BP13194
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1" 1....~~h~~lirdrngPermH Detail
Permit #: 13194 Issued: 5/5/2009
Completed: 7/6/2009
Location: 1140 Park St
Owner: Blair Housing (Holding a 50.00 deposit)
Address: 758 S 16th St
Type: Miscellaneous building permits
Valuation: 1500
Blair, NE 68008
Phone:
Section:
Subdivision:
Township:
Range:
Lot: 9
Egress window in basement HOLDING A 50.00 DEPOSIT
Contractors
Mel Johnson Construction
General Contractor
Remarks
5/5/2009
BMP
Holding a 50.00 deposit until 8/5/2009
Inspections Date
7/6/2009
By
KAR
Final Inspection of Project
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Block: 90
Permit #
Pass
40
25
50
24575
Issued
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT I "
. Permit I 31 C?Y
Date: 5 .;' -0 ~ Approximate Completion Date: '7"5 V "-04 Site Plan Attached: ,/
Estimated Valuation of Project: IS o() (J:.!-
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)
Roofin'g/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)
Description:
Utility Excavation and Curb Grinding
Curb Grind
Length
Utility Excavation
Length
Type: Water
Fee: $75 plus bond
Un. Ft
Un. Ft.; Width
; Sewer
; Other
Amount of Bond Posted: Bond Check I
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
Additional Description of project if necessary: ~ cy );~
PROJECT INFORMATION:
Job Address:
\\YQ
p ~)y\ B '1()cJ If 70 9/tJ
8 (! E:!5'tJ / ~f9 !-'~ PI' tltlAr!. (PI $Ii.. c;tJ
Address: Phonel: lief f>C!. 7
Legal Description (if applicable)
Owner: pt,.~ ~
Contractor: fY\~ ct~~
~~
Phone #:
Cell I: g g J.. 'IS';;
Address:
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:
$
$
50.00
25.00
Deposit:
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.
5,~s~e3r
Date
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: ~ - r"iJl Receipt # '2Lt,!;7) Approved by: J) ~~
J/ 3 5 Ne,Jo"'"
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CITY OF BLAIR
Application for Building Permit
PLOT PLAN
Address f1, Y f; LJ9-1 V Hau.s {,oJ' /JuT Date S -..5 -C'.) 9
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Legal Description: Lot Block Addition
Please'show all measurements of existing and contemplated structures,
also show distances between structures, etc., and property lines.
Is this a corner lot?
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Applicant
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BUILDING INSPECTION REPORT
Er:CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
NAME OF
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DATE INSPECTION REQUESTED' /
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CONTRACTOR':>;;:';' I, (/',::7/{,/(,.:) rei
TIME INSPECTION REQUESTED' Ii. ,.::) 1/ ;' '/11 PERMIT NO'
, ,:?,',3c:')rJ
o CONFERENCE
l .:::.S l C.} i I-
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0
o STATUS CHECK
PARTIAL
COMMENTS:
UTILITIES: 0 SEWERTAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATERSERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
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
NOTES/REMARKS'
JNSPE~OR i~
FAXED OPPD\BURTREA
a[~
DATE OF INSPECTION MADE: 01~,-;(~ TIME' j...- ,/0
TO CONNECT SERVICE: ON
BY