BP13143
Permit #: 13143 Issued:
Completed:
Location: 8946 Co Rd 37
Owner: Brad Keen
Address: 8946 Co Rd 37
Blair, NE 68008
Phone: 402 676 1600
Section:
Subdivision:
Township:
'vi
Blair Building Permit Detail
02/06/2009
03/23/2009
Type: Accessory Building
Valuation: 18000
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Range:
Lot: 5
Block:
24x30 Pole Barn to be used for equipment storage. Dirt floor no electric.
Contractors
Astra Buildings, Inc.
Remarks
02/20/2009 OEM
03/13/2009 OEM
General Contractor
Permit #
Not complete 2 weeks.
Down Spouts. Trim work not complete.
03/16/2009 BMP Changed completion date to 4-1-2009
Inspections Date By
02/11/2009 OEM Footings Pass
02/20/2009 OEM Status check Fail
03/13/2009 OEM Final Inspection of Project Fail
03/23/2009 OEM Final Inspection of Project Pass
278
25
500
23997
Issued
ENT! feD 2 4
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CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit # (J I If:?;
Date: ';(-b -0 cr Approximate Completion Date: (:::;'- ;J g - 017
Site Plan Attached: 'i REScheck Attached: Complete Plans Attached "-i.'
Aoolication for: Residential..L- Commercialjlndustrial_
New Construction Manufactured Home Modular
Move-on: Home _ Accessory Building Other
Remodel Addition
Accessory Building: Garage _ Pole BarnY- 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
Public Water: Yes_ No Private Well
If yes, responsible entity: Blair OPPD Line Kennard
Agreement needed: _ Date Agr~ement Received: _
Public Sewer: Yes_ No Septic Drawing Provided: _
If yes, responsible entity: Blair _ Kennard_
County Road Permit Required: Yes_ No _ Submitted: Yes _ No _
'u
cDa4'JV
Utilities:
Additional Description of pro "ect if necessary:
'-/'-0. t<4-1 c;-;:/ "crt uP .
Proiect Information:
Job Address: 89L/k COo /2.d' 37 '3 C; 60(;;5373
.' //' __ reS: (3)tJ(;JA~
Legal Description (if applicable) /I../r ./~I c![Vf~ ~ f 6 / ;Zl&7& 1/;100 (1<1)
Owner: &ad ~J.i11 Address: Phone#: ~
Contractor: /!d:!-to ,.25tiJdtnytV ~one #:
~ /J l<tr~. .. / I
Address: II' I/oq C~D" /9fh \ az:& /T Cell#: (jJ71-51(j1r-r
. O.::J-n c::d1a..., U t3 ItJ f3 dedi 1101 elc!:If
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By rI(y 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.
~
Sig . re of Owner/Contractor
~ /i; /n /
Date 7 I"
ZONING REVIEW:
ZonimVFlood Plain/Utilities:
Current Zoning: (\(j{j
Conditional Use Permit Required: Yes _ NO-X
Date CUP Approved:
State Fire Marshal Required: Yes _ No ~ Variance Re;1~ired: Yes _ No_
Minimum Setbacks: Front ~O Second Front Side LJu Side _ Rear2:JI
Lot Sauare Footal'!e:
Length x Width:
Lot Coverage %
or /"
---
Drivewavs/Sidewalks: k \ 11 ~
Sidewalk required: Yes_ No ~ U Sidewalk Waiver: Yes _ No
I Date Waiver Approved:
Preexisting Garage requires 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
Th ree
Four
>Four
High Rise (>75 ft)_
Type of Residential Structure:
Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other
Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric _
Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes No
Sleeping Rooms . Living Area Other Egress
Sauare Footal'!e:
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front
Deck that affect setbacks:
Second Level: Third Level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Rear
Rear
Occupancy Classification:
Assembly, theaters, with stage Assembly, theater, without stage _
Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls _
Assembly, churches _ Assembly, arenas _
Assembly, general, community halls, 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 buildinJ:! 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 wi// review new residential construction. AI wi// review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
BuildinJ:! Permit Deposit 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:
Businessjl ndustrialjEd ucationalj AssemblyjFactoryjStoragejUtility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except for the following:
Accessory Buildings & Interior Remodeling Projects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sign Erecting/Awnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation: l' 11 /)
Finished sqjft area ~ U
'16
X$~
.,
$ /8 J)60, 0(,
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
$ 0?78. (;>4.'
Issuance Fee:
00
25.00 .: 3D3
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
$
$
Bo:3,00
Additional Comments:
Approved by: ~~ ~ Date:
c9 it) ;{; '9
II '
Contingent On Approval by Fire Marshall
Meet IBC, IPC, IMC and NEC Code Requirements ><
Sleeping Rooms below Story and in Basement require~ to have egress
For Office Use Only
-Date Permit Paid: ;2 -/ 0- 0,/
Permit Fee: ...4'68 'oC>
Deposit Amount ~).ci. (.'0
Receipt # cf!}.~1'1 ;1. .
Deposit Paid by for return to: AS/At>
05mkbllqo) ,4ic/J.. 4CJPV
'. rJ
Building Inspection Pouch given: Yes ~No _ 1109 d", /9~ JidL:P.4
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--~--'---------- .'---.- ---BUILDING INSP:ECTION~1tEPQRT.-'==n~~'"=?~~~~-~'~"--'.i
6CITY OF BLAIR
LOCATION OF INSPECTION-
NAME OF OWNER--..~dd I~V
DATE INSPECTION REQUESTED- ;:; - / / ~- 0 q
D WASHINGTON COUNTY D OTHER
(5Cjt.f& Co 12d 37
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CONTRACTOR- /-/ ,:.:/-r </1tJ 0f./Lflt;U44q-.,,--
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TIME INSPECTION REQUESTED- C/; 3i) A Ifv'{. PERMIT NO-
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TYPE OF INSPECTION REQUESTED: D CONFERENCE D STATUS CHECK
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UTILITIES: D SEWER TAP, D SEWER D SEPTIC D WATER TAP D REMOTE - [] WATER SERVICE PASSED FAILED
D PARTIAL : D D
COMMENTS:
, ,
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
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PASSED FAILED' !
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COMMENTS:
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MECHANICAL:D ROUGH-IN D NC D FURNACE 0 RADIANTHEAT D FINAL D PARTIAL
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COMMENTS:;
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PASSED FAILED
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D OCCUPANCY GRANTED rn CONDITIONAl) OC€UPA.NCYGRANTED"
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TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
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BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
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PASSED FAILED
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NOTES/REM1RKS'
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LOCATIONOFINSPECTIQN' "':!:) 7~ ('/;c-_-)
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PERMIT NO' / c.-:j / '7/-, ~.)
TYPE OF INSPECTION REQUESTED: D CONFERENCE
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BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL C:(FINAL D PARTIAL PASSED FAIL;
, ~ D
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UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE PASSED FAILED
D PARTIAL D D
D STATUS CHECK
COMMENTS:
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:
CO.MMENTS:
D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
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D OCCUPANCY GRANTED D CONDITIONAL OCCUP
NOTESIREMARKS'
DATE OF INSPECTION MAD ,
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LOCATION OF INSPECTION' 6 Y "7'~ (..... ^ ~_ .J
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NAME OF OWNER" ~~ ,^_.e:::.e::n,. CONTRACTOR' /7::,;:;'/):;(.-/ /; t:L/C:O / /( cO ...5
DATE INSPECTION REQUESTED' -1>~,,":f.: (/9 TIME INSPECTION REQUESTED' /1 r PERMITNO" /~~f / 4/-~3
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BUILDING INSPECTION REPORT
TYPE OF INSPECTION REQUESTED:
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BUILDING: D FOOTING D DECK FOOTING D FRAMING D
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UTILITIES: D SEWE.R TAP/ D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PAR,\IAL
COM:MENTS:
COMMENTS:
D CONFERENCE
DRYW~L [L{FINAL D PARTIAL
d .~/ j( <--~ 0
D STATUS CHECK
prr POD
'ASSED FAILED
D D
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COM:MENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
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COMMENTS:
PASSED FAILED
D D
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COMMENTS:
D GROUNDWORK D ROUGH-IN D FINAL 0 WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
PLUMBING:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
IN
DATE OF INSPECTION MADE:
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