BP12996
t AUG 2 1
Blair Building Permit Detail
Permit #: 12996 Issued: 6/4/2008
Completed: 8/20/2008
Location: 912 N 28th Ave
Owner: Paul Kellogg
Address: 912 N 28th Ave
Type: Decks - All types
Valuation: 2000
Blair, NE 68008
Phone: 533 2479
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Section:
Subdivision:
16x20 deck 6' up off of ground treated wood.
Township:
Range:
Lot: 7
Block:
Contractors
SELF
General Contractor
Permit #
Issued
Remarks
Inspections Date By
6/27/2008 KAR Deck Footings Pass
7/1/2008 OEM Conference Pass
8/20/2008 OEM Final Inspection of Project Pass
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CITY OF BLAIR - MISCELLANEOUS BUilDING PERMIT
Permit # / ;;;c;r (/?
Date: It;- 1.(- 08 Approximate Completion Date: 7 - l.s~ 08Site Plan Attached: ~
Estimated Valuation of Project: d 000 . {) r:.)
Application for:
Permit Fee $20j/ssuance 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)
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 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
L/'d. <5 c)
Total Renewal Remit Fee =. Permit Fee/Issuance Fee $
Ad~itional,DescriPtion of prpject if necessary: I ill \( dC>cbtfl u I vr tft G,P:1iJtl-nc/
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. Legal Description (if apPIiCable)~C: da/l.<:lJhv,} IIJ,/r/;,/J.fs ~tirn,r/ Adrl ,~I- 7 Vl::j/ 7
Owner: Paul /~4~ Address:. IS' elm' as t?J", 1/./ Phone#: :5 3~q - .? ;~;('
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PROJECT INFORMATION:
Job Address:
Contractor:
Phone #:
Address:
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
to - L./-og
Date
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: 6~.~ t/~tlt) Receipt #c9dS'IB Approved by: \ 7? /2; /..g<-<LL~
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BUILDING INSPECTION REPORT
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[Z] CITY OF BLAIR D WASHINGTON COUNTY D _ OTHER
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LOCATION OF INSPECTION' i?/;? /1< ' ,r;;?~)>>"'~ /11/~
NAME OF OWNER' ~~)6 G CONTRACTOR'
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DATE INSPECTION REQUESTED' & /<:3:../J ,,/C.2:?fIME INSPECTION REQUESTED'
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TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING / DECK FOOTING D FRAMING D DRYWALL D
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PERMIT NO' /'7 /' / 0::--:'
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CONFERENCE
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
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
_a\)\:lf...&..~~~a.r._.........._...~lt..I>4>-.4>..-..::I..-.
MECHANICAL:D ROUGH-IN D NC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
COMMENTS:
PASSED FAILED
D D
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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INSP TE OF INSPECTION MADE, 1 ~
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
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TIME INSPECTION REQUESTED"
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PERMIT NO"
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~OFBLAlR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOCATION OF INSPECTION"
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NAME OF OWNER" l( (:"> ! I () ,:; (
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DATE INSPECTION REQUESTED" ' ~y) I
D OTHER
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CONTRACTOR"
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TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
? F~ED
COMMENTS:
UTILITIES: D SEWERTAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
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
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS'
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INSPECTO "
DATE OF INSPECTION MADE: C)~ -:z 7~ ? : IS-
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
~OFBLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECtION-
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NAME OF OWNER' "j4/.-1 ^ <..1!ru'C7c;tW-/
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DATE INSPECTION REQUESTED- b' c/!tf) - t) &
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CONTRACTOR- """'~:"'~i r
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TIME INSPECTION REQUESTED- /:l r
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PERMIT NO- / c:7 I 7 L-P
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATUS CHECK
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BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL.,,:~;;:RINAL 0 PARTIAL FAILED
o
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
COMMENTS:
PASSED FAILED
o 0
'-"''''''''~~~'m'':~~,,~~~n~~~~~~..:;r.2:';:;:Y...1lW''"~~~
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
PASSED FAILED
o 0
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MECHANICAL:D ROUGH-IN 0 A/C 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
COMMENTS:
PASSED FAILED
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PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
D OCCUPANCY GRANTED
NOTES/REMARKS-
CONDITIONAL OCCUPANCY GRANTED
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