BPP2104Blair Building Permit Detail
Permit #: P2104 Issued: 4/7/2010 Type: Plumbing Miscellaneous
Completed: 4/7/2010 Valuation:
Location: 1458 Jackson St
Owner: Gary Trisdale Permit Fee: 15
Address: 1458 Jackson St Issue Fee: 25
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township
Subdivision:
Replace Water Service.
Contractors
Henton Trenching, Inc.
Remarks
Range:
Lot: 12
General Contractor
Block: 118
Permit # Issued
Inspections Date By
4/7/2010 HOW Final Inspection of Project Pass
4/712010 HOW Water Service Pass
BUILDING INSPECTION REPORT
x CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION
NAME OF OWNER CONTRACTOR
DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED- PERMIT
NO
TYPE OF INSPECTION REQUESTED: CONFERENCE
❑ STATUS CHECK
BUILDING: F FOOTING F DECKFOOTING ❑ FRAMING [:1 DRYWALL ❑ FINAL ❑ PARTIAL
PASSED
FAILED
❑
❑
COMMENTS:
-- ----------------
UTILITIES: F SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE E] WATER SERVICE
— -_- -
PASSED
FAILED
❑ PARTIAL
F
COMMENTS:
ELECTRICAL: F ROUGH IN ❑ FINAL ❑ PERMANENT SERvicFE1 TEMPORARY SERVICE F PRECONNECT
PASSED
FAILED
❑ PARTIAL
COMMENTS:
MECHANICAL: ❑ ROUGH -IN F A/C ❑ FURNACE ❑ RADIANT HEAT [:1 FINAL PARTIAL
PASSED
FAILED
F
F
COMMENTS:
PLUMBING: ❑ GROUNDWORK F ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑ PRESSURE TEST
1
F
COMMENTS:
F OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS-
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
INSPECTO tW4 olr4 0 DATE OF INSPECTION MADE: TIME- 26
fy C/I Vl�lj
Jurisdiction of City of Blair, Nebraska
218 South 16 Street
Blair, Nebraska 68008
Fax (402) 426 -4195
(402) 426 -4191
P 2104
Application Date' 1 l ( 10 Permit Fee: $
Job Address
I 5� �c�c,�c _�u� �® el
Mail Address Zip Phone
Ow,agr �V' s
C�
I. Y 1-er
2 . t � � o ail A drs� s� Zip Phone
Class
3. of Work: O COMMERCIAL PRESIDENTIAL O New O Addition O Alteration O Repair Replacement
Describe Work: �� e
4
PLUMBING PERMIT FEES
Comments:
...............
Modular Home... ....$50.00
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 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
Drinking Fountain ........................$6.00 x
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or
Backflow /Grease Trap 15.00
p
not. The granting of a permit does not presume to give
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
s hire of Contracto o thorized Agent
Permit Issuance Fee .................$25.00 2.5 C)
Total D . 00
Current License on File Yes O No O N/A
Date
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: � Lbuch Rev. 2008 -10
x w
CITY OF BLAIR
� I W I a a 1
❑ WASHINGTON COUNTY ❑
LOCATION OF INSPECTION
NAME OF OWNER
c.
E
DATE INSPECTION REQUESTED -� TIME INSPECTION REQUESTED `} PERMIT
i
TYPE OF IN S PE CTION REQUESTED: ❑ CONFERENCE
❑ STATUS CHE
BUILDING: ❑
FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL
PASSED
LL FAILED
❑
❑
COMMENTS:
�❑
UTILITIES: ❑
SEWER TAP ❑ SEWER ❑ SEPTIC WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
F]
£
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 ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
INSPECTO DATE OF INSPECTION MADE: �+ -7 1 T TME d9a4