BPM1870
Permit #: M1870 Issued:
Completed:
Location: 1117 Corey Dr
Owner: Marc Gengenbach
Address: 1117 Corey Dr
Blair, NE 68008
Phone: 402 426 4864
Township:
Section:
Subdivision:
5 ton Heat pump replacement.
Contractors
Getzschman Heating, LLC
Remarks
Inspections Date
5/26/2009
5/26/2009
By
KAR
KAR
Blair Building Permit Detail
5/26/2009
5/26/2009
Range:
Lot: 11
Type: Mechanical Miscellaneous
Valuation:
General Contractor
Mechanical Final
Final Inspection of Project
Permit Fee: 25
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
BUILDING INSPECTION REPORT
CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION'
NAME OF OWNER
CONTRACTOR'
DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED'
PERMIT NO'
TYPE OF INSPECTION
o CONFERENCE
COMMENTS:
l\1ECHANIW\~:D ROUGH,IND AlC 0 FURNACE 0 RADIANTHEAT.D):;INAL 0 PARTIAL
II f n, -5~ c.:('[.,U fflJjJfP-
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
o STATUS CHECK
PASSED FAILED
0 0
PASSED FAILED
0 0
PASSED FAILED
0 0
P~ FAILED
0
PASSED FAILED
0 0
BUILDING: 0 FOOTING 0 DECKFOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE:
of!- OLe; ~ TIMF,::r .p 00
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
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:
<---) - ;J;J; - 0 Ll
,
Job Address
Heat Pump
Central AlC
<5
Tons
Tons
Furnace
BTU/H
AlC
# of Units
Furnace
Completion Date: ~ L)... ;l LI'" t) 1
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 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.
"'-('"
"U..:J
/r;-;tl...t)Cj
Date
M 1870
OJ /. h5r1 Permit Fee: $
g 7 (/(//37 ,;;(
Oil . 00
Zip Phone
, ~f '/ 'Idv-~~6
Zip lIt/pe 1/ .-gti~)ff1...
o Addition 0 Alteration 0 Repair
Replacement
'd~ t'
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) 015 () ()
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 ~es 0 No 0 NjA
Comment: ~~ dJ-~ ,;;/1; _ 01
WHEN PROPERL Y VALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 7? J?J-f vUttt~
Rev. 2008-10