BPM1830
Permit #: M1830 Issued:
Completed:
Location: 2290 Wright St
Owner: Good Shepard
Address: 2242 Wright St
Blair, NE 68008
Phone:
Section:
Subdivision:
Township:
Blair Building Permit Detail
3/2/2009
3/3/2009
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Type: Mechanical Miscellaneous
Valuation:
Range:
Lot: 1 ,2,and 3
Electric Furnace 15KW 51,000 BTU for commons area
Contractors
Washington County Heating & AlC Inc. General Contractor
Remarks
Inspections Date
3/3/2009
3/3/2009
By
OEM
OEM
Mechanical Final
Final Inspection of Project
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Block: 2
Permit #
Pass
Pass
APi? 1 7 [A!r~'
15
25
Issued
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MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M18~O
(402) 426-4191
Application Date: :3";;1- 0 q
Job Address
Mail Address
f
Heat Pump
Central A/C
Furnace 5/, 000
I
Tons
Tons
# of Units
BTU/H
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 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
/1./1.60
Permit Fee: $ "-rv
o Repair
eplacement
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CAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit) /5- 00
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/CoolerslLines/Compressor - Commercial
(New or Replacement) (Per Unit)
... .. . . .. .. . . .. . .. . . . . .. . .. ... .. . .. . . .. .. . .. . .. . ... .. ... .. .. . ... . .. ... ... . .. ..$15 .00
Boiler (use BTU Chart to left)...... ...... ........
Appliance Vent/Fans.................... ....$10.00
Duct System... ... ... ............ .............$15.00
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
6lti'.OO
'10 .00
Current License on File ~ Yes 0 No 0 Nj A
Comment: -;r~ ~ .<3,di
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: $, P..ll'~
Rev. 2008-10
1\"'1~
'17 '
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MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
,
Application Date: ,::5 - ;;:1- 0 <:':1
Job Address
Owner
1.
Heat Pump
Central AIC
Furnace 51. 000
J
Tons
Tons
BTU/H
A/C
# 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,
c;;;/{/ //J :7
/ / // Date
M 1830
Permit Fee: $ tfO. 00
o Alteration 0 Repair
eplacement
C~"?Jl/J7ltF7t. ,Mc;v
CAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit) /..5 c.h)
Up to and including 100,000 BTU / 3Ton............................$15.00
Furnace/Heat Pump/Air Conditioner (Per Unit)
Over 100,000 BTU I 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
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
<:::;0
tia.o(,/
Current License on File ~Yes 0 No 0 NjA
Comment: ." ~ e; , ,"'1 P t.f1
'::1/\i~T" "2 <.:? '
}!J
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
[Approved By: 7:') ;D,.;j' . L- /}/! /I{}/r-J
, ,...<~~,), -Y T ~.~
Rev. 2008-10
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Dc~~hAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOCATION OF INSPECTION'
NAME OF OWNER' ' "/'..,
CONTRACTOR'
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DATE INSPECTION REQUESTED' .
TIME INSPECTION REQUESTED'
PERMIT NO'
TYPE OF INSPECTION
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL
D CONFERENCE
D PARTIAL
D STATUS CHECK
FAILED
D
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
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
PASSED FAILED
D D
D RADIANTHEAT D FINAL D PARTIAL
FAILED
D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN 0 FINAL D WATER METER INSTALLED D PARTIAL
PRESSURE TEST
PASSED FAILED
D 0
D OCCUPANCY GRANTED
CONDI'.fIONAL OCCUPANCY GRANTED
NOTESIREMARKS'
FAXED OPPD\BURTREA
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., BUILDING;INsPEcTioN-REPoRTr~~~c>c7~~~~-=" -
LOCATION OF INSPECTION'
/ I j (Y A - , I
NAME OF OWNER' l':'"1ood ,,"~f v!pa/iO
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DATE INSPECTION REQ~ESTED' Q . 0 - t 7
o WASHINGTON COUNTY
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o OTHER
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TIME INSPECTION REQUESTED' oj , , PERMIT NO- I. c...-'__,.J {)
CONTRACTOR-
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TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATUS CHECK
~_:':2:l:ta;m.1;;::nm~".,-""""""'-"""""'-~__ ....~=--~~~""'....".,...-~..._~~~.::tt
BUn:,~~~{:) 0 FOOTING 0 DECK FOOTING D FRAMING 0 DRYWA~~.,r~!.FINAL 0 PAR~L ~AS ED FAILED
co~~tS!\ (' (tl711/i7 7 crru;)..r /!;L~u ~ , 0
~~~~~~ -~~~~..~"""""'''''''''''''''''''''''''''''''''''''''~'',1;2::t~~ ".....".....".,.,.
UTILITIES: 0 SEWER TAP c~D SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE PASSED FAILED
o PARTIAL 0 0
c,
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COMMENTS:
~~~~~~...<:~':~l::~~
ELECTRICAL: 0 ROUGH IN 0 FINAL D PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
, !
",
COMMENTS:
MECHANlCAL:D ROUGH-IN 0 ,. 0 RADIANTHEAT 0 FINAL 0 PARTlAL P~D F~E,D
COMMENTS:. (
~~.,.,...,...............~~.....""'~ 7:~~~~~~~=~~~~~~........~~
PLUMBING: 0 GROUNPWORK D RouOB-lNHJ FINAL' o 'WATER METER INSTALLED 0 PARTIAL PASSED FAILED
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[JoPRESSDRE 0 ' C]
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