BPM1872
Permit #: M1872 Issued:
Completed:
Location: 2143 Washington St
Owner: Terry Bellamy
Address: 2143 Washington St
Blair, NE 68008
Phone:
Section:
Subdivision:
2 Ton Airconditioner.
Township:
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Blair Building Permit Detail
6/1/2009
6/1/2009
Type: Mechanical Miscellaneous
Valuation:
Permit Fee: 15
Issue Fee: 25
Deposit Amt.:
Receipt #:
Range:
Lot: 4
Block: 100
Contractors
Washington County Heating & AlC Inc. General Contractor
Remarks
6/2/2009
BMP
Inspections Date
6/1/2009
6/1/2009
By
KAR
KAR
Permit #
Issued
Kris had a few things that he needed Ron to do: Hook up round duct to main plunem better
and tape the seams.
Spoke to Ron this am and he said he went back and fixed the things Kris wanted him to fix.
Mechanical Final
Final Inspection of Project
Pass
Pass
W
'L21c,CITY OF BLAIR
BUILDING INSPECTION REPORT
LOCATION OF INSPECTION'
D WASHINGTON COUNTY D OTHER
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NAME OF
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(/
. DATE INSPECTION
TIME INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D 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
PASSED FAILED
D D
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
PASSED FAILED
D D
AlC D FURNACE D RADIANTHEAT'~'FINAL D PARTIAL
P~ F~ED
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
NOTESIREMARKS' ::Jr...fl
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CONDITIONAL OCCUPANCY GRANTED
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INSPECTO '
DATE OF INSPECTION
TIMF.~~ IS
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
8900 Lf778;;l.
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APl?Q.lication Date:
iff {J tv LIt! ; .
Job Address
M 1872
fi/i, 00
Permit Fee: $ '-("CI
Owne
1.
Contractor
2.
3. Class of Work:
Describe Work:
4.
Heat Pump
Central AlC
&
Tons
Tons
Furnace
BTU/H
AlC
# of Units
Furnace
Completion Date:
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,
Phone
. r~
o Addition
Zip
Phone
o Alteration
o Repair
o Replacement
MECHANICAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit) /5.pC;
Up to and including 100,000 BTU / 3Ton............................$15,OO
Furnace/Heat Pump/Air Conditioner (Per Unit)
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... ...... ... .............. $25.00
Total
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Current License on File ~ Yes 0 No 0 N/ A
Comment: :f/fl4P' MJ~ (;" I "' () 5
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 3. .f?f I~
Rev, 2008-10
~
'EZl.....CITY OF BLAIR
BUILDING INSPECTION REPORT
LOCATION OF
D
NAME OF
. DATE INSPECTION
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
PASSED FAILED
D D
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL: D ROUGH-IN
NC D FURNACE D RADIANT HEAT
D PARTIAL
P~ F~ED
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D
-- . I
NOTES/REMARKS' ",:1'-<.$ "1l
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CONDITIONAL OCCUPANCY GRANTED
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DATE OF INSPECTION
TIMR~~ IS
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY