BPE3099
Blair Building Permit Detail
Permit #: E3099 Issued:
Completed:
Location: 2004 Wright St
Owner: Kent Rasmussen
Address: 2004 Wright St
4/21/2009
5/1/2009
Type: Electrical Miscellaneous
Valuation:
Blair, NE 68008
Permit Fee: 25
Issue Fee: 25
Deposit Amt.:
Receipt #:
Phone:
Section:
Subdivision:
Service Change 60-100 amp.
Township:
Range:
Lot: 3
Block: 5
Contractors
Hipnar Electric
General Contractor
Permit #
Issued
Remarks
Inspections Date By
5/1/2009 KAR Electrical Final Pass
5/1/2009 KAR Electrical Permanent Service Pass
5/1/2009 KAR Electrical Rough-ins Pass
ELECTRICAL~PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
~~vner f J? ~~/ Address,
Contractor I / /0 lY:fail Adgress ,
2. /7' --7 cz/f L-,.1/ {! T vV'(!
3. Class of ork: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL
Describe Work: j '/1/ '
4. JU (/...1 r!J) L /7 CVJ.J C:
5.Current License on File fll( Yes 0 No 0 NjA
Application Date:
Lf-2/-0Q
Job Address
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee...... ...... ... ... .. ...$25.00
10 1-200 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
1st 1000 Amp Fee..................$195.00
Each additional100 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.
/-.,~,.~..._._'~-=-==- ::::>
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Signature ofCyhtractor or Authorized Agent
/
E 3099
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Permit Fee: $ "--.-) iJ . iJ
,y''70V t/ M/Va 1 f- Jf.
, z~
V C'~FJ-(!/Aj)l ~ t3 e-9 iJ I /) pi ~
Zip
o REMODELINGj ADDITIONS
Phone
t?/lPt 5
Phone 114- pe'
o UPGRADE SERVICE
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
dS'UU
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.......... x $1.00
Power Apparatus (220 Volt or higher)
# of Apparatus. .. . .. . x $8.00
Smoke Detectors. . . ..
x $3.00
Permit Issuance Fee................. ..$25.00
~..d5< 60
Total jtJ, {) {J
Comment:
WHEN PRO PERL Y VALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: $. ?J f ~~
Rev. 2008-10
, E I I~
:1
<\
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ELECTRICAL~PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 E 3099
(402) 426-4191
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Y
Application Date:
Lf -:?/-Oq
.c:-~ tJ c/
Permit Fee: $ U tJ '
Job Address
~~ner f J? ~i~ Address
Contractor I / . /0 ~~il Address,
2. /7' -- '1 tv? C--lf! {! f r/V
3. Class of ork: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL 0 REMODELING/ADDITIONS
Describe Work: j '/7l c:;
4. JA (/J r!J) L n {).rf1
5.Current License on File Yes 0 No 0 N/A 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
1st 1000 Amp Fee..................$195.00
Each additional100 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.
/--- _.--7
/ ,/'.,.--
,/,,,/
Signature / tractor or Authorized Agent
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 025 . {Ju
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 .......... x $1. 00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
Permit Issuance Fee...................$25.00 c?5.60
Total tJ, 0 ()
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 3 A I
. Jr~
I
Rev. 2008-10
[J~FBLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCA nON OF INSPECTION'
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~~\30p~~PERMIT NO" ~ .'
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TYPE OF INSPECTION REQUESTED: - ---~--- . "'(ITC1JNFERENCE 0 STATUS CHECK
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BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
o 0
NAME OF OWNER" CONTRACTOR'
DATE INSPECTION REQUESTED' 5-"":')7:~Q~1_~. TIME INSPECTION REQUESTED'
l,' -: ;
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COMMENTS:
!.:-::....::..:;:.~.:::::.:::;:::;,;.~= '~~.:..:;.:::=3.::..~,...:...:::....;::..:-:::;:::"~:..~..:: .,==,:-,:::':::"'~':"':'~'::'::::_::--::=,:::'=:::':r':::.i:J.~:;::r:.....::::::':::~':'::...'=,=.:;..;:;r-~'-N- <,,'.....,-....,.::::::.=::::.::::,;;.::;;;..:.~.:::;:.:::.~-=.::t.:::::.--~-'..:::.;;::::..;;. :- :'!.=7""::=::~:-,~'~~:::.:.....c:;:::;::..:::~:..:==-:'-::':"-_-~::.-;-"::_=_:::'-;;"'::'=___'''':''::::::..:::=:::-~ ...::::::.:...:::
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
~~.__ _____.~."___, ___. _",," _'__'_',- _" ..,~"'._..._.__._.___~ =e_'""" ..~,~=~-,-'~""'',;:.'''';'''~,;::.;:J;;;;::J:"''';;!':-''--'--=''-'::'=~''-<--''--,'':;:__""""_,' _. ___~_.~ ....._.___..,_..-.....----'" _,"P"_ ._..n_'___."'~ __.__... '.___. ',--. ~ "--;--r"'" ,n --,. -," -',--"_
~~;~~RIC~~~ ;;;-U~~;:ro~'~;;NAL ~~~lTh1ANENT"S;~IC~ 0 TE~~~~ ~-~~~~~~~~-D -;~~~-;NN~-~~---~"~-~~~-~--~~SS~~F~~~
o PARTIAL .g[ 0
COMMENTS:
MECHANICAL: 0 ROUGH-IN
PASSED FAILED
o 0
=-...==:::::;.~::.;;;;:::;:::;.::.:__::..s..:::.:::.:::.'=.;;:.::___~_=_,..::;;:.::.:.,:::;.:..=:.....=...:..'__::;...:.::..-~-,.:;::..'----.::.-~"....;,_..:..:.:.:;::"'..::'z::::;:;.:;::.;.:..::;,::.~;..:r:;;:....;;;....:,..":;:;:r~:.~_.:,~=:.:.=--:..,,=-~:::'::::=___-.:;:::;:,;..:.;:.-..;~,~;:.'__:::;::::;::'..:::..:.....::.:;;.;;...:.:.;:.:_::_-__:..._=.c;:::.::=-~..::~..::::=....::;::..:......::....:;;;;..~~:.::,::.:::...;:;..::,:::::::;-:;.;:..:..:::...:.'.:::::;:.........-:::.-:::::~~":...-.,;;,~::....:"
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
D 0
COMMENTS:
~.s:::::.:z=;::';::.::;'':::::<J:;'':''::,:;;':;;-.;;.:':_:::::;;;',cZJ::,:;:~'';:::;:'_=_;:'-::::''::::~';;.:;::"'::=:;::.;':::::::;;;:::':;;..n;::;::-,.:;:::::::J:Jt'i4S%li!$:;.::",!z;zzr~"$,UJfJ:>,;-:;":iI;;;;;;'tZ.:.'f$;s...:JJ}J=I.Z;Z=:;;r:'.3::z~~...>'It'"",~,<rr;-,",'~''':;-,,:::::;-~=:~;2..:,,-'~"~r""" _e, --'-", "-z:.=::,;;:;:;,;,::",:::;::::,:;;"~':::':'-'::::.:;..:J.::::::::;:,:;:;:;:,:::,-=:::,,:::::,,-'::::::":.:::::;:::""""::::~'::":::"'::":::.:..,~--":::'=
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS' (.:U I/'iPCl ,'hfb off!] -r:~ J.F~
...
JNSPEcroJ<~Q. ~.
A~JOPPD\BUR~RE ~ q/DC\ . .
C7' 0J..~.
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DATE OF INSPECTION MADE: c:>g~O/ - CJe6Cj' TIME' '6 " 15
TO CONNECT SERVICE: ON .
BY
BUILDING INSPECTION REPORT
o CITY OF BLAIR
D WASHINGTON COUNTY
o OTHER
NAME OF OWNER' I';'\" V CONTRACTOR' f"i;~i" . .c",;.'>/,
DATE INSPECl'lON REQUESTED' !:5-C:cL:i:;jC( o'CC.TIME INSPECTION REQUESTED,.e(.;3D Pl~~llRMrTNO
TYPE OF INSPECTION REQUESTED: - --~~- D STATUS CHECK
-' ".;~:.:." .~,-7,::':'':',~'~~',,";:':''<,-;"';:''::'':.':'':;-_~(:'"',
BUILDING: D FOOTING D DECK FOOTING 0 FRAMING 0 DRYWALL D FINAL 0 PARTIAL PASSED FAILED
D D
\.-. ':- ','"
COMMENTS:
UTILITIES: 0 SEWER TAP D SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE D WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ci~;~;;;~~~~c;~~~~;i1:;;~~c;~~~;";-;R~~;~D';~~~~;;~;;;i~;C"D~ ;;~~~;~~~~~~"~'~~C_-_c~-~';;S~~'~=;~IL~~
o PARTIAL ,g[ 0
COMMENTS:
c '_--' ,
MECHANICAL:D ROUGH-IN D AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o D
COMMENTS:
li.%.'"';1i!='::::::_:-':::.:.::..2"'::"::'.,;:"';~:;.:';;:"'''''.:::':':_:_:~=._:'':'':::''''''-~-:':':''-::;'::-::;:;:"~:::",-r.._'" "~" . -. '","~,",'fi. ;;;.:.;,;;;;:::;.~r:::-::::::.!:,.':;1~~='~Z'....h~~'.:;'::;'~~;;;;''::;;:':;:'':<::"':::':::''~'~';::",=:,,:,,::':'.-,-'~._ =-';:;:-.:.",-:..:;;:..;;.,=-:;;!.=.::::;::':::,':;:..:.-:;;;-::_"7."";......:.=.::;~:::.=::::.:;::;;...;:-,~.,;:..;;.._..:...;;.:~_-..:;::.:.:~~:;:;".....:::_:::;:..::...~.:;:..:;".;;_::...::"c;;:..::.:;;:..:.._-~:::..:.:.
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
D 0
COMMENTS:
~-:r.=~J..~=.;;:::;;;:;_~:"::;;:::;lI..:E:'=,':::~i;".~~~"'~' ...~~."r";~".{l'Z''''''''"r''',...''e..''''"''--''''~t';,e;r''.N"...A<~'',~~r~e(._{_._'e9(;"' "::;:U=~''''' -.- H-:::::...~.L:;;:.~~.-::,:::;C;Lr:;;:;:,.~';.:.:::;:.::::U::~=::::.:;:::~.:-=~'::;,~.;.7H:::::J';:.~~::::u-:;:z:::::..:.--~=_~.:;;..::..::~=::.;;;;..;;;:->::::--;:;::.=.;;;:::-
o OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS' r.:c., II'tPcl I ~ ~ 0 PI:{) r:.~..f. ~.
"-
JNSPECI'OI<~{j, &J&~
DATEOFINSPECTIONMADE:C5S-0J - C?co'l TIMT~' '6 ; 15
FAXED OPPD\BURT REA
TO CONNECT SERVICE:
BY
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