BPE3112
Blair Building Permit Detail
Permit #: E3112 Issued:
Completed:
Location: 2143 Washington St
Owner: Terry Bellamy
Address: 2143 Washington St
5/28/2009
5/29/2009
Type: Electrical Miscellaneous
Valuation:
Blair, NE 68008
Permit Fee: 25
Issue Fee: 25
Deposit Amt.:
Receipt #:
Phone:
Section:
Subdivision:
Upgrading to 100 amp service.
Township:
Range:
Lot: 4
Block: 100
Contractors
Hipnar Electric
General Contractor
Permit #
Issued
Remarks
Inspections Date By
5/29/2009 KAR Final Inspection of Project Pass
5/29/2009 KAR Electrical Permanent Service Pass
5/29/2009 KAR Electrical Final Pass
BUILDING INSPECTION REPORT
o CITY OF BLAIR
WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION:
NAME OF OWNER'
CONTRACTOR'
DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED', , . ~ERMlT NO' e,-~/ J~
6-l'<:ufe e f~p{r{cJ ~6~~~~~CE o STATUS CHECK
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
~;:~~~?~,;;;~ PERMANENT SERVICE U TEMPORARY SERVICE D PRECONNECT
~ ~~~~IAL
COMMENTS:
MECHANICAL:O ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
,', P,AASS~ \ FAILED
~-J 0
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0, CO~fIT~ONAL OCCUPANCY GRANTED ,\
NOTES/REMARKS c,. (( ed I v/ Ii> 61/,C'1 d,5'o P Yl
~
INSPECTO '
DATEOFINSPECTlON
FAXED OPPD\BURT REA
TO CONNECTSERVICE:
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
V,- JCf-Oq:t~dt,~
WHEN PRO PERL Y V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: c. ;;;, /?t ,-I J~
c;f(
8)<160 Lf778~
1/3 ~A5
Service Fee = (Amp Fee + $5,00 per branch circuit)
1-100 Amp Fee,......................$25.00
101-200 Amp Fee.......................$35.00
201-300 Amp Fee.......................$55.00
301-400 Amp Fee.......................$75.00
401-500 Amp Fee.......................$95.00
501-600 Amp Fee.....................$1l5.00
601-700 Amp Fee.................... .$135.00
701-800 Amp Fee.....................$155.00
801-900 Amp Fee................... ..$175.00
901-1000 Amp................... ..... .$195.00
IF OVER 1000 Amp
1 st 1000 Amp Fee.............. ....$195.00
Each additiona1100 Amps.........$20.00
Notice
I hereby celiity 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.
E 3112
Permit Fee: $
& ' t?~J
Phone
Zip
Phone
NEW COMMERCIAL 0 REMODELING/ADDITIONS
Jlfe'.
N/A
PGRADE SERVICE
,'5'- ,:;; i - 0 I
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$25.00
Temporary Service.................... $15.00
Fire Alarm System.................. ...$15.00
Signs (each)......................... .....$25.00
Miscellaneous Apparatus........ ......$15.00
Commercial/Multi Family and All Upgrades:
# of Circuits x $5.00
01,6 . () t/
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
,;75 () 0
sq. ft. x .063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/Switches/Lighting Fixtures (110 volt only)
# of Apparatus .......... x $1. 00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
. $2500 ,/}5. ()/J
PermIt Issuance Fee.. .. .. .. .. .. .. .. .. .. ex,
Total tJ. C;~
Comment:
I
Rev. 2008-10
BUILDING INSPECTION REPORT
o CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
NAME OF
'" '.'
I.
CONTRACTOR'
;,\ ~,{
t; /,c./ (,,<,-<-'Ie t,
DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED' " .~..~.. ERMITNO' !!33/J2-
Gn:uRe e ~P{(j;J .*56~~~CE o STATUS CHECK
TYPE OF INSPECTION
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
UTILITIES:
SEWER TAP .0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
PASSED FAILED
o 0
COMMENTS:
SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
COMMENTS:
MECHANICAL:O ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
PLUMBING: GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRaNTED 0, CO,PITIONAL OCCUPANCY GRANTED
NOTES/RliMAl<)(S c,. !! ecf I'r,.,f, CYff1ci!. .;z,' 6C'J P ff/
DATE OF INSPECTION MADE: ~ t5l9cZtfJ ~' ~ CJd
INSPECTO
FAXED OPPD\BURT REA
TO CONNECT SERVICE: