BPM1863
Permit #: M1863 Issued:
Completed:
Location: 1135 Nebraska St
Owner: Blair Housing
Address: 758 S 16th St
Blair, NE 68008
Phone:
Section:
Subdivision:
Replacing 1.5 ton AC unit
Contractors
Guinan Heating & Cooling
Monzu Electric, Inc.
Remarks
Inspections Date
5/18/2009
5/18/2009
Township:
By
KAR
KAR
Blair Building Permit Detail
5/4/2009
5/18/2009
Range:
Lot: 7 & 8
Type: Mechanical Miscellaneous
Valuation:
General Contractor
Electrical Subcontractor
Final Inspection of Project
Mechanical Final
Permit Fee: 15
Issue Fee:
Deposit Amt.:
Receipt #:
Block: 20
Permit #
E3104-15
Pass
Pass
Issued
5/6/2009
~~~-_._--_._.~----~-~~------~-_.
BUILDING INSPECTION REPORT
t& CITY OF BLAIR 0 WASHINGTON COUNTY 0 OTHER
I LOCATION OF INSPECTION' /21/ /;;/7 iJ ):.. ( ;4 ~. /1,;;3 Jaek.ssn ; /1..!!1!![ I
7Jj' I ", /J I &-c /', ' ,p(y/alJlo.
NAME OF OWNER",L:J/ at? )7"0 ttd41HJ..J /-r /) jh(rtl . ONTRACTOR ' (':1 tIJI1M7 /-Ii (i . , . , ". f1, _"J /
.r.:- (I , ." (j /-118lo!/ /'1/854'L jVlll:J rJ"7
DATE INSPECTION REQUESTED' 0 - I f3~' eft TIME INSPECTION REQUESTED' / IJ!2A'M. PERMIT~O~ I f318 ,M /BSS
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL ~ FINAL 0 PARTIAL
(
COMMENTS:
UTILITIES:
,r, f~
, i
o SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
COMMENTS:
,
PASSED FAILED
o .0
"I ,-
ELECTRICAL: 0 ROUGH IN 0 FINAL D PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
PASSED FAILED
o 0
MECHANICAL:O ROUGH-IN 0 AlC D FURNACE 0 RADIANT HEAT "f;;t FINAL 0 PARTIAL
..'
COMMENTS:
FAILED
o
N'Ii:"""""'''~'''''''''''''''''~il'
~~=-""""-'""'"""~"'---~
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
~-..,,""""&~~~.
~-"""""" l..~~~.........""",""",,
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
J/ ....~ 'J';.//J' I./, , 'j/;! h ./
NOTES/REMARKS' ^ K I Sf, /(}1n iAt)LL/;/0 ~:i)j/at.1 r,'t:Ju.d.--0IC?~ to<-!-.tl' <:-1'70&(..) Ma..,r
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DATE OF INSPECTION MADE: q ~ -( f.. d1
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FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
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MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1863
(402) 426-4191
~
Contracto
2,
3, Class of Work:
Describe Work:
4,
Heat Pump
Central AlC
/:/A
Tons
Tons
Furnace
BTU/H
AlC
# of Units
Furnace
Completion Date:
~ ...\- D1
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,
~J k' A ~
, Signature of Contractor or Authorized Agent
5 - C/ ~o 7
Date
D~,)
Permit Fee: $ .I 5;""-
Zip
o New 0 Addition 0 Alteration 0 Repair
Replacement
MECHANICAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit) / ~
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/Coolers/Lines/Compressor - Commercial
(New or Replacement) (Per Unit)
..,.."...."......,. ...,..,.."".......,........,..,.....,.,...,'."". .....$15.00
Boiler (use BTU Chart to left)..,...... .., ,.......
Appliance VentIFans".." ..,.,...".". ",,$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 rj(Yes 0 No 0 NjA
Comment:
.-
I
WHEN PR ERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By:
Rev, 2008-10
@ff!.
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1863
(402) 426-4191
Contracto
2.
3. Class of Work:
Describe Work:
4.
Heat Pump
Central A/C
/I/^
Tons
Tons
Furnace
BTUIH
AlC
# of Units
Furnace
Completion Date:
~ ..- \ - 01
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.
Signature of Contractor or Authorized Agent
,5 - C/ ,-0: 7
Date
00
Permit Fee: $ I ~ <--
Zip
o New 0 Addition 0 Alteration 0 Repair
Replacement
MECHANICAL PERMIT FEES
FumaceIHeat Pump/Air Conditioner (Per Unit) / s---
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 r)( Yes 0 No 0 Nj A
Comment:
.-
/
WHEN PR ERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By:
Rev. 2008-10