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BP13463Blair Building Permit Detail Permit #: 13463 Issued: 6/14/2010 Completed: 6/24/2010 Location: 1159 Highland Dr Owner: Todd Goodwater Address: 1159 Highland Dr Blair, NE 68008 Phone: 402 426 451 7 Section: Township: Range: Subdivision: Lot: 77 Roofing soffit gutters. Tearing off and replacing with asphalt. Contractors Millard Roofing & Gutter Co General Contractor Remarks Type: Roofing permits - All types Valuation: 10000 Permit Fee: 40 Issue Fee: 25 Deposit Amt.: 50 Receipt #: 26870 Block: Permit # Issued Inspections Date By 6/24/2010 HOW Final Inspection of Project Pass CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT _ q Promise o Permit # r pp p ` � Date: ��° �� Approximate Comp Date: �� "�`� Site Plan Attached: Estimated Valuation of Project: Application for Permit Fee $40 + Issuance Fee $25 + $50 Deposit Fee: $115.00 Egress Window (floor plan drawing required) Fences (plot plan required) Gazebos (plot plan required) Patios /Driveways /Sidewalks (new or replacement) Roofing/Siding/Soffit and /or Eave Repair /Gutters Swimming Pools with Fence (plot plan required) Window /Door Replacement (size change only) Miscellaneous Building Permits (items not covered by one of the above) Description: Utility Excavation and Curb Grinding Curb Grind Fee: $75 plus bond Length Utility Excavation Length Lin. Ft.; Width Lin. Ft Type: Water ; Sewer ; Other Amount of Bond Posted: Bond Check # (Curb grind - $9.00 per Lin. Ft.; Utility Excavation - $6.00 per Sq. Ft.) Additional Description of project if necessary: =! \ UN 1/ -- Jnh AddrPS� r ", t -7 7 Legal Description (if applicable) F, _� t .y i Owner: G` , ` 90/ ;C, -, r ' �' Address �`r '� '� / ' / Phone #: Contractor: /' f.._ / " "' Phone #: Address: Cell : PERMIT RENEWAL FEE: This fee is based on the amount of the original permit fee and is charged when work is not completed within two years and the permit expires. Renewals will only be allowed with the stipulation that all exterior site work and outside finish work is completed and interior life - safety issues have been properly address. Permit renewals are for one (1) year, with a maximum of two (2) renewals for a maximum permit span of four (4) years. Original valuation of $0- $50,000 $1.50.00 $ Original valuation of $50,000 - $100,000 $200.00 $ Original valuation of $100,000 - $500,000 $300.00 $ Original valuation of $500,000 or more $400.00 $ Issuance Fee: Deposit: $ 25.00 $ 50.00 Total Renewal Remit Fee = Permit Fee + Deposit + Issuance Fee $ 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 codes /ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 days or is not completed within two (2) years of date of issue. Date Permit Paid: eceipt # A 7D Approved by r. vin • ff rff 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 $50.09,r4fundable 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 project is completed without 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. Contractor /Owner Contractor /Owner City of Blair K -- a � � of a "�� This supporting document includes information dealing with particular code requirements and /or roofing permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to [snow the 2006 International Building Code requirements that apply to your project. Please understand this document is only designed and distributed to aid you in your roofing permit process. A copy of the International Building Code is available for your use at the Blair Public Library. 1 have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner /contractor for this project. Owner /Occupant City of Blair ` 1 Date 218 South 16th Street - Blair, Nebraska 68008 - 402 - 426 -4191 - Fax 402 -426 -4195 - E -mail cltyofblalr @ci.blair,ne.us t.1 - N�6r2412010 BUILDING INSP E T ;❑ Y OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE N LOCATION OF INSPECTION 9 F 4= s NAME OF OWNER % t' CONTRACTO 3 DATE INSPECTION REQUESTED -.% s TIME INSPECTION REQUESTED 4 11 . Z PERMIT NO ;F *' TYPE OF INSPECTION REQUESTED: ❑ CONFERE ❑ STAT CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL �Er FINAL ❑ PARTIAL PASSED FAILED Q El COMMENTS: � / UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: F] 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: 3 ' PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: r ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS INSPECTO `�u, DATE OF INSPECTION MADE: �? - @ TI ME ` FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY 'r