BP13115
Section: 28
Subdivision:
Tearing off 2 layers and replacing with metal.
Permit #: 13115 Issued:
Completed:
Location: 8953 John Deere Ln
Owner: David Nielsen
Address: 8953 John Deere Ln
Blair, NE 68008
Phone: 426 3684
Township: 18
Contractors
SELF
Remarks
2/27/2009
BMP
8/17/2009
HOW
Inspections Date
8/17/2009
By
HOW
Blair Building Permit Detail
11/3/2008
8/14/2009
Type: Roofing permits - All types
Valuation: 3500
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Range: 11
Lot: 11
Block:
General Contractor
Permit #
Dale changed estimated completion date. I changed it back.
1. ROOF FINAL-OK-HW.
Final Inspection of Project
Pass
40
25
50
23380
Issued
CITY OF BLAIR - MISCELLANEOUS BJ(e~~d ~MIT '_
Permit' 131 J~
Date: j J - ~ <-J Y" Approximate Completion Date: 1) l-u [( Site Plan Attached:
Estimated Valuation of Project: 3,;-00 ~
Application for: Permit Fee $40 + Issuance Fee $25 + $50 Deposit
Fee: $115.00
Egress Window (floor plan drawing required)
Fences (plot plan required)
Gazebos (plot plan required)
Patios/Driveways/Sidewalks (new or replacement)
Roofing/Siding/Soffit and/or Eave Repair/Gutters
Swimming Pools with Fence (plot plan required)
Window/Door Replacement (size change only)
Miscellaneous Building Permits (items not covered by one of the above)
Description:
.---- 116 .00
Utility Excavation and Curb Grinding
Curb Grind
Length
Utility Excavation
Length
Type: Water
Fee: $75 plus bond
Un. Ft.; Width
; Sewer
Un. Ft
; Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
Additional Description of project if necessary:'~ 1-+ (~ ~ ~
^Vj~() "J / ~ .
PROJECT INFORMATION:
Job Address:
?S s-3
Legal Description (if applicable) ., /- II
Owner: I) (iN..:.J. N .uJLVV)"....
Contractor: ~
Ad dress:
"q OD a/I) J.8
lLO K.:pc. I J JD .1 ~ Ac...
Phone#: l/,)6 ,- 3~PV
Phone #:
Address:
Cell #:
.,
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 offour (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:
$
25.00
Deposit:
$
50.00
Total Renewal Remit Fee = Permit Fee + Deposit + Issuance Fee $ _ .
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.
D~PI1~
Signature of Owner/Contractor
J/ 1J/~t5
Date
Date Permit Paid: 11-3-.J?
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Receipt # 133 Y'O Approved by:
For Office Use Only
?1tJ
CITY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION:
-- -.,,;../!..... ,-.-.
/T i~
NAME OF OWNER'. ./ )./i
i'," ~", ~,. ,}._ "" >'
CONTRACTOR'
\{
_ 'j ;.'J Ji),__-
- "-,,,,,,.,<..- Y.,'
DATE INSPECTION REQUESTED".
{..? /
TIME INSPECTION REQUESTED'
/}
,I ,/
PERMIT NO'
./' ~,.~
J j//" "
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL
o CONFERENCE
FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
~ 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
o 0
NOTES/REMARKS'
DATE OF INSPECTION MADE: ~ ....( f.F-.;Q 9
FAXED OPPD\BURT REA