BP13211
Permit#: .13211 Issued:
Completed:
Location: 870 N 25th Ave
Owner: Jamie Smith
Address: 870 N 25th Ave
Blair, NE 68008
Phone: 426 2644
Section:
Subdivision:
Township:
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Blair Building Permit Detail
5/26/2009
10/14/2009
Range:
Lot: 12
Re-roofing detached garage with one layer of shingles.
Contractors
McKinnis Roofing & Sheet Metal
Remarks
10/15/2009 HOW
Inspections Date
10/14/2009
By
HOW
Type: Roofing permits - All types
Valuation: 500
General Contractor
1. re-roof-de-tached garage-final-ok.
Final Inspection of Project
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit #
Pass
40
25
50
24647
Issued
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CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT
Permit # 13 :;;7.11
Date:5-/1-oQ Approximate Completion Date: 6..;J/)' oCt Site Plan Attached:
Estimated Valuation of Project: ,~O() .oC>
Application 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 y.
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.; 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.)
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Additional DescriPtiOnj~f n~y:
PROJECT INFORMATION:
Job Address: !) 10 JJ, c2S"f/1 A t1J . 8900::53oUi 7
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Legal Description (if applicable) iJC2 JI~ /7-tJiI'ls C;:Xot:- / ;J 'I /-I/t? 0<.0'
Owner: r )c:uniJ ,,~Anilh;) Address: !J7~ ;(/..;75# #..PPh~ne#: L/cJu";?& tiLl
Contractor: '/J1ai~ JZ~~...t~a) Phone#: ~~: t/'p2..t/Jh ~I.
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Address: / ? 4 & E. -/ sl- cr~ Cell #:
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From:MCKINNIS ROOFING & SHEET METAL 402 426 2344
OS/26/2009 10:50
#664 P.003/005
May. 19. 2009 2:44PM
CITY OF BLAIR {402. 426.4191]
NQ.0895 P. 4
~tt ~NEWAL FEE:
This fee Is based on the amount of the original permit '8& and Is charted when work is not
completed withIn two years and the permit W{plres. Renewals will ~ be allowed wrth the
atipufatlOfl that ml ext&rJor sIte work and 'outsid& finish work Is completed EJnrJ Inferior lIfe.
safety Issues have been properly address. Permit renews's are for one (1) year, with a
maximum of two (2) renewals for ~ maximum permit span of four (4) years,
Original permit fee of $0..$50.000 $150.00 $
Orlgil181 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 Feet . $ 26.00
DeDo8It:
$ 50.00
Total Renewal Remit Fee I':l Permit Fee'" Deposit + Issuance foe $
SGpal'ate permll$ are requIred for electl'ital, plumblng, haartlng, ventflatlng and ~ir Qondltiun!ng, t!nd !Septic
sY$tema. By my ,lgnaws below, I Bnknow(e(lge Ulla btllldll'lg permit application doee not eonetitutG i5tUlIJnoo
of tI'Ilt building permlt. I flJrthtr agma that constructlon covered by this permit applleatlon .ball not be
commenced until J hav~ recelvod e copy of a permit $Igned by \I\e Building Inspector. I hereby agree to
perform the proposed work," accordance With the spaolflllatlQn$ set forth eboV$ and in aoourdanl>> Wltl1 the
ood&3/ordlnaIlC% 01 tIw City of BlaIr and the State of Nebraska. I underetand that thlt ptl'l'Olt Is void If work
1$ not commenced WIthIn 180 days or Is not eOmpl$ted withIn two (2) years of date of Issue.
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Fof' Offl~ iJre Only WHEN PROPERl.Y VALiDATED (8ELOW) rHJ$1S YOUR PRRMIT
Date Permit Paid: :d..(l(~R;(;~iPt#?li/fjij!ZAPPro~db~ :ii. P./;:'~ "'" ,
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CITY OF LAIR, NEBRASKA
Phone 402-426-4191
RECEIVEDCJ~ ~~
ADDRESS~
8" 70 t/. C:;:5# ArlJ.
CITY, STATE, ZIP CODE
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THANK YOU
N 0 '~;":~ l!~~ !j:~3 i~ r:7
KEEP THIS COPY FOR YOUR RECORDS.
:tJVE'Df!Jf~
Pounds Printing, Blair, NE 68008
From:MCKINNIS ROOFING & SHEET METAL 402 426 2344
OS/26/2009 10:50
#664 P.004/005
May. 19. 2009 2:44PM CITY OF BLAIR (402. 426, 419iJ
No. 0895 P. 6
CITY or BL1\IR
.., A.~
.0,'0 $'
n,/$e 01 6-1,)
ROOf PERMIT SUPPORTING DOCUMENTS
This supporting document includes ~nformaUon dealing with particular code
requirements and/or roofing permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2096 Int&rnp!!~a.1 BuU~iD9
~ requirements that apply to your project Please understand this document Is only
designed and disttibuted to aid you in your roofing permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read 1he above disolosure and accept this bvilding permit documentation on my
own behalf assuming full responsibility as the owner/contractor for thl$ project.
..
Contractor
~ of Blair
~e 77/;1u/09
218 Soul111611'1 Slreet · 810" Nebraska 68008 · 402.426-4191 . Fax 402-426..~195 . fornoU d/yofb!oit@c1.bIoll,ne.m
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From:MCKINNIS ROOFING & SHEET METAL 402 426 2344
OS/26/2009 10:50
#664 P.005/005
May. 19. 2009 2:45PM CITY OF BLAIR (402.426.4191)
No. 0895 P. 7
BU!LDlNG PERMIT DEPOSIT AGREEMENT
A $600.00 refundable deposit is being oollected for any new commercial, new
residential, and any additions. remodels and ftCt'..essory 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.
addition or ccessory building valued under $10,000. .
i
h reserves the right to not refund this deposit if any of the following
conditions ooour 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 rl;iqulred Inspections have not bean obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspectIon being done.
6) Stonn Water Management Plan Inspection not obtained. (If Required)
If any or all of these situations occur during construction, you may forfeit your
deposIt.' . ., .
1 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.
....
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Contractor/Owner
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City of Blair
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BUILDING INSPECTION REPORT
CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
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NAMEOFOWNER'(.~' ",;;;!}n"t;p C,.{ ~NI1j:::;6{
CONTRACTOR'
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DATE INSPECTION
TIME INSPECTION REQUESTED' /,;1, '7
PERMIT NO'
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL :8:"FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
R,ASSJlD FAILED
la D
/f 'I,
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' AfC D FURNACE D RADIANTHEAT 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
FAILED
NOTES/REMARKS'
INSPECTOR'
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DATE OF INSPECTION MADE:
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FAXED OPPD\BURTREA
TOCONNECTSERVICE: ON
BY