BP13324
Blair Building Permit Detail
Permit #: 13324 Issued:
Completed:
Location: 1445 Linden Dr
Owner: Dan McCaig
Address: 1070 James Dr
10/13/2009
1/20/2010
Type: Residential - New Construction
Valuation: 215030
Blair, NE 68008
Phone: 402533-9319
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
1290.18
25
500
25466
Section:
Township:
Range:
Lot: 57
Block:
Subdivision: DEERFIELD2
3 bedroom ranch 2 bath unfinished basement RI bath in basement 2 car garage. Exit from utility room into garage.
TFA: 1510
Contractors
McCaig Construction Inc.
American Htg & Air
Andersen Plumbing Inc.
Dick's Electric
Henton Trenching, Inc.
Henton Trenching, Inc.
Remarks
General Contractor Permit # Issued
Heating Subcontractor M1943 11/23/2009
Plumbing Subcontractor P2063 10/20/2009
Electrical Subcontractor E3161 1 0/21/2009
Plumbing Subcontractor T1363 11/3/2009
Plumbing Subcontractor P2066 11/3/2009
11/24/2009 HOW
1. Dan will provide water tests for pipes and gas line test later.
12/2/2009 HOW
1. provide gas line test for inspection.
2. fasten shower flange to wall.
3. support shower valve.
provide nail plates at showerwall.
Inspections Date By
10/19/2009 HOW Footings Pass
10/22/2009 KAR Electrical Temporary Service Pass
10/29/2009 HOW Plumbing Groundwork Pass
11/4/2009 HOW Water Tap Pass
11/4/2009 HOW Sewer Tap Pass
11/17/2009 HOW Footings Pass
11/24/2009 KAR Electrical Permanent Service Pass
11/24/2009 HOW Framing Pass Partial
11/24/2009 HOW Mechanical Rough-ins Pass Partial
11124/2009 HOW Plumbing Rough-ins Pass Partial
11/24/2009 KAR Electrical Rough-ins Pass
11125/2009 SAJ Stop Box Card Pass
11/30/2009 HOW Framing Pass Partial
11/30/2009 HOW Mechanical Rough-ins Pass Partial
11/30/2009 HOW Plumbing Rough-ins Pass
1/20/2010 KAR Electrical Final Pass
1/20/2010
1/20/2010
1/20/2010
HOW
HOW
HOW
Blair Building Permit Detail
Final Inspection of Project
Mechanical Final
Plumbing Final
Pass
Pass
Pass
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CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit # /33.JLf
Date: I () '~/.3-0 1 Approximate Completion Date: _( 0 ~ f ./ ;)0 (0
Site Plan Attached: V REScheck Attached: V Complete Plans Attached ~
Application for: Residential ,~ Commercial/Industrial _
New Construction t/' Manufactured Home _ Modular_
Move-on: Home _ Accessory Building Other
Remodel Addition
Accessory Building: Garage _ Pole Barn_ Other
Floor Type: Dirt _ Concrete _ Electricity: Yes _ No
Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) _
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) _
Other
Public Water: Yes_ No Private Well
If yes, responsible entity: Blair OPPD Line Kennard
Agreement needed: _ Date Agreement Received: _
Public Sewer: Yes_ No Septic Drawing Provided: _
If yes, responsible entity: Blair _ Kennard
County Road Permit Required: Yes_ No _ Submitted: Yes _ No _
Additio,nal T;>e,scrtption of project !f necessary: 8, Jt, ct1tl~n u1d41 c0
J4Ut VC/ . (~1rtJ./11 L ..t-), Co.#; .M"'" ,/. ~{. '~ "
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Utilities:
Legal Description (if applicable)
owne~ 7'J1d!tUjJ
Contractor: ~c! c!cU~ C;..)
If
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Proiect Information:
Job Address:
cYtJ f <--,S' 7
JJw;dJlcI
Address:
Address:
&1?r.sf~ ezj t17~
c/M~ M
Phone#:
Phone #:
Cell #:
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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.
/.t?- 13 .- () C;
Date
For Building Permits other than One & Two Family Residential Structures:
I hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for
Review.
Signature of Owner/Contractor
Date
ZONING REVIEW:
Zonin Flood Plain
Current Zoning: Conditional Use Permit Required: Yes _ NO-X-
Date CUP Approved:
State Fire Marshal Required: Yes _ No L Variance Required: Yes _ No_
Minimum Setbacks: Front..:g..s::.. Second Front Side" Side ~ Rear Z<'
lot Square Foota1!e:
length x Width: t'll"
lot Coverage % 0 i
Driveways/Sidewalks: -X)
Sidewalk required: Yes. No _ Sidewalk Waiver: Yes
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
Flood Plain: Yes No ~
If yes, specify special r~ents:
NO~
BUilDING INSPECTOR REVIEW:
Number of Stories
One Two
Three
Four
>Four
High Rise (> 75 ft) _
Tyee of Residential Structure:
Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other
Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric _
Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes No
Sleeping Rooms Living Area Other Egress
Sauare Foota1!e:
Main level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front
Deck that affect setbacks:
Second level: Third level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Rear
Rear
Occupancy Classification:
Assembly, theaters, with stage Assembly, theater, without stage _
Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls _
Assembly, churches _ Assembly, arenas _
Assembly, general, community halls, libraries, museums _
Business Educational Factory and industrial, moderate hazard _
Factory and industrial, low hazard _ High Hazard, explosives _
(section continued on next page)
High Hazard HPM
Institutional, incapacitated _
Institutional, day care facilities _
Residential, multiple family _
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous _
Institutional, supervised environment_
Institutional, restrained _
Mercantile Residential, hotels_
Residential, one- and two-family
Is building required to be protected by automatic fire sprinkler svstem?"
No
Only partially in some areas or rooms Please Specify
Yes _ If yes, the standard to which the sprinkler system will be designed:
NFPA 13 NFPS 13R NFPA 13D
Driveway Grade: 20% grade or less? Yes _ No_
(Dale will review new residential construction. AI will review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
Building Permit Deposit Fee:
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater $
Fee - $500.00
Residential additions/remodels/accessory buildings valued under $10,000 $
Fee = $200.00
All other permits Fee = $50.00 $
RESIDENTIAL - NEW CONSTRUCTION:
Permit fee is:
Finished sqjft area I /~ '8 (j
(not including finished basement area)
Finished basement sqjft area ~b
Unfinished basement sqjft area t) (.. 110
Garage sqjft area 1-(-'7 f)
Total Valuation:
Total Valuation 815, 030, 0 () Multiplied by 0.006 =
X$92
$ 15'4 I :; (PO . 0 ()
X $56
X $29
X$25
$
$ y. B.7 ~ O. 06
,
$ /I, ?!50 otJ
$ ,;;:( 15",0:3 0, 00
Issuance Fee:
$
$
$
j:2'1/J,,18
25.00::: I 3 J 6- f B
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Businessjl ndustrialjEducationalj Assem blyjFactoryjStoragejUtility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except for the following:
Accessory Buildim!s & Interior Remodeling Projects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sign Erecting/Awnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation:
Finished sqjft area
X$
$
Construction valuation is ...................................Permit fee is:
$0 TO $50...........................................................$0
$51 TO $500........................................................ $25
$501 TO $2,000........................................................ $25 + $3 per additional $100
$2,001 TO $25,000........................................................ $70 + $13 per additional $1,000
$25,001 TO $50,000......................................................$370 + $10 per additional $1,000
$50,001 TO $100,000......................................................$620 + $7 per additional $1,000
$100,001 TO $500,000......................................................$970 + $5 per additional $1,000
$500,001 TO$1,OOO,OOO.................................................. $2,970 + $4 per additional $1,000
$1,000,001 AND OVER.................................................. $4,970 + $3 per additional $1,000
Permit Fee calculated from chart above
$
$
$
25.00
Issuance Fee:
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Additional Comments:
Approved by: X~ tv:>lv: Date:
Contingent On Approval by Fire Marshall
Meet IBC, IPC, IMC and NEC Code Requirements
Sleeping Rooms below Story and in Basement required to have egress
/0 ~'IQ.()q
For Office Use Only
D~te Per~it Paid: 10 -tF~tJ~o7
Permit Fee: /3//). /8 J
Deposit Amount 6(jtJ,ot) I.
Receipt # ,264 b {.tJ LIJ/l d.
. Deposit Paid by for return to: ". _ M1 III (! ['at f
Building Inspection Pouch given: Yes ~ No_
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PLUMBING PERMIT APPLICATION, '33d L{
Jurisdiction of City of Blair, Nebraska I '
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 T 1363
(402) 426-4191
Application Date:
Il- 3 -01
OW
Permit Fee: $ J D D
Job Address
"~~ L',~JeJ- D-{
Mail Address
Zip
Zip
Phone
Phone
New 0 Addition 0 Alteration 0 Repair 0 Replacement
PLUMBING PERMIT FEES
Comments:
Water Tap Fee - %"
$150.00
Water Tap Fee - I"
$200.00 ><
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
pe~~ance of constru~tion.
j/ '/
/j ~r~,
".Signature of Contracto or Authorized Agent
t/ .
j~s~ '7
Date
Water Tap Fee - 1~" $250.00
Water Tap Fee - 2"
$300.00
Current License on File
Comment:
Total c" O~
DYes 0 No 0 NjA
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
[ APproverqv~I<
I
Rev, 2008-10
MECHANICAL PERMIT APPLICATION
Jurisdic~~~ ~~~t~l~fhBJ~~~rebraska I E :l-lf
Blair, Nebraska 68008
Fax (402) 426-4195 M 1943
(402) 426-4191
Application Date: ll... ~3~' 69
Job Address
Heat Pump 0 Tons
Central AlC Tons
Furnace 7&', /JOO BTU/H
,
# of Units AlC
Furnace
Completion Date:
Boiler Chart
BTU Fee
Up to 100,000.."................. ....". ....$15.00
1 00,000-500,000..,..........., ., ........... ..$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 of laws 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
performance of construction.
\:'. U ~
'-.-J ~~ "--'I.... ~V2--
Signature of Contractor orAuthorized Agent
\~ -:2~'-O~
Date
Permit Fee: $
I L/ il"
Phone
Zip
Phone
o Addition 0 Alteration 0 Repair 0 Replacement
t' 4tl /' Ah tu /jl11-/
CHANICAL PERMIT FEES
'I'/) ~ t1 ,:.J;;J
Furnace/Heat Pump/Air Conditioner (Per Unit) ~ 0 ( .,
Up to and including 100,000 BTU / 3Ton.......................... ..$15.00
Furnace/Heat 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 VentlFans,.. .... ,..".., ,.,.. ....$10,00
/ j, (,1 t..."J
It::; ,tJO
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
;<,5' 00
). t70
Current License on File {Q Yes 0 No 0 NjA
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: .:;? f?-f '
( , L~~~
I
Rev. 2008-10
. ~
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PLUMBING PERMIT APPLICATION it
Jurisdiction of City of Blair, Nebraska '\ 3 o~ ~ '1
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 P 2066
(402) 426-4191
rj)
Application Date: II -; ~ 0 I
Permit Fee: $ ,~S (l)
Job Address
Zip
Phone
Mail Address
Comments:
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 pennit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction,
/~~ L)'
'/ t! /1./'1....,/ K-
tgnature of Contractor or Authorized Agent
'~d~7
Date
'Ov
Zip
Phone
o Alteration 0 Repair 0 Replacement
~-
PLUMBING PERMIT FEES
Modular Home", ,.. ,., .,.,..." ,., ,$50.00
Type of Fixture No.
Kitchen..,..,. ,.". ........" ,.,.,. ,.$12.00 x
Bath.. ..,Residential/Single Stall $12.00 x_
................. ...Multi-Stall $25.00 x
Rough-In Bath.........,............ ..$8,00 x_
Additional Sinks.......... ... ...... ..$6,00 x
Slop Sink/Laundry Tray/Drain.... ,$6.00 x_
Water Heater.................,... ....$10.00 x
Outside Water Faucet...................$6.00 x
Drinking Fountain........................$6,OO x_
Backflow/Grease Trap..,..,.. .....$15,00
Water Service.""",.......,..... ..$15.00
Sewer..,.".",.......,........,.., ...$15.00
Groundwork... ....., ,.. ... ,...... ...$15.00
Septic Tank & Laterals..,.. ,...... $15.00
Lawn Sprinkler System......... ...$10.00
Sprinkler System (Commercial)..$30,OO
Gas/Water Piping System
(Commercial)"..., ....., ,...., ". ,..$50.00
/ :;-< ()O
/s.~'U 0
Permit Issuance Fee.....,......... ..$25.00
Current License on File
Comment:
Total
o NjA
DYes 0 No
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I APprovedBY~~~
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Rev, 2008-10
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
; I
,{',.,
ADDRESS
CI1Y, STATE, ZIP CODE
THANK YOU
KEEP THIS COpy FOR YOUR RECORDS.
NO
Pounds Printing, Blair, NE 68008
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FILE C PY
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OCT 1 3 ZOOg
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Jurisdiction of City of Blair, Nebraska
218 South 16th StJ:eet
Blair, Nebl'aska 68008
Fax (402) 426-4195
(402) 426~4191
Application Date:
Job Address
Owner
41.
Contra~tor fj/J A
2. 7//0 l"at
3. Class of Work: (j
Describe Work;
4.
Comments:
Notice
I hereby certifY that I have read and examined this
application and know the same to be true and correct All
provisions of laws and ordinances governing this type of
work will be complied with whether specified herem 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 orthe
perfunnance of construction.
Dale
WHEN PROPERLY VALIDATED
Approved By:
/39 If
2063
Permit Fee: $~
Modular Home... ............ ... ....$50.00
Type ofFbrtul'e No.
Kitchen............ ......... .:..... ..$12.00 x--1--
Bath.....ResidentialfSingle Stall $12.00 x~
...... ......... .....Multi-Stall $2.5.00 x
Rough-In Bath.... ..... ....... ........$&.00 x---L-
Additional Sinks................... ..$6.00 x ---L-
Slop Sink/Laundry TmylDrnin.....$6.00 x--L-
Watei' Heater.........................$lO.OO x~
Outside Water Faucet...................$6.00 x
Drinking Fountain........................$6.00 x_
Backflow/Grease Trap. ............$15.00
Water Sel'Vice................. ......$15.00
Sewer..... ...................... ......$15.00
Groundwork..................... ....$15.00 i-.
Septic Tank & $15.00
Lav,'l1 System............$lO.00
Sprinkler System (Commercial)..$30.00
GaslWater Piping
(Commercial)............... ..... ....$50.00
Permit Issuance Fee.......... .......$25.00
on File
Total
es n No (J NIP.
Comment:
PERlvfiT
FEES
1;1.00
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Rev. 2008~ 1 0
~
ELECTRICA~. PE~IT. APPLICA TION ~ /J ~
JUrISdIctiOn of CIty of Blmr, Nebraska l,t I ~:3~ .
218 South 16th Street &}1'
Blair, Nebraska 68008
Fax (402) 426-4195 E 3161
(402) 426-4191
Application Date:
/jc#?'l/~!Jq
,
Job Address
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee..................... ..$25.00
101-200 Amp Fee... ... ... ... ... ..... ...$35,00
201-300 Amp Fee...... ... ... ... ........$55.00
301-400 Amp Fee.................... ...$75.00
401-500 Amp Fee..................... ..$95,00
501-600 Amp Fee.....................$115.00
601-700 Amp Fee.....................$135.00
701-800 Amp Fee......... ......... ... $155 .00
801-900 Amp Fee.................... .$175.00
901-1000 Amp........................ ,$195.00
IF OVER 1000 Amp
1st 1000 Amp Fee..................$195.00
Each additional 100 Amps..... ....$20.00
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
performance of construction.
Signature of Contractor or Authorized Agent
Date
Permit Fee: $
/3,,5. I J!
<;;((;'r1d;t-/J
Zip
4.
Phone
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REMODELING/ADDITIONS 0 UPGRADE SERVICE
CJJ1~LI' ct11 c;/ Y..z'f!11'/ ,S2rJ/ltX/ (:p
Completion Date
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$25.00
Temporary Service.................... $15.00 ;,1{. C) t)
Fire Alarm System................. ....$15.00
Signs (each)......................... .....$25.00
Miscellaneous Apparatus......... .....$15.00
CommerciaI/MuIti Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
/5/0 sq. ft. x .063
.
crtf. /3
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/Switches/Lighting Fixtures (110 volt only)
# of Apparatus.... .. .. .. x $1.00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
PermitIssuance Fee................. ..$25.00 c:::;:?~ t){)
Total
,:35', /e:3
Comment:
WHEN PRO PERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ,:i!j!, ~l~.i!~.t-~
Rev. 2008-10
~
~
100. ~ .;)0
. 1<.~
. ..<I Promi~e 0
BUILDING PERMIT DEPOSIT AGREEMENT
~(A $500.0O'tefundable deposit is being collected for any new commercial, new
"(E~sidentia.t.-aMd any additions, remodels and accessory building valued $10,000 or
grea't€r: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.
@
X . l '
co~wf!1J
Contractor/Owner
City of Blair
~ /v/w/ap
ate ( I
PLUMBING PERMIT APPLICATION
,/J/Jir
13~1~ t-r
P 2063
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
/A '7' ~(J
Application Date: / t/ .? t7' c; #" 0 '1
Job Address
4
Owner .
1.
3. Class of Work:
Describe Work:
4.
Comments:
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct All
provisions of laws 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
performance of construction.
,/-
/
Signature of Contractor or Authorized Agent
Date
'IL? t?O
Permit Fee: $ /1 a
o Repair
V t " ffi;v;1]LL
PLUMBING PERMIT FEES
Modular Home... .., ... ...... ... ....$50.00
Type of Fixture No.
Kitchen............................ ..$12.00 x-1--
Bath... ..Residential/Single Stall $12.00 x ~
.................. ..Multi-Stall $25.00 x
Rough-In Bath...........,.........., .$8.00 x~_
Additional Sinks.....................$6.00 x~
Slop Sink/Laundry Tray/Drain.....$6.00 x--L-
Water Heater.................... .....$10.00 x ~
Outside Water Faucet............,......$6.00 x~
Drinking Fountain...................,....$6.00 x_
Backflow/Grease Trap............. $15.00
Water Service.....,............... ..$15.00
Sewer... ... ... ... ... ... .. . .. . ...... ...$15.00
Groundwork..,.................. ....$15.00 ~
Septic Tank & Laterals............ $15.00
Lawn Sprinkler System......... ...$10.00
Sprinkler System (Commercial)..$30.00
Gas/Water Piping System
(Commercial),................... ....$50.00
Pennit Issuance Fee... ... ..' ....... .$25.00
Current License on File
Comment:
Total
es 0 No 0 N/A
/;;.0 {)
c.;ftJ. 0 t)
tl OC)
Il'OO
{jJ',00
11).06
/,:;? t> (.,?
Jt:). {) 0
WHEN PROPERL Y V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
\ Approved By: 2. /../ h/!.4,t~J
Rev. 2008-10
CITY OF I3LAIQ
BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing with particular code
requirements and/or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2006 International Buildina
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.
Owner/Occupant
~~
Contractor
City of Blair
~(o/1A/99
ate (
@-
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail ciiyofblair@ci.blalr.ne.us ~~~'':-:,OJJ~:
1
Compliance Certificate
OCT 1 3 2009
Project Title: Spec house
Report Date: 10/13/09
Data filename: Untitled.rck
Energy Code:
Location:
Construction Type:
Glazing Area Percentage:
Heating Degree Days:
2000 IEce
Blair, Nebraska
Single Family
7%
6506
Construction Site:
1445 Linden Drive
Deerfield
Blair, NE 68008
Owner/Agent:
McCaig Construction
1070 James Drive
Blair, NE 68008
533-9319
Designer/Contractor:
Your UA:
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1 : Wood Frame, 16" o.c.
Window 1: Vinyl Frame:Double Pane with Low.E
Window 2: Vinyl Frame:Double Pane with Low-E
Window 3: Vinyl Frame:Double Pane with Low-E
Window 4: Vinyl Frame:Double Pane with Low-E
Window 5: Vinyl Frame:Double Pane with Low-E
Window 6: Vinyl Frame:Double Pane with Low-E
Door 1: Glass
Door 2: Solid
Basement Wall 1 : Solid Concrete or Masonry
Wall height: 9.0'
Depth below grade: 2.0'
Insulation depth: 9.0'
Furnace 1: Forced Hot Air90 AFUE
Heat Pump 1: Air Source7.7 HSPF, 13 SEER
Air Conditioner 1: Electric Central Air13 SeER
1600
1600
16
16
16
16
16
o
36
24
1600
0,560
0.560
0.560
0.560
0.560
0.560
0.560
0.350
24
34
9
9
9
9
9
o
20
8
62
30.0
30.0
38.0
38.0
13.0
13,0
FILE C
py
Project Title: Spec house
Data filename: UntiUed.rck
Report date: 10/13/09
Page 1 of 4
1
Inspection Checklist
Date: 10/13/09
Ceilings:
o Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity + R-38.0 continuous Insulation
Comments:
Above-Grade Walls:
o Wall 1 : Wood Frame, 16" O.c., R-30.0 cavity + R-38.0 continuous Insulation
Comments:
Basement Walls:
o Basement Wall 1: Solid Concrete or Masonry, 9.0' ht /2.0' bg /9.0' Insul, R-13.0 cavity + R-13.0 continuous insulation
Comments:
Exterior insulation has a rigid, opaque, weather-resistant protective covering that covers the exposed (above-grade) insulation and extends
at least 6 In. below grade. .
Windows:
o Window 1: Vinyl Frame:Double Pane with Low-e, U-factor: 0.560
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes _ No
Comments:
o Window 2: Vinyl Frame:Double Pane with Low-E, U-factor: 0.560
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes _ No
Comments:
o Window 3: Vinyl Frame:Double Pane with Low-E, U-factor: 0.560
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes _ No
Comments:
o Window 4: Vinyl Frame:Double Pane with Low-E, U-factor: 0.560
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes _ No
Comments:
o Window 5: Vinyl Frame:Double Pane with Low-E, U-factor: 0.560
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes _ No
Comments:
o Window 6: Vinyl Frame:Double Pane with Low-E, U-factor: 0.560
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes _ No
Comments:
Doors:
o Door 1: Glass, U-factor: 0.560
Comments:
o Door 2: Solid, U-factor: 0.350
Project Title: Spec house
Data filename: Untltled.rck
Report date: 10/13/09
Page 2 of 4
Comments:
Heating and Cooling Equipment:
o Fumace 1: Forced Hot Air: 90 AFUE or higher
Make and Model Number:
o Heat Pump 1: Air Source: 7.7 HSPF, 13 SEER or higher
Make and Model Number:
o Air Conditioner 1: Electric Central Air: 13 SEER or higher
Make and Model Number:
Air Leakage:
o Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed.
o Recessed lights are 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a O.S" clearance from combustible
materials. If non-IC rated, fixtures are installed with a 3" clearance from insulation.
Vapor Retarder:
o Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and floors,
Materials Identification:
o Materials and equipment are installed in accordance with the manufacturer's installation instructions.
o Materials and equipment are identified so that compliance can be determined.
o Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
o Insulation R-values, glazing U-factors, and heating equipment efficiency are Clearly marked on the building plans or specifications.
o Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner
that achieves the rated R-value without compressing the insulation.
Duct Insulation:
o Ducts in unconditioned spaces are insulated to at least R-S. Ducts outside the building are insulated to at least R-6.S.
Duct Construction:
o All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-em bedded-fabric, or
tapes. Tapes and mastics are rated UL 181A or UL 1818.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (SOO Pa).
o The HVAC system provides a means for balancing air and water systems.
T~mperature Controls:
o Thermostats exist for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or
cooling input to each zone or floor Is provided.
Service Water Heating:
o Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an Integral heat trap or
Is part of a circulating system.
o Circulating hot water pipes are Insulated to the levels in Table 1.
Circulating Hot Water Systems:
o Circulating hot water pipes are insulated to the levels in Table 1.
Swimming Pools:
o All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non-depletable
sources. Pool pumps have a time clock.
Heating and Cooling Piping Insulation:
o HVAC piping conveying fluids above 10S degrees F or chilled fluids below 5S degrees F are insulated to the levels In Table 2.
Project Title: Spec house
Data filename: Untitled.rck
Report date: 10/13/09
Page 3 of 4
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Heated Water
Temperature ("F)
170-180
140-169
100-139
Insulation Thickness in Inches by Pipe Sizes
Non.circulating Runouts Circulating Mains and Runouts
Up to 1" Up to 1.25" 1.5" to 2.0" Over 2~
0.5 1.0 1.5 2.0
0.5 0.5 1.0 1.5
0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes
Piping System Types
Heating Systems
Low Pressurerremperature
Low Temperature
Steam Condensate (for feed water)
Cooling Systems
Chilled Water, Refrigerant and
Brine
Fluid Temp.
Range(DF)
Insulation Thickness in Inches by Pipe Sizes
2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4"
40-55
Below 40
1,0 1.5 1.5 2.0
0.5 1.0 1.0 1.5
1,0 1.0 1.5 2.0
0.5 0,5 0.75 1.0
1.0 1.0 1.5 1.5
201-250
120-200
Any
NOTES TO FIELD: (Building Department Use Only)
Project Title: Spec house
Data filename: Untitled.rck
Report date: 10/13/09
Page 4 of 4
p1eJ ;}S~~G
D CITY OF BLAIR D
BUILDING INSPECTION REPORT jvo
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WASHINGTON COUNTY
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TIME INSPECTION REQUESTED'
TYPE OF INSPJJ;CTI9N REQUESTED:
BUILDING: FOOTING D DECK FOOTING D FRAMING D DRYWALL D
PASSED FAILED
~ D
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 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
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D D
COMMENTS:
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NOTES/REMARKS'
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NOTES/REMARKS'
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NOTES/REMARKS'
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TIME INSPECTION REQUESTED' I
PERMIT
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECKFOOTING.)~~FRAMING 0 DRYWALL 0 FINAL ~PARTIAL
COMMENTS: (Co v: Jv dtto- Ff s ~O c4-
UTILITIES: 0 SEWER TAP
o PARTIAL
o STATUS CHECK
COMMENTS:
ELECTRICA
FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
PASSED FAILED
o 0
COMMENTS:
,
MECHANICA.It~ ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK);i;!j:' ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o p~(
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS' (j) fl!- 61/~1 ,q. dl.f',1A. 1':: -/;- O}/.1;4':J ,?L-''f I~t-o{).e ~ ('" e': ~ /v-t: Vf/.d-<-S,
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INSPECTOR'
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DATE OF INSp,CTION MADE: /1 '"':J--4: - 0 f
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TO CONNECT SERVICE: ON BY
TIME' 1 (14
FAXED OPPD\BURT REA
BUILDING INSPECTION REPORT
r:rGTY OF BLAIR
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECT,I9N'
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DATE INSPECTION REQUESTED' /' I' ,,/ '~f
PERMIT NO'
;' . 'J, ,,3 "~;) //'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
PASSED FAILED
o 0
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
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ERMANENT SERVICE 0 TEMPORARY SER'yICE~CONNECT P FAILED
'D 0
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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' .r(~ ~~ DATE OF INSPECTION MADE: / /-;;< r~
(~D\BURT RE;\ ,_~i) ,,;J TO CONNECT SERVICE: ON BY
~ ~cl0 r !t-/! q-()Cj
TIME' J
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CITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
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LOCATION OF INSPECTION'
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DATE INSPECTION REQUESTED' I i
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TIME INSPECTION REQUESTED' II ,() ()J/,PPERMIT
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECKFOOTINo,.~lst FRAMING D DRYWALL D FINAL 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
k' D
PASSED FAILED
D D
COMMENTS:
ELECTRICAL:
FINAL 0 PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
PASSED FAILED
D D
COMMENTS:
MECHANICAL: ,.;j ~;..ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL )8l::J> ARTIAL
:S~e. if (j) &elovvf
COMMENTS:
PASSED FAILED
~ D
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,I D PRESSURE TEST
COMMENTS:
~D F~LED
D OCCUPANCY GRANTED DCONDlTIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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DATE OF INSPECTION MADE:
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TIMP'
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FAXED OPPD\BURT REA
TOCONNECTSERVICE: ON
BY
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.& CITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
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D OTHER
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,,{/
DATE INSPECTION REQUESTED'
CONTRACTOR'
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TIME INSPECTION REQUESTED'
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TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL"l2l FINAL D PARTIAL
~<="'" ~"""<
D STATUS CHECK
~ED 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 D AlC D FURNACE D RADIANTHEAT'8:] FINAL D PARTIAL
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~ED F~ED
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-~>lQ, FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST "
kED F~LED
COMMENTS:
)(: OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
['r 0 '
R-~cI:~O
INSPECTOR'
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DATE OF INSPECTION MADE: I - ~:;Lo -. J 0 TIMF' I OAWL
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
D CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
NAME OF
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'TIME INSPECTION REQUESTED' ,/t~/' e,' V',';"'/"I i. PERMIT NO'
DATE INSPECTION
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
PASSED FAILED
D D
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 m:'J;:J:':~iNAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL -,
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
~ F~ED
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
NOTES/REMARKS' ~,'C/,n U1J1 $-.;" -C-A ,t"o/, ,{; /' 4 (' ;?./;"-
INSPECI,()R~G 0., tR.i'~~ DATEOFrNSPECTIONMADE, C)I-~ -AtJ({)TIMF.' 10: YO
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY