BPM1850
Permit #: M1850 Issued:
Completed:
Location: 773 N 10th Ave
Owner: Blair Housing
Address: 7588 16th 8t
Blair, NE 68008
Phone: 426 4552
Section:
Subdivision:
1.5 ton AC Replacement.
Township:
Contractors
Guinan Heating & Cooling
Monzu Electric, Inc.
Remarks
Inspections Date
5/18/2009
5/18/2009
By
KAR
KAR
Blair Building Permit Detail
5/4/2009
5/18/2009 .
Type: Mechanical Miscellaneous
Valuation:
Range:
Lot: 4
General Contractor
Electrical Subcontractor
Mechanical Final
Final Inspection of Project
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block: 3
Permit #
E3104-2
Pass
Pass
Issued
5/6/2009
- ~~--~-~--~-----------'--- ---~---------~
BUILDING INSPECTION REPORT
'"
~CITY OF BLAIR D WASHINGTON COUNTY D OTHER
LOCATION OF INSPECTION' 7 '7 -3 iJ. / tJ 111/7 t/JI.. /76' '7 If /&1 II; 4!1.tJ., ,/713 ;</ / iJ 1~4v'.ji .
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NAMEOFOWNElk.,l..)/",('tb'f /-1 iltt{J.t17C.J CONTRACTOR' ~ /;;/fJt://1'l It 14. ' I d ,~,,-I J \,.j ItJS'
rf . ' '. (J t1/8.50/nlO":J'/II/() l
DATE INSPECTION REQUESTED' ~;::;; - f 8 - () q TIME INSPECTION REQUESTED.lL:' ~t2e.dtj.. PERMIT NO' "^ I ~ 4''1
TYPE OF INSPECTION REQUESTED: et!'1J 7C9.AJ /PIA Ad't D CONFE~NCE D STATUS CHECK
-,,'
BUILDING: D FOOTIN? D DECK FOOTING D FRAMING D DRYWALL ~'B:::FINAL D PARTIAL
;l
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
D D
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
COMMENTS:
PASSED FAILED
D D
MECHANICAL:D ROUGH-IN ~(A1C D FURNACE D RADIANT HEAT ...~INAL D PARTIAL I ~~ CI'rce/~AS~AILED
,/1~ I. .:f lO'1) /lIt! S- J41t!-c~~Mf1I?~kti-r""'.KJ ~
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL PASSED FAlLED
D PRESSURE TEST D D
COMMENTS:
COMMENTS:
OCCUPANCY GRANTED D
NOTESIREMARKS' J::e l,Jr,
'1 j~. /7 7 '2 A I,
{/ / ,f .......) ~
761 CJ!/ 7/3 oK
CONDITIONAL OCCUPANCY GRANTED
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DATE OF INSPECTION MADE: CJ5--/fi-~IME' J I ~. ? s.-
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
ElJ I::
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 '/4~ 07
Job Address
Contr
2.
3. Class of Work:
Describe Work:
4.
Heat Pump
Central AlC
ill}
Tons
Tons
Furnace
BTU/H
AIC
# of Units
Furnace
Completion Date:
{" ("-VI
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.
~AK4
Signature of Contractor or Authorized Agent
S--L(~o9
Date /
NAY 0 5
Permit Fee: $
M 1850
/ S" ()5A-
Phone
o Addition
o Repair
eplacement
MECHANICAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit) /. r..~
Up to and including 100,000 BTU I 3Ton............................$15.00
Furnace/Heat PumplAir Conditioner (Per Unit)
Over 100,000 BTU I 3 Ton.......................................... ,..$25.00
Refrigeration Units/Coo1ers/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
GaslAir Out1ets..........,......First 5
x $6.00
...... ...Additiona1
x $1.00
Radiant Heat Systems/Gas/Water
Piping System...... ...... ................. ...$50.00
Modular Home...... ... ... ... ... ......... .... $50.00
Permit Issuance Fee......................... .$25.00
Total
Current License on File )(:es 0 No 0 NjA
Comment:
tV /" IT
/ b-~vJ
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: '1 r
Rev. 2008-10
~
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 /4~ 07
Job Address
Contr
2.
3. Class of Work:
Describe Work:
4.
Heat Pump
Central AlC
ilf}
Tons
Tons
Furnace
BTU/H
A/C
# of Units
Furnace
Completion Date:
i"- (-U'7
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.
~/;yA
Signature of Contractor or Authorized Agent
~-C{-~ 0 9
Date I
Permit Fee: $
M 1850
I S' iJ~
l{ ) Pl~e it J'!;;-;
Phone
o Addition 0 Alteration 0 Repair
eplacement
MECHANICAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit) /. r... <..AJ
Up to and including 100,000 BTU / 3Ton............................$15.00
FurnaceIHeat Pump/Air Conditioner (Per Unit)
Over 100,000 BTU / 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
Current License on File "I:!es 0 No 0 NjA
Comment:
tV /' It
- ~- ,
I b ~q;)v
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: '1 r
I
Rev. 2008-10
BUILDING INSPECTION REPORT
T:=rCITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION'
,:>:~)/1 .
NAME OF OWNER:,;;;l;(?f;/
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CONTRACTOR' (u/ 'Llll//~ll "', J ,,1 ,. I
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TIME INSPECTION REQUESTED' Ii. .t2t2dtfj., PERMIT NO' ,,' '- I
(/
. --'-'~ :' ,~C.} , . \ <~;>
DATE INSPECTION REQUESTED"':') ,,' I LJ r:/' i
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL ,,'est:FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT PASSED FAILED
o PARTIAL 0 0
COMMENTS:
MEC;;;;~~~~G~":~
COMMENTS: .
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
(.I l"
l)' f7 ";?,/t/. ,,1"/"._'/.,) l~i:~"r./"''''I/l,j<.,j)
/ l ,~~,.,)" ,,',. " ,
761'
dPl/ 7/3 dK
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'1g7oki ?~361(
mSPECID(~~
DATE OF INSPECTION MADE: ~5--1?- ~TMF' J / ~ if S.-
FAXED OPPD~URTREA
TO CONNECT SERVICE: ON
BY