BP13182
Permit #: 13182 Issued:
Completed:
Location: 1435 South St
Owner: Joel & Ginger Fredericksen (Holding 50.00 deposit)
Address: 1435 South St
Blair, NE 68008
Phone: 402 426 8971
Section:
Subdivision:
Blair Building Permit Detail
4/21/2009
6/5/2009
Type: Miscellaneous building permits
Valuation: 1000
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Township:
Range:
Lot: 7
Block: 111
Moving garage from one spot on property to another. HOLDING A 50.00 DEPOSIT
Contractors
SELF
Remarks
4/21/2009
6/5/2009
Inspections Date
5/12/2009
6/4/2009
General Contractor
Permit #
BMP
holding 50.00 deposit. Will cash on 7-21-2009 if project is not finished.
KAR
Noted no electrical to building at time of final inspection.
By
KAR
KAR
Footings
Final Inspection of Project
Pass
Pass
40
25
50
24489
Issued
~ )!&!dinf .co &pc&.! 7.A1dtiJ~ -1!J.i:1i18Jc&.
CITY OF BLAIR ,- -MISCELLANEOUS BUilDING PERMIT
[ r ~ ,~ ~ - \: . _, /"'0 ermit # /3/807
Date: Lf ~21 ~()0t Approximate Completion Date:.>y".,;J! ~-() c.; Site Plan Attached: X
Estimated Valuation of Project: ~!t{i'-t)J) ;'l)() (;, Lit)
Aoolication for: Permit Fee $40 + Issuance Fee $25 + $50 Deposit
Fee: $115.00
Egress Window (floor plan drawing required)
Fences (plot plan required)
Gazebos (plot plan required)
Patios/Driveways/Sidewalks (new or replacement)
Roofing/Siding/Soffit and/or Eave Repair/Gutters
Swimming Pools with Fence (plot plan required)
Window/Door Replacement (size change only)
Miscellaneous Building Permits (items not covered by one of the above) ''I
Description:
Utility Excavation and Curb Grinding
Curb Grind
Length
Utility Excavation
Length
Type: Water
Fee: $75 plus bond
Un. Ft.; Width
; Sewer
Un. Ft
; Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
Additional Description of project if necessary: \;,,~J lJ i/,..1';;c;V
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PROJECT INFORMATION:
cS yen;; <f'79Q Z
Job Address: ! //.3 "S' f\JI~t/ 1-/; \i) f: B)J,t 1// /1 L/ ?c'/7
Legal Description (if applicable) ~ C dot ;i1 ? tU;:;; D C:f() t fp ~: pt 66 /lIfe, .S'f.
Owner: C)u.J) / (:;Jtl~Cj_l'I 1'A)~~~;~'$IL/_?5d?~)t/ l;;jY~hone#: L!c;Jt7 897/
i/
Contractor: ", \Y ~ Phone #:
Address:
Cell #:
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will onlv be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $150.00 $
Original permit fee of $50,000 - $100,000 $200.00 $
Original permit fee of $100,000 - $500,000 $300.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee:
$
25.00
Deposit:
$
50,00
Total Renewal Remit Fee = Permit Fee + Deposit + Issuance Fee $
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.
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P ignature of Owner/Contractor
tJ-;;) /-0,'
Date
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: 41-'",11 ~09 Receipt # c;J L;lfll-/ Approved by:, ~l. i!.2 f~i~1<::k 17
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CITY OF LAIR, 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 PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory building valued $10,000 or
greater at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
additign or accessory building valued under $10,000.
<"-
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/A $50.00}etundable deposit is being collected for all misc. permits.
The City reserves the right to not refund this deposit if any of the following
conditions occur during the construction period:
1) Theft of water service by the plumber, owner or general contractor.
2) All permits have not been obtained.
3) All required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspection being done.
6) Storm Water Management Plan inspection not obtained. (If Required)
If any or all of these situations occur during construction, you may forfeit your
deposit.
I hereby agree to the above conditions, and understand that should any or
all of the above situations occur, the building permit deposit SHALL be forfeited or
discounted upon the discretion of the City of Blair, Building and Inspections
Department.
Contractor/Owner
City of Blair
ij - ;;J/-CJ1
Date
CITY or BL1\IQ
BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing with particular code
requirements and/or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2006 International BuildinQ
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.
Jd,~dC~~
wner/Occupant
Contractor
City of Blair
Lj'- d/-()9
Date
(3)-
EaUALHO(lsma
218 South 16th Street. Blair, Nebraska 68008 . 402-426,4191 . Fax 402-426,4195 . E-mail cityofblair@ci.blair,ne,us "'"''''''
BUILDING INSPECTION REPORT
CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
NAME OF
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CONTRACTOR' ':J,:(l,~/:j
DATE INSPECTION REQUESTED"'}
,;"'''''_1
TIME INSPECTION REQUESTED' '/
~,:.'~:t (~:) /':l ~'iLI
PERMIT
j' "1 I X r'}.'J I
TYPE OF INSPECTION REQUESTED: 0<, D< 0<; D CONFERENCE
BUILDING: .~::t;J:::FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
COMMENTS: --mtlt/./~ a ~a/U/~d?~J ~::::I-~~jMt:Jpu
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
D STATUS CHECK
ASS FAILED
:f-~ c:t41 t? ~
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 WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
~..
INSPECTO .
DATE OF INSPECTION MADE: 6:; ~/;l-;;(t/:JCJ7 TIMF,9,':S (!)
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
LOCATION OF
NAME OF
DATE INSPECTION REQUESTED' !J?.... 6/ .- tJ)<i
TYPE OF INSPECTION
BUILDING:
TIME INSPECTION REQUESTED'
t
PERMIT NO'
D DECK FOOTING D FRAMING D DRYWALL
D STATUS CHECK
~~ED
COMMENTS:
UTILITIES:
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 RADIANT HEAT 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 CONDITIONAL OCCUPANCY GRANTED
!
NOTES/REMARKS' C';~? Ii l;:? r:<'l) ;' :((1~/,,{) '''',1r{}ti (:,.ii; .,f}\,,) ,,\\tie';/~J ,{,rt, , i >1 ,I '/> ,Tf'/i l /'If;) ,: ,{{2iJ
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FAXED OPPD\BURT REA
DATE OF INSPECTION MADE: (;)0 - () c; ~IMP' II)! 0)
TO CONNECT SERVICE: ON BY
INSPECTO '