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BP13073Blair Building Permit Detail Permit M 13073 Issued: 9/8/2008 Completed: 6/14/2010 Location: 14373 St Hwy 91 Owner: Bennett Ihrke Address: 14373 St Hwy 91 Blair, NE 68008 Phone: 4265724 Section: Township: Range: Subdivision: Lot: 28 x 60 Garage with electric and concrete floor Contractors SELF Dick's Electric Remarks Type: Accessory Building Valuation: 67200 General Contractor Electrical Subcontractor 1/6/2009 DEM OPPD Faxed 2/4/2009 DEM 2/26/2009 DEM No siding installed. Siding Not Complete. Electrical Not Complete. Permit Fee: 343.2 Issue Fee: 20 Deposit Amt.: 500 Receipt M 23111 Block: Permit # Issued E3053 12/31/2008 3/2/2010 HOW 1. Provide truss clips for N. wall roof trusses. 2. Finish office framing. Inspections Date By 11/412008 DEM Footings Pass 12/912008 DEM Framing Pass 11612009 DEM Electrical Permanent Service Pass 2/312009 DEM Final Inspection of Project Fail 2/26/2009 DEM Status check Pass 3/1/2010 KAR Electrical Final Pass 311/2010 HOW Final Inspection of Project Fail 6/14/2010 HOW Final Inspection of Project Pass l~ f : 5 CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT Permit# 13~73 Date:-3-8'~08 Approximate Completion Date: JJ ' 3 D-o B Site Plan Attached: Y REScheck Attached: Complete Plans Attached Application for: Residential ><' Commercial/Industrial New Construction Manufactured Home Modular Move-on: Home Accessory Building ~ Other Remodel Addition Accessory Building: Garage x.. Pole Barn_ Other Floor Type: Dirt Concrete ~ Electricity: Yes..k.. 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 _ ;;;g Y. /.ti 0 f f!CM a tfP tud;/u Proiect Information: Legal Description (if applicable) ownerzJ] Ml/tlJ!:l .IA~ I If 2> fJ"3 S!-ab HW'j 9/ (1./ tit!{ q - / f3 .- / / It;; B Address: C~011t1 Od obtJvh 8700 I 0//5 q PL!;// /{). t/IfAb Phone#: if 2&- 57;? if Phone #: gee> - 3& t.f8 fXi:y::r Job 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 1.8.DA 0 ays or is not completed wit _ . 0 (2) years of date of issue. # l6.fLt, " ~_ ~1 <~[)I ZOO[( Signature of Owner/Contractor Date ,< ... ZONING REVIEW: ZonimVFlood Plain/Utilities: Current Zoning: ~ Conditional Use Permit Required: Yes _ NO~ Date CUP Approved: State Fire Marshal Required: ,Yes _ No X Variance Required: Yes _ No_ Minimum Setbacks: Fron~ Second Front . Side Side;;tj Rear~ Lot Sauare Footal'!e: Length x Width: Lot Coverage % (j)L Driveways/Sidewalks: \ ~"'. Sidewalk required: Yes_ No -tJ... \ \ idewalk Waiver: Yes _ No I: ate Waiver Approved: 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 Footal'!e: 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, Iibrqries, 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 buildinJ! reQuired to be protected by automatic fire sprinkler system?" 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: BuildinJ! 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: Business/I nd ustrialjEd ucationalj Assembly/Factory/Storage/Util ity *Porches with roofs/screened patios are considered additions BuildinJ:! 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 $ ~o6, '1;7 Fee - $500.00 All other permits valued under $10,000 No Deposit Fee Construction Valuation will be computed bv Sq/ft area X $60 Accessory Buildin2s & Interior Remodelin2 Proiects will be computed by Sq/ft area X $40 Permit fee is: Finished sqjft area Finished sqjft area /6~6 . X$60 X $40 $ $ 1.0>1, ;?.oo . 00 . $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......................................................................................$1,190 + $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 Permit Fee calculated from chart above $ 3tf3. ;}-o Issuance Fee: $ $ 20.00= 3/J '8 ;}- 0 B &> '8. J-O Total Permit Fee = DepositjPermit Fee/Issuance Fee Additional Comments: ~/~ Approved IJy; -; )d7 ~L-JDate: Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements >< Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: 9" I 5' - () /Cj Permit Fee: .8 (y ii. ?- () Deposit Amount 5tH) ..0(1 Receipt # .:23 {/ / (~ :/....L. Deposit Paid by for return to: C j)..J!/Yl/Y/JU I h~ l'l3 7.B cr/afJl)/w!I q I (3Jat~ vgOb8 Building Inspection Pouch given: Yes ~ No_ CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS CllY, STATE, ZIP CODE THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 ~ E~ECTI~JJ;AL PERMIT APPLICATION - - rt:'n' (\ Jurisdiction of City of Blair, Nebraska '2.. 18 ~ 218 South 16th Street \ 'J D Blair, Nebraska 68008 ~ Fax (402) 426-4195 E 3053 (402) 426-4191 Application Date: \ d/l2> I I D 1S Job Address Permit Fee: $ (;3, 00 gl 3'13~u Zip I I Phone ' '-126" S'l;)Jl-1 Phone o,\f'Jlr Mail AlIdress 1. r~ n Ih y t.l Si~'\11U- cptl,tractor., , \ t" I ~'.. .h ~ail Address ~U )Cll S '/UC_1 Y Ie. 3. Class of Work: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL Descr.>>1\ Work:, ,j) It", ,tIfj C ' L .,1\.. ,... 4. / \ ro ,~)2D A\'V1I'~ \ r U Il 2>C~ KJ,:vt>~~ 5.Current License on File ,.0 Yes 0 No 0 NjA -:, Service Fee = (Amp Fee + $5.00 per branch circuit) l-IQO Amp Fee...... ... ...... ...... ..$25.00 10[~OO~Amp Fee...... ... ... ... ... .....$35.00 201-300 Amp Fee...... ...... ...... .. ...$55.00 301-400 Amp Fee...... ...... ........ ...$75.00 401-500 Amp Fee...... ...... ...... .. ...$95.00 501-600 Amp Fee...... ............ ... $115.00 601-700 Amp Fee.................... .$135.00 701-800 Amp Fee...... ......... .... ..$155.00 801-900 Amp Fee.................... .$175.00 901-1000 Amp........................ .$195.00 IF OVER 1000 Amp 15t 1000 Amp Fee...... ........ ....$195.00 Each additiona1100 Amps.........$20.00 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. orized Agent Date Zip o R,EMQDELINGjADDITIONS 0 UPGRADE SERVICE \ " ~,)6[) Se VCQ sJ1h .7 Completion Date ELECTRICAL PERMIT FEES Upgrade Existing Service............ .$25.00 Temporary Service.. .. .. .. .. .. .. .. .... $15.00 Fire Alarm System................. ....$15.00 Signs (each).. . .. .... .. .. .. .. .. ... .. ......$25.00 Miscellaneous Apparatus......... .....$15.00 CommerciallMulti Family and AI~_~Dgrades: # of Circuits x $5.00 'U ~-r" '"""", , :,.;-'::) ,C.Y' Amp Fee Amp Fee + Circuit Total ~5S'lDD New Residential: (Finished Area) Single/Two Family Dwellings sq. ft. x .063 Modu1ar/Manufactured Homes...... .$50.00 Other: (alterations, additions and modifications) Receptacles/Switches/Lighting Fixtures (110 volt only) # f A "--;J $ .--, ',0 o pparatus .......... ~ x 1.00 ,'::::>. C - Power Apparatus (220 Volt or higher) # of Apparatus....... x $8.00 Smoke Detectors..... x $3.00 Permit Issuance Fee................. ..$25.00 ~IOU 3,00 Total Comment: WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: $, ?Jf~ I Rev. 2008-10 J ~.ft. .mu_r _:~ -_.._~... ~O~() I I I I I I I I I I I I i- I I I ..-1. 16070 I I I I I ~ 1705liqft I I I I I I I I L~ II II II d I ~I II II II I I I I I I I I I I I I I I I I ~I I I I I I I I I I I I I I I I ~ ~ ~ IY3'73 5H+k \-\-wJ q I NO~~ ~ 78.5' from road Right of way 1SeVl\^~!~)- .::s:; h Y )c ~ North r nmnmnnmm .. r : I , , : : :: i , , l i_________ _ _ 92.5' from house CD d"/" r;\ ~ I D' Lu CAt tS . @ 05 g Shee+.f^j., ' r~ (e Wx€'VI+ 6olA'rA ~"i~i^~ ' \...:) -f-v f''1'\.o'-t-c'" fj<: 5 ))HM~ ~OJ'-~' @) asp~(\ \t- 5~\AJ"~ k ~,l--vh jOAV- cS) ~ 0 () Avvf (' \~ cAY',' cc...P . , , , , , , , , , , , , , , , ml~ l~~~f" 41' from barn JO() Ff- f (uS ' -+0 fr()~ ()\A ~ , ~ :rl '3 :r. \) + <S OJ t{) [' ('() ~ ~ ~\ '-f- <:::\0 -.... <4.- fJ, " ';c~~~~, - .. CITY OF BLNQ BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 refundable deposit is being collected at the time of your building permit -rapplication for all commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) theft of water service by either the plumber, owner or general contractor, 2)No stop box location card submitted, (with new service only) 3) all required inspections have not been obtained, 4) occupancy occurs prior to a final inspection, ~ 5) all permits have not been obtained, ~ 6) the project is completed without a final inspection being done. If any or all of these situations occur during construction, you may forfeit your deposit. I, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. ~ Contractor/Owner 2~ IS/Zoo? City of Blair Gl- EQUAlIIO!JS!U(1 218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cltyofblair@ci.blair,ne,us ",,,,""" CITY OF BLAIQ ..., .\.,1- ^ .:-.,-" 'VI". 6:-' Ol'JJise ot o.\} BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet includes various items dealing with particular code requirements and/or building 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 packet is only designed and distributed to aid you in your building 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 permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. ~ ~ Contractor City of Blair ~Jyj- {~20- ~ ~ (5)- 218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402.426-4195 . E-mail cityofblair@ci.blair.ne,us ,~~';-~7JJ~: --~ '__=~,----,=_r,__~'= ~,,_,_,__~,-::::-~_,,_"_~O;-_'-;-"--"'_.'~~ ~---c:---c"~~','=c------"--~,~~~,~~,~", ,..-,.-...-,"",..-~ ~,_~, ~ BUILDING INSPECTION REPORT '[:f:CITY OF BLAIR LOCATION OF INSPECTION' ? . / f ( ~-'~, '" /if>' ~7 ~-I:'1 ^ 17 /J NAME OF OWNER,. /jjI;t f -L_ //t ~- DATE INSPECTION REQUESTED' /1" if - C)c.tJ D WASHINGTON COUNTY D OTHER / if 3 17 3 (j\~',;.:1 /c.f 17{'-) (../ '7/ r'~--:_) , ~...:, ...r,........ CONTRACTOR' /~o'7? ~) / () - O()(:-:f II ,~. ..-., ,- TIME INSPECTION REQUESTED''':) ',.":).():r::,. "1'1 ' PERMIT NO' , , /3073 TYPE OF INSPECTION REQUESTED: D CONFERENCE D STATUS CHECK =::;';'~~'=~~"!m..~.s.=a::s'~~~~..:ct&,"""",~...._...---~..,.~.:==:l:za'i!'llZr<1~t:mZ1!::::.:..O.,Z:t'Z:=2!~~ __~ ..-r BUILDING: ..':i~ FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL COMMENTS: PASSED FAILED ~D t:.':.~~~;l:~~~~~a;;.;~~1:~~~~~~~L~~~ UTILITIES: D SEWER TAP D PARTIAL COMMENTS: ELECTRICAL: D ROUGH IN D PARTIAL COMMENTS: MECHANICAL: D ROUGH-IN D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE PASSED FAILED D D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT PASSED FAILED' DD D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL FAJLED D COMMENTS: PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL D PRESSURE TEST o OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GR~TED NOTES/REMARKS' )-~~>5(lA6,,1/0/~0 (/4~6~ ./.' ~, C- ,'~ ~ ,,-;~, ,', ~ - .. . ' li\l\ ~\ ~ , . . . " -~~~,FII . . . ' . 41 . . . , , . . . ";...' -'. r , ., \ -,.~ ' .,. ~ - - ~)~~EJ~;;";lU'/L!l -~"~- .:I~. /\"11 ,~'" - -I~ BUILDING INSPECTION REPORT / jZJ CITY OF BLAIR D WASHINGTON COUNTY /'// "~7...-'5 7' ///, LOCATION OF INSPECTION' , -r /..:1:::.; -,/1aj~,/ <. D OTHER ..--} ,,! C;,f!' / DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTED' PERMIT NO' / /,>'" /1' e;;j 3 / :')lj /1. , 7),,1 /~--/'4.<!./ Gi c;- /-;! / t~:I I ,-,I / 7--'.{/j::.~7 ,,~..->...-. NAME OF OWNER' ~_~-' / I /'-.-/t. C. CONTRACTOR' ..!YPEOFINSPECTIO~REQUE~~~ ~__ _~_ ~QE_~NFE~~~_.Q~TATU~~E~_ BUILDING:. 0 FOOTING D DECKFOOTLNG D FRAMING D DRYWALL D FINAL D PARTIAL PASSED FAILED D D CONlMENTS: ~~~~~~ -,. '. " '., / UTILITIES: 0 SEWER TAP D SEWER IZl SEPTIC D WATER TAP D REMOTE D WATER SERVICE / D PARTIAL P9 F'tJED ELECTRICAL: D' ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT D PARTIAL PASSED FAILED D D CONlMENTS: "1~=l!lilt.31\a~ll,;'WZClQSZ!llil~I"'~~~~""""~_~ ",.""''''''''-"..".,.,."".~_... ,,~=-~~~..:r.z:=-~.h";;..~ MECHANICAL:q ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL CONlMENTS: PASSED FAILED D D ~~.'V~.~- ., , .' PLuMBING:::: DOROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED . ... . ,:1:", E]PRESSURE TEST c::OMM~j\lJS:,; ~.': ~~-~_......."'~~--~-~ ~ [] " ,OCCtJpkN<titG'~:W~btD . 0 CONDITIONAL OCCUPANCY GRANTED :;.>',~'J.; ~:::' ::;-: !,__~::;c~. '-. .... " , . .' - ;. """""""''''''''~~-=~~~~~ ~--=''''''''''=--'''''~'~~<.i1 D PARTIAL P AS~ED FAILED [j D ~.."""""""~ ~~~~~ \ ,',':, .,'- ...c...) NOTES!REMARKS" ...,.. -~ ~ - " - ", -', .'--- ',,". - ',j -,~','D~: . ",. - - ". - - 'lz0~)ZOY0 -JrJ1 j , t I , ..... , . i , . . . , , , . , - J .:?=1J1:Y ~J.tl~. '1-, i" d, '" 'r;; . ' . "< I, . . . r ,< . ! ., . f - ;- , } . " I> . ,. , i . > ~ , , , . - - ~ . , I , WI0JZUCJo "ttlT f'J~r t.,1 . I' , } . . ^I CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• NAME OF OWNER` _ _ _ CONTRACTOF • _ DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTED' PERMIT NO• TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ~ ^ STATUS CIiECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL .PASSED FAILED ^ ^ COMMENTS: 1 , ~, w _.... _ w~,.. -_..W~ _ ~_ ~ _~__u- UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAI, ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PAS D FAILED ^ PARTIAL ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL _ ,~~~_ 'PASSED FAILED ^ ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL ~~ PASSED FAILED ^ PRESSURE TEST ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED: NOTES/REMARKS INSPE.c Tc~I~~. -:-`~. Fi~aED OPPI~\I3WZT REA sj ~" % / ,~r-~ ~---' r~`~~ llA'1'l/ OF INSP'EC'TION \1~1)I;: ~ ~ ~.'' ~ _ ~J ~~ Tli~lE~ ~~" To CoNNI~:c~r s~:xvicr,: ~~N_ __ 't~~' _ _ - _ __ __ '~ . '". '. 'J~.'~ t~# ;,,<:-' "J,.. ~' "J<' . ~ . ":r,r. l' o' ...... ....,. .....T. "'-~,J . . ~, " ~ ~ ,;;....."... S., " . . .. . .. , ~. . , , \.' ~, .... ~-, , . . ;. I j I ' , . ~. I 1:' c,' '\ I :"Ii .\ '\" " \ ,at ,ill t ;~; (' , \ -" . ". to' Ii , I " ,L I' 'flll, ~~ .; .\-' ,', '\ 0\' '~"t~' \\,' ~, ~ './ '\ \'i'I~_ '1. ,,",4 tV I '. I ' I II '/ no" ,~, .t.: It' I ~ " .~ .,,,' ~ , 'rl' \ "II , I\~ ' \., l " ..I,' ;'Ol - I ~, , 1 , 'I' . ~l · I , I' '.' " /; . <,I; i ~J ~.J' I. 1 , ,/ I, '(l II ~ , I , .". Ii , I ,. J . '< .1 ~' . , , ~ t" 1- . ~ J. , . BUILDING INSPECTION REPORT / .!:3cJ 7 ::3 ,,/ ~DTY o'F BLAIR LOCATIo'N o'F INSPECTIo'N' NAME o'F o'WNER' ~f).}1/IU!jj :;:::1(/li!/~ -- DATEINSPECTIo'NREQUESTEDO{'" ,.=5 -~OCI o W ASHINGTo'N COUNTY 0 o'THER /L/"S 7_3 Sf. /~JfJ 9/ Q ',,,. /'< . ~ .' iiA / ,L.)A {fLY U I TIME INSPECTIo'N REQUESTED' /1 7-- PERMIT No" Co'NTRACTo'R' TYPE OF INSPECTION REQUESTED: 0 CONFERENCE o STATUS CHECK ~~-~ ~~~~~ ." '~ BUILDING: 0 Fo'o'TING 0 DECKFo'o'TING ',0 FRAMING 0 DRYWALL c:F'FINAL 0 PARTIAL PASSED fA D -" '? '.; ,I ' 0 ~ :=~w:~~~w~s~ AlLED o PARTIAL' 0 0 d ,J~ ~ -,~~~~ . ?~i: .;;;(t{ . ,-c.'," '{~' .::~;~~ '-:: - ~-~. ':'!} PASSED !'ArLED<Z 0'0 ':~J COMMENTS:, =_ __. _ . .~=r-===_..,,,,,,,-===-~\,'~tf:?',~ PLUMBING: 0 GRo'UNDWORK O. Ro'UGH~IN, 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL PASSEDFAIL~P~~;~"~~~ COMMENT", D'PIlESSURETEST. ...... _ __ _.--=---D.,.,'..;...,.:";,',...".i,~,,r,:,~.~j~,'c. . D bCCUPANCi'GRANi.ED.dJ';;CONJJIiiO~AA;()CCtJpANC.YGRANTED ' ~ N<YrES!REMAliKS <~tr{ ...... ...... . ..tG ~!,X;;ti0fi tt'...fS@)ri" US ...r;P .;:;~~.*~~! .' ..:. .;;;y( .~:~t~~i I _ _ ....,_':~- .:."-:-> '--", "::-= ,::~",,~~~~;_~:~~,"/~-'_-;i':' -~ -,":1>;~'-" ,"-, PASSED o ,V0 - ,,: <}, .{it COMMENTS: "~-~-",,,,,,",,,,,,,,,,",,,,,,,,,,,,,,,,,......_~~~.=.~ ELECTRICAL: 0 Ro'UGH rN"'EZI~FINAL 0 PERMANENT SERVICE 0 TEMPo'RARY SERVICE 0 PRECo'NNECT o PARTIALI COMMENTS: ..:o.h' ," MECHANICAL:D Ro'UGH-IN D AlC 0 FURNACE 0 RADIANTHEAT D FINAL 0 PARTIAL ,-' .. " .' ~} -~;;~~~ , . ~~.-~ '~, : -'" . . "'("~~,~~l' - ~,,',,-c. "." ,-;,..~.:- . " . ,,'...--; -. ,-~~.:. 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BUILDING INSPECTIONREPufi.l / / IZJ CITY OF BLAIR o W ASHlNGTON COUNTY o OTHER ------ 7=:1~ 7-:::- / / / :.=:> /' /7 " (- /''''/t~'J L/ ' /' LOCATION OF INSPECTION'/ 4,L~-::~'? 7~ ~:? <--~'--.. / / -::= //"/"" NAME OF OWNER' " L/7/Cj(, L_ CONTRACTOR' , / / '; /./' /' /c" 0) DATE INSPECTION REQUESTED' C:::-."', /~:;;)(p /t) 7 TIME INSPECTION REQUESTED' .i'" of (<~'/ /' i}/1' 11/1 jL. /, J' PERMIT NO' //::j~7 ::;7 ::? / TYPE OF INSPECTIQN REQUESTED: 0 CONFERENCE GJSTATUS GHECK ~~~ 'T"'~~\.=_"~~~~"""'-:- .re. -~ BmLDING: O' FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED o D COMMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL o S~WER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATERSERVICE tJ PARTIAL PASSED FAILED o 0 UTILITIES: PASSED FAILED o 0 MECHANICAL:Q ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL COMMENTS: PASSED FAILED [j 0 PLUMIHNG:. 0 Gl{OUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL .' D PRESSURE TEST COMMENT~: , PASSED FAILED [1,0 D . QCCUPAN~cfGR,tNTED d, l1J' CONDITIQNAL OCCUPANCY GRANTED , ., . d~ .~~ ..., " '.....';..... , .' .....---.,... \~- ' "~. NatESffiEM?tL~~_~~r ~ . .~ .~-~~"."...,......~ ~~~ , -., ."."..:'",,-- .::--.-; " - -- ~ \, \' ~ I L _ _lN SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PARTIAL PASSED ❑ FAILED ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY El OTHE ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIAL PASSED ❑ FAILED ❑ MECHANICAL: ❑ COMMENTS: ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ LOCATION OF I N S P E C T I O N - GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ FAILED ❑ b - ; NAME OF OWNER «�� `�� ` '� t_ w CONTRACTO DATE INSPECTION REQUESTED EQUESTED - ` V ' ti TIME INSPECTION REQUESTED x P PERMIT NO y - TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FR.AMING ❑ DRYWALL j_ -FINAL ❑ PARTIAL PASSED FAILED El 1 COMMENTS: UTILITIES: ❑ ❑ COMMENTS: SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PARTIAL PASSED ❑ FAILED ❑ ELECTRICAL: ❑ ❑ COMMENTS: ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIAL PASSED ❑ FAILED ❑ MECHANICAL: ❑ COMMENTS: ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ PLUMBING: ❑ ❑ COMMENTS: GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ FAILED ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES /REMARKS ` ) -t cc Felp- I-✓ ae G L 2 cJ +v to .Qs "1 1 1 1 INSPECTO G ��I,,�J � DATE OF INSPECTION MADE: � I 0 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY T IME: i B UILDING w❑ _ CITY OF BLAIR ❑ WASHINGTON COUNTY F] OTHER- . ., LOCATION OF INSPECTION � - r NAME OF OWNER -- . %LL ✓ ✓' < CONTRACTOR= DATE INSPECTION REQUESTED x f TIME INSPECTION REQUESTED p ID : hi PERMIT N0 a TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ROUGH IN _ _... FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSE FAILED ❑ PARTIAL ❑ COMMENTS:Qr MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMM ENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN [_1 FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTOR. . DATE OF INSPECTION MADE: < TIME:_ FAXED OPPD\BURT REA TO CONNECT SERVICE: 0 N BY �w.® = -� � h == = -� � ,CITY OF BLAIR r Mi tv 1 9 0411 1 go Rl U DEN ll I, I iiiii'l � III F WASHINGTON COUNTY LOCATION OF INSPECTION NAME OF OWNER F OTHE DATE INSPECTION REQUESTED:-��� TIME INSPECTION REQUESTED 2 / 2- i '2 'I.PERMITNO - TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE Fl STATUS CHECK BUILDING: ❑ COMMENTS: FOOTING ❑ DECK FOOTING [:1 FRAMING [:] DRYWALL PARTIAL PASSED F LED - F UTILITIES: ❑ ❑ COMMENTS: SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP F REMOTE ❑ WATER SERVICE PARTIAL PASSED F FAILED 1 ELECTRICAL: ❑ ❑ COMMENTS: ROUGH iNF] FINAL F PERMANENT SERVICE F TEMPORARY SERVICE F] PRECONNECT PARTIAL PASSED ❑ FAILED F MECHANICAL:F COMMENTS: ROUGH -IN F A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED 1 FAILED F PLUMBING: F ❑ COMMENTS: GROUNDWORK ❑ ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ FAILED ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS - INSPECTOR DATE OF INSPECTION MADE: F. 10 AWL- FAXED OPPD\BURT REA TO CONNECT SERVICE: ON