BPM1882
Permit #: M1882 Issued:
Completed:
Location: 1840 Nebraska 8t #3
Owner: Rustic Oak Apartments
Address: 1840 Nebraska 8t
Blair, NE 68008
Phone: 402 533 2230
Township:
Section:
Subdivision:
Replace outside AC unit.
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BliirBuilding Permit Detail
6/9/2009
6/17/2009
Type: Mechanical Miscellaneous
Valuation:
Range:
Lot:
Contractors
Washington County Heating & NC Inc. General Contractor
Remarks
6/12/2009 KAR
Inspections Date By
6/12/2009 KAR
6/12/2009 KAR
6/17/2009 KAR
6/17/2009 KAR
Permit Fee: 15
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Breaker Maximum 15 amp fuse or breaker. siemens I-T-E Indoor load center.
Mechanical Final
Final Inspection of Project
Mechanical Final
Final Inspection of Project
Fail
Fail
Pass
Pass
c9zR
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1882
(402) 426-4191
Application Date:
(crq{)CJ
Job Address
Ow
~ 60
Permit Fee: $ D ...-
-11
Zip
b va SICA... 61'
Zip
Phon\:
5 3 <;?~3o
Phone
o Addition 0 Alteration 0 Repair
Replacement
au mta LL Ac., uJuk
MECHANICAL PERMIT FEES
Heat Pump
CentralAlC
11 'S
Tons
Tons
Furnace
# of Units
BTUIH
AlC
Completion Date: (p-Ot-dl
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 oflaws 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
p,rtbrm",,, ~~mtrn'tion.
Signature of
~rL) r
FurnacelHeat Pump! Air Conditioner (Per Unit) I 5. Q)
Up to and including 100,000 BTU / 3Ton,..,......,....,....,...., ..$15.00
FumacelHeat 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 V ent/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
as..oi)
Current License on File ;d Yes 0 No 0 NfA
Comment: .A" A,JU12 # ....0 ~
,y.n-r u"'tO
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By:
J '\ lti\j c{ YLe r
I
Rev. 2008-10
~~Hum
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
- ( /: "f ?-~l f:';L,~"'1/ff: ~<?, ..
j
NAME OF
DATE INSPECTION REQUESTED' /l) / t~?
f) '/
TIME INSPECTION
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL j;;~~: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-m:.l:;3::A1C D FURNACE D RADI,ANTHEAT~;-:V~~~~./
COMMENTS: /J(a..y - E,eq
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
PgED FV
COMMENTS:
PASSED FAILED
D D
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
E req kef'" JltaA/nUI/1 ) G"A-//1 ,P Fuse cr-r J3 reqJ..e (,
, ./
S:'-ei?1~.s I-r:-E Jr'ldt'(jY I.o~ c;;./1#~
,
NOTES/REMARKS'
'\
INSPECTO .
~ATE OF INSPECTION MADE: 06 - J.d;~ TIME' to :r::?O
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
~OFBum
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOCATION OF
TIME INSPECTION REQUESTED' / /' t::J (::; /l 'l/I' ,
,
NAME OF
If!
DATE INSPECTION REQUESTED' it;
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL Q';SilNAL D PARTIAL
D STATUS CHECK
P~ F~ED
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
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
A1C D FURNACE D RADIANT HEAT JS1"PlNAL D PARTIAL
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
D D
NOTES/REMARKS'
DATE OF INSPECTION MADE: 6~'-1 ?~IMR.I r ~ o~
INSPECTO '
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
Q " CITY OF BLAIR D
LOCATION OF
NAME OF
I
DATE INSPECTION REQUESTED''<';:
TIME INSPECTION
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL::B~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:
PASSED FAILED
D D
MECHANICAL:D ROUGH-IN".Ga:,'::A1C D FURNACE D RADIANTHEAT :~:.FJNAI;.fD PARTIAL PASSED F~E~
~().. /I;~ )(j./ D ~
CO~..::!::!.~_=~",.,_~"_.,.%~_~~",,,_~~~~%,=%~_,~,_~"ocr=r_~_~,-~-~~~~~5~SJ:.~SLJf{!~~~~~"?:2;!:!::!lf:~"'==2~~O_="=~*,"=_'
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL PASSED FAILED
D PRESSURE TEST D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
J3 feet kef'" Ji1a.>t/'mUII1 ) G")1-//1 () nt5e C)r.3 reah\
, ./
5'1't>J?1~,-S /~E Irldt"<rrLoad U/lk~
,
NOTES/REMARKS'
INSPHCI'OR' ~~~A:m Ol'lNSPECl'JON MADE, 06 -/d..t??J!tJf'TIME' r () .~O
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
CITY OF BLAIR
D W ASlllNGTON COUNTY
D OTHER
/'; j;',~~~" /;~/',t,/') /"(.r{ ')"l~~;/r f:;~;<;~.<0 ,~:::,L.,
DATE INSPECTION REQUESTED,,/':,;J
/\ (~)
r'J TIME INSPECTION
NAME OF
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL';!2a::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:
PASSED FAILED
D D
MECHANICAL:D ROUGH-IN"'~:::Aic D FURNACE D RADIANTHEAT :~. FINAL .D PARTIAL
C4J.Lv. tf A;~ )<J./
COMMENTS: /)fay eo
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
POED F~
PASSED PALLED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
E req keF JI1cu4/nul/1 J ~')f-/I1,,;J htS e <5'r.B rtk:tb (.
, ./
S:~J?1~-~ I-r:-e Ir'ld~ Lo~ c&/1~~
,
NOTES/REMARKS'
,
INSPECTO '
~ATEOFINSPECTIONMADE: 06 - J.d~TIMF' {O,dO
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
9& OF BLMR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOCATION OF
TIME INSPECTION REQUESTED' / /. l) t:) /;1 'i/;f.
,
NAME OF
//j
DATE INSPECTION REQUESTED' iJ/
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL [:=.l5.PINAL D PARTIAL
D STATUS CHECK
~ F~ED
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,.
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
P~~AILED
~ D
AlC D FURNACE D RADIANT HEAT ,[';]:FlNAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE: e>G'-1 ?-;21ff/TIMF'/ r ~ O~
INSPECTO '
FAXED OPPD\BURTREA
TOCONNECTSERVICE: ON
BY