BP13318
E 0 8
Blair Building Permit Detail
Permit #: 13318 Issued: 10/1/2009
Completed: 12/4/2009
Location: 1240 South St
Owner: Brooke & Sam Slaughter
Address: 1240 South St
Blair, NE 68008
Phone:
Section:
Subdivision:
Township:
Range:
Lot: 9
Type: Roofing permits - All types
Valuation: 4800
Tear down to decking and replace with asphalt shingles and ice guard.
Contractors
McKinnis Roofing & Sheet Metal
General Contractor
Remarks
Inspections Date
12/4/2009
By
HOW
Roof, Drains
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Block: 72
Permit #
Pass
40
25
50
25380
Issued
(QJ) ( )Yaa q/J 6.$4- -
d\') CITY OF BLAIR - Ml~9ELLANEOUS BUILDIN-G PERMIT
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Date: ' , Approximate Completion Date: '-' I Site Plan Attached:
Estimated Valuation of Project: 4 ?reo, 0i)
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:
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: 1ea- V- ~ \\\ &Q.,!q ns -
~ Y'e'f\a r L O!bfM 2~.SJ\1hojj s ~ ILL C-.ltJ. A.-(\(~L ()
PROJECT INFORMATION:
Job Address: J 2.40 .svLtMf\ ~f-
ct:]9Pc) t/b~70
V/,L
/::..CJ~F
3318
Legal Description (if applicable) __3 (! ~ t- '7' ~'.Pi: 11 ///1& JI f. 3/,6 7',,;2 / /;< Pc f
owner:B(O~-L*S(ltYJSI~~tress: ~ Phone#:
Contractor: yy\ L. LlVl V\ l S. ~ IX]. '0 Phone #:
Address: Cell #:
From:MCKINNIS ROOFING & SHEET METAL 402 426 2344
10/05/2009 09:42
#957 P.001/003
2. 200910:43AM CITY OF BLAIR (402,426,4191) No.2525 p, 2
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT r:2/t'J.
~ . I.D permlt# IS:;.! U
Oate:Cf l3DtoOj Approximate Completion Date: }3 t> 1dl Site Plan Attached:_
Estimated Valuation of Ptuject: 4 ~&5.cD
AppliCt,1tion for: Permit Fee $40 + Jssuanoe Pee $25 + $50 Deposit
Fee: $115.00
Egress Window (floor plan drawing required)
Fenoes (plot plan required)
Gazebos (plot plan required)
Patlos/Dr[veways/Sidewall<s (new or replacement)
Roofing/SidIng/Soffit and/or Eave Repair/Gutters
Swimming Pools with Fence (plot plan required)
Window/Door Replacement ($lze ohangfJ onlY)
MIscellaneous Building Permits (Items not covered bY OJle Qfthe above)
Description: ~
Utility Excavation and Curb Grindlhg
Curb GrInd
Length
Utility Excavation
Length
Type~ WateY~
Fe&: $75 plus bond
.t~
.L1n. Ft.; Wldth_. " Lln. Ft
: Sewer : Other
Amount of Bond Posted~ Bond Checl< 4;
(Curb grInd" $9,00 per Un. Ft.; UtilIty Exoavation . $6.00 per Sq. Ft,)
Addltlon~1 Descrlptlon of project If t16Cessary: -rcttr .~ .~ d.v:dG[ fIt& -
~ Y'e~\n Cor.." Q<bf\'\lJ ~~ .Si-dhPfJ S 't' I (jL, ~tIL) 11leL
.
PROJf;CT INfORMATION:
Job Address~ J 240~_ ~uJb Sf:
Legal Description (If applicable) "
o~,~er:B(O~+S(th1~I~~ress: '~
Conlrector. 'lYV-'... \6kt1'l1 S ~ ltl ';j
Address:
Phone#:
Phone #:
Cell it:
. .' ..~. '. ~... . .. ,~... 1,0. I. I. ". ~.., . . ..l....."...,...
From:MCKINNIS ROOFING & SHEET METAL 402 426 2344
10/05/2009 09:42
#957 P.002/003
Oct, 2. 2009 10:43AM
CI TY OF BLAIR (402.426,4191)
No. 2525 P. 3
PERMIT RENEWA~ EEE:
This fee Is based on the amount of the original permit fee and Is charged when work is not
oompleted within two years and the permit expIres. Renewals wifl ~ be Ell/owed with the
stipulation that all exterior site work and outside finish work Is completed and interior life-
safety Issues have been properly address. Permit renewals ~~ for one (1) year, with a
maximum of two (2) renewals for a maximum permit span oHour (4) years.
Original valuation of $0-$50,000 $150.00 $
Original valuation of $50,000 - $100,000 $200.00 $
Original valuation of $100tOOO - $500,000 $300.00 $
Original valuation of $500,000 or more $400.00 $
!S$uance Fee:
$ 25.00
$ 50.00
Deposlt~
Total Renewal Remit Fee ... Permit Fee + Deposit + Issuance Fee $
'Il,
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Separate permits are reqult'et! for electrloal, plumbing, hearUng, ventilating and aIr conditioning, and septic
$ystems. By my slgnatura balow, I aQKnowledgs thIs buildIng permIt application (toes not (':of\&tltule Issuanoe
of this building !)i)rrrlit. I further agree th\!lt CQtllitruation oovered by thIs permit applloatlon shall not be
commenced Uhtlll haVll received a copy of a pel'lnlt slgn~ by the t3uildlng Inspector. I hereby agree to
petform th~ proposed work In accordance with the speelflcaUon$ set forth above and In Mcordance with the
eo'Il~s1ordlr\an(;$$ of the cny of Blair and the Stata of Nebraska. I understand that thIs parmtt 1$ void if work
Is not commeneecfwlthin 180 days or Is not completed within two {2} yeara of data of issue.
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~
For Offf~e Use Only WH5N PROPERLY VALlOATEQ (BELOW) THIS IS YOUR PERMIT
DatepermltPald:I!~/"'tJ7 Rec$lpt# ,fl55t10Approved'by: 2 P~/;,fJ~
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 only be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
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.
n
~ #IJ~tIU?/
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
/1/..-/)//}.Kf,QO . S:> cp I:.
Date Permit Paid: . t/" V Receipt # ~ J_? Approved by: c25~' ../, 'J~--.J
~t's;d ~
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From:MCKINNIS ROOFING & SHEET METAL 402 426 2344
10/05/2009 09:42
#957 P.003/003
Oct. 2. 200910:44AM CITY OF BLAIR (402,426,41911
No, 2525 p, 4
BUILDING PERMiT PEPOSIT AGREEMENT
A $500.00 refundable deposit. Is being collected for any new oommercial, new
residential, and anyadditionsl remodels and accessoty building valued $10,000 or
greater at the time of your building permit appllcatlon-
A $200.00 refundable deposit Is being collected for any residential remodel,
a mo ,_ r accessory building valued under $10,000,
e City reserves the right to not refund this deposit If any of the following
conditions occur during the construction period:
1) ThE?ft of water selVice by the plumber, owner or general oontractor.
2) AU 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 fol1eit your
deposl .
I hereby agree to the above oonditions, 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.
@c~
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?7J~~tlS ~tG6
Contractor/OWner
City of Blair
~le
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF: ~
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ADDRESS /'dt L/
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CITY, STATE. ZIP CODE
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~~42024
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THANK YOU
NO 2 5 3 8 0
Pounds Printing, BIaiJ:. NE 68008
?IN
'C:::h"dry OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
NAME OF OWNER.l?{';~)',(;>il~) :/
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(,\~t''1i1 (,L~1;tll(Ji~lA?4, CONTRACTOR' >:Y;~YA2::/iLlll{1
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DATE INSPECTION REQUESTED'" /,~;;l!. . Ii,]!" . t:) ~l TIME INSPECTION REQUESTED'/} 7"
PERMIT NO'
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TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL~~:'FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
\ASSED FAILED
~l D
.f -_,'~,
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 NC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
DD
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
PASSED FAILED
D D
CUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPECTOR'
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DATE OF INSPECTION MADE:
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FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY