BP13243
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W' ~ 1 ' O~lalft!uird1i\gpermit Detail
ISSU~: 6/18/2009 Type: Miscellaneous building permits
Completed: 7/6/2009 Valuation: 1500
Location: 659 N 12th St
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Permit #: 13243
Owner: Blair Housing Authority (Holding a 50.00
Address: 758 S 16th St
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Blair, NE 68008
Phone:
Section:
Subdivision:
Township:
Range:
Lot: 11
Block:
Egress for basement. Holding a 50.00 deposit
Contractors
Mel Johnson Construction
General Contractor
Permit #
Remarks
6/22/2009 BMP
Holding a 50.00 deposit until 9-22-2009. Must final all 4 permits.
Inspections Date
7/6/2009
By
KAR
Final Inspection of Project
Pass
40
25
50
24822
Issued
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BUILDING PERMIT
Permit #
Date: {y - ( f3 "Ocl Approximate Completion Date: 17,30.' LY1me Plan Attached:
Estimated Valuation of Project: /50 () . 0 ()
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CITY OF BLAIR
Application for:
Permit Fee $40 + Issuance Fee $25 + $50 Deposit
Fee: $115.00
V
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:
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.)
Additional Description of project if necessary: t Q/LVw 0#1 hcvwf//tP'V! /:;
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PROJECT INFORMATION:
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Legal Description (if applicable) ."JS {' 'I~i4 ,,4.ttJ 8...t1f/7 IS';;(C;f II //.5' PC it)
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owneJ;aiA/ ;iocw~~~ 4v /r~ttress:
Contractor:1?1 vt/ ( /0 JtflkY 0"1'1 {1J 7 s'f /w ~tJ ~
89oo"S'd?c'7CJ(p
Job Address:
Phone#:
Phone #:
Address:
Cell #: 98/-& /_'5l~
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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Date
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
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CITY OF BLAIR
Application for Building Permit
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BUILDING INSPECTION REPORT
CITY OF BLAIR 0
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LOCATION OF
NAME OF
DATE INSPECTION
PERMIT NO' I 3;;< Lf 3
TYPE OF INSPECTION REQUESTED: D..CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL INAL 0 PARTIAL
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o STATUS CHECK
.EAILED
o
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 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 RADIANT HEAT 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 OPPDmURT REA
TO CONNECT SERVICE: ON
BY