BP13048
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Blair Building Permit Detail
Permit #: 13048 Issued: 8/11/2008
Completed: 11/26/2008
Location: 13121 Co Rd 16
Owner: Country Bible Church
Address: 13121 Co Rd 16
Type: Gazebos
Valuation: 600
Blair, NE 68008
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Phone:
Section:
Subdivision:
16x16 Gazebo to house church bell.
Township:
Range:
Lot:
Block:
Contractors
D.A. Boswell Company
General Contractor
Permit #
Issued
Remarks
Inspections Date
11/26/2008
By
OEM
Final Inspection of Project
Pass
IE IE lE 1 8~~11~ 6jfJh C/;t/Jld1 - Ga, v,~t':
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT ' .bi~J(,IP11
Permit # /3 tJlf8
Date: [}-; /~ DrS Approximate Completion Date:~ "13 i. ()8 Site Plan Attached:X
Estimated Valuation of Project: bJO/) " 00
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)
SC3.tellit~Dishes/Radio Antenna/Cell Towers (plot plan required)
("'Gazebos)Plot plan required)
"', MisceUaneous 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
Fee: $40.00
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7 ,:)J.
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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:
$
$
uti I- CY;itY?
Total Renewal Remit Fee = Permit Fee/Issuance Fee
Additional Description of pr9Ject if necessary:
t~~ /761 Ur;:UJ L?fll'IJ '
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20.00
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I 5 B (17/1/1 (In 'PC!. J 7 () ,82 A<!-
? A I L 8'106 Sl17,N
f'--.<--\ (j) Phone#: - I
Phone #: 5:33 I 0
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
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Date
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: 8/;;;;;3 Receipt # ;:;;;; 9' Olliftpproved by: f;~u~ !J0,!~
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BUILDING INSPECTION REPORT
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iZJ CITY OF BLAIR
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o WASHINGTON COUNTY
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LOCATION OF INSPECTION' / ......:J / (/'1 /1 -- / 0
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NAME OF OWNER' t//;~:lM7z/:/ ;O/6it; CONTRACTOR'
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DATE INSPECTION REQUESTED' /(::;:/0 / U!:;' TIME INSPECTION REQUESTED'
. . _ / F
o OTHER
PERMIT NO' ~ 10 4L~~!3
TYPE OFrN$PECTION REQUESTED: ~ 0 CONFERENCE DSTATUS,CHECK
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BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL /.I2f'" FINAL 0 PARTIAL PA;S~'ffu FAILED
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COMMENTS:.
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UTILITIES: '0 SEWER TAP, 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
D 0
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:O ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
COMMENTS:
PASSED FAILED
o 0
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J.>LUMBING:.. 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
,... .,0 PRESSURETEST
~~~:~~{;R~~i> -EJ-C;DlTIONAL OCCUP~~RANTED
'.' PASSED FAILED
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