION' ",,:',/5 7:1~;; (~y. /;Iaj~/ ,j{)
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NAME OF OWNER' I if .I' U (.) (/l . 1,1 U~j. \.. II? (.-1/~I:,A/e 7 CONTRACTOR' / / / (i ()-"JI CJ://1
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DATE INSPECTION REQUESTED' /t) -~~;;~ ()8
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TIME INSPECTION REQUESTED',/i' - I I
PERMIT NO'
j' /~:;) c; )0;.; ; --;1
, '0'" / ._- Lt.,
TYPEOFmSPECTIONREQUESTED: 0 CONFERENCE
=~&l..~~:!ml~~~"_...~,,,,~-it"l'"'''''~ :...~..a.,.~~~~~
BUILDmG: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
COMMENTS:
o STATQS CHECK:
FAILED
o
~~~'Z~~~"",","",~-~~~'a!i~~t;:l::S2~t:mmlcs::It;*$;!'Zl!::al'::::iel:".!;,:x
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
ELECTRICAL: 0 ROUGHIN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
~-=';;tr'~~~~,-=>:a:::a:i~~::!;;l'J~rn'J:rn:'tatil::$Cl:Zi:WI~::=:::=zn""""""==="""'-,",,=r~~~C1.~~~~~~...:!?~
MECHANICAL: 0 ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSIlD FAILED
D' "0
'OCCUPANCYGRANTED 0
CONDITIONAL OCCUPANCY GRANTED
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