BP13108
Blair Building Permit Detail
Permit #: 13108 Issued:
Completed:
Location: 642 S 19th St
Owner: Woodhouse Turbo Liner
Address: 2546 S Hwy 30
12/1/2008
9/10/2009
Type: Industrial/Commercial- Remodeling
Valuation: 16125
Blair, NE 68008
Phone: 4264126
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
254
25
500
23631
Section:
Subdivision:
Township:
Range:
Lot:
Block:
Commercial Remodel to make a bed liner spray booth.
Contractors
Paul Jipp Services
Standard Htg & AlC Inc
Wolfe Electric
General Contractor
Heating Subcontractor
Electrical Subcontractor
Permit #
M1806
E3047
Issued
12/10/2008
12/9/2008
Remarks
9/14/2009
HOW
1. space is unused at this time-paint boot wass installed and permitted at another site -Sharp
Image-location as per Grant-320-6224-note: submit plans and permit to the city of blair for
approval prior to occupying-hw.
9/10/2009 HOW Met with Grant from Woodhouse. No code issues.
Inspections Date By
9/10/2009 HOW Final Inspection of Project Pass
9/10/2009 HOW Conference Pass
CITY OF BLAIR - APPLICATION FOR BUilDING PERMIT
Permit # I
Date:
/() -;J/- D!3
Approximate Completion Date: 6' - { -0 1
Site Plan Attached:
REScheck Attached:
Complete Plans Attached
Application for: Residential Commercial/Industrial K
New Construction Manufactured Home Modular
Move-on: Home _ Accessory Building Other
Remodel ~ Addition
Accessory Building: Garage _ Pole Barn_ Other
Floor Type: Dirt _ Concrete _ Electricity: Yes _ No
Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) _
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) _
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 _
I ' A 0
Additional De~crip~jo~ pf project ifnecessary: L d7rlAJ1.vlc/tU ~t1tJh/ /~
/Plc:rh Ci I:u oLtJ;.,uifA.., ,,\. 'JO/I C:U/A b 00 .,LA,- ~I udJo,- ,;7' ...(:n,M."i
, (/
Project Information:
Job Address:
/";Lf;J (y, /1f'h JCf, B9ooLft?7Lf7
Legal Description (if apPliCable)$dTL- r75'r /'1-;&-11 //0 pC! 9.;7
/! ) , l ~/JtU1iL - YtJ/1 D(j' - d ~ ~ ,'/ J" (0 10 30'
Owner: &UooG /kr Address:~'~""-w ,...). 7/,i.h.j... .
Contractor: f],.,tJ ()Jpp ~~ II; c~V
, . 7 !.(- d r\ I ');j.
Address: d I () (::';;~Ml {lOt1'~ ~_J v r, c~~;1J dAIJ Cell #:
Separate permits are required for electrical, plumbing, hearting, ventilating and'air conditg~,~nfs~tic 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.
~~
Signature of w e ;;Contractor
Phone#: ,/0;;2- Lf z& - '-I
(Jr/lCVI'1 t:VA. c:.,J.
Phone #: Lfo 2-.3;;LO
/0 - :;J.:l~O^
Date
lJ
ZONING REVIEW:
Zonin Flood Plain
Current Zoning: Conditional Use Permit Required: Yes No
fate CUP Approved:
State Fire Marshal Required: Yes ~ No _ Variance Required: Yes _ No_
Minimum Setbacks: Front _ Se?ond Front Side Side _ Rear_
,
!
lot Sauare Footage:
length x Width:
lot Coverage %
Drivewavs/Sidewalks: r
Sidewalk required: Yes 'l" No _ Sidewalk Waiver: Yes No
i Date Waiver Approved:
Preexisting Garage requir~s driveway to be less than 3' from property line: Yes_
Approved by:
Flood Plain: Yes No
If yes, specify special requirements:
BUILDING INSPECTOR REVIEW:
Number of Stories
One Two
Three
Four
>Four
High Rise (> 75 ft) _
Tvpe 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_
(section continued on next page)
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Businessjl ndustrialjEd ucational/ Assem blyjF actory jStoragejUti lity
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except for the followim!:
Accessory Buildings & Interior Remodeling Proiects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sign ErectinVAwnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation:
Finished sqjft area - ,37.5-' X $ i13
$ lip) I J..5, M)
Construction valuation is ...................................Permit fee is:
$0 TO $50.......................................................... $0
$51 TO $500........................................................$25
$501 TO $2,000........................................................$25 + $3
$2,001 TO $25,000........................................................$70 + $13
$25,001 TO $50,000..................................................... $370 + $10
$50,001 TO $100,000..................................................... $620 + $7
$100,001 TO $500,000..................................................... $970 + $5
$500,001 TO$1,OOO,OOO ..................................................$2,970 + $4
$1,000,001 AND OVER ..................................................$4,970 + $3
Permit Fee calculated from chart above
per additional $100
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
$ c251f, aD
Issuance Fee:
PI' 00
25.00 ~:J 11-
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
$
$
Additional Comments:
U((iU(/ /tE-{:) '~/2)C1;)6
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
APprove~J:)~lfi~ Date:
~
/-
CJ;/i{/c;/1
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No
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 building reauired 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: 20% grade or less? Yes _ No_
(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:
Building Permit Deposit Fee:
Commercial, new homes and residential
add itions/ remodels/ Clc~f''''''''~
Fee - $500.00
Residential additions/
Fee = $200.00
All other permits Ft
RESIDENTIAL - NEW CO
Permit fee is:
Finished sqjft area
<not includir
Finished basement
Unfinished basemer
Garage sqjft area _
Total Valuation:
,f'ci
Total Valuation
"- IVlultiplied by 0.006 =
$
$
$
$
Issuance Fee:
25.00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
/3/L)8
tUocJ;j) /IoLU5 6
Dale Miller
From:
Sent:
To:
Subject:
Attachments:
Going, Jeff Oeff.going@nebraska.gov]
Tuesday, November 18, 2008 11:43 AM
Dale Miller
FW: Question
MSDS Sheet for Spray On Truck Bed Liners 11-7-08.pdf
This is Doug's Response.
Jeff
From: Hohbein, Doug
Sent: Thursday, November 13, 2008 9:24 AM
To: dj.keith@fireguardusa.com
Cc: Going, Jeff
Subject: RE: Question
DJ,
Sorry for the delay.
There is no simple answer for your question. If the sprayed material is applied in a manner that does
not create a fine spray, dust or vapor it can be exempted from the requirements of a typical spray
booth. Items such as special ventilation and fire suppression are not required. The material must
meet the requirements of Chapter 12 of NFPA 33. Some of the requirements are listed here.
Spray undercoating or spray body lining of vehicles that is conducted in an area that has adequate natural or
mechanical ventilation shall be exempt from the provisions of this standard, if all of the requirements of
through are met.
There shall be no open flames or spark-producing equipment within 20 ft (6100 mm) of the spray operation
while the spray operation is being conducted.
There shall be no drying, curing, or fusion apparatus in use within 20 ft (6100 mm) of the spray operation
while the spray operation is being conducted.
Any solvent used for cleaning procedures shall have a flash point not less than lOooF (37.80C).
The coating or lining materials used shall meet one of the following criteria:
(1) Be no more hazardous than UL Class 30-40, when tested in accordance with UL 340, Test for
Comparative Flammability of Liquids
(2) Not contain any solvent or component that has a flash point below lOOOF (37.80C)
(3) Consist only of Class IIIB liquids and not include any organic peroxide catalyst
Spray undercoating operations that do not meet the requirements of Section
requirements of this standard pertaining to spray fInishing operations.
shall meet all applicable
1
It appears the material will meet 12.1.1.4 (3), but the owner will need to show compliance with all of
the other requirements before NFPA 33 (fire suppression) is waived.
Please note that the above requirements do not address the health issues related to this product.
There is a fairly high degree of health hazard related to the application of this material that the owner
should address.
I hope this helps. Let me know if you have any other questions.
Doug Hohbein
Chief Plans Examiner
Nebraska State Fire Marshal's Office
246 S. 14th St.
Lincoln, NE 68508-1804
v.402-471-2027
f.402-471-3118
web:
From: Dorinda Keith [mailto:dj.keith@fireguardusa.com]
Sent: Friday, November 07,2008 11:16 AM
To: Doug Hohbein
Subject: Question
Doug,
I know how busy you must be but, I have a customer who wants to start doing spray on truck bed liners. I am
attaching the MSDS sheet for the product he will be using. Will he be required to have a dry chemical paint spray
booth type system installed? The flash point is 302 degrees. Please advise.
If you have any questions or comments, please do not hesitate to contact me.
Thank you,
Dorinda (dj) Keith
Pre-Engineered Systems
Direct Line: 402-898-2236
Cell: 402-505-1905
4404 S. 76th Circle
402.592.1999' Fax 402.592.1599 ,
2
MA TER/AL SAFETY DA TA SHEET
PRODUCT NAME: TURBO-LJNER 11 Side-A
FIRE
SECTION 1- MANUFACTURER IDENTlFICA nON
~.~ --
~ HEALT
REACTIVITY
MANUFACTURER'S NAME: Turbo Products, Inc.
ADDRESS: 1 West Cameron, Kellogg, 10 83837
INFORMATION PHONE: (877) 678-8726
EMERGENCY CONTACT: (CHEMTREC): 800-424-9300
DATE REVISED: May 2001
HMIS HAZARD RATING
LEAST -------- 0 SLIGHT ---- 1
MODERATE --- 2 HIGH __m__ 3
EXTREME --- 4
SECT/ON If - HAZARDOUS INGREDIENTS/SARA IIIINFORMA TION
OCCUPATIONAL EXPOSURE LIMITS
HAZARDOUS COMPONENTS CAS NUMBER OSHA PEL ACGIH TLV MFG TLV
*4,4'.DIPHENYLMETHANE DIISOCYANATE 101-68-8 ,02 ppm ,005 ppm
(CEILING)
URETHANE PREPOL YMER N/E N/E
VAPOR PRESSURE
mm Hq (Q) TEMP
<5.0 25'C (77'F)
. Indicates toxic chemical(s) subjeclto the reporting requirements of section 313 of Tille III and of 40 CFR 372.
L SECTION III- PHYSICAUCHEMICAL CHARACTERISTICS
BOILING POINT: >150oC (>302'F) SPECIFIC GRAVITY: (H20=1): 1.01
VAPOR DENSITY: Heavier than air EVAPORATION RATE: Slower than ether
SOLUBILITY IN WATER: Reacts with water
APPEARANCE AND ODOR: Clear, mild aromatic
SECTION IV - FIRE AND EXPLOSION HAZARD DA T A
!
FLASH POINT: 150'C (302'F)
FLAMMABLE LIMITS IN AIR BY VOLUME: Lower: N/E
METHOD USED: PMCC
Upper: N/E
EXTINGUISHING MEDIA: Dry chemical, foam, carbon dioxide, avoid use of water,
;k SPECIAL FIRE FIGHTING PROCEDURES: Wear NIOSH approved self contained breathing apparatus in positive pressure mode with
full-face piece. Boots, gloves (neoprene), goggles, and full protective clothing are also required. Excessive pressure or temperature
may cause explosive rupture of containers.
UNUSUAL FIRE AND EXPLOSION HAZARDS: Water contamination will produce carbon dioxide. Do not reseal contaminated
containers as pressure buildup may rupture them.
L
SECTION V - REACTIVITY DA TA
!
STABILITY: Stable under normal conditions.
CONDITIONS TO AVOID: Heat, high temperature, open flame, sparks, and moisture. Contact with incompatible materials in a closed
system will cause liberation of carbon dioxide and buildup of pressure.
INCOMPATIBILITY (MATERIALS TO AVOID): This product will react with any material containing active hydrogens, such as water,
alcohol, ammonia, amines, alkalis and acids, the reaction with water is very slow under 50oC, but is accelerated at higher temperature
and in the presence of alkalis, tertiary amines, and metal compounds, Some reactions can be violent. Keep away from strong oxidizers
such as hydrogen peroxide, bromine and chronic acid.
Pogo 1 of7
Copynght (S) 2001 by TURBO LINER, All Rights Reserved
Turbo LIner 11
HAZARDOUS DECOMPOSITION OR BY.PRODUCTS: Combustion products: carbon dioxide, carbon monoxide, nitrogen oxides,
sulfur oxides, ammonia, trace amounts of hydrogen cyanide and unidentified organic compounds.
HAZARDOUS POLYMERIZATION: May occur. High temperatures, above 204"C (400"F) in the presence of moisture alkalis, tertiary
amines, and metal compounds will accelerate polymerization. Possible evolution of carbon dioxide gas may rupture closed containers.
r
-
SECTION VI. HEALTH HAZARD DATA
~
SKIN CONTACT: Isocyanates react with skin protein and moisture and can cause irritation. Prolonged contact can cause reddening,
swelling, rash, scaling, blistering, and, in some cases, skin sensitization. Individuals who have developed a skin sensitization can
develop these symptoms as a result of contact with very small amounts of liquid material or as a result of exposure to vapor. Animal
tests have indicated that respiratory sensitization can result from skin contact with MOl prolonged skin contact may, under extreme
conditions, cause skin cancer. This reinforces the need to prevent direct skin contact with the product.
EYE CONTACT: Liquid, aerosols or vapors are severely irritating and can cause pain, learing, reddening and swelling. Prolonged
vapor contact may cause conjunctivitis. Any level of contact should not be left untreated.
SKIN ABSORPTION: Systemically toxic concentrations of this product will probably not be absorbed through human skin.
INGESTION: Can result in irritating and corrosive action in the mouth, stomach tissue and digestive tract. Symptoms can include sore
throat, abdominal pain, nausea, vomiting and diarrhea.
INHALATION: MDI vapors or mist at concentrations above the TLV can irritate (burning sensation) the mucous membranes in the
respiratory tract (nose, throat, lungs) causing runny nose, sore throat, coughing, chest discomfort, shortness of breath and reduced lung
function (breathing obstruction). High vapor concentrations may cause central nervous system (CNS) depression as evidenced by
giddiness, headache, dizziness, and nausea. Persons with a preexisting, non-specific bronchial hyperactivity can respond to
concentrations below the TLV with similar symptoms as well as asthma attack. Exposure well above the TLV may lead to bronchitis,
bronchial spasm and pulmonary edema (fluid in lungs). As a result of previous repeated overexposures or a single large dose, certain
individuals may develop isocyanate sensitization (chemical asthma) which will cause them to react to a later exposure to isocyanate at
levels well below the TL V. Similar to many non-specific asthmatic responses, there are reports that once sensitized an individual can
experience these symptoms upon exposure to dust, cold air or other irritants. This increased lung sensitivity can persist for weeks and
in severe cases for several years. Chronic overexposure to isocyanate has also been reported to cause lung damage (including
decrease in lung function) which may be permanent. Sensitization can either be temporary or permanent.
HEALTH HAZARDS: ACUTE: Exposure may cause mucous membrane and respiratory tract irritation, tightness of chest, headache,
shortness of breath, and a dry cough. At concentrations exceeding current occupational limits and for sensitized individuals at levels
less than or greater than current occupational limits, asthma-like symptoms may occur. These symptoms may include coughing,
wheezing, and shortness of breath. A hypersensitive pneumonitis may also occur if the person is sensitized. This syndrome is
characterized by fever, nonproductive cough, wheezing, chills, and shortness of breath. Central nervous system (CNS) depression may
also result. The effects of acute exposure may be delayed in onset up to 12-24 hours. CHRONIC: Repeated exposure above current
occupational limits may cause an allergic sensitization of the respiratory tract. This is characterized by an asthma-like response upon
re-exposure to the chemical. The symptoms may include coughing, wheezing, shortness of breath and chest tightness, and may be
fatal. Central nervous system (CNS) depression may also result; unconsciousness and death may occur in extreme cases.
CARCINOGENICITY: NTP: No
IARC Monographs: No
OSHA Regulated: No
MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Cardiovascular disease, asthma or asthmatic bronchitis,
emphysema, allergic disease, dermatitis, chronic respiratory disease, sinusitis, headache and dizziness.
EMERGENCY AND FIRST AID PROCEDURES: EYE CONTACT: Immediately flush eyes with plenty of water, preferably lukewarm.
After initial flushing, remove any contact lenses and continue flushing for at least 15 minutes. Have eyes examined and treated by
medical personnel. INHALATION: Remove victim to fresh air. If not breathing, give artificial respiration, preferably mouth-to-mouth. If
breathing is labored, give oxygen. Consult medical personnel. SKIN CONTACT: Wash material off the skin thoroughly with plenty of
soap and water. If redness, itching, or a burning sensation develops, get medical attention. Wash contaminated clothing and
decontaminate footwear before reuse. INGESTION: Do not induce vomiting. Give 1-2 glasses of milk or water to drink and refer person
to medical personnel. Do not give anything by mouth to an unconscious person.
SECTION VII- PRECAUTIONS FOR SAFE HANDLING AND USE
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Wear skin, eye, and respiratory protection during cleanup.
Soak up material with absorbent and shovel into a chemical waste container. Cover container, but do not seal, and remove from work
area. Prepare a decontamination solution of 2.0% liquid detergent and 3-8% concentrated ammonium hydroxide in water (5-10%
sodium carbonate may be substituted for the ammonium hydroxide). Follow the precautions on the supplier's material safety data
sheets. All operations should be performed by trained personnel familiar with the hazards of the chemicals used. Treat the spill area
with the decontamination solution, using about 1 0 parts of solution for each part of the spill, and allow it to react for at least 15 minutes.
Page 2 of 7
Copynght (9 2001 by TUReo LINER. All Rights Reserved
Turbo Liner 11
Carbon dioxide will be evolved, leaving insoluble polyureas. Residues from spill cleanup, even when treated as described may continue
to be regulated under provisions of RCRA and require storage and disposal as hazardous waste. For major spills, call CHEMTREC
(Chemical Transportation Emergency Center) at 800-424-9300.
WASTE DISPOSAL METHOD: Slowly stir the isocyanate waste into the decontamination solution described above using 10 parts of
the solution for each part of the isocyanate. Let stand for 48 hours, allowing the evolved carbon dioxide to vent away, residues may still
be subject to RCRA storage and disposal requirements. Dispose off in compliance with all relevant local, state, and federal laws and
regulations regarding treatment.
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Keep in cool, dry, ventilated storage area, in closed containers and
out of direct sunlight. Store in containers above ground and surrounded by dikes to contain spills or leaks. Sufficient heat or pressure
may ignite. Keep containers closed when not in use.
OTHER PRECAUTIONS: Prevent skin and eye contact, observe TLV limitations. Avoid breathing vapors. Workers should shower and
change to fresh clothing after each shift. A sensitized individual should not be exposed to the product that caused the sensitization. Air
circulation and exhaustion of isocyanate vapors must be maintained until the coatings have fully cured to insure that no potential fire,
explosion or health hazard remains. Warning properties (irritation of the eyes, nose and throat or odor) are not adequate to prevent
chronic overexposure from inhalation. This product can produce asthmatic sensitization upon either single inhalation exposure to a
relatively high concentration or upon repeated inhalation exposure to lower concentrations. Exposure to vapors of heated isocyanates
can be extremely dangerous. Employee education and training in safe handling of this material is required under OSHA hazard
communication standard. Individuals with existing respiratory disease such as chronic bronchitis, emphysema, or asthma should not be
exposed to isocyanates. These individuals should be identified through baseline and annual evaluation and removed from further
exposure. Medical examination should include medical history, vital capacity, and forced expiratory volume at one second.
SECT/ON VIII - CONTROL MEASURES
1
VENTILATION: If needed, use local exhaust ventilation to keep airborne concentrations below the TLV. Follow guidelines in the ACGIH
publication "Industrial Ventilation",
RESPIRATORY PROTECTION: If airborne concentrations exceed or are expected to exceed the TLV, use MSHA/NIOSH approved
positive pressure supplied air respirator with a full-face piece or an air supplied hood. For emergencies, use a positive pressure self-
contained breathing apparatus. Air purifying (cartridge type) respirators are not approved for protection against isocyanates.
PROTECTIVE CLOTHING: Gloves determined to be impervious under the conditions of use should be worn always when working with
this product. Depending on conditions of use, additional protection may be required such as apron, arm covers, or full body suit. Wash
contaminated clothing before wearing. Clothing constructed of butyl rubber, viton, silver shield, Saranex coated Tyvek, as well as some
nitrile rubber and polyvinyl alcohol (PVA) coated garments have demonstrated excellent resistance to permeation by isocyanate.
Clothing constructed of Teflon, as well as some garments constructed of nitrile rubber, natural rubber and PVA exhibited limited
resistance to permeation by isocyanate. Please note that PVA degrades in water. Some clothing constructed of natural rubber or
polyethylene exhibited little resistance to permeation by isocyanate. Protective clothing should be selected and used in accordance with
"Guidelines for the Selection of Chemical Protective Clothing" published by ACGIH.
-,( EYE PROTECTION: Chemical tight goggles and full-face shield.
j!( OTHER PROTECTIVE EQUIPMENT AND MEASURES: Unhindered access to safety shower and eye wash stations. As a general
hygienic practice, wash hands and face after use. Showers and cleaning of clothes are recommended. Follow all label instructions.
Educate and train employees in safe use of product.
r
SECTfON IX - REGULA TORY INFORMA TfON
-1
DOT PROPER SHIPPING NAME: Not Regulated.
TOXIC SUBSTANCE CONTROL ACT: All chemicals comprising this product are listed on the TSCA inventory.
USER'S RESPONSIBILITY: A bulletin such as this cannot be expected to cover all pOSSible individual situations. As the user has the
responsibility to provide a safe workplace, all aspects of an individual operation should be examined to determine if, or where,
precautions, in addition to those described herein, are required. Any health hazard and safety information herein should be passed on
to your customers or employees, as the case may be.
DISCLAIMER: The information contained herein is, to the best of our knowledge and belief, accurate. However, since the conditions of
handling and use are beyond our control. we make no guarantee of results, and assume no liability for damages incurred by use of this
material. All chemicals may present unknown health hazards and should be used with caution. Although certain hazards are described
herein, we cannot guarantee that these are the only hazards which exist. Final determination of suitability of the chemical is the sole
responsibility of the user. No representations or warranties, either expressed or implied, of merchantability, fitness for a particular
Page3of7
Copyright to 2001 by TURBO LINER. All Rights Reserved
T"rbo Lmer 11
purpose or any other nature are made hereunder with respect to the information contained herein or the chemical to which the
information refers. It is the responsibility of the user to comply with all applicable federal, state and local laws and regulations.
Page4of7
Copynghl o!j 2001 by TURBO LINER. All Rights ReseNed
Turbo Liner 11
MATER/AL SAFETY DATA SHEET
PRODUCT NAME: TURBO-LINER 11 Side-B
FIRE
r
SECTION I. MANUFACTURER IDENTIFICATION
] HEAL T
REACTIVITY
MANUFACTURER'S NAME: Turbo Products, Inc.
ADDRESS: 1 West Cameron, Kellogg, 1083837
INFORMATION PHONE: (877) 678-8726
EMERGENCY CONTACT: (CHEMTREC): 800-424.9300
DATE REVISED: May 2001
HMIS HAZARD RATING
LEAST -------- 0 SLIGHT 0-- 1
MODERATE m 2 HIGH "'0__ 3
EXTREME ---- 4
SECTION II- HAZARDOUS INGREDIENTS/SARA IIIINFORMA TlON
HAZARDOUS COMPONENTS
AROMATIC AMINE
OCCUPATIONAL EXPOSURE LIMITS
CAS NUMBER OSHA PEL ACGIH TLV MFG TLV
68479-98-1 NJE N/E
VAPOR PRESSURE
IT!!!! Hq (ii! TEMP
0.001 20nC (68'F)
. No toxic chemical(s) subject 10 the reporting requirements of Section 313 of Tille III and of 40 CFR 372.
SECTION 11I- PHYSICAUCHEMICAL CHARACTERISTICS
BOILING POINT: 30aoe (586'F)
COATING V.O.C.: NJA
SPECIFIC GRAVITY: (H20=1): 0.98
VAPOR DENSITY: Heavier than air
EVAPORATION RATE: Slower than ether
SOLUBILITY IN WATER: Insoluble
APPEARANCE AND ODOR: Amber liquid, slight odor.
SECTION IV. FIRE AND EXPLOSION HAZARD DA T A
FLASH POINT: >1350C (>27~)
FLAMMABLE LIMITS IN AIR BY VOLUME: Lower: N/E
METHOD USED: Tee
Upper: N/E
EXTINGUISHING MEDIA: Dry chemical, foam, carbon dioxide, water spray (fog).
SPECIAL FIRE FIGHTING PROCEDURES: Wear NIOSH approved self-contained breathing apparatus in positive pressure mode with
full face piece. Boots, gloves (neoprene), goggles, and full protective clothing are also required. Excessive pressure or temperature
may cause explosive rupture of containers.
UNUSUAL FIRE AND EXPLOSION HAZARDS: Sudden reaction and fire may result when the product is exposed to oxidizing agents.
SECTION V. REACTIVITY DA TA
,
STABILITY: Stable under normal conditions.
CONDITIONS TO AVOID: Heat, high temperature, open flame, and moisture.
INCOMPATIBILITY (MATERIALS TO AVOID): This product will react with any material containing isocyanate. Some reactions can be
violent.
HAZARDOUS DECOMPOSITION OR BY-PRODUCTS: Combustion products: organic vapors and thermal decomposition fragments.
HAZARDOUS POL YMERIZA TION: Will not occur,
Page 5 of 7
Copynghl @ 2001 by TURBO LINER, All Rights Reserved
Turbo Liner 11
L
SECTION VI. HEAL TH HAZARD DA T A
---,
SKIN CONTACT: Skin sensitization and irritation may develop after repeated and/or prolonged contact with human skin.
EYE CONTACT: Can induce irritation or chemical burns on contact with eyes.
SKIN ABSORPTION: Product may be absorbed through skin and cause nausea, headache, and general discomfort.
INGESTION: In humans, irritation or chemical burns of the mouth, pharynx, esophagus and stomach can develop following ingestion,
and injury may be severe and cause death.
INHALATION: Vapors can irritate eyes, nose and respiratory passages. Severe overexposure may induce respiratory sensitization with
asthma like symptoms. Symptoms include chronic cough, tightness of chest with difficulty in breathing. These symptoms may be
immediate or delayed up to several hours after exposure. Chronic exposures may result in permanent decreases in lung function.
HEALTH HAZARDS: ACUTE: Exposure may cause skin and eye irritation, respiratory tract irritation. Chemical burns may result due to
overexposure. Affects of exposure may be delayed. CHRONIC: Repeated and prolonged exposure at low levels may result in adverse
skin and eye effects, liver and kidney disorders.
CARCINOGENICITY: NTP: No
IARC Monographs: No
OSHA RegUlated: No
MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Cardiovascular disease, asthma or asthmatic bronchitis, skin
allergies, chronic respiratory disease, sinusitis, headache, dizziness, eye diseases.
EMERGENCY AND FIRST AID PROCEDURES: EYE CONTACT: Immediately nush eyes with plenty of water. After initial flushing,
remove any contact lenses and continue flushing for at least 15 minutes. Have eyes examined and treated by medical personnel.
INHALATION: Remove victim to fresh air. If not breathing, give artificial respiration, preferably mouth-to-mouth. If breathing is labored,
give oxygen. Consult medical personnel. SKIN CONTACT: Wash material off the skin with plenty of soap and water. If redness, itching,
or a burning sensation develops, get medical attention. Wash contaminated clothing and decontaminate footwear before reuse.
INGESTION: Do not induce vomiting. Give 1 or 2 glasses of water to drink and refer person to medical personnel. Never give anything
by mouth to an unconscious person.
SECTION VII- PRECAUTIONS FOR SAFE HANDLING AND USE
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Wear skin, eye, and respiratory protection during cleanup.
Soak up material with absorbent and shovel into a chemical waste container. Cover container, but do not seal, and remove from work
area. Residues from spill cleanup may continue to be regulated under provisions of RCRA and require storage and disposal as
hazardous waste. For major spills, call CHEMTREC (Chemical Transportation Emergency Center) at 800-424-9300.
WASTE DISPOSAL METHOD: Residues may still be subject to RCRA storage and disposal requirements. Dispose off in compliance
with all relevant local, state, and federal laws and regulations regarding treatment.
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Store in tightly sealed containers to protect from atmospheric
moisture. Store in a cool dry area. Store liquid in containers above ground and surround by dikes to contain spills or leaks.
OTHER PRECAUTIONS: Prevent skin and eye contact, observe TLV limitations. Avoid breathing vapors. Workers should shower and
change to fresh clothing after each shift. A sensitized individual should not be exposed to the product that caused the sensitization.
SECTION VIII- CONTROL MEASURES
l
VENTILATION: If needed, use local exhaust ventilation to keep airborne concentrations below the TLV. Follow guidelines in the ACGIH
publication "Industrial Ventilation". Exhaust air may need to be cleaned by scrubbers of filters to reduce environmental contamination.
RESPIRATORY PROTECTION: If airborne concentrations exceed or are expected to exceed the TLV, use MSHA/NIOSH approved
positive pressure supplied air respirator with a full face piece or an air supplied hood. For emergencies, use a positive pressure self-
contained breathing apparatus.
PROTECTIVE CLOTHING: Gloves determined to be impervious under the conditions of use should be worn always when working with
this product. Depending on conditions of use, additional protection may be required such as apron, arm covers, or full body suit. Wash
contaminated clothing before wearing.
EYE PROTECTION: Chemical tight goggles and full-face shield.
Page 6 of 7
Copyrighl@2001 by TURBO I.INER. All Rlghls Reserved
Turbo Uner 11
OTHER PROTECTIVE EQUIPMENT AND MEASURES: Unhindered access to safety shower and eye wash stations. As a general
hygienic practice, wash hands and face after use. Showers and cleaning of clothes are recommended.
L
SECTION IX - REGULA TORY INFORMA TION
,J
DOT PROPER SHIPPING NAME: Not regulated,
TOXIC SUBSTANCE CONTROL ACT: All chemicals comprising this product are listed on the TSCA inventory.
USER'S RESPONSIBILITY: A bulletin such as this cannot be expected to cover all possible individual situations. As the user has the
responsibility to provide a safe workplace, all aspects of an individual operation should be examined to determine if, or where,
precautions, in addition to those described herein, are required. Any health hazard and safety information herein should be passed on
to your customers or employees, as the case may be.
DISCLAIMER: The information contained herein is, to the best of our knowledge and belief, accurate. However, since the conditions of
handling and use are beyond our control, we make no guarantee of results, and assume no liability for damages incurred by use of this
material. All chemicals may present unknown health hazards and should be used with caution. Although certain hazards are described
herein, we cannot guarantee that these are the only hazards which exist. Final determination of suitability of the chemical is the sole
responsibility of the user. No representations or warranties, either expressed or implied, of merchantability, fitness for a particular
purpose or any other nature are made hereunder with respect to the information contained herein or the chemical to which the
information refers, It is the responsibility of the user to comply with all applicable federal, state and local laws and regulations.
Page7or7
Copyright @ 2001 by TURBO LINER. All Rights Reserved
Turbo Liner 11
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: / c2 - cr - 0 8
Job Address
E 3047
B5.00
Permit Fee: $ _
Lid -S. / c;ftL
-1-.
Zip
Phone
Zip
Phone
/Ylt>f(j~, 3 Jja
DYes 0 No 0 N/A
o REMODELING/ADDITIONS 0 UPGRADE SERVICE
'1'71 cJ LIcMl cr ~ Wn r
. , ~
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee...... ... ............ ..$25.00
101-200 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
1511000 Amp Fee..................$195.00
Each additional 100 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.
,~--
Date
ELECTRICAL PERMIT FEES
n5. () (.)
Upgrade Existing Service............ .$25.00 IX.
Temporary Service.................... $15.00
Fire Alarm System................. ....$15.00
Signs (each)......................... .....$25.00
Miscellaneous Apparatus......... .....$15.00
CommerciaIIMulti Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .063
ModularlManufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/Switches/Lighting Fixtures (110 volt only)
# of Apparatus.......... (~ x $1.00 '::5 - () D
Power Apparatus (220 Volt or higher)
# of Apparatus....... if x $8.00
3;). 00
Smoke Detectors.....
x $3.00
Permit Issuance Fee.................. .$25.00
cY',-/) j) 0
8.:5'. 00
Total
Comment:
WHEN PROPERLY VALIDATED (IN THISSP ACE) THIS IS YOUR PERMIT
I Approved By: ('5. ~ J ~
Rev. 2008-10
~
~
,
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...
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te'
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: /r;./-
<;::,
c,)
E 3047
Permit Fee: $ B B. co
Job Address
Phone
(l J'1lail Mdress .
~1 i'to/V (J..
Mail Ad~ss /...
- Iltf U{)
NEW RESIDENTIAL 0
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee.......................$25.00
101-200 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
I sl 1000 Amp Fee............... ...$195.00
Each additional 100 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 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.
Si~ature of Contractor or Authorized Agent
Date
Zip
Zip
Phone
REMODELING/ADDITIONS
Jt'u7
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
00
Commercial/Multi Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/Switches/Lighting Fixtures (110 volt only)
# of Apparatus .......... , j x $1.00 ,'i () U
Power Apparatus (220 Volt or higher)
# of Apparatus....... [,f x $8.00
Smoke Detectors. . . ..
x $3.00
Permit Issuance Fee.................. .$25.00
Total
Comment:
WHEN PRO PERL Y V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ("'Z~) i),.?! J:'f..4P'l---.-,
Rev. 2008-10
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CI1Y. STATE, ZIP CODE
THANK YOU
KEEP THIS COpy FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 68008
TURBO LINER DEALER
SHOP FLOOR PLAN
T
Good Lighting Is Very Important.
(The high ceiling makes the
light bulbs last longer.)
1
* The inside of the spray area is
covered with 6 mil. plastic.
The walls are painted white to
help reflect more light.
* The drop curtain is also made
with 6 mil. clear plastic.
T
-'-
,
,
.-L----L- ~
EXHAUST FAN
ABOUT 3000 C.F.M.
S'
o
o
~
t:J
IT
25'
! .
CURTAIN WALL
20'
I
CURTAIN WAll I
I
I
I
-~
10'
These measurements represent ideal situations,
exceptions can be made for space requirements.
BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory building valued $10,000 or
greater at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
addition or accessory building valued under $10,000.
A $50.00 refundable deposit is being collected for all misc. permits.
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 the plumber, owner or general contractor.
2) All permits have not been obtained.
3) All required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspection being done.
6) Storm Water Management Plan inspection not obtained. (If Required)
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.
p~~ ~-=7
~" Contractor/Owner
Contractor/Owner
City of Blair
/;) -//- ?~
Date
Brenda Wheeler
From:
Sent:
To:
Cc:
Subject:
Phil Green (Blair, NE)
Thursday, December 11, 2008 10: 13 AM
Paul Cech; Grant E. Vicich
Dale Miller; Brandy Petersen; Brenda Wheeler
RE: Woodhouse bed liner building
Paul and Grant,
Thank you for the e-mail. We appreciate your working with us in this regard. I don't foresee any issues
regarding the Conditional Use permit, but we want you to understand that it's not approved until it's approved,
and the financial risk is yours alone in moving forward at this time.
Dale Miller is reviewing the building permit and I am finishing up with a parking layout. We should have our
review finished this morning. Once done, Brandy Petersen will call Grant (320-6224) with the permit fee, which
he can bring in with the $230 Conditional Use Permit fee. Grant will also need to bring the list of property
owners within 300' of the facility with the Conditional Use Permit application.
Phil
Phil Green
Assistant City Administrator
City of Blair
218 South 16th Street
Blair, NE 68008
Phone: (402) 426-6691
Fax: (402) 426-4195
PCGreen@ci.blair.ne.us
From: Paul Cech [mailto:pcech@Woodhouse.Com]
Sent: Thursday, December 11, 2008 8:52 AM
To: Phil Green (Blair, NE)
Cc: Grant E. Vicich
Subject: Woodhouse bedliner building
Mr. Green,
Thank you for your time and consideration in regards to our new spray in bed liner building at the old Sharp Image
location.
I understand that on January 13th, the Blair City Council could deny our request to open a spray in bedliner business. If a
denial vote should be rendered, I understand that we would not be able to operate our bed liner business in this location.
As a condition of approval from the City of Blair for Woodhouse to go forward with building improvement without final City
Council approval, I offer the following statement: "Woodhouse Ford, Inc. releases the City of Blair of any responsibility
from any financial loss incurred by us due to improvements we authorized to the proposed property if a "denial" vote is
rendered by the Blair City Council."
Again, thank you very much for working with us on this project.
Sincerely,
1
Paul Cech
Woodhouse Auto Family
2
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MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska I 0 (1)
218 South 16th Street ~ 3 U
Blair, Nebraska 68008 \ .
Fax (402) 426-4195 M 1806
(402) 426-4191
~y) S.
OWlll;r \ \ \ r lMail Add~e~ J... -4,' "__
1. lfJoo~ \i\<:ll"t)e \..)(~ -, /MutJ - ~
Contmdnr, \ i \ 1 ..' ilail Address
2.~t-c.l\c,:;(~ t-!O,Tj".'/\.
3. Class of Work: 0 COMMERCI 0 RESIDENTIAL
:,e,~"rih"Work: D~ I
Application Date:
1J- '-\0-uB-
Job Address
Heat Pump
Central A/C
Tons
Tons
Furnace
BTU/H
AlC
# of Units
Furnace
Completion Date:
Boiler Chart
BTU Fee
Up to 100,000.................,........... ...$15.00
100,000-500,000... ... ........... ........... ..$30.00
500,000-1,000,000............ .... .......... .$40.00
1,000,000-1,750,000... ......... ........... .$60.00
Over 1,750,000.......................... ....$1 00.00
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.
Signature of Contractor or Authorized Agent
Date
Permit Fee: $ LftJ. at:)
/,6 ~t-
Zip
Phone
Zip. ''1 JC ,.2~hOI).\\ 0 I V
( on /I . C -./ I 5"
o Alteration 0 Repair 0 Replacement
)'-11
o New 0 Addition
~
MECHANICAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit)
Up to and including 100,000 BTU / 3Ton............................$15.00
Furnace/Heat Pump/Air Conditioner (Per Unit)
Over 100,000 BTU / 3 Ton.......................................... ...$25.00
Refrigeration Units/Coolers/Lines/Compressor - Commercial
(New or Replacement) (Per Unit)
. .. .. . . . . . . . .. . . . . . . . . . . . . . . . . .. . .. . . . . .. . .. . . .. . . . .. .. .. . . . . .. . . . . . .. . . . .. . ..$15.00
Boiler (use BTU Chart to left)...... ......... .....
Appliance Vent/Fans... ... ... ... ... ..... ....$10.00
Duct System... .... .. ... ...... .. . . .. .. .... .. ..$15.00
IS;. ()J
Gas/Air Outlets.................First 5
x $6.00
. . . . . . .. .Additional
x $1.00
Radiant Heat Systems/Gas/Water
Piping System... ....................... .... ..$50.00
Modular Home............................... $50.00
Permit Issuance Fee........................ ..$25.00
Total
;) ~ ()j
U~uJ
Current License on File
o No 0 NjA
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: " ),' t"') ,
..,;to:-_ /J ..1--", A ", _ j
(/ ). <Jl~V~
I
Rev. 2008-10
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
~y) S.
Ownlir \ \ \ r lMail Add~~ L -4. " A..
1. lfJoo~\i\<:lI"t)e \..)(~ -.. /tv'!otJ - ~
ContrHr.tnr ., \ i \ t ..' ilail Address
2. ~t-c.l\c,:;( ~ MeA \ 'i\.
. - --
3. Class of Work: 0 COMMERCI 0 RESIDENTIAL
:,e~r.riheWork: D~ I
Application Date:
1J- '-\0--0B-
Job Address
Heat Pump Tons
Central AlC Tons
Furnace BTU/H
# of Units AlC
Furnace
Completion Date:
Boiler Chart
BTU Fee
Up to 100,000........................ ...... ..$15.00
100,000-500,000......... ... ... .. .......... ...$30.00
500,000-1,000,000......... ........ ........ ..$40.00
1,000,000-1,750,000... ... .............. .. ..$60.00
Over 1,750,000.......................... ....$100.00
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 pelmit does not presume to give
authority to violate or cancel the provisions of any other
state or loc llaw regulating construction or the
er rmance construction.
I \ 0Dl~\~
/1 ~ ~t-
Mt806
t.ftJ 00 ~
Permit Fee: $
Zip
Phone
Zip, "'? '70 Pho~ Il/
( on /I . C .., ././ 1'- 5" 0 7
o Alteration 0 Repair 0 Replacement
)'-11
o New 0 Addition
\)>~
MECHANICAL PERMIT FEES
FurnaceIHeat Pump/Air Conditioner (Per Unit)
Up to and including 100,000 BTU / 3Ton............................$15.00
Furnace/Heat Pump/Air Conditioner (Per Unit)
Over 100,000 BTU / 3 Ton....................................... ......$25.00
Refrigeration Units/Coolers/Lines/Compressor - Commercial
(New or Replacement) (Per Unit)
.. . . . .. . . .. . .. . .. . .. . .. . .. . . .. .. . . .. . .. .. . .. . .. . .. . .. .... . .. . .. . .. . .. . .. . .. .. .$15.00
Boiler (use BTU Chart to left)..... .... ... ..... ...
Appliance Vent/Fans................... .....$10.00
Duct System................................ ..$15.00
I S;~ (jJ
Gas/Air Outlets.................First 5
x $6.00
. . . . . . .. .Additiona1
x $1.00
Radiant Heat Systems/Gas/Water
Piping System... ......... ...... ....... .......$50.00
Modular Home...,.. ......... ... ...... ... .... $50.00
Permit Issuance Fee.................... ..... .$25.00
Total
;) s;. ()j
()/U)
Current License on File
o No 0 NjA
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE THIS IS YOUR PERMIT
Approved By: (:;--;> (f) l-
I . rJT~
Rev. 2008-10
~
OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOCATION OF INSPECTION'
"
t~r;'? l:i"(~,-:;;\
{ Y
, .,
'-"....F'~
.' / ..l ".
NAME OF OWNER',"'; ,"'..' 01 )/:Y,.' ,.. l,(J /, ,/ /1,,>;1,>, , .. ~;'J",,'., ro"
e-l
DATE INSPECTION REQUESTED' 'i' /1) l;::) ~l
TIME INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING D DECK FOOTING
COMMENTS: C-q ,'U F~c;e
UTILITIES: D SEWER TAP D SEWER
D PARTIAL
D CONFERENCE
D FRAMING D DRYWALL ,~"FINAL D PARTIAL
D STATUS CHECK
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
D D
D OCCUPANCY ~RANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
/J{J+~ So
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12
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vovyt, ~{U;t't ~ ~d$ e.. 1"14/"\1 ~fJ.u-
F
INSPECTOR'
?"v+
DATE OF INSPECTION MADE:
q ...f O"_t> ?
TIME: 1/; I~kv\
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
," 7vtv
T~'CITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOCATION OF
TIME INSPECTION REQUESTED'
NAME OF
DATE INSPECTION REQUESTED' /
TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING D DECK FOOTING
COMMENTS: C a t\J F~c:e.
UTILITIES: D SEWER TAP D SEWER
D PARTIAL
D CONFERENCE
D FRAMING D DRYWALL .~"'FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D A/C D FURNACE D RADIANTHEAT 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
NOTES/REMARKS'
/J(j.+~ ~
Slfl ~ ('~ V J.) t..I~ eeJo
G ~tt. ,.,rt .
VJP
IJ.-
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FAXED OPPD\BURT REA
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