BPM1951Blair Building Permit Detail
Permit #: M1951 Issued: 1/12/2010
Completed: 3/1/2010
Location: 128 S 17th St
Owner: NP Dodge (Karpisek)
Address: 128 S 17th St
Phone:
Blair, NE 68008
Type: Mechanical Miscellaneous
Valuation:
Permit Fee: 40
Issue Fee: 25
Deposit Amt.:
Receipt #:
Section: Township: Range:
Subdivision: Lot: Block:
Replace Roof top unit with 5 ton roof top unit. PERMIT VOID PERMIT VOID
Contractors
Getzschman Heating, LLC General Contractor Permit # Issued
Remarks
3/3112010 BMP VOIDED PERMIT PER GETZCHMAN. NO WORK DONE.
Inspections Date By
'ENTERED FED 3 5 [ITO
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16 Street
Blair, Nebraska 68008
Fax (402) 426 -4195 M 1951
(402) 426 -4191
Application Date: Permit Fee: $
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Job Address � v 4 On, S j
Own � Mail Address Zip Phone
Co tract Mail Address Zip Phone
2. - Cl YY7 f'� n
3. Class of Work: O COMMERCIAL O RE EN AL New O ddition Alteration O Repair O Replacement
Describe Work / C. I f tl 1 y� (1 dt -tchn
1 C A 1�+ it
L 141T r J�+ �:S [ t
Heat Pump V11s /H EHA
Central A/C F ace /Heat Pum C ttioner (Per Unit)
Furnace 000 to and me g ,000 BTU / 3Ton ... .........................$15.00
# of Units Fuma H ump /Air Conditioner (Per Unit) 4W5' 00
ace O r 10 00 BTU / 3 Ton .................... .........................$25.00
Completion Date: Re geration Units/ ines /Compressor — Commercial
IV
Boiler Chart ew or Replace it)
BTU Fee ..... .........................$15.00
Up to 100, 000 ....... .........................$15.00
r
100, 000 - 500,000 ..... .........................$30.00
500, 000 - 1,000,000 ..................... $40 QP
1, 000, 000 - 1,750,000 ................... f
Over 1,750,000 ........................ .......
Notice ' r�
I hereby certify that I have read and examn QO
application and know the same to be true and co r
provisions of laws and ordinances governing this r
work will be complied with whether specified her
not. The granting of a permit does not presume to U '
authority to violate or cancel the provisions of any of
state or local law regulating construction or the r
f � ,
vti
performance of construction. „ $50.00
$50.00
Signature of Contractor or orized Agent uarice F
ee . .........................$25.00
Pel
D Total C.O.5" ()(1
Date Current License on File - �es O No 0 N/A
Comment: J i� / � f " �-
6 ' b � o W � 4 -,q 1 lr` ' r)'
W HLN r1CUFEKL Y V AL11 I ED (1N THIS SPACE) THIS 1S YOUR PER-MIT
Approved By:
a
Rev. 200810
ill: Ii rEO 35
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1951
(402) 426-4191
~
Application Date: 1- (}-l
.' 10
Zip
Job Address
$c'N3-- -I'd,;/f,s' Ih-/tfJ
128 ~ 17'(1+ Sf
Permit Fee: $
!i3I It lA'
B-a
oJ'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: .' :i? ;/.,'). f' . J
\...L) ~I J/L/J.tr'-../
laCL
Roof fa
Heat Pump
Central AlC
Furnace 15b pOo
# of Units
Tons
Tons
BTU/H
AlC
Furnace
Completion Date:
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.
)-:J-rl-/D
Date
Zip
Phone
o New 0 Addition 0 Alteration 0 Repair 0 Replacement
wi Sf-on Ror:J:. .10
MECHANICAL
c.colt VI c{ haD-twIt
ERMIT FEE:s LUtX:*
FurnaceIHeat Pump/Air Conditioner (Per Unit)
Up to and including 100,000 BTU / 3Ton......................... ...$15.00
FurnaceIHeat Pump/Air Conditioner (Per Unit) ~5'- 00
Over 100,000 BTU / 3 Ton.......................................... ...$25.00
Refrigeration Units/CoolerslLines/Compressor - Commercial
(New or Replacement) (Per Unit)
.. . . . . . . . .. . . .. .. . .. . . .. . .. .. . .. . .. . . .. . .. .. . . .. . .. . . .. . . . . .. . .. .. . . .. .. . . . . ..$15.00
Boiler (use BTU Chart to left)... ... ........ ... ...
Appliance Vent/Fans.................... ....$10.00
Duct System................................ ..$15.00
'15.CO
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
~s.oo
l.P, '-'0 0(,)
Current License on File
-~es
o No
o NjA
Comment:
f)
"t? ~ eJu'1J U);JiJ !J; :; g. /:;' P / r/ I
Rev. 2008-10