BPM1935
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TIPr. ~ DFC ^. 9
Blair Building Permit Detail
Permit #: M1935 Issued: 10/28/2009
Completed: 11/19/2009
Location: 2008 Park St
Owner: Clint Frahm
Address: 2008 Park St
Type: Mechanical Miscellaneous
Valuation:
Blair, NE 68008
Phone: 402 533 9911
Permit Fee: 30
Issue Fee: 25
Deposit Amt.:
Receipt #:
Section:
Subdivision:
Replace 2 ton heat pump and furnace.
Township:
Range:
Lot: 10
Block:
Contractors
Standard Htg & AlC I nc
General Contractor
Permit #
Issued
Remarks
Inspections Date
11/19/2009
11/19/2009
By
HOW
HOW
Mechanical Final
Final Inspection of Project
Pass
Pass
~
~ociTy OF BLAIR
BUILDING INSPECTION REPORT
LOCATION OF
TIME INSPECTION REQUESTED'
o WASHINGTON COUNTY
NAME OF
f I
l t
DATE INSPECTION REQUESTED' i !
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL
o CONFERENCE
INAL 0 PARTIAL
o STATUS CHECK
~ED F~ED
COMMENTS:
~T
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 NC 0 FURNACE 0 RADIANTHEAT
AL 0 PARTIAL
~~p FAILED
~ 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
NOTESIREMARKS~
INSPECTOR'
P1v~
DATE OF INSPECTION MADE:
/ { ~I 't~ a ~
F ,
TIME'
i 0 AC(,4,/.A~
.
FAXED OPPD\BURT REA
TOCONNECTSERVICE: ON
BY
~
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MECHANIC~L pk~t WPLICATlON
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1935
(402) 426-4191 rto. 5L '~-Il ~
o 7'ClO fZJ U<' . 1)()
Q . Permit Fee: $ 5 5 ..----
<I>tt ~Vlab~ C/H1 ?6l> ~oe /c:> "./~ Ad cS'''?
Application Date: \ o{ Z6l if{
Q'D08" LULl< S-f
~~~\ In-l-- Yv/"'LLh mMailAd~~Q,Vts ~\JULd 'L\"-el 633.~qqTt
~~ntract~r ::' cu-d tA+MCil ~dA; (' \ \14(" P or4cd e.d Zip
3, Class of Work: 0 COMMERCI ESIDENTIAL 0 New 0 Addition 0 Alteration
Describe Wor :
4.
Job Address
'I ;:tt '1
Phone
Heat Pump .~ Tons
CentralAlC ~ Tons
Furnace 10 1000 BTU/H
# of Units AlC
Furnace
Completion Date: ) l/l2.. / 09
Boiler Chart
BTU Fee
Up to 100,000,............................. ..$15.00
100,000-500,000... ... ......... ..' ......... ..,$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 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
"1
Date
Phone
33'1 .(,.(2- {OO
~placement
Furnace/Heat Pump! Air Conditioner (Per Unit) 2:0- cD
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 Vent/Fans..................... ...$10.00
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
;1S.~(J
55. Of)
Current License on File 0 Yes 0 No 0 NjA
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: r\ l~
. K LoUW{l~j\-
I
Rev, 2008-10
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M.1935
(402) 426-4191
Application Date:
Job Address
Heat Pump Tons
Central AlC Tons
Furnace BTU/H
# of Units AlC
Furnace
Completion Date: ) II A 2-/ 09
Boiler Chart
BTU Fee
Up to 100,000....................... ...... ...$15.00
100,000-500,000................. .......... ...$30.00
500,000-1,000,000.................. ....... ..$40.00
1,000,000-1,750,000...................... ..$60.00
Over 1,750,000.................... ...... ....$100.00
i
l~(&~\o~
Date
Permit Fee: $ 5 5 ~
Phone
Phone
33q ,(p-iOb
eplacement
Furnace/Heat Pump/Air Conditioner (Per Unit) 2fJ. cD
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 Vent/Fans.................... ....$10.00
Duct System................................ ..$15.00
Gas/Air OutIets.................First 5
x $6.00
. . . . . . .. .Additional
x $1.00
Radiant Heat Systems/Gas/W ater
Pi ing S stem............................. ...$50.00
Modular Home............................... $50.00
Permit Issuance Fee........................ ..$25.00
Total
;{S'<9u
55. Oi)
Current License on File 0 Yes 0 No 0 N/A
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: K \JDuc\JMA
I
Rev. 2008-10
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1935
(402) 426-4191 ao. 5 -"-Ii ~
0/00 if ZJ U<' . Dt)
Q Permit Fee: $ 5 5 ~
~ t!, ~~JVP c;/ #1 ?6.b Co 6- / cJ ."/~ ''A tJ cY/ - 'i py '1
~
Application Date:
Job Address
Heat Pump '~ Tons
Central A/C ~ Tons
Furnace "10 lOOO BTUIH
# of Units AlC
Furnace
Completion Date: ) lll2...1 09
Boiler Chart
BTU Fee
Up to 100,000............................. ...$15.00
100,000-500,000............ ...... ......... ...$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 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
i
Date
Phone
Phone
33~~-lOG
~placement
Furnace/Heat Pump/Air Conditioner (Per Unit) ::::J]- c{)
Up to and including 100,000 BTU / 3Ton........................ ....$15.00
FurnacelHeat 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 Vent/Fans..................... ...$10.00
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
dS.C9u
55 _ Oi)
Current License on File 0 Yes 0 No 0 N/A
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: K \JiJudJMA
I
Rev. 2008-10
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair,Nebraska 68008
Fax (402) 426-4195 Nll~35
(402) 426-4191
Application Date:
Job Address
Heat Pump Tons
Central AlC Tons
Furnace BTUIH
# of Units AlC
Furnace
Completion Date: ) III 2-1 09
Boiler Chart
BTU Fee
Up to 100,000..................... ....... ....$15.00
100,000-500,000................ ............ ..$30.00
500,000-1,000,000................. ......... .$40.00
1,000,000-1,750,000....................... .$60.00
Over 1,750,000.................... ..... .....$100.00
i
l~(&-~\o ~
Date
Permit Fee: $ 5 5 ~
Phone
Phone
33q .4rtOtJ
r:}It1iplacement
Furnace/HeatPump/Air Conditioner (Per Unit) '2fJ,cO
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 BTUChart to left)... ......... ........
Appliance VentlFans................... .....$10.00
Duct System................................ ..$15.00
Gas/Air Outlets.................First 5
x $6.00
... ... ...Additional
x $1.00
Radiant Heat Systems/GasIW ater
Pi ing System.............................. ..$50.00
Modular Home............................... $50.00
Permit Issuance Fee................... .......$25.00
Total
;lS.(9()
S5<DU
Current License on File 0 Yes 0 No 0 N/ A
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: K ~ucl\l.vc
I
Rev. 2008-10
~
ciTY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY 6
LOCATION OF
NAME OF
E ,I
DATE INSPECTION REQUESTED- .I f
TIME INSPECTION REQUESTED- //),' [)() /Ht.j. PERMIT
TYPE OF INSPECTION REQUESTED:
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL
o CONFERENCE
INAL 0 PARTIAL
o STATUS CHECK
~ED F~ED
COMMENTS:
~T
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: 0 ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT
AL 0 PARTIAL
~D E~,ED
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-
u~~
DATE OF INSPECTION MADE: J {-I 9-~ 0 ~
,
TIMP- io A({,VA~
.
FAXED OPPD\BURTREA
TOCONNECTSERVICE: ON
BY