BP13242
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~~ l' O~ Blair Building ['!>rmit Detail
Permit #: 13242 Issued: 6/18/2009 Type: Miscellaneous building permits
Completed: 7/6/2009 Valuation: 1500
Location: 787 N 10th Ave
Owner: Blair Housing Authority (Holding 50.00 d
Address: 787 N 10th Ave
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Blair, NE 68008
Phone:
Section:
Subdivision:
Egress for basement. Holding 50.00 deposit
Township:
Range:
Lot: 3
Block: 3
Contractors
Mel Johnson Construction
General Contractor
Permit #
Remarks
6/22/2009
BMP
Holding a 50.00 deposit will deposit on 9/22/2009. Need all egress windows done.
Inspections Date
7/6/2009
By
KAR
Final Inspection of Project
Pass
40
25
50
24822
Issued
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CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT 'f
Permit #
Date: Iv ~ ,
'1, /J 0-0 Q'
Approximate Completion Date: OJ 1 Site Plan Attached:
Estimated Valuation of Project: i "5/1 /J(J,)
Application for: Permit Fee $40 + Issuance Fee $25 + $50 Deposit
Fee: $115.00
Egress Window (floor plan drawing required) IX
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:
Utility Excavation and Curb Grinding
Curb Grind
Length
Utility Excavation
Length
Type: Water
Fee: $75 plus bond
Un. Ft
Un. Ft.; Width
; Sewer
; Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
Additional Description of project if necessary: t"fl>>W zY'f1 hCZt~f1 /;:
PROJECT INFORMATION:
731 ;J. 10 fl11f(;J,
89 60 S-6/~5"S
Job Address:
Legal Description (if applicable) JifC! 4t t:!/e.!V Acid ~ t <38.1IL.5
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Owner:
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Contractor:' (/ //J,.e-
Phone#:
Phone #:
Address:
Cell #: 9/3/-&/ 5ftJ
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PERMIT RENEWAL FEE:
This fee is based on the amountbf 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 $
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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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Date
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
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CITY OF BLAIR
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Application for Building Permit
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PLOT PLAN
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Legal Description: Lot
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Block
Date
Addition
Please" show all measurements of existing and contemplated structures,
also show distances between structures, etc., and property lines.
Is this a corner lot? ~
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Applicant ~~
BUILDING INSPECTION REPORT
CITY OF BLAIR
WASHINGTON COUNTY
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LOCATION OF
NAME OF
DATE INSPECTION
PERMIT NO' I 3 ;;2 Lf;;2..
TYPE OF INSPECTION REQUESTE
BUILDING: 0 FOOTING 0 DECK FOOTING
o CONFERENCE
FINAL 0 PARTIAL
o STATUS CHECK
FAILED
o
COMMENTS:
UTILITIES: 0 SEWERTAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY