BPM1999Blair Building Permit Detail
Permit #: M1999 Issued: 6/25/2010
Completed: 6/28/2010
Location: 2113 Washington St
Owner: Bob Pearson
Address: 2113 Washington St
Blair, NE 68008
Phone: 533 -2062
Section: Township:
Subdivision:
45,000 BTU Furnace and 1.5 ton AC
Contractors
Getzschman Heating, LLC
Range:
Lot: 2
General Contractor
Remarks
Type: Mechanical Miscellaneous
Valuation:
Permit Fee: 30
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block: 100
Permit # Issued
Inspections Date By
6/28/2010 HOW Mechanical Final Pass
6/28/2010 HOW Final Inspection of Project Pass
CITY OF BLAIR
BUILDING INSPECTION REPORT
LOCATION OF INSPECTION:
NAME OF
❑ WASHINGTON COUNTY 1
4,
INSPECTOK -
DATE OF INSPECTION MADE: f C' TIME f U
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
DATE INSPECTION REQUESTED PERMIT NO w
TIME INSPECTION R
TYPE OF INSPE CTION REQUESTED: EICONFERENCE
E:l STATUS CHECK
BUILDING: F
FOOTING [:1 DECK FOOTING [:1 FRAMING [:1 DRYWALL M, FINAL [:] PARTIAL
PASSED
FAILFD
COMMENTS:
UTILITIES: ❑
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE [-] WATER SERVICE
PASSED
FAILED
F]
PARTIAL
El
F
COMMENTS:
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
F
PARTIAL
COMMENTS:
MECHANICAL: [EF:l
ROUGH IN' A
J��[ /C_ ❑ RADIANT HEAT ❑ FINAL El PARTIAL
PASSED
FAILED
COMMENTS:
PLUMBING: F
✓
GROUNDWORK ❑ ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
El
PRESSURE TEST
El
F
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
INSPECTOK -
DATE OF INSPECTION MADE: f C' TIME f U
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
MECHANICAL PERMIT APPLICATI
Jurisdiction of City of Blair, Nebraska
218 South 16 Street
Blair, Nebraska 68008
Fax (402) 426 -4195 M 1999
// (402) 426 -4191 -
Application Date: Cl� ' �� Permit Fee: $
Job Address !� / (J '
Owner Mail Address 6 1 Zip Phone
1. L�e tiff
Contract r Mail Address r Zip Phone
2. 1 Z&6 7 Z t f �
3. Class of Work: O COMMERCIAL O RESIDENTIAL O New O Addition O Alteration O Repair O Replacement
Describe Work: 0
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 ... .........................$15.00
# of Units A/C
Fumace/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
BTUFee
...................... ............................... .........................$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
Notice
Duct System ......... .........................$15.00
I 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 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
performance of construction.
Piping System ....... .........................$50.00
' 6-� -
Modular Home ............................... $50.00
Signature of Contractor or Authorizedent
Permit Issuance Fee . .........................$25.00 per,
®�
Total t
Current License on File >CrYes O No C] N/A
Date
Comment:
Id
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 1 YO UR PERMIT
Approved By:
Rev. 2008 - 10
N
BUILDING INSPECTION REPORT
❑ ,_ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OF OWNER . . =,'. "✓ ! .. r< `oua CONTRACTO
DATE INSPECTION REQUESTED ( 2 " TIME INSPECTION REQUESTED:- " ' -` "�
Q PERMIT NO
TYPE OF INSPEC REQ ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL FINAL ❑ PARTIAL P SSED FAILED
COM MENTS:
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
- - - - - -- --- - —
- - - _
ELECTRICAL: F ROUGH IN F1 FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
MECHANICAL:❑ ROUGH IN A/C , .FURNACE ❑ RADIANTHEAT ❑� 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 72 DATE OF INSPECTION MADE: - f C T1MF� `� P&
FAXED OPPDIBURT REA TO CONNECT SERVICE:
G-
]BUILDING INSPECTION REPORT
PASSED
[],_J CITY OF BLAIR
❑ WASHINGTON COUNTY ❑ OTHE
PARTIAL
❑
❑
COMMENTS:
LOCATION OF INSPECTIO
MECHANICAL:❑
ROUGH IN ❑ A/C El ..- FURNACE ❑ RADIANT HEAT n FINAL ❑ PARTIAL
- PASSED
NAME OF OWNER ,
.- .r,.°
/ "' , �.� , � CONTRACTO
- ->
DATE INSPECTION REQUESTED � r TIME INSPECTION REQUESTED`. '`'_" ° PERMIT
NO
j
S
TYPE OF INSPECTIO REQ UESTED: ❑ C
❑ S TATUS CHECK
BUILDING: ❑
FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL rQ, FINAL ❑ PARTIAL
PASSED FAILED
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
El
COMME NTS:
PRESSURE TEST
❑
UTILITIES: ❑
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED FAILED r'
❑
PARTIAL
❑ ❑
COM MENTS:
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
MECHANICAL:❑
ROUGH IN ❑ A/C El ..- FURNACE ❑ RADIANT HEAT n FINAL ❑ PARTIAL
- PASSED
FAILED
❑
COMMENTS:
_ __ _ _ __ _
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMEN
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
INSPECTO DATE OF INSPECTION MADE: G T c
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B