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BP13393Blair Building Permit Detail Permit #: 13393 Issued: 3/12/2010 Completed: 6/15/2010 Location: 2246 Crestridge Dr owner: Darrel & Mary Boesiger Address: 2246 Crestridge Dr Type: Residential Remodeling Valuation: 47816 Blair, NE 68008 Phone: 402 426 8992 Section: Township: Range: Subdivision: DEERFIELD1 Lot: 29 Basement finish - 1 bedroom and 1 3/4 bath. Family room Dry Bar. Contractors D.A. Boswell Company Apollo Refrig. & Heating Sys., Inc. Hipnar Electric Jetter's Plumbing, Inc. Remarks General Contractor Heating Subcontractor Electrical Subcontractor Plumbing Subcontractor 614/2010 HOW 6/4/2010 BMP 1. provide egress wind. well ladder. 2. provide combustion air for furs. and hw tank. call for re- inspection. Permit Fee: 598 Issue Fee: 25 Deposit Amt.: 500 Receipt #: 26379 Block: Permit # Issued M1967 3/23/2010 E3194 3/31/2010 P2089 3/15/2010 Sent letter about failed final. Don must call by July 6, 2010. Inspections Date By 3/17/2010 HOW Plumbing Rough -ins Pass 3/1712010 HOW Electrical Rough -ins Pass 4/5/2010 KAR Electrical Rough -ins Pass 4/5/2010 HOW Plumbing Rough -ins Pass 4/5/2010 HOW Mechanical Rough -ins Pass 4/5/2010 HOW Framing Pass 6/3/2010 KAR Electrical Final Pass 613/2010 HOW Plumbing Final Pass 6/3/2010 HOW Mechanical Final Fail 6/3/2010 HOW Final Inspection of Project Fail 6/15/2010 HOW Mechanical Final Pass 6115/2010 HOW Final Inspection of Project Pass MAC; A TY OF BLAIR FOR BUILDING PERMIT gP�omise °p Permit # � q Date: �°� Approximate Completion Date: 9 "/ ✓f ��� Site Plan Attached: REScheck Attached: Complete Plans Attached L� Application for Residential tl' Commercial /Industrial New Construction 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 Utilities: Public Water: Yes No _ If yes, responsible entity: Agreement needed: Public Sewer: Yes No _ If yes, responsible entity: County Road Permit Required: Yes No _ _ Private Well Blair OPPD Line Kennard Date Agreement Received: Septic Drawing Provided: Blair Kennard Submitted: Yes No Dject if necessary. G �� a�� ✓ e� e)l 7 A4,tu 5cr t Project Information 'W * i ��, r A A C�1 -7; i4,- Job Address: L �' Legal. Description (if applicable) r Owner ��� (` cdress:y hone #: Contractor: <� / ° Q e z Phone #: Address: U/ Email Address for Contractor: _ 01 a z 6 0/ 0 &0 t" ' 17 e, f Cell #: ,`3" 5 -1 ,010 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 X of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within $ ' not c pleted4NIthilin two (2) years of d f issue. �natux.e-ef-a 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 Business / Industrial / Educational / Assembly /Factory /Storage /Utility *Porches with roofs /screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the following: Accesso!y Buildings & Interior Remodeling Projects sq/ft area X $43 Pole barns with no hard surface floor sq/ft area X $25 Sign Erecting/Awnings and Decks /Handicap Ramps sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation X$ p $ Ito 0 6 Finished sq/ft area i 1� 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, 000, 000 ................... ............................... $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 • Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ ' Additional Comments: Approved by: Date: ' 3-0-10 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 For Office Use Only Date Permit Paid: Permit Fee; Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes No sa �C-- j u �-- ® _— 1 CT\ NNn-i /+ S fle —ID Q Al – – – – – – — - – �s ��nQ ..Z/ L Q - IZ L ------- - - bsbl 150"17 I _._ >✓C u e \� ¢sec 9Z `— r v1 ' do o � � � ' Ce (� e °rt✓ 1 // NIH9f1021 NVd 3afi!(id l � , l { REF. RA L= 6up�u611 aa;unomaapun pal' 7f bs bbE f M A11HYj 4 , d dWn� f y J / fi eaavaeg 4 / J 4d-. ZJj'' 4J G-t[ i•'! ts� � e'.' C1cc 1 ' u bs BOZ \ \ �. - WOON® =9 y Will 0 a ___l E — — — � — — — — — — uaeag 1a '15 Paaano5 — _ d — — a 77 p _- ��C BIZ/ L :4 Aan-.e 1 4 � NI- H9lipy NVd 3JfUItd ti R3 r z I G� �N C_ �J jibs 6LS 6 - V38V JNV11l E ➢ a` a m�r ® ® ` = _- lid dwn5 n CD '0 70 � n / - HiVe sa �C-- j u �-- ® _— 1 CT\ NNn-i /+ S fle —ID Q Al – – – – – – — - – �s ��nQ ..Z/ L Q - IZ L ------- - - bsbl 150"17 I _._ >✓C u e \� ¢sec 9Z `— r v1 ' do o � � � ' Ce (� e °rt✓ 1 // NIH9f1021 NVd 3afi!(id l � , l { REF. RA L= 6up�u611 aa;unomaapun pal' 7f bs bbE f M A11HYj 4 , d dWn� f y J / fi eaavaeg 4 / J 4d-. ZJj'' 4J G-t[ i•'! ts� � e'.' C1cc 1 ' u bs BOZ \ \ �. - WOON® =9 y Will 0 a ___l E — — — � — — — — — — uaeag 1a '15 Paaano5 — _ d — — a 77 p _- ��C BIZ/ L :4 Aan-.e 1 4 � NI- H9lipy NVd 3JfUItd ti R3 r z I G� �N C_ �J I i f is - F5 High Hazard HPM Institutional, incapacitated Institutional, day care facilities Residential, multiple family Residential, care /assisted living facilities Institutional, supervised environment Institutional, restrained Mercantile Residential, hotels Residential, one- and two - family Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building reauir to be protected by automatic fire sprinkler system?" 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 1.3D Driveway Grade: 20% grade or less? Yes No (Dale will review new residential construction. Al 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 add itions %remodels /accessory buildings valued under $10,000 $ Fee = $200.00 All other permits Fee = $50.00 $ RESIDENTIAL - NEW CONSTRUCTION: Permit fee is: Finished sq/ft area X $92 (not including finished basement area) Finished basement sq/ft area X$56 Unfinished basement sq/ft area X $29 Garage sq/ft area X$25 Total Valuation: Total Valuation Multiplied by 0.006 = Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ Job Address Owner it Address, Phone Contractor, 1 Addre Zip 2. c Gt✓� C� l�'Z� t� Phone 3. Class of ork: O NEW RE DENTIAL O NEW COMMERCIAL - REMODELING /ADDITIONS O UPGRADE SERVICE Describe Work: 4. 0 /,V e C/ c z cZel S.Current License on File `P, Yes O No O N/A Completion Date ELECTRICAL PERMIT FEES 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 Upgrade Existing Service .............$25.00 Temporary Service............. ..... $15.00 Fire Alarm System............ ......$15.00 "' Signs ( each) .............................. $25.00 Miscellaneous Apparatus .............. $15.00 501 -600 Amp Fee .....................$115.00 601 -700 Amp Fee .....................$135.00 701 -800 Amp Fee .....................$155.00 801 -900 Amp Fee .....................$175.00 Commercial/Multi Family and All Upgrades: # of Circuits x $5.00 /0 901 -1000 Amp . ........................$195.00 IF OVER 1000 Amp 1st 1000 Amp Fee ..................$195.00 Amp Fee Amp Fee + Circuit Total GD Each additional 100 Amps ......... $20.00 New Residential: (Finished Area) Single /Two Family Dwellings Notice sq. ft. x.063 I hereby certify that I have read and examined this application and know the same to be true and correct. All Modular /Manufactured Homes ....... $50.00 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or Other: (alterations, additions and modifications) 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 Receptacles /Switches/Lighting Fixtures (110 volt only) 1, U # of Apparatus .......... x $1.00 C� perform ce of construction. Power Apparatus (220 Volt or higher) # of Apparatus....... / x $8.00 Smoke Detectors..... x $3.00 Signature of Contractor or Authorized Agent Permit Issuance Fee ...................$25.00 ` /U Total / �J / , Date Comment: WHEN PROPERLY VALIDATED (1N THIS SPACE) THIS 1S YOUR PERMIT Approved By: Rev. 2008 -10 ZONING REVIEW: Zoning/Flood Plain /Ut 'tie . Current Zoning: N Conditional Use Permit Required: Yes No Date CUP A roved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front Second Front ide Side Rear K7 Lot Square Footage: Length x Width: Lot Coverage % DrivewaysSidewalks: Sidewalk required: Yes No v 'owalk Waiver: Yes No - t� ) 1( 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 require n : BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four >Four High Rise ( >75 ft) T_vae of Residential Structure: Ranch Two Story Split Entry Raised Ranch Other' Rooms Bedrooms Bathrooms _ Egress in Basement: Required: Yes No Sleeping Rooms Living Area Square Footage Main Level: Second Level: Fireplaces Gas Electric Provided on Plans: Yes No _ Other Egress Basement: (Unfinished) Garage: Detached Garage: 2 bay, Third Level (Finished) 3 bay 4 bay 5+ bay Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Occuaancv Classification: Assembly, theaters, with stage _ Assembly, nightclubs Assembly, churches Assembly, general, community ha Business Educational Factory and industrial, low hazard Front Side Assembly, theater, without stage Assembly, restaurants, bars, banquet halls Assembly, arenas Ils, libraries, museums Factory and industrial, moderate hazard _ High Hazard, explosives (section continued on next page) CITY OF BLAIR, NEBRASKA Phone 402-426-4191 THANK YOU KEEP THIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 'Promise BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 refundable deposit is being .collected for any new commercial, new residential, and any additions, remodels and accessory building valued $10,000 or greater 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 pro�P�t i� rmm�leted withn�t 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. ontractor /Own Contractor /Owner City of Blair 5 — � Z > — /Z ) Date Application Date: Permit Fee: $ 1 7 , Job Address AA1 Owner ail . Address, Zip Phone , 4, Contractor ail#,ddre PhT�, 2. 3. Class of Work: 0 COMMERCIAL 0AESIDEVIAL C3 New CI Addition '7-EkAIteration C3 Repair 0 Replacement Describe Work: PLUMBING PERMIT FEES Comments: Modular Home ...................... Type of Fixture No. Kitchen .............................. $12.00 x Bath.....Residential/Single Stall $12.00 x ...... .............. -Stall $25.00 x Rough-hi Bath ........................$8.00 x Additional Sinks .....................$6.00 x Slop Sink/Laundry Tray/Drain ..... $6.00 x Water Heater .........................$10.00 x Notice Outside Water Faucet ...................$6.00 x I hereby certify that I have read and examined this application and know the same to be true and correct. All Drinkin Fountain ........................ $6.00 x 9 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 Backflow/Grease Trap ............. $15.00 authority to violate or cancel the provisions of any other Water Service ....................... state or local law regulating construction or the performance of construction. Sewer ........ ......................... Groundwork ......................... Septic Tank & Laterals ............ $15.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial)..$30.00 Gas/Water Piping System (Commercial) ........................ Signature of Contractor or Authorized Agent Permit Issuance Fee .................$25.00 Total Current License on File - 1 , ;f Yes C3 No 0 N/A Date Comment: WHE14 PROPERLY VALIDATED (INIMS SPAUE)J IIIS IS Y U UV, PEKMI I Approved By: Rev. 2008-10 Mar. 15. 2010 2:13PM CITY OF BLAIR (402.426, 4191) No. 3982 P. 2 PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16 Street Blair, Nebraska 68008 Fax (402) 426 - 4195 P 2089 (402) 426 -4191 Application Date: Permit Fee; $ cg q Job Address Owner ad Add f Zip phone Contreoto r ei ddress i �� �, ` Plo e 2. ~ �' � a6 G� e,,, � 1� 0 ,� 3. Class of Work: O COMMERCIAL ESIDEN IAL 0 New Q Addition 'ScAlteration O Repair O Replacement Describe Work: / .. P Ii/ PLUA113ING PERMIT FEES Comments: Modular Home ......................$50A0 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 Ttay /Drain ..... $6,00 x Water Heater .........................$10.00 x Notice Outside Water Faucet ...................$6,00 x I hereby certify that C have read and examined this application and know the same to be true and correct. All Drinking Fountain ........................$6.00 x 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 8ackflow/Orease Trap. ............ $15.00 authority to violate or cancel the provisions of any other Water Service .......................$15.00 state or local law regulating construction or the performance of construction, 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 Sign re of Contr r Auth 'zed Agent Permit Issuance Pee .... ....... $25.00 Total S - Carrent license on File Yes d No CJ N/A Date Comment: W HEN PRf3F'.L RL`i` VFiLIL)A' E!) (IN Tkil`, �;FAUE) 11 IS YUUF, Ffk"FMff .pproved By: 1 .2008 -10 MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South of Street Blair, Nebraska 68008 Fax (402) 426 -4195 (402) 426 -4191 - X19 Application Tate: 2 a,3 1 6 Permit Fee: $ '50,00 !/ , 00 Qj Job Address Owner ail Address q Phone 1. �P Contr for all s 2. /� Zi Pho y ors V,.e. 3. Class of Work: 000MMt RCIAL i3 RESIDENTIAL O Nek IS Addition O Alteration ❑ Repair O Replacement Describe Work: 4. MECHANICAL PERMIT FEES Heat Pump Tons Central A/C Tons Furnace/Heat Pump /Air Conditioner (Per Unit) Furnace BTUIR Up to and including 100,000 BTU / Hon ... .........................$15.00 # of Units A/C Furnace/Heat Pump /Air Conditioner (Per Unit) Furnace Over 100,000 BTU / 3 Ton .................... .........................$25.00 Completion Date: Refrigeration Units /Coolers/Lines /Compressor — Commercial (New or Replacement) (Per Unit) Boiler Chart BTU Fee ...................... ............................... .........................$15.00 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 Boiler (use BTU Chart to left) .................... Appliance Vent/Fans ........................$10.00 �� 0 Notice I hereby certify that I have read and examined this / Duct System ......... .........................$15.00 / 00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Gas /Air Outlets .................First 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 perfor f construction. Piping System ....... .........................$50.00 Modula Home ............................... $50.00 ignature f Contractor or Authorized Agent Permit Issuance Fee . .........................$25.00 �® Date Current License on File "''es " O No O N/A Comment: W nnIN r- rWr.r, -K-L Y V ALWA I bl) (1N I MIN NFAUE) 1HIS 1S Y 0 UK PERMIT Approved By: Rev. 200810 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: a,3 - 16 W HhN YKU-VEKL Y V ALIL)A I ED (IN I Hl� �WAUE) I HIS IS Y 0 U FEKMl'1' Approved By: M 1967 6 Permit Fee: $ l�' 00 Job Address Owner Address Zffi Phone 1. Contrp4tor Mail Add eg s k Z' Pho Al / 4a, 3. CYass of Work: O&OMMtRCIAL 0 RESIDENTIAL (7 1 0 Nek C3 Addition 0 Alteration 13 Repair Cl Replacement Describe Work: d'A ew "Y al — 41 4. MECHANICAL PERMIT FEES Heat Pump Tons Central A/C Tons Furnace /Heat Pump/Air Conditioner (Per Unit) Furnace BTU/H Up to and including 100,000 BTU / 3Ton ... ......................... # of Units A/C Furnace/Heat Pump/Air Conditioner (Per Unit) Furnace Over 100,000 BTU / 3 Ton .................... .........................$25.00 Completion Date: 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 Id, f90 Notice Duct System ......... $15.00 15,00 1 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 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 ....... ......................... Modular Home ............................... $50.00 Signature of Contractor or Authorized Agent Permit Issuance Fee . .........................$25.00 Total Current License on File -);ryes 13 No 173 N/A Date Comment: Rev. 2008-10 ❑- ,.CITY OF BLAIR 1 1 . � ❑ WASHINGTON COUNTY ❑ r -a LOCATION OF INSPECTION SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ('�., -•, 1. :'A" .'.. , :; -D >'g g 1 r_ ,° f,;s ,.'- ❑ rf NAME OF OWNER - .. <: ' ,',l „ >. e. ` F , b CONTRACTO ❑ a . y: ?�`- Al DATE INSPECTION REQUESTED - TIME INSPECTION REQUESTED PERMIT NO PARTIAL �)L f — () 0 � © v i �ei -S TYPE OF IN SPECTION REQUESTED: ❑ COMMENTS: ❑ CONFERENCE ❑ STATUS C HECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED FAILED ❑ ❑ ❑ COMMENTS UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL:,, ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL �)L f — () 0 � © v i �ei -S ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK] ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ J PRESSURE TEST ❑ ._COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS INSPECTO DATE OF INSPECTION MADE: ? TTMF FAXED OPPD\BURT REA TO CONNECT SERVICE: 0 N BY G TIME INSPECTION REQUESTED I PERMIT NO ) _2 BUILDING INSPECTION REPORT fa-PTY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE LOCATION OF INSPECTION ❑ CONFERENCE NAME OF OWNER s (ONTR AC TnR FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL DATE INSPECTION REQUESTED �� TIME INSPECTION REQUESTED I PERMIT NO ) _2 s e TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING m j, FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL Ej ROUGH —IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK t ROUGH —IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F] PRESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTO DATE OF INSPECTION MADE: -- T IME: FAXED OPPD\BURT REA TO CONNECT SERVICE: IJ TI ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE ' p LOCATION OF INSPECTION Fr `' t NAME OF OWNER - -- ,- , , f g ,r< °-��� �- CONTRACTO • ° °' ' ✓� -� DATE INSPECTION REQUESTED r _ TIME INSPECTION REQUESTED v ' PERMIT TYPE OF INSP ECTION R EQUES TED: ❑ CO ❑ STATUS CHECK BUILDING: ❑ COMMENTS: FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ UTILITIES: ❑ ❑ COMMENTS: SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PARTIAL PASSED ❑ FAILED ❑ ELECTRICAL , ❑ COMMENTS: ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIAL ✓ ✓ f -'- ..r a� r.' ,' " rrLbrr✓ ._ t . PASSED AILED El MECHANICAL: ❑ COMMENTS: ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED F FAILED El PLUMBING: ❑ ❑ COMME GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ FAILED ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS INSPECTOR. DATE OF INSPECTION MADE: T FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY V or 1 u DEW I 1 1 1 Rg 1 111 � il� - . rj il - , �CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION- "9 NAME OF OWNER i 2 ' J2 CONTRACTOR DATE INSPECTION REQUESTED pF TIME INSPECTION REQUESTED -'�- PERMIT NO- L TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: F FOOTING ❑ DECK FOOTING E:l FRAMING ❑ DRYWALL ❑ FINAL F PARTIAL PASSED FAILED 1 ❑ COMMENTS: UTILITIES: F SEWER TAP ❑ SEWER ❑ SEPTIC F WATER TAP F REMOTE ❑ WATER SERVICE PASSED FAILED F PARTIAL F ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN>FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE [:1 PRECONNECT PASS FAILED F PARTIAL X ❑ COMMENTS: MECHANICAL :F] ROUGH -IN F A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: F GROUNDWORK F ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST 1:1 ❑ COMMENTS: F OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- ;p- BUILDING INSPECTION REPORT +oj,5733 j o ( o � ,. CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE LOCATION OF INSPECTION ' ! r '` , a ° r' J.. _ <` NAME OF OWNER z: �,� �'- . m, cam= 'CONTRACTO m '�� t' ..s�<�_ , . " DATE INSPECTION REQUESTED ° TIME INSPECTION REQUESTED '- mr� t PERMIT N0 z Y TYPE OF INSPECTION REQUESTED: ❑ C ONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: El UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑PARTIAL PASSED FAILED COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN— 'El- ~FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED El PRESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED vl ; � � L✓ i nd �p � W Z ( �. , � eV(Af, C,uti h ijz 4c-A-,i AliQ Fo 1-7,1 e, I- b o,-,u� INSPECTO a DATE OF INSPECTION MADE: Q 1 d TTMF �t�a� FAXED OPPD \BURT REA TO CONNECT SERVICE: ON BY ❑,,,,CITY OF BLAIR i u rem ti pi an .0 ❑ WASHINGTON COUNTY ❑ i LOCATION OF INSPECTION NAME OF OWNER E- a ._ f, ," s, > r <�� k _- CONTRACTO - z DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED :': • � PERMIT NO - TYPE OF INSPECTION REQU ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ , TINAL ❑ PARTIAL PASSED FAILED $ F-1 COMMENTS: 4 . z ,'• �', -! x # UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT n FINAL ❑PARTIAL � � PASSED FAILED COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTO wr44 DATE OF INSPECTION MADE: V T IME, FAXED OPPD \BURT REA TO CONNECT SERVICE: 0 N BY