BP13263
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Permit #: 13263 Issued: 7/13/2009
Completed: 7/29/2009
Location: 10000 Aba Ln
Owner: Alfred Beckman (Holding a 50.00 deposit)
Address: 10000 Aba Ln
Type: Siding Permits - All types
Valuation: 7000
Blair, NE 68008
Phone: 426-5048
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
40
25
50
24968
Section: 19
Subdivision:
Township: 18
Range: 12
Lot: 23
Block:
Placing Vinyl Siding over existing siding. Holding a 50.00 deposit.
Contractors
Frank Gabby Siding & Windows
General Contractor
Permit #
Issued
Remarks
7/13/2009 BMP
Holding a 50.00 deposit until 1 0/13/2009
7/29/2009 HOW
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Inspections Date
7/29/2009
By
HOW
Final Inspection of Project
Pass
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CITY~~I; ~:~~~:E:~St;~NG PERMIT .
'k, ' ,I? Fl. Permit #
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Date: 7 - /,>-0 I Approximate Completion Date: 7,- 3//C/} Site Plan Attached:
Estimated Valuation of Project: '/, u 00 0::-
.
Application for: Permit Fee $40 + Issuance Fee $25 + $50 Deposit
Fee: $115.00
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 v/
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 De,s~ription of ~roject if necessary: f ecL6<./l.-~
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PROJECT INFORMATION:
I (; 000 A Gjz.. 1./'>-\/
89'00.22309
Job Address:
Legal Description (if applicable)
Owner: N4~Jl ~JvVl~!./v-~ Address:
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Contractor: 7r ~t~l- ritGlJty
Address: p, () ~ D~ ~ .;;
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Phone#: '-I) b -SO Y fi
Phone #: '-I).L - 5 /3J-
Cell #: ;~3 J-.3 Y S-V
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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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For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory building valued $10,000 or
greater at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
addition or accessory building valued under $10,000.
A $50.00 refundable deposit is being collected for all misc. permits.
The City reserves the right to not refund this deposit if any of the following
conditions occur during the construction period:
1) Theft of water service by the plumber, owner or general contractor.
2) All permits have not been obtained.
3) All required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspection being done.
6) Storm Water Management Plan inspection not obtained. (If Required)
If any or all of these situations occur during construction, you may forfeit your
deposit.
I hereby agree to the above conditions, and understand that should any or
all of the above situations occur, the building permit deposit SHALL be forfeited or
discounted upon the discretion of the City of Blair, Building and Inspections
Department.
Contractor/Owner
City of Blair
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CITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
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NAME OF OWNER "),/',,, "'" - I., ~ I "'(j'.~, \
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CONTRACTOR'
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DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED'
PERMIT
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TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL ,('FINAL D PARTIAL
COMMENTS:
UTILITIES: D SEWER TAP" D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
D STATUS CHECK
PASSED FAILED
~' 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 D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
D D
NOTES/REMARKS'
INSPECTOR'
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DATE OF INSPECTION MADE:
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FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY