BP13145
Blair Building Permit Detail
Permit #: 13145 Issued:
Completed:
Location: 2014 Arbor Cir
Owner: Ellenora Karmann
Address: 2014 Arbor Cir
2/12/2009
4/20/2009
Type: Residential Remodeling
Valuation: 55857
Blair, NE 68008
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
711
25
500
24060
Phone:
Section: Township:
Subdivision: ARBOR
Range:
Lot: 7
Block:
Basement Remodel - finishing the rest of basement. Adding one bedroom, one office, Family room and dining room
for kitchen.
Contractors
Douglas Thoman Construction
Eric McCartney
Northern Contractors, Inc.
General Contractor
Electrical Subcontractor
Plumbing Subcontractor
Permit #
E3079
P1985
Issued
3/4/2009
3/2/2009
Remarks
3/6/2009
OEM
No Mechanical Permit is needed.
4/20/2009 KAR Occupancy Granted.
Inspections Date By
3/3/2009 OEM Plumbing Rough-ins Pass
3/6/2009 OEM Plumbing Rough-ins Pass
3/6/2009 OEM Electrical Rough-ins Pass
3/9/2009 OEM Plumbing Rough-ins Pass
3/9/2009 OEM Electrical Rough-ins Pass
3/9/2009 OEM Framing Pass
4/20/2009 KAR Plumbing Final Pass
4/20/2009 KAR Electrical Final Pass
4/20/2009 KAR Final Inspection of Project Pass
""... .
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit #
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Date:
() (I
Approximate Completion Date:
Site Plan Attached:
REScheck Attached:
Complete Plans Attached X
Aoolication for: Residential Y Commercial/Industrial _
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
Additional Description of project if necessary:
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Proiect Information:
Job Address:
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Legal Description (if applicable)
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Owner: ~{/ncl CL
Address:
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Phone#:
Contractor: . / L;U
Address: /~/tj
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Phone #:
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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
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.
~=:~~~/t:/ Ur:7Z~~
Signature of Owner/Contractor
/2/,~.. 07
.
Date
ZONING REVIEW:
Conditional Use Permit Required: Yes _ No X
Date CUP Approved:
State Fire Marshal Required: Yes _ No:::/-- Variance Required: Yes _ NO:JL.-
Minimum Setbacks: Front Second Front Side Side Rear
- \J~ --
Lot Coverage %
Lot Sauare Footal'!e:
Length x Width:
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 (>75ft)_
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)
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PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
Job 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 of laws and ordinances governing this type of
work will be complied with whether specified herein or
not. The granting ofa 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.
z)W)
Signature of Contractor or Authorized Agent
'~ \2. \ bg
Date
P 1985
Pelmit Fee: $
Zip
Phonc
PLUMBING PERMIT FEES
Modular Home. ...... ........ .... ...$50.00
Type of Fixture No.
Kitchen............................ ..$12.00 x
Bath... ..Residential/Single Stall $ I 2.00 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.................. ... ....$1 0.00 x
Outside Water Faucet...................$6.00 x
Drinking Fountain........................$6.00 x_
1),-
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
Permit Issuance Fee... ... ... ...... ..$25.00
Cunent License on File
Comment:
Total . '>
Yes 0 No 0 NjA
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By" . , .
. 'V:) L (\U cl rta ~2
I
Rev. 2008-10
.~
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---.....-
ELECTRICAL ;~~;'~~prr~CATION 13r Lf'5
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 E 3079
(402) 426-4191
Application Date:
r3 4~ 0 9
Job Address
Permit Fee: $
/utd. fj 'i p/.
I
do / t-/ AJ/.6 crl &d;:;
Zip
Owner C) /J Il
1. c.J:?f/'~
Contract2fl A . '
2. C/U (f
3. Class of Work:
Describe Work:
4.
5.Current License on File
1301 JR. 'Ic1~ cPl: U-1/l1ahdhon&8. W7
o REMODELING/ADDITIONS 0 UPGRADE SERVICE
'0--1 d~ I- k~CJ
Completion Date
ELECTRICAL PERMIT FEES
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
1 st 1000 Amp Fee.............. ....$195.00
Each additionall 00 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.
4 (01
Date
Phone
Upgrade Existing Service............ .$25.00
Temporary Service......... ........... $15.00
Fire Alarm System................. ....$15.00
Signs (each)......................... .....$25.00
Miscellaneous Apparatus......... .....$15.00
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
/ ;; 9 9' sq. ft. x .063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
f3r [j 4
Receptacles/SwitcheslLighting Fixtures (110 volt only)
# of Apparatus .......... x $1. 00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
. "6 0 0
PermIt Issuance Fee.................. .$25.00 ex ( .
Total / IJ IP . !3 'I
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: (3/ ? J f ~~
Rev. 2008-10
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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 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
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
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COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Busi ness/I ndustrialjEducationa 1/ Assem bly/Factory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except 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 Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation: .
Finished sqjft area /c2 9'9
X $ "h:;
$ " 1:" ,', I." '7 DO
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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
$ '7// c'
Issuance Fee:
$
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Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Additional Comments: ii/a. I ~,AiL S"~bldJ/IJ(i1 72(X}YY\'S 6-' HALL
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Approved by:
Date:
Contingent On Approval by Fire Marshall
Meet IBC, IPC, (MC and NEC Code Requirements )\
Sleeping Rooms below Story and in Basement required to have egress X
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No
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~ITY OF BLAIR D WASHINGTON COUNTY D OTHER
LOCATION OF INSPECTION' c:?tJ / L.( /4/1 btrl &~
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NAME OF OWNER- C p.-11 {/ f a .I(/VV/77 CVJv17 CONTRACTOR' L /U (! ) / //7 cl M Tr//ll!!{..f
DATE INSPECTION REQUESTED.3 ~ &l - 09 TIME INSPECTION REQUESTED' cr: 0 0 I~ ,f-'l. PERMIT NO~ .1,3 /tj.5
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D pARTIAL
D STATUS CHECK
PASSED FAILED
D 0
C01fMENTS:
UTILITIES: D SEWERTAP D SEWER D SEPTIC 0 WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
COMMENTS:
ELECTRICAL;....~(' ROUGH IN D FINAL 0 PERMANENT SERVICE D TEMPORARY SERVICE 0 PRECONNECT
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PASSED FAILED
D 0
COMMENTS:
j1D F~ED
PASSED FAILED
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MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING:
D GROUNDWORK~ROUGH-IN 0 FINAL D WATERMETERINSTALLED D PARTIAL
o PRESSURE TEST
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COMMENTS:
o OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
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NAME OF OWNER' C --e)/}'7tt1 ~ X 4/1/f7! ev:n CONTRACTOR' '- J )()U4 7/if)1-1cP"?"'
DATEINSPECTIONREQUESTED3-1 -()9 TIME INSPECTION REQUESTED' q :'-....3tJA -1'1' PERMlTNO'
D WASHINGTON COUNTY
LOCATION OF INSPECTION'
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TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING ":~FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
lD FtJlED
PASSED FAILED
D D
COMMENTS:
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PLUMBING: D GROUNDWORK' OUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
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D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS' /(jo Y/1J d h OJ/v' ~dj) ~Vl/j'cd
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DATE OF INSPECTION MADE:
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FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BUILDING INSPECTION REPORT
o CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
NAME OF OWNER' ;
CONTRACTOR'
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LOCATION OF INSPECTION'
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TYPE OF INSPECTION
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FINAL 0 PARTIAL
COMMENTS:
ELECTRICAL: 0 ROUGH
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0
PASSED FAILED
0 0
PASSED FAILED
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PASSED FAILED
0 0
PKAILED
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COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
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FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0
o PRESSURE TEST
FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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INSPECTO .
FAXED OPPD\BURT REA