BP13215
Permit#: 13215 Issued:
Completed:
Location: 10887 Co Rd 29
Owner: Paul Hamer
Address: 10887 Co Rd 29
Blair, NE 68008
Phone: 402 533 4662
Section: 15
Subdivision:
Township: 18
Blair Building Permit Detail
OS/27/2009
01/05/2010
Type: Siding Permits - All types
Valuation: 2500
Range: 11
Lot: 34
Replacing Siding on entire house with wood siding. Also re-roofing house as well.
Contractors
SELF
Remarks
10/02/2009 HOW
Inspections Date
10/01/2009
01/05/2010
By
HOW
HOW
General Contractor
1. siding and re-roof not finished.
Framing
Final Inspection of Project
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit #
Pass
Pass
40
25
50
24676
Issued
Partial
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CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT
Permit # I
Date:S:. 7-{) (j Approximate Completion Date: q- I - 0 '1 Site Plan Attached:
Estimated Valuation of Project: C:?1j()O " 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
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:
Fe~1~.~
----
Application for: Permit Fee $40 + Issuance Fee $25 + $50 Deposit
x:
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.)
Ad~ition?IDes~ription of project if nece~s~ry': _ ~jc:( t2vh cr \, 0 ClthCY GT/1
, J,h1 If fAi /1 0 UAJl tu /(,J () () cl JljCUr7<../), 0
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PROJECT INFORMATION:
Legal Description (if applicable)
'll
Owner: '1w /-It:m-eu
Contractor: (jl \./L,~
j08fJ'7 (~Rcl 29 f;9tJo/9'l33
~TL c ~ Lf / :5 - /8- / I I b g pc! d I .;/1 3tJ A~
Job Address:
r'-::J. -")
Phone#: ~),?, "J-
Address:
Phone #:
Address:
Cell #:
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 Iife-
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 valuation of $0-$50,000 $150.00 $
Original valuation of $50,000 - $100,000 $200.00 $
Original valuation of $100,000 - $500,000 $300.00 $
Original valuation of $500,000 or more $400.00 $
Issuance Fee:
$
25.00
Deposit:
$
50.00
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.
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Signature of Owner/Contractor
5~74
Date
For Office Use Only
Date Permit Paid:
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory 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 accessory building valued under $10,000.
A $50.00 refundable deposit is being collected for all misc. permits.
The City reserves the right to not refund this deposit if any of the following
conditions occur 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 required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspection being done.
6) Storm Water Management Plan inspection not obtained. (If Required)
If any or all of these situations occur during construction, you may forfeit your
deposit.
I 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 Contractor/Owner
City of Blair
c>,ft4
Date
:#w
. CITY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPEC!~Q~'
NAME OF OWNER,'-l/;::';?(/ ,l)
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CONTRACTOR'
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PERMIT
..~I' l) e,l TIME INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING 0 DECK FOOTING
D CONFERENCE
D STATUS CHECK
PASSED FAILED
COMMENTS:
UTILITIES: 0 SEWER TAP D SEWER 0 SEPTIC 0 WATER TAP D REMOTE rJ WATER SERVICE
o PARTIAL
PASSED FAILED
o D
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o D
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE D RADIANTHEAT 0 FINAL D PARTIAL
PASSED FAILED
o D
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL D WATERMETERINSTALLED 0 PARTIAL
D PRESSURE TEST
PASSED FAILED
o D
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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INSPECTOR'
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DATE OF INSPECTION MADE: 1/) II.,' ,() )'
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
I
BUILDING INSPECTION REPORT
'~Y OF BLAIR
WASHINGTON COUNTY
D OTHER
J....9
CONTRACTOR' ~
TIME INSPECTION REQUESTED' ,A I
DATE INSPECTION REQUESTED'
PERMIT NO' /3;;? /5
/ ~,)-ID
TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING D DECK FOOTING D FRAMING 0
COMMENTS:
D CONFERENCE
DRYWALL~INAL D PARTIAL
C','--1- .
~ CUI1t2
D STATUS CHECK
~D F~ED
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
o D
COMMENTS:
MECHANICAL:D ROUGH-IN D NC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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INSPECTOR'
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DATE OF INSPECTION MADE: / -5- ~ l c
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FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY