BPM2004Blair Building Permit Detail
Permit #: M2004 Issued: 7/14/2010 Type: Mechanical Miscellaneous
Completed: 7/14/2010 Valuation:
Location: 1840 Nebraska St
Owner: Rustic Oak Apartment Permit Fee: 15
Address: 1840 Nebraska St Issue Fee: 25
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township: Range:
Subdivision: Lot: 5 Block:
1.5 ton AC Replacement
Contractors
Washington County Heating & A/C Inc. General Contractor Permit # Issued
Remarks
Inspections Date By
7114/2010 HOW Mechanical Final Pass
7/14/2010 HOW Final Inspection of Project Pass
BUILDING INSPECTION REPORT
CITY OF� LAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OF OWNER .` _
CONTRACTO
DATE INSPECTION REQUESTED x ^` t TIME INSPECTION REQUESTED p ' { ` e PERMIT No _,,,
TYP OF INSPEC R EQUESTED: ❑ CONFERENCE
❑ STATUS CHECK
BUILDING: ❑
FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑= FINAL ❑ PARTIAL
PASSED
FAILED
COMMENTS:
UTILITIES: ❑
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
❑
PARTIAL
F-1
Fl
COMMENTS:
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
F
PARTIAL
El
El
COMMENTS:
MECHANICAL: ❑
ROUGH IN , ❑, A/C ❑ FURNACE ❑ RADIANT HEAT Ek FINAL ❑ PARTIAL �
P SSED
FAILED
COMMENTS:
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
Fl
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS
INSPECTO b �_ -j DATE OF INSPECTION MADE:
FAXED OPPD \BURT REA TO CONNECT SERVICE: 0 N BY
Application Date: ! r / Permit Fee: $ 0 ,
IG f V4 / rah
r
Job Address � / /
1 d G� 2�
Ovine + L Mai Address �/ Zip Phone
1. 7 �L` � Giii'/ ✓Ly���77 S %`
Contract pr Mail Ad $s Zip Phone
2. 1� � V W G,,av' Y
3. Class of Work: 4ktOMMERCIALA RESIDENTAL New O Addition O Alteration O Repair eplacement
Describe Work:
4. 1
of ECHANICAL 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
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
BTUFee
00 5 $
............................................... ............................... $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
Gas /Air Outlets 5 x $6.00
provisions of laws and ordinances governing this type of
.................First
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
Signa or Contractor or Aut orized Agent
Permit Issuance Fee . .........................$25.00
&� Lz)
Total C
Current License on File �Wes O No O N/A
Date
Comment
WHEN PROPERLY VALIDATED (1N '1'H1S SPACE) '1'HIS 1S Y UUK PEKMII
Approved By:
Rev. 2008 -10
r�
B !WILDING INSPECTION REPORT
Tl - CITY OF LAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION ir' $, n _
NAME OF OWNER CONTRACTO
1
77
DATE INSPECTION REQUESTED �� TIME INSPECTION REQUESTED - � PERMIT NO L a' s �
TYPE OF INSPECTI REQUESTED T ❑ CONFERENCE
❑STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL El
- ❑ 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:
T ROUGH
MECHANICAL: ❑ IN . Q A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
P SSED FAILED
C
�
�❑
..... :- ✓reaes+.�.'e�� ^�
PLUMBING: ❑ GROUNDWORK ❑ ROUGH —IN FINAL ❑� WATER METER INSTALLED ❑ PARTIAL
. , �e+ .* s'.. r�_ ;_ rnos�zc' Nie- unr�,a:szco-.,xez�- 'ae- '.�c�.e 4
PASSED FAILED
❑ PRESSURE TEST
❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS -
a
;h
ii
INSPECTO DATE OF INSPECTION MADE:
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY