BP13141
/ "
Blair Building Permit Detail
APR I 7
Permit #: 13141 Issued: 01/28/2009
Completed: 04/09/2009
Location: 1184 Jackson 8t
Owner: Tim 8vendgard
Address: 1184 Jackson 8t
Type: Decks - All types
Valuation: 6400
Blair, NE 68008
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
127
25
50
23943
Phone:
Section:
Subdivision:
Township:
Range:
Lot: 5
Block:
Wood Deck 14" Height above sidewalk 32 x 88 feet out from existing porch.
Contractors
Jorgensen Contracting, Inc.
General Contractor
Permit #
Issued
Remarks
Inspections Date
02/18/2009
04/09/2009
By
OEM
KAR
Footings
Final Inspection of Project
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CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit # loB I L//
Date: /-:Jt) - 0 q Approximate Completion Date: /...;;? &- ;JO l D
Site Plan Attached: 'f.. REScheck Attached: Complete Plans Attached :>t
ADDlication for: Residential,L Commercialjlndustrial_
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) -X-
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)_
Other
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 _
tJocJcl eoale 1'1// j/Ji;J? f-
a J( f
Utilities:
Additipnal. Descri tion ~fproject if necessary:
a btJ t!,;./I rS!J / wc:J!.lr..... ..3'(2)('8'
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Proiect Information:
Job Address:
118lf cJael:.stt17 Sf, 8 (100 E/37
Legal Description (if apPlicabl~e C~t;t.sc/7'1 /lc/d. c;:::; I 5'~' Feu /- tJl W{iJ'rf./LUf
,--,/ (I It!. J" Ill3' r(J I
Owner: /<.#nv d tlJlA1f tVlt- Address: Ilotl Jctei..Jt771 f. Phone#:
Contractor: cJ 01 ~(J!Jt1"V (b71lrAa (jtt/~4~ .T/fJ C!.. Phone #: if~{p -1.f1./L/()
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Address:
,1:fo
YAcm f (Jlf-,
Cell #:
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature
below, I acknowledge this building permit application does not constitute issuance of this building permit. I further agree that
construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building
Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the
S9des5rdinance.s ofthe"'S'ty of Blair and the State of Nebraska. I understand that this permit.is void if.. work is not commenced within
:1:,80 d s or is norcomplet d within two (2) years of date of issue.
''--" (, ~ / -d [i-a I
Date
ZONING REVIEW:
Zonin Flood Plain
Current Zoning:
Conditional Use Permit Required: Yes _ No ~
Date CUP Approved:
State Fire Marshal Required: Yes No _ Variance Required: Yes _ No_
Minimum Setbacks: Front ~d Front /2 ,S-Side 7 Side T Rear_
Lot Sauare Foota~e:
Length x Width:
Lot Coverage %
Drivewavs/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)_
Tvoe 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 Foota~e:
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front
Deck that affect setbacks:
Second Level: Third Level
. (Finished)
2 bay_ 3 bay_ 4 bay~ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Rear
Rear
Occuoancv 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, supervised environment _
Institutional, incapacitated _ Institutional, restrained _
Institutional, day care facilities _ Mercantile Residential, hotels _
Residential, multiple family _ Residential, one- and two-family
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous ~
Is buildinJ:! 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 $
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
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/I nd ustrialjEd ucationalj 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 Proiects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sign ErectinVAwnings and Decks/Handicap Ramos: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation comoutation: -" ..5( 0
Finished sqjft area 02 w
X $ d:j'
$ {Jj '-I ()O, ()D
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
$ /:17.00
Issuance Fee:
$
25.00
. 5J' '''1 00
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Total Permit Fee = Deposit + Permit Fee + Issuance Fee
$ DO'" 00
,?,\ 0< ,
Additional Comments:
Approved bY:~ tiix
Date:
1~~9
I
Contingent On Approval by Fire Marshall IL-
Meet IBC, IPC, IMC and NEC Code Requirements ^
Sleeping Rooms below Story and in Basement required to have egress
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 68008
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BUILDING INSPECTION REPORT
o CITY OF BLAIR 0 WASHINGTON COUNTY
LOCATION OF INSPECTION' \ ) ~ L( J (e. GJ:~OY")
NAME OF OWNEi-l S0 Q ~\. clC\ ~ V^C\
DATE INSPECTION REQUESTED' ')-./)~ 10(1
o OTHER
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CONTRACTOR,JO{U1(Jl <;{1-1
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TIME INSPECTION REQUESTED' (J,./Q
PERMIT NO' Is} ~ \
TYPE OF INSPECTION REQUESTED:
-;UIL~iNG: 00) F~OTIN~w 0 -DECK FOO;ING
f
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UTILITIES: 0 SEWER TAf D SEWER D SEPTIC D WATER TAP 0 REMOTE D WATER SERVICE
D PARTIAL
D CONFERENCE DSTATUS CHECK
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o FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
PJ:1D F~ED
COMMENTS:
COMMENTS:
PASSED FAILED
D D
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ELECTRICAL: 0 ROUGH IN 0 FINAL D PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
PASSED FAILED
o 0
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MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE D RADIANTHEAT 0 FINAL D PARTIAL
COMMENTS:
PASSED FAILED
D D
PLUMBING: 0 GROUNDWORK D ROUGH'-IN D FINAL 0 WATER:METERINSTALLED D PARTIAL
D PRESSURE TEST
C0M11~0~~:::~~'c; ,', ,;' -=>>"0_
OOCCUPANGY'GRANTED 0 CONDITIONABOC;CUPANCY GRANTED
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BUILDING INSPECTION REPORT
CITY OF BLAIR
D W ASHlN,GTOl';l CQUNTY D OTHER
ir/ E$;/i ,/"rC", ~';'i/:S'('.r) /1 ,,) ;<
,
LOCATION OF INSPECTION'
NAME OF OWNER' if'i ,1.1>1.;41,) i"/!t:l:'!}I(;TJo"C::;'{
CONTRACTOR ,:7';" r' 9' 'ir~l IS ("I' I.
t:J">~./, .?("/>;~,:,'7' :.'" J<j;':"'<,k'-',,/
DATE INSPECTION
i'
PERMIT
r1r."
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TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING D DECK FOOTING
D CONFERENCE
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
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:
D OCCUPANCY GRANTED D CONDlTION~,OCCYfAN<:;Y GRANTED
<(I.>,r;~.-
DATE OF INSPECTION
FAXED OPPD\BURT REA
TOCONNECTSERVICE: ON
BY