BPM1962Blair Building Permit Detail
Permit #: M1962 Issued: 3/9/2010
Completed: 3/30/2010
Location: 2043 Arbor Cir
Owner: Linda Harkey
Address: 2043 Arbor Cir
Type: Mechanical Miscellaneous
Valuation:
Blair, NE 68008
Phone: 402 426 1971
Section: Township: Range;
Subdivision: Lot:
80,000 BTU furnace and 3 ton heat pump replacement
Contractors
Beebe Refrigeration, Htg. & A/C, Inc.
Remarks
General Contractor
Permit Fee: 30
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
3/30/2010 HOW Final Inspection of Project Pass
RIA
BUILDING INSPECTION REPORT 9 It 9 7
'15
❑"CITY OF BLAIR
❑ WASHINGTON COUNTY ❑ OTHE
A
LOCATION OF INSPECTION
-1 4'
CONTRACTOR NAME OF I;L
DATE INSPECTION REQUESTED �_ TIME INSPECTION REQUESTED c PERMIT NO
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS
CHECK
BUILDING: ❑
FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL AL PARTIAL
PASSED
FAILED
COMMENTS:
D
UTILITIES: F
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
COMMENTS: F
PARTIAL
El
n
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICED PRECONNECT
PASSED
FAILED
COMMENTS: F]
PARTIAL
MECRANICAL:F]
ROUGH-IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT, I D-fiNAL ❑ PARTIAL
PASSED
FAILED
COMMENTS:
PLUMBING: F
GROUNDWORK ❑ ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
F
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS-
— � TIM INSPECTOR*--------- DATE OF INSPECTION MADE:
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16 Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
-�� K, I 10
Zk"
,
Job Address
Ow er Mail Address Zip Phone
Contrn
2.
Mail Address zip Phone
3. Class of Work: 0 (*IMMF CIAL RESIDENTIAL ❑ New"" 0 Addition 13 Alteration C] Repair Replacement
Describe Work:
4.
MECHANICAL PERMIT FEES
Heat Pump Q Tons
Central A/C Tons
Fumace/Heat Pump/Air Conditioner (Per Unit)
Furnace BTU/H
Up to and including 100,000 BTU / 3Ton ... .........................
# of Units A/C
Furnace/fleat Pump/Air Conditioner (Per Unit)
Furnace
Over 100,000 BTU / 3 Ton ............................................. $25m
Completion Date: lb f C) VN ry 1
Refrigeration Units/Coolers/Lines/Compressor — Commercial
(New or Replacement) (Per Unit)
Boiler Chart
BTU Fee
.............................................................. ............... $15.00
Up to 100,000 ....... .........................
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
Boiler (use BTU Chart to left) ....................
Appliance Vent/Fans ........................$10.00
Notice
1 hereby certify that I have read and examined this
Duct System ......... .........................
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type o f
Gas/Air Outlets ................. 5 x $6.00
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
......... Additional x $ 1.00
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
Radiant Heat Systems/Gas/Water
performance of construction.
Piping System ................................ $50.00
Modular Home ............................... $50.00
Signature,of Contractor or Authorized Agent
Permit Issuance Fee .......................... $25.00
Total C,� e)
/z)
Current License on File -511des 13 No C] N/A
Date
Comment:
WHEN FRUPEKLY VALIDA'IED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: ca
M 1962
Permit Fee: $
Rev. 2008-10
,--
fNSPECTORL-- .;k�" DATE OF INSPECTION MADE: a U T
r v
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B
BUILDING INSPECTION REPO
6 RT 3 �a6- 9 (f9 7
,❑, OF BLAIR
❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION
4
NAME OFOWNEk CONTRACTOR
DATE INSPECTION
REQUESTED I SPECTION REQUESTED PERMIT NO-
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE F STATUS CHECK
BUILDING: ❑
FOOTING [:] DECK FOOTING E:l FRAMING E:l DRYWALL ❑ PARTIAL
PASSED
FAILED
❑
COMMENTS:
UTILITIES: F
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
F
PARTIAL
COMMENTS:
ELECTRICAL: F
ROUGH IN F FINAL F PERMANENT SERVICE ❑ TEMPORARY SERVICE F PRECONNECT
PASSED
FAILED
❑
PARTIAL
❑
F
COMMENTS:
MECHANICAL:F
ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT - ❑ PARTIAL
PASSED
FAILED
El
COMMENTS:
PLUMBING: F
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
F
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS7
,--
fNSPECTORL-- .;k�" DATE OF INSPECTION MADE: a U T
r v
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B