BP13289
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Blair Building Permit Detail ~
Permit #: 13289 Issued: 08/13/2009
Completed: 11/23/2009
Location: 953 Westridge Dr
Owner: Carl Lorenzen (Holding 50.00 deposit)
Address: 953 Westridge Dr
Type: Miscellaneous building permits
Valuation: 3600
Blair, NE 68008
Phone: 402 505 1530
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Section:
Subdivision:
Township:
Range:
Lot: 5 & 6
Block:
40
25
50
25135
13' connecte dot 9' "L" shaped retaining wall to attach to deck. Will have a 7" step from deck to concrete pad.
(Holding 50.00 deposit)
Contractors
SELF
General Contractor
Permit #
Remarks
08/19/2009 BMP
Holding a 50.00 deposit until 11/19/2009.
11/23/2009 HOW
1 final-retaining wall-ok.
Inspections Date
11/23/2009
By
HOW
Final Inspection of Project
Pass
Issued
-f /loIdin! 5&-'1'<) dp<?:sod;l< dc1l11ZJ1tJ - {J/::ul/ff-
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT pt1d
ENT'(l ~:,''':'! 0 4: 20f}rmit it /.5;(89
Date: 8- /}J -0'1 Approximate Completion Date: /J~;; 1- 01 Site Plan Attached: L----'
Estimated Valuation of Project: ,3 ftt 00. ad
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
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: P fabf1~ c;) !JaLI- fbd
, I
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.)
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PROJECT INFORMATION:
Legal Description (if applicable)
Owner: Oll.,! ~~r7Ji~
Contractor: ~ ~
953 iJ Jet I (/1jd 9.P
v
C15'3 WJ0IA1'c! c;e ~, 89'00.:5' 9,-3~S
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E t! iJ,-idbtt df~ K 41J.j) dots1:5- c 1# 1/1/; P e 1#
Job Address:
Address:
Phone#: 5cJ5" /,S'30
Phone #:
Address:
~,
Cell #:
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 BI 'r and the State of Nebraska. I understand that this permit is void if work
~ not otmenced within 180 s r Is not completed within two (2) years of date of Issue.
J [f;-!~~9
Date ( I (
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date Permit Paid: fJ ~ /7-c1Cj Receipt # d5l 35 Approved by: ff ?-.; /....ai.t:UP~
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED.BY
Pounds Printing, Blair, NE 68008
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o CITY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
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LOCATION OF INSPECTION'
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NAME OF OWNER' ( ,(../;,;' ,<'\r./1j/..;./'(};;,
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DATE INSPECTION REQUESTED' /)/ >' ~' ( ; ,)'
TYPE OF INSPECTION
BUILDING: !:G:FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
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CONTRACTOR'
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TIME INSPECTION REQUESTED' f if, // {.//l ','; . PERMIT NO' ')-' t'
o CONFERENCE
o STATUS CHECK
~ F~ED
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 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER MP'T'T'n ~-STALLED 0 PARTIAL
o PRESSURE TEST
COMMENTS:
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o OCCUPANCY GRANTED 0
NOTESfREMARKS'
INSPECTOR'
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FAXED OPPD\BURT REA
PASSED FAILED
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DATE OF INSPECTION MADE: ~_. f 'J -~ 0 ?
TIMR{ tJ : ~
TO CONNECT SERVICE: ON
BY
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o CITY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION-
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NAME OF OWNER-
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CONTRACTOR -
DATE INSPECTION REQUESTED-
TIME INSPECTION REQUESTED-
PERMIT
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL
o CONFERENCE
o PARTIAL
o STATUS CHECK
FAILED
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 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'
INSPECTOR-
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DATE OF INSPECTION MADE: J [-;"3~" 1 TIMF- Ld ~
FAXED OPPD\BURT REA
TOCONNECTSERVICE: ON
BY