BP13130
Blair Building Permit Detail
Permit #: 13130 Issued: 12/11/2008 Type: Church - Remodeling
Completed: Valuation: 184728
Location: 1656 Colfax St
Owner: First Methodist Church Permit Fee: 1394
Address: 1656 Colfax St Issue Fee: 25
Deposit Amt.: 500
Blair, NE 68008 Receipt #: 23652
Phone: 4262165
Section: Township: Range:
Subdivision: Lot: 7-9 Block: 65
Interior Remodel - New water service and fire sprinkler system sanctuary and heating equipment.
Contractors
Barry Larson & Son, Inc.
Donovan Electric Inc.
Hans Heating & Ale Inc.
Henton Trenching, Inc.
Henton Trenching, Inc.
Remarks
General Contractor
Electrical Subcontractor
Residential Heater Subcontractor
Plumbing Subcontractor
Plumbing Subcontractor
Permit #
E3060
M1808
P1970
T1350
Issued
1/9/2009
12/16/2008
1/7/2009
1/7/2009
2/11/2009
OEM
10:50 Not holding #200 for test
11 :05 #200
1 :07 #200 Test Passed
Inspections Date By
1/7/2009 OEM Water Service
1/8/2009 OEM Water Tap
1/9/2009 OEM Water Tap
2/5/2009 OEM Mechanical Rough-ins
2/5/2009 OEM Electrical Rough-ins
2/5/2009 OEM Framing
2/11/2009 OEM Plumbing Pressure Test
2/12/2009 OEM Plumbing Rough-ins
4/23/2009 JAMIE Electrical Final
4/27/2009 KAR Plumbing Final
4/27/2009 KAR Mechanical Final
4/27/2009 KAR Final Inspection of Project
Pass Partial
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit # \ ~.:) I ~3 {)
Date: /:J -11- 08
Approximate Completion Date: it> -I ' tJ 1
Site Plan Attached:
REScheck Attached:
Complete Plans Attached
Aoolication for: Residential Commercial/Industrial '<
New Construction Manufactured Horne 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 _
Zfrla c:W - Ail t~
IS), .f~?"
Proiect Information:
j'l. f;::;" /t I#- JII
Job Address: LI~JIJ? CrY" clit . i '
t
Legal Description (if applicable) $C' /f"~ '7-1 ~ Pi i/At!S f-. B.J k- tf;5 R:! G 1.&1
~J t "7P1/l. 1/ J 'f (. t1A d7. t, /1 q;!:. JU Lf d J. - -/I",e
Owner: ::rc.,(A.(). // ,u.1'rntJCJU{} 'Address: /1.f5if L, )c"ll' r. Phone#: ,,;Ju';{ lK.J
Contractor: CE aMi.f ?:i C!/I<JO?1 f J ~ ,X71C . Phone #: ,5 7/ -3838
Address: '(tM!/ @O & () U..LR~~q~ hoJ1 Rei ~o:t &9 -;) t.j 70
O/f11cdlcJc &; 8 I~:j! tf - I 'l31 L
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditkTning, and septic systems. By my signature
below, I aCknowledge this building permit a~pr tion, does not constitute issuance of this building permit. I further agree that
construction covered by this permit pplicatio hall no be commenced until I have received a copy of a permit signed by the Building
Inspecto.':,.,I.h~gree to perfo~~the proe sed w5!!,~n accordance with the specifications set forth above and in accordance with the
codes/6rdina!).oeS of the City of ifa'i'r'and t e Sta.!e"of Nebraska. I understand that this permit is void if work is not commenced within
~80 days rfs not completed ,thin two ( .years of date of issue.
,..' I ,,,,,..
// .-:te- ! . ( ;2 (II I 0 ~
Signature Qf Date
gC;0086LfI'f
/
L.
ZONING REVIEW:
Conditional Use Permit Required: Yes _ NO~
~ate CUP Approved:
State Fire Marshal Required: Yes No _ Variance Required: Yes _ No_
Minimum Setbacks: Front _ S cond FrN/iont Side Side _ Rear_
lot Sauare FootaJ:!e: \ I, J IL__
length x Width: lot Coverage ~
Driveways/Sidewalks:
Sidewalk required: Yes_ No_
Sidewalk Waiver: Yes
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
No
Flood Plain: Yes No
If yes, specify special requirements:
BUilDING INSPECTOR REVIEW:
Number of Stories
One Two
Th ree
Four
>Four
High Rise (>75 ft)_
Tyoe 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 FootaJ:!e:
Main level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front Rear
Deck that affect setbacks: Rear
Second level: Third level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Occuoancy 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)
High Hazard HPM
Institutional, incapacitated _
Institutional, day care facilities_
Residential, multiple family _
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous_
Institutional, supervised environment_
Institutional, restrained _
Mercantile Residential, hotels _
Residential, one- and two-family
Is buildin~ reauired to be orotected bv automatic fire sorinkler svstem?"
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:
Buildin~ Permit Deoosit Fee:
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater $ 560.00
Fee - $500.00
Residential additions/remodels/accessory buildings valued under $10,000 $
Fee";' $200.00
All other permits Fee = $50.00 $
RESIDENTIAL - NEW CONSTRUCTION:
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 $92
$
$
$
$
$
$
X$56
X$29
X $25
Total Valuation
Multiplied by 0.006 =
Issuance Fee:
$ 25.00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
$
PLUMBING PERMIT APPLICATION .. '-:1'
Jurisdiction of City of Blair, Nebraska I 3/::; 0
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 P 2015
(402) 426-4191
~
Application Date:
1/.. II, ()1
Permit Fee: $ ,'55, otJ
Job Address
Comments:
Notice
I hereby celiity 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.
Signature of Contractor or Authorized Agent
Date
L/~e-d/~S
A Zip '.. Phone
/(J';!/I1# /1V./l aEJnaIJa.l/g/~t3
~Iteration 0 Repair 0 Replacement
4rJ1tldtl
PLUMBING PERMIT FEES
Modular Home... ... ... ... ... ... ....$50.00
Type of Fixture No.
Kitchen... ... ... ... ... ... ... ... ... ...$12.00 x
Bath... ..Residential/Single Stall $12.00 x _
................. ...Multi-Stall $25.00 x
Rough-In Bath...................... ..$8.00 x_
Additional Sinks.... ...... ... ...... ..$6.00 x
Slop Sink/Laundry TraylDrain.....$6.00 x_
Water Heater.................... .....$10.00 x
Outside Water FauceL................$6.00 x
Drinking Fountain........................$6.00 x_
Backflow/Grease Trap............ .$15.00
Water Service...................... .$15.00
Sewer.............................. ...$15.00
Groundwork... ... . .. ,.. ... ...... ....$15.00
Septic Tank & Laterals............ $15.00
Lawn Sprinkler System............$10.00
Sprinkler System (Commercial)..$30.00 --1-- 3 () , ()(J
Gas/Water Piping System
(Commercial)...................... ..$50.00
Permit Issuance Fee................ .$25.00
Current License on File
Comment:
Total
~es 0 No 0 N/ A
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved BY:, f) /. ;:) t
D rJr'4!-~L/
Rev. 2008-10
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska I 3/3 D
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
Ii.. I//v 1
Permit Fee: $
P 2015
56 t'() ~
Job Address
tJ~e-d/~5
. . .Mrjy.Address. f Zip , _' Phone
?ft:U?'MtLuIJ; <; 3/ <:'~11#1 /tJ.;2///c/ .4r/.f eJl'JJ1a/1a. tI'~/.?g
~Iteration 0 Repair (j Replacement
;!3;;.,'tJdel
PLUMBING PERMIT FEES
Modular Home.................. ....$50.00
Type of Fixture No.
Comments:
Notice
1 hereby certify that I havc rcad 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.
Kitchel1............................. .$12.00 X
Bath.....ResidentiaIlSingle Stall $12.00 x_
................. ...Multi-Stall $25.00 x
Rough-In Bath... ............. ....... .$8.00 x_
Additional Sinks............... ......$6.00 x
Slop Sink/Laundry Tray/Drain.....$6.00 x__
Water Heater......... ... ... ...., .....$10.00 x
Outside Water Faucet...................$6.00 x
Drinking Fountain........................$6.00 x_
A
! '
I
Backflow/Grease Trap......... ....$] 5.00
Water Service.... ,................ ..$15.00
Sewer............................. ....$15.00
Groundwork............ .......... ...$15.00
Septic Tank & Laterals............ $15.00
Lawn Sprinkler System........ ....$10.00
Sprinkler System (Commercial)..$30.00 -L
Gas/Water Piping System
(Commercial)..................... ...$50.00
r.....,:=JC; . t>(/
Permit Issuance Fee...... ... .........$25.00
CUlTent License on File mes 0 No
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: /3;) L
. iJ T ..tfLJJ!-rv
j
Rev. 2008- ] 0
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/lndustrialjEducational/ Assembly/Factory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Exceot for the following:
Accessory Buildings & Interior Remodeling Projects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Si~n ErectimVAwnin~s and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation comoutation: ~ 9, / .
Finished sqjft area / (0
X$ t.f3
$ /8'1; 1-78. 0(.)
Construction valuation is ...................................Permit fee is:
$0 TO $50.......................................................... $0
$51 TO $500........................................................$25
$501 TO $2,000........................................................$25 + $3 per additional $100
$2,001 TO $25,000........................................................$70 + $13 per additional $1,000
$25,001 TO $50,000..................................................... $370 + $10 per additional $1,000
$50,001 TO $100,000..................................................... $620 + $7 per additional $1,000
$100,001 TO $500,000..................................................... $970 + $5 per additional $1,000
$500,001 TO$1,OOO,OOO ..................................................$2,970 + $4 per additional $1,000
$1,000,001 AND OVER ..................................................$4,970 + $3 per additional $1,000
Permit Fee calculated from chart above
$ }3 'if. 00
$ 25.00 '" 1,4-'1 q ,00
$ -' I q I q . 00
Issuance Fee:
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Additional Comments:
Approved~ /~~~
Contingent On Approval by Fire Marshall X .
Meet IBC, IPC, (MC and NEC Code Requirements X
Sleeping Rooms below Story and in Basement required to have egress
Date:
/;2~~~8
, .
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No_
Code Review
NEBRASKA STATE FIRE MARSHAL
PLANS DIVISION
1/30/2009
I M 11033-08
I
/J/${)
Jack H. Jackson
Jackson - Jackson & Associates
1905 N 81 st Street
Omaha, NE 68114-
(402) 391-3999
First United Methodist Church
1656 Colfax Street
Blair 68008-
Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act.
* Approval is conditional upon conformance witli comments listed in remarks.
IFinal Architectural Plan
,llnterior Finish
I
REMARKS:
Plan review is for the mechanical and fire sprinkler system only.
Mechanical approved as submitted.
Shop drawings for automatic sprinkler system shall be submitted for separate review and approval. Title
153 Ch 21, 003.01
Alt Phone: (402) 426-2165
Occupancy Type: Assembly
Estimated Start Date: 12/8/2008
Fire Protection Features:
Sprinkler Total ~ Spinkler Partial D Range Hood System D Sprinkler Other:
Fire Alarm Manual Sys. ~ Smoke Detection ~ Heat Detection D Fire Alarm Other:
Email:
Construction Type: Type V (000) 8,690 SF
Estimated Completion Date: 3/13/2009
Page 1 ofl
PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION.
FINAL 0 ITE A PROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE.
SIGNED:
Jim Kennev
Reviewed By: Main Office
246 South 14th Street
Lincoln, NE 68508-1804
(402) 471-2027
Contact for Inspection: District B
438 W Market
Albion NE 68620-1241
(402) 395-2164
~
lilP !;;;fdo""l-<:;; q.....
fIr If D JAN ,2 8 ENTID
PLUMBING PERMIT APPLICATION 3D
Jurisdiction of City of Blair, Nebraska '1'31
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 T 1350
(402) 426-4191
Application Date:
1-,/0 ?
dO
Permit Fee: $ 3.r () ::..--
Job Address
/6S fa CJ!~). {j-
Zip
Phone
Zip
Phone
o Addition 0 Alteration 0 Repair 0 Replacement
PLUMBING PERMIT FEES
Comments:
Water Tap Fee - %"
$150.00
Water Tap Fee - 1"
$200.00
Water Tap Fee - 1~" $250.00
Water Tap Fee - 2" $300.00
l(!!- $2. ch 02 X
W~~'" IGf w'~U
-~_._"
Current License on File
Comment:
Total
o No 0 NjA
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ~ 0.
cL), rJ/-~
I
Rev. 2008-10
\ij;f \? ... GO ~ ~ "" ~ =
. fN J I RI Jl) J\N ?, ~ ENT'D
PLUMBING PERMIT APPLICATION
\'1;,\30
P 1970
~
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: {- I ,. <) 9'
Job Address
t 'S'b
.5t?fV,(c
Comments:
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.
Date
cO
Permit Fee: $ LID .-
c~ I P<;x Sf
Zip
Zip
Phone
Phone
o Addition 0 Alteration 0 Repair 0 Replacement
PLUMBING PERMIT FEES
Modular Home...,.. ... ...... ... ....$50.00
Type of Fixture No.
Kitchen.,...,......... ...... ...... ...$12.00 x
Bath... ..Residential/Single Stall $12,00 x_
................. ...Multi-Stall $25.00 x
Rough-In Bath....... ... ...... ........$8,00 x_
Additional Sinks.... ... ... .., ..,.., ..$6.00 x
Slop Sink/Laundry Tray/Drain.....$6.00 x_
Water Heater...... ... ........... .....$10.00 x
Outside Water Faucet...................$6.00 x
Drinking Fountain........................$6.00 x_
Backflow/Grease Trap,..,... ...., .$15,00
Water Service....,...,.".."., ,., ..$15.00
Sewer..........................,.., ...$15,00
Groundwork..........,..... .... .....$15.00
Septic Tank & Laterals,.... .., .... $15.00
Lawn Sprinkler System..... .... ,..$10.00
Sprinkler System (Commercia1)..$30.00
Gas/Water Piping System
(Commercial).......,.......,...... ..$50.00
Permit Issuance Fee............... ..$25.00
Current License on File
Comment:
Total
o Yes 0 No 0 Nj A
L>.uJ
WHEN PRO PERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: :t5, Rt I~
I
Rev. 2008-10
x
*~
Jan, 9. 200911:11AM
C[TY OF 3LAIR (402.426.4191)
N:J, 9301
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City ofBlairj Nebraska
218 South 16th Street
Blair. Nebraska 68008
Fax (402) 426-4195
(402) 426"4191
Application Date:
. t/q /Oq
1
Job Addross
Service Fee"" (Amp Pee + $5.00 pElr branch circuit)
1.100 Amp :Fee.., p,,,, .'"..." .",,$25.00
101-200 Amp Fe!}".. ",."" ,.. "" .",$35,00
20 HOD Amp :Fee. 0.. "'..", ".. 0" ....$55.00
301.400 Amp Fe!},.. .. "".,. "0'" "...$75.00
40 (.;'l00 Amp Fee""" ,,'." .."..., ..,$?S,OO
,!iOl.600 Amp Fee..,,,... ".". ""., .$11$,00
601.700 Amp ;Fee",." """,., "'.' ,$13$.00
101.800 Amp Fee"".,.."........ ...$1$$.00
801.900 Amp Fee............".....,.$17S.00
901.1000 Amp... ...........,........ ,,$lS1$,OQ
IF OV~'R lOOO Am.p
l~t 1000 Amp P!!le..........".."..$19$.QQ
Erich E\Qilitionfll100 Amp$,........$20.00
N ,,(ice
J hereby certify th~t 1 ilfwe read find eXllmined this
appliellti<m a.nll xnllw the ilame 10 be truo /.\lld correot. AU
provrslons ofhl.wS ftnd Qrdini),l1I;:e$ gOVilrning this type: elf
work wi II be oompllo\i wIttl whether specified herein Or
110t. The ~rantillg of a permit does not presume to 8lve
EluthoriLY [0 viQlete or ce.nc~1 the provi$iol1ll ohny otber
slate PI' looellaw r~g\llatlng construction or lnc
pc:d'ormance of coostmctlon.
I,.. '(-01
Date
Pormit Fee: $
.st-'
Zip
Upgl'ade Exhlting Se~'Vic('l"........" ,$2S.00
Temporary Sel'vioe.., ,..... ..".,. ,... $15.00
Flre Alarm SYli1tem,.. ...... .,. .." "",$15.00
Slgns (each)....""...., ...,.. , ..." ...,,$25.00
Mll\ceUl:\neQ\ls Appatfttlw........, ,,,..$15.00
p, 1
\5\30
E 3060
'7/ cg:;~ .
l"hollo
CPlnm(!l'ciQlIMllltl FtUlIllJ' alld AlllJpgl'!i\d:e$;
#()fQ~r"l!!ta x.$$,QO 5' 2S.ro
Amp Pee
Amp F~e + CirPlllt Tot~l
New R~ldentiaJ: (Flnl~hed Area)
SinglelTwo Family Dwellings
sq. ft. 'X ,063
ModLllar/Mo.mlfact1.u'ed Homes.".., ,$50.00
Otber: (alterationsl addil:iom; and modifications)
ReoeptacJeslSwltchesILi;~hting FixtUres (110 volt only)
# (lf Appara.tus "....... "-~ Dx $1. 0 0 . if").... QD
:Power Apparatus (220 Volt 01' higher)
#ofApparat\ls....... I ?,$8.00
Smoke Detectors,.. .'
\
x. $3,00
~SOb
R.D))
.'$.",oD
G'd
969L-688-W17
lJerrnit Issuance Fee....".. ... ... 0.. ..$25.00
Total
Comment:
)j81!8 W!l
, \
Rev. 2008-10
e08:~~ 60 60 uer
... ..,. .. Go
PLUMBING PERM~~ri~~~i~irlBN
Jurisdiction of City of Blair, Nebraska
218 South 16th Street /3130
Blair, Nebraska 68008
Fax (402) 426-4195 P 1972
(402) 426-4191
Application Date:
1'~'i-07
Job Address
Owner I j J =l-
I. e1110 IJ'J
Contr~ 1 1
2. 0 Cire /'5
3. Class of Work: . COMMERCIAL 0 RESIDENTIAL
Describe W ~r~: II .../-. . _ j} -1-.
4. fII(. '/,). Wvu.. ~
/' Jj1ail Addre
L h.4 rc
Mail Address
Comments:
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: $
Q 60
IO'-~'
Io~~
()lf~y
.s't~
Zip
Phone
Zip
Phone
o Addition 0 Alteration
Replacement
No.
Kitchen... ... ... ... ... ... ... ...... ... $12.00 x
Bath... ..Residential/Single Stall $12.00 x_
................ ....Multi-Stall $25.00 x
Rough-In Bath................ ........$8.00 x_
Additional Sinks....... ............. .$6.00 x
Slop Sink/Laundry Tray/Drain.....$6.00 x_
Water Heater............... ..... .....$10.00 x
Outside Water Faucet...................$6.00 x
Drinking Fountain........................$6.00 x
Backflow/Grease Trap... .... ..... .$15.00
Water Service..................... ..$15.00
Sewer.............................. ...$15.00
Groundwork..................... ....$15.00
Septic Tank & Laterals............ $15.00
Lawn Sprinkler System........ ....$10.00
Sprinkler System (Commercial)..$30.00
Gas/Water Piping System
(Commercial)...................... ..$50.00
l5"'.. oJ
9J. cJu
Permit Issuance Fee................ .$25.00
Current License on File
Comment:
Total
o No 0 NjA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 3., ~ /..-fUf!-v'-""
Rev. 2008-10
Feb.12.2009 1:06PM
JETTER'S PLUMBING 402 721 3013
No.5914 P, 1
PLUMBING PERMIT APPLICATION
JUtlsdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 4~6-4191
Application Date:
/ - 7' -() <[
Job Address
Comments:
Notice
I hereby certify that I have read and examined this
application and know the same to be true and COl'teet All
provisions of laws and ordinances governing this type of
work will be complied witlI whether specified hcrein or
not. The granting of a permit does not presume to give
authorIty to violate or cancel the provisions orany other
state or local law regulating construction or the
performance of construction.
Permit Fee: $
P,]972
9 60
0----
,~/.,
v L 'Ft;)( Sf'
Zip
Phone
Zip
Phone
a AdditIon 0 Alteration
Replacement
No.
KItchen............. ............... ..$12.00 x
Bath.....Residential/SIngle Stall $12.00 x ~
...... ...... .... ....Multi-Stall $25.00 x_
Rough-In Bath.... ............ ........$8.00 x ~
AdditIonal Sinks............. ..... ...$6.00 x
Slop Sink/Laundry Tray/Drain.....$6.00 x_
Water Heater.................... ...,,$10.00 x
Outside Water Faucet...................$6,00 :x:
Drinking Fountain........................$6.00 x
Backflow/Grease Trap... . .. .. ... ..$15.00
Water Service.. ............. ........$15.00
Sewer... ........... .......... ....... ..$15.00
Groundwor1<.................. .......$15.00
Septic Tank & Laterals............ $15.00
Lawn Sprinkler System... ..... .. ..$10.00
Sprinkler System (Commercial)..$30.00
Gas/WaterPipil1g System
(Commercial)................. .......$50.00
IS'~()J
bIJ.rJO
Permit Issuance Fee.............. ...$25.00
Cun-ent License on File
Comment:
Total
Yes 0 No ' 0 N/A
WHEN PROPERLY VALIDATED IN THIS SPACE THIS IS YOUR PERMIT
Approved By: I
:...t r~~-./
Rev. 2008-10
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:
ljq I
Job Address
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee....,. ...... ... .., ... ..$25 ,00
101-200 Amp Fee......,................$35,OO
201-300 Amp Fee......................,$55,OO
301-400 Amp Fee......................,$75,OO
401-500 Amp Fee...... .................$95.00
501-600 Amp Fee.....................$115.00
601-700 Amp Fee.....................$135,OO
701-800 Amp Fee.................... .$155,00
801-900 Amp Fee,..."..",....,.". ,$175,00
901-1000 Amp..",,""...".,.,.,... ,$195,00
IF OVER 1000 Amp
1 511000 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.
Signature of Contractor or Authorized Agent
Date
E 3060
Pennit Foe: $ '71 CD rpJ'
. ,SJ-.
Zip
Phone
I
/ 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 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... ....... fOx $1.00
Power Apparatus (220 Volt or higher)
# of Apparatus....... I x $8.00
?\.
, "~,
('"
Smoke Detectors.....
1
x $3.00
Permit Issuance Fee.., ............. ,. .$25.00
Total
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: )
Rev, 2008-10
Dec.16. 2008 2:35PM
CITY OF BLAIR (402.426.4191)
No.9082 P. 2
MECHANICAL PERMIT APPLICATION
Jurisdic~~~ ~~~:r1~fbBJ#:~rebraska 4/3/30
Blair, Nebraska 68008
Fax (402) 426-4195 M 1808
(402) 426-4191
/ .., "'It; "'0 a
Application Date: r. u
Job Address
Heat Pump
Central AlC
Tons
FUl11ace
# of Units
BTUIH
A/e
Ful11ace
Completion Date:
Boiler Chart
BTU. Fee
Up to 100,000............... __....... ...... ..$15.00
100,000-500,000......... ......... ........ ....$30.00
500,000-1,000,000.............__ ...m..... .$40.00
1,000,000-1,750,000...................... ..$60.00
Over 1,750,000.................. __ __m.. ",$100.00
Notice
I hereby certify that r Ilave read and examined this
applic(l.tion and know the same to be tl'Ue ar'\d COrreCt. All
provisions oflaws and ordinances governing this type of
work will be complied with whether specified herein 01'
not. The granting of a permit does not presume to give
a\lthority to violate 01' cancel the provisions of any other
state Qt. local law regulating construction 01' the
perform'ance of con$tl'\.lctiOIl.
D(\ I.:,/Ob
I Date
Pennit Fee: $ / iff), /) ()
Zip
C;/~3iPS, /t/7f1,cJf,
Furnace/Heat Pump/Air Conditioner (Pel' Unit)
Up to and including 100,000 BTU /3Ton............................$15.00
Furnace/Heat Pump/Air Conditioner (Per Unit) lJt/ I ()O . (1 (/
Over 100,000 BTU /3 Ton...... ................................... ....$25.00
Refrigeration Units/Coolers/Li.l1e$/Comptessor - Commercial
(New or Replacement) (Pel' Unit)
................... ..... ...... ...... .-.. ............ ....................... ...$15.00
BOiler (use BTU Chart to left)...... m... ........
Appliance VentJFans............,..... ......$10.00
Duct System................................ ..$15.00
/5. () 0
Gas/Air Outlels.................First 5
x $6.00
. . . . . ... .Additional
x $1.00
Radiant Heat Systems/Gas/Water
Pi in S stem.....,..........................$50.00
Modular Home... ............... ............. $50.00
Pennit Issuance Fee........................ ..$25.00
Total
c25 dO
tJ. pO
Current License on File ~es CJ No 0 NjA
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE THIS IS YOURPERMlT
Approved By: .1
Rev. 2008-10
MECHANICAL PERMIT APPLICATION
.;;#'13/30
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
/L/15
owuu ' .. / J. 'ok Jvlail Addresj.l --/1. -:. . /YL. "., I.... Zip Phone
1. .-rt.A.!Jt: l/./PU-U'Cf 7'J1J1if1t'Ja.,&(jr crltuc2r I 'a ~,~ ;? /&5
~~ntractor CVrtLJ hU~lA~dre~ I1JA dmd.i:tiinu4, CJIt)JiPJ. it./7/1(Jf. tJ:'~~a ~&3
3. Class of Work: 0 COMMERCIP; 0 RESIDENTIAL 0 New 0 Ad tion 0 Alteration 0 Repair 0 Replacement
feSCr)M1o/5 tern;€tl ~. 't;) 1;Jd. 000 BTIJ'.s JlCU!h j)~afwtt1L
1'/" LJ / /J a.z MECHANICAL PERMIT FEES
Thns' rl/ v on 1,'tJWI1d /0 tern ~
Application Date: /:J. - / & ~ 08
Job Address
Heat Pump
Central AlC
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... ...... ... ........ ...... ....$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 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
M 1808
Permit Fee: $
ILf{),I)O
l-.
FurnaceIHeat Pump/Air Conditioner (Per Unit)
Up to and including 100,000 BTU / 3Ton......................... ...$15.00
FurnaceIHeat Pump/Air Conditioner (Per Unit) iJl./ J 1)0 . (90
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',t)O
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
c25 at)
tJ.t70
Current License on File .kjes 0 No 0 Nj A
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: $. ~.f~
I
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
CITY or 5L1\Il:2
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.
Owner/Occupant
~
~r
City of Blair
IL-I'-oS
Date
(5)-
EQUALIIOUSING
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cifyofblair@c1.blair,ne.us "'''''"'''
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.
Contractor/Owner
d~
'pon~ctor/ wner
/
City of Blair
1l!--17-O~
Date
^ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION•
NAME OF OWNER•~__ CONTRACTOR _
DATE INSPECTION REQUESTED• ~ TIME INSPECTION REQUESTED• PERMIT NO•
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CITECK
~
BUILDING: ^ FOOTING ^ DECK FOOTIIVG ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PA ED FAILED
^ PARTIAL ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED 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: _
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BUILDING INSPECTION REPORT
/
o CITY OF BLAIR D W ASHINGTON COUNT~ D OTHER
( N/ /'_
' LOCATION OF INSPECTION- ,/6~5-~; e:C) ~/~ /r~JZ
NAME OF OWNER' /~%77jJlJ! ST CONTRACTOR'
DATE INSPECTION REQUESTED' ~//~/{;)ct;,) TIME INSPECTION REQUESTED'
PERMIT NO' /3"'0{J
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE DSTATUS CHECK
~--~~.. 'Crimi. ..~~~"=~~=~~~~~~
BUILDING: 0 FOOTING D DECK FOOTING 0 FRAMING D DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
D D
COMMENTS:
UTILITIES: D SEWER TAl? D SEWER 0
D PARTIAL
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ct D
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COMMENTS:
ELECTRICAl,: 0 ROUGHIN D FINAL 0 PERMANENT SERVICE D TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
PASSED FAILED
D D
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MECHANICAL:D ROUGH-IN D NC D FURNACE 0 RADIANTHEAT D FINAL 0 PARTIAL
COMMENTS:
PASSED FAILED"..
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PLUMBING: 0 GROUNDWORK D ROUGfF.IN 0 FINAL D WATERMETERINSTALLED
o PRESSURE i~ST
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PASSED FAILED
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o OCCUPANCY GRANT~D . 0 .~6NDrrIQNAL'O(;CJJPANCY GRANTED
NOTESIREMARKS'
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BUILDING INSPECTION REPORT
~J/ 0 " i .' 1..t- ! () () 0
0:,.CITY OF BLAIR WASHINGTON COUNT))~~, I.' OTHER
LOCATION OF INSPEC1JON' /(/},5I.t;! {)(;.~f ()v}6 J7'f
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NAME OF OWNER' I MUJ I L././~U"'i <..1' () ,fV'/ ;'- I ~ CONTRACTOR' -<-.... c-<."i/&~fi,
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DATE INSPECTION REQUESTED' ?X _.~) ~ r....~ I
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TIME INSPECTION REQUESTED' I,', jib, /11
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TYPE pF INSPEC1:IQN REQUESTED: 0 CONFERENCE OSTATUSOHECK
=;-.'.UIL-;';G' D~ 6 DECKF~~~;;- D -;;;;;~ D ~I~ ~.PAS.. _ FArL, ,ED
- 0
COMMENTS: .
~~~~~~~~~~"","""",,~~~'u::n;;;:.me"!::I;..t;:!:a:m'S:U_~~ ."~:!;S
UTILITIES: 0 SE\VER TAP., 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE PASSED FAILED
D PARTIAL 0 0
PERMIT NO' I 3 / <~ ()
,.~
COMMENTS: ,
~_M~~~."""""~~~~~~~_~t':!::~~
ELECtRICAL:J~f;: ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
MECHANICAL}g ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
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o
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PLUMJJING: ~,:,~. '.. (}R~U~D'YO~. 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
L2..J PRESSU~ TEST
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LOCATION OF INSPECTION' I & 5&J (!/,4{1:vx:. <-.Srl.
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NAME OF OWNER V~ sf IJzt.d1' cl /)/d',4{Cld;; I CI7tJ.,~;;~RACTORC3?Vtu-L ~/UJ07)
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DATE INSPECTION REQUESTEDC/2- II - 0 9 TIME INSPECTION REQUESTED' / cJ. '3 () /-1 ,tvl .
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PERMIT NO' / 31 3e:)
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATUS CHECK
"'" __.it.- -'lil~<!l. ~ ~..._ ~_
BUILDING: o FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
o 0
COMMENTS:
UTILITIES: 0 SEWER TAP, 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
0- PARTIAL ' . ,! A I . /J / .a /:~ 1F~(!)4
COMMENTS: ___~ ~-!.' ~,,:.:.;';:_./..Ml': q42f:ff-/U..~_
ELECTRICAL: 0 ROUGH IN 0 FINAL D PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
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............----v--w-<m''V'II:ii ~ .. ~
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COMMENTS:,
PASSED FAILED
o 0
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o 0
COMMENTS; _
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PLUMBING: 0 GROUNDWQRK 0 ROUGH-IfI 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL PASSED FAILED, ,.
, ,0 PRESSURE TEST . 0 D
COMMENTS:,.,., _',' " ,
----........... -~ ~---
[J , OCCuPANCYGRAIfiED .',.tr.'C(jNPP:I6N.~tt9,G~Q)JANCY~RANTED
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BUILDING INSPECTION REPORT
~ CITY OF BLAIR
l
LOCATION OF INSPECTION'
o WASHINGTON COUNTY 0 OTHER
/,/ .c:::"",? /'/
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NAME OF OWNERf-:;{~r t:./A///XL /r:i{!/0l.,Y< r CONTRACTOR'
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DATE INSPECTION REQUESTED' C7'/ / d-/ yo , TIME INSPECTION REQUESTED'
/-7/.c7.
PERMIT NO' /, --5'/, --j (/)
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK'
~~~
COMMENTS:
PASSED FAILED
o 0
~:C!!2aS!!Qill~I!:';:l:ro::m%:%J1;';;;.z~"'~_~~~~~~c;.u
UTILITIES: ' 0 SEJYER TAP 9 >SE~YER 0 }EPTIC.,qi WA)E}~!)Pt-- kJ ~!'10TE 0 WATERSE~Y!.CE
/, ,fT1'P.A:RJfTAT, '.~ f,./ --//',"'/:i/1'~J,cJt. ,-,~-' ~/ '/, .',,' ",/,r,
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COMMENTS:,'>~' '-'/' ,"."7' ,.. /'~' ""<.:)
~=~;;z.~~~~_~~~~~~~~~
ELECTRICAL: 0 ROUCH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0, PRECONNECT PASSED FAILED
o PARTIAL 0 0
~ASS FAILED
,1/'- ;.r~-j,", "'~ /:.,.,-,-:;""'-.,
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COMMENTS:
~~~~lZI:'lt;l';~~"':Tr"""""""""""'~=~"""""'~'-~<>=~m:t=~
MECHANICA,L:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
COMMENTS: '
PASSED FAILED
o 0
PLUMBING: ,0
,CJ
COMMENTS:> '
o ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
PRESSURE TEST
PASSED FAlLED
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NEBRASKA STATE FIRE MARS~AL
PLANS DIVISION
Code Review
3/5/2009
1M 01105-09
I
Bob Mahoney
DEMARANVILLE INSTALLATIONS INC
7331 South 1 02nd Ave
OMAHA, NE 68128-
(402) 553-1221
First United Methodist Church
1656 Colfax St
Blair 68008-
Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act.
* Approval is conditional upon conformance with comments listed in remarks.
ISprinkler Shop Drawing
_IRemodel Sprinkler
I
REMARKS:
Drawings are for an existing church.
1. Drawings are approved for layout and design.
2. After the systems have been installed, the completed Contractor's Material and Test Certificates for
Aboveground and Underground piping shall be provided to and accepted by the State Fire Marshal to
receive final approval. This must be done before the system is put into service. Title 153, Chapter 19; 0-1
03-06.
Alt Phone:
Occupancy Type: Assembly
Estimated Start Date: 2/1/2009
Fire Protection Features:
Sprinkler Total ~ Spinkler Partial D Range Hood System D Sprinkler Other:
Fire Alarm Manual Sys. D Smoke Detection D Heat Detection D Fire Alarm Other:
Email: bmahoney5@cox.net
Construction Type:
Estimated Completion Date: 6/1/2009
Page 1 ofl
PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION.
FINAL ONSITE APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE.
SIGNED:
r;)~
David Autry
Reviewed By: Main Office
246 South 14th Street
Lincoln, NE 68508-1804
(402) 471-2027
Contact for Inspection: District B
438 W Market
Albion NE 68620-1241
(402) 395-2164
^ CITY OF GLAIR ^ WASHINGTON CUUN'fY ^ O'1'HE
LOCATION OF INSPECTION
NAME OF 0~~~'NF.R• CONTRACTOR:
DATE INSPECTION REQtJESTF.D• TIIVIE INSPECTION RF,QUESTED• PERMIT NO•
T~'PE OI' INSPECTI
__ ON REQUESTED: ^ COl~~'~+:I~ENC~:
__ __- ^ S'~AZ'L1~ CIIECI~
I3UILDINTU: ^ F00'1'ING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ .FINAL _ ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ :REMOTE ^ WATERSERVICE PASS FAILED
^ PARTIAL ^
COMMENTS:
ELECTRICAL: ^ __
- _ ___
ROUGH IN ^ I~I~~`:AL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE.^ PRECONNECT
PASSED
FAILED
^ PAR'hIAL ^ ^
COMMENTS:
:~
I~ZECI-IANICAL: ^ __
ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL
PASSED
FAILED
^ ^
COMMENTS:
PLUMPING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSEll FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCI' CTRANTED ^ CONDITIONAL OCCUPANCY' GRANTED
NOTES/REMARKS:
INS
FAXED OPPD\BURT REA
ATE OF LNSPECTION MADE: ~ ~ TIM `~~
TO CONNECT SERVICE: ON BY
~ - -- -- .--
,
r ~
\3/'30
(', ,-..,
,J) ,{ ~
NEBRASKA STATE FIRE MARSHAL
PLANS DIVISION
Code Review
4/2/2009
1M 03139-09
I
Herk Campbell
ELECTRIC SPECIALTIES
4315 SOUTH 79TH Circle
OMAHA, NE 68127-
(402) 331-6111
First United Methodist Church
1656 Colfax St.
Blair 68008-
* Approval is conditional upon conformance with comments listed in remarks.
Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act.
IFire Alarm Shop Drawing
.IRemodel Fire Alarm
.
REMARKS:
Review applies to new fire alarm control panel and new duct detectors as shown only. Existing devices
shall meet current codes and shall be compatible with the new fire alarm control panel.
Approved.
Cc: Dist. B
Blair codes
Page 1 of2
PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION.
FINAL ON T APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE.
SIGNED:
"
DOUQ Hohbein
Reviewed By: Main Office
246 South 14th Street
Lincoln, NE 68508-1804
(402) 471-2027
Contact for Inspection: District B
438 W Market
Albion NE 68620-1241
(402) 395-2164
4/2/2009
1M 03139-09
I
Herk Campbell
ELECTRIC SPECIALTIES
4315 SOUTH 79TH Circle
OMAHA, NE 68127-
(402) 331-6111
First United Methodist Church
1656 Colfax St.
Blair 68008-
Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act.
* Approval is conditional upon conformance with comments listed in remarks.
IFire Alarm Shop Drawing
_IRemodel Fire Alarm
I
Alt Phone:
Occupancy Type: Assembly
Estimated Start Date: 4/15/2009
Fire Protection Features:
Sprinkler Total D Spinkler Partial D Range Hood System D Sprinkler other:
Fire Alarm Manual Sys. ~ Smoke Detection ~ Heat Detection ~ Fire Alarm Other:
Email: herk@electricspecialties.net
Construction Type:
Estimated Completion Date: 8/1/2009
Page 2 of 2
PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION.
FINAL ON T APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE.
"
SIGNED:
DOUQ Hohbein
Reviewed By: Main Office
246 South 14th Street
Lincoln, NE 68508-1804
(402) 471-2027
Contact for Inspection: District B
438 W Market
Albion NE 68620-1241
(402) 395-2164
BUILDING INSPECTION REPORT
OF BLAIR
D WASHINGTON COUNTY
LOCATION OF
TIME INSPECTION
PERMIT NO'
NAME OF
DATE INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWERTAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATERSERVTCE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
D D
ELECTRICAL: D ROUGH IN"..&;;3'fINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
xD F~ED
COMMENTS:
MECHANICAL:D ROUGH-IN D NC 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
o D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPECroR ~/~
DATEOFINSPECTIONMADE:~~~~
TlMF..;:t//2j;J4f
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY