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BP12884i T om n F CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT o t Permit # . q Promise o Date: (�I�l�� Approximate Completion Dater 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: i< 3 X c�ct�iQY� PROJECT INFORMATION: Job Address: 132 1\� Z -7f K `�� Legal Description (if applicable) Owner: P a [e, Jq G s6r1 Address: Phone#: �f2(o7 Contractor: SLLP Phone #: Address: NAL 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 $150.00 $ f SD 1 03 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: $ 25.00 Deposit: $ 50.00 Total Renewal Remit Fee = Permit Fee + Deposit + Issuance Fee $ i S, Cb 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. Signature of Owner/Contractor Date For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS 1,5 -FOUR PERMIT Date Permit Paid: W--s/!jL Receipt # Z 5 Approved by: .q Prornis CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT Permit #i (-i Date: I)f p Approximate Completion Date,: � 0 Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential x1 Commercial/Industrial New Construction Manufactured Home Modular Move -on: Home Accessory Bilding Other Remodel Addition A Accessory Building: Garage Pole Barn_ Floor Type: Dirt Concrete _ 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 _ Additional N n -+ Other Electricity: Yes No _ Private Well Blair OPPD Line Kennard Date Agreement Received: Septic Drawing Provided: Blair Kennard _ Submitted: Yes No of project if necessary: , I y� 59 ( LOO (Z MM S M Project Information: Job Address: -I 3z (� Z - A t Legal Description (if applicable) Owner•. AM so r--) Address: SD_yT SL. Phone#: L4-2- Contractor: 1� Phone #: Address: Cell #: Ahs 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 1 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. Signature of Owner/Contractor Date ZONING REVIEW: Zoning/Flood Plain Uti ' ies• Current Zoning: is ry Conditional Use Permit Required: Yes No ,- Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front ��T Second Front Side :7 Side Rear2= Lot Square Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: Sidewalk required: YesNo Sidewalk Waiver: Yes No Date Waiver Approved: Flood Plain: Yes No \� If yes, specify special req irements: BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four Type of Residential Structure: Ranch Two Story Split Entry _ Rooms Bedrooms Bathrooms Egress in Basement: Required: Yes No Sleeping Rooms Living Area Sauare Footage: >Four _ Raised Ranch High Rise (>75 ft) Other Fireplaces Gas Electric Provided on Plans: Yes No _ Other Egress Main Level: Second Level: Third Level Basement: (Unfinished) (Finished) Garage: 2 bay 3 bay 4 bay 5+ bay Detached Garage: Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Front Side Occugancv Classification: Assembly, theaters, with stage Assembly, theater, without stage Assembly, nightclubs Assembly, restaurants, bars, banquet halls Assembly, churches Assembly, arenas Assembly, general, community halls, libraries, museums Business Educational Factory and industrial, moderate hazard _ Factory and industrial, low hazard High Hazard, explosives High Hazard HPM Institutional, supervised environment Institutional, incapacitated Institutional, restrained Institutional, day care facilities Mercantile Residential, hotels_ Residential, multiple family Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building required 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 13D Driveway Grade: (percentage) (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: RESIDENTIAL - NEW CONSTRUCTION: Building Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 Fee = $200.00 Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater Fee - $500.00 All other permits valued under $10,000 Permit fee is: Finished sq/ft area X$88 (not including finished basement area) Finished basement sq/ft area I X $53 Unfinished basement sq/ft area X$26 Garage sq/ft area X$20 Total Valuation: Total Valuation Issuance Fee: Multiplied by 0.0056 = No Deposit Fee U $ 20.00 Total Permit Fee = Deposit/Permit Fee/Issuance Fee $ RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/Industrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Building Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 All other permits valued under $10,000 No Deposit Fee Construction Valuation will be computed by Sq/ft area X $60 Accessory Buildings & Interior Remodeling Projects will be computed by Sg/ft area X $40 Permit fee is: Finished sq/ft area ,A574X$60 $ Finished sq/ft area <-5'13 1-3k X $40 $ $0 TO$49.............................................................................................. $0 (plus Permit Issuance Fee) $50 TO $9,999............................................................................................$50 $10,000 TO $99,999............................................................................................$50 + $6 per additional $1,000 $100,000 TO $249,999......................................................................................... $590 + $4 per additional $1,000 $250,000 TO $499,999......................................................................................$1,190 + $3 per additional $1,000 $500,000 TO $999,999......................................................................................$1,940 + $2 per additional $1,000 $1,000,000 AND OVER......................................................................................$2,940 + $1 per additional $1,000 Permit Fee calculated from chart above $ ( I Le ' " Issuance Fee: $ 20.00 ; 13 Le Total Permit Fee = Deposit/Permit Fee/Issuance Fee $ 0 Sib 00 Additional Comments: 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: l ( - q Permit Fee: 1 319 00 Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yesz No ' �' ge7D PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street 1,2'es 41 Blair, Nebraska 68008 Fax (402) 426-4195 P 1810 (402) 426-4191 Application Date; Permit Fee: $ Job Address 2 e dp Vi/' ` - /�/ f Owner tj Mail Address Zip / Phone Contract Mail �ddre_ss 2. Zip Phone C3.061 — e 0 3. Class of Work: O COMMERCIAL R IDENTIAL O New O Addition O Alteration O Repair ARfeplacement Describe Work: / _ /z� 4. �L�'% f /� Gj PLUMBING PERMIT FEES Comments: Modular Home ......................$50.00 Type of Fixture No. Kitchen..............................$8.00 x Bath..................................$8.00 x Rough -In Bath ...................... $4.00 x Additional Sinks....................$3.00 x Laundry/Drain ......................$5.00 x Water Heater ........................$3.00 x Outside Water Faucet..................$3.00 x Notice Drinking Fountain .......................$3.00 x 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 Backflow/Grease Trap............ $10.00 work will be complied with whether specified herein or Water Service ......................$10.00 I U not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other Sewer................................$10.00 00 state or local law regulating construction or the performance of construction. Groundwork ........................$10.00 Septic Tank & Laterals........... $10.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial). $30.00 Gas/Water Piping System (Commercial).......................$30.00 Signatur of ontractor or Authorize gent Permit Issuance Fee................$20.00 Total • o Current License on File es O No O N/A Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: Y /'-;� // ELECTRICAL APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Permit Fee: $ 0/' 61'/ Application Date: - alp -0 e 1046111 K Job Address �� V /` / / Owner Mail Address Zip Phone Contractor Maj Address –V Zip Phone 2. jo-7� 3. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE Describe Work: 4. 6? /a/c, 5.Current License on File O Yes O No N/A Completion Date ELECTRICAL PERMIT FEES Service Fee = (Amp Fee + 2.00 per branch circuit) Upgrade Existing Service.............$10.00 1-100 Amp Fee .......................$13.00 Temporary Service............ ..... $10.00 101-200 Amp Fee .......................$18.00 Fire Alarm System............. ....$10.00 ""' 201-300 Amp Fee .......................$30.00 Signs $15.00 301-400 Amp Fee .......................$42.00 401-500 Amp Fee .......................$55.00 ...................................... Miscellaneous Apparatus .............. $11.00 501-600 Amp Fee .......................$67.00 AC/DC Circuit ........................... $5.00 601-700 Amp Fee .......................$80.00 Commercial/Multi Family and All Upgrades: 701-800 Amp Fee .......................$92.00 801-900 Amp Fee.....................$105.00 # of Circuits x $2.00 901-1000 Amp ........................$117.00 Amp Fee /9.00 IF OVER 1000 Amp 1" 1000 Amp Fee..................$117.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $13.00 New Residential: (Finished Area) Single/Two Family Dwellings I Notice J a sq. ft. x.045 ' 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 Receptacle/Switch Outlets work will be complied with whether specified herein or Fixtures $.75 not. The granting of a permit does not presume to give x authority to violate or cancel the provisions of any other Smoke Detectors x $3.00 state or local law regulating construction or the Residential/Commercial Appliance performance of construction. # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) # Apparatus x $5.00 Signature of ontractor or Authorized Agent ® � �G� ' Permit Issuance Fee.. ..$20.00 — fps Total Date Comment: WHEN PROPERLY VALIDATED (1N THIS SPACE) "l HIS 1S Y U UK PEKMI l Approved By: hey. �jN e(��, r� y♦.�(A ti. V V R, Registration z 7,Z4. g 1, 1 V$ z 7,Z4. g 1, 732 N. 27Th BLAIR "'rise of a� CITY OF 5LAIQ BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet includes various items dealing with particular code requirements and/or building permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to know the 2006 International Buildina Code requirements that apply to your project. Please understand this packet is only designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I 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. •Vner/Occupan City of Blair Contractor �Date .12r— 218 South 16th Street - Blair, Nebraska 68008 - 402-426-4191 - Fax 402-426-4195 - E-mail cityofblair@ci,blair,ne.us o ."r r i ITY OF BLAIR F BUILDING INSPECTION REPORT ❑ WASHINGTON LOCATION OF INSPE ION: z (mac/) /tl f t l I-- NAME OF OWNERS ^1a !d TV Q CONTRACTOR `-J L�Z�Z�'W....... DATE INSPECTION REQUESTED // / TIME INSPECTION REQUESTED PERMIT NO --Z TYPE OF INSPECTIO REQUESTED: ❑ CONFERENCE BUILDING: FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL y COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL COMMENTS: ❑ STATUS CHECK PAD FAILED PASSED El MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL ❑ PRESSURE TEST COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• PASSED ❑ PASSED ❑ PASSED FAILED ❑ ❑ ELECTRICAL: ❑ F-1 COMMENTS: ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIALEl❑ PASSED FAILED MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL ❑ PRESSURE TEST COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• PASSED ❑ PASSED ❑ FAILED ❑ FAILED ❑ INSPECTOR ' FAXED OPPD\BURT �i��/ DATE OF INSPECTIONMADE: REA TO CONNECT SERVICE: ON BY TIME K ." J '_ _ _M � _. �� . J r I BUILDING:ISPECTION 1R CITY OF BLAIR ❑ WASH]NGTON COUNTY ❑ OTHER LOCATION OF INSPE TION' 7S,2 ,2 A ` NAME OF OWNS$®._ �° XCONTRACTOR • J ) Lm DATE INSPECTION REQUESTED' rxI TIME INSPECTION REQUESTED:` �` `� ' (g PERMIT NO• TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING 'FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSP FAILED COMMENTS: D/ �L ❑ //��`��D� v UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL_;. e, ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSPD FAILED F-1PARTIAL❑ COMMENTS: ffff MECHANIC AT : ❑ ROUGH -IN ❑ A/C El FURNACE ElRADIANT HEAT El FINAL El PARTIAL PASSED FAILED ❑ El COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL, ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST COMMENTS: El OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARK& 02202008 10:11 AM 7 `t , I PV `ww9m z �� s 02I270P 1n:14 AM 02127?2008 10:19 AM '� kit a& �� o, BUILDING INSPECTION , REPORT r :CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ LOCATIOl NAME OF DATE INSPECTION REQUESTED• /' F �'' TIME INSPECTION REQUESTED, !P PERMIT NO• ! r e TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ UTILITIES: ❑ SEWER TAP D SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE N:" `WATER SERVICE PAS FAILED ❑ PARTIAL ElCOMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL El COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL FAILED PASSED ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL FAILED. .. PASSED' ❑ PRESSURE TEST ❑ 0 COMMENTS: El OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED Vii',. I el „. �_ �f ,g, r�� a. rrs8bi. y...:'• �,.' w�"xuiuY/_z. iraw"�i�,' 0410012000 01'.55 PM iJ4�1;7iLIN 01 Hi c'�:,; r %it 04/02/2008 01:51 °4/02/2008 01:58 PM .+ h CAT 04103/2003 0824 AM QTY Ki Yi��• � �_ s.3 :` 1 04/0312008 0824 AM �, �� 1• :�N.I^,.lel ;J �T 1� 1 11: 1: 4 �. OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPE TION• NAMEOF � / ��i �`-'� OWNER-"° CONTRACTOR _ ` ! SCJ/�' 2&6 DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED PERMIT NO /� TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL -)N,�FINAL .�ARTIAL PASS D FAILED COMMENTS: ��,24dd ❑ 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 ❑ 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 4T Y �_._ . .,� .>�._ �. s r- ��''-< y r_u' f �...'. s �v _ a I 4 BUILDING INSPECTION REPORT ❑+CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION /t /, f �� ,• NAME OF OWNER_ ``� �✓`�i�E CONTRACTOR r r r DATE INSPECTION REQUESTED- /, ` / C --06 TIME INSPECTION REQUESTED, ^ PERMIT NO— TYPE: fit OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYW. COMMENTS: ❑ ❑ COMMENTS: FINAL ❑ PARTIAL -td A PASSIYD FAILED UTILITIES: El SEWER TAP ❑ SEWER [I SEPTIC El WATERT ❑ REMOTE ElWATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT ❑ PARTIAL PASSED ❑ FAILED El 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 NOTESIREMARKS_ 04/10/2008 0240 PM _6 A _ � r R �� % \`=:, c %d,�, \ i "nii.�,., � .. �' �. �� '�'Y A7'�Y � r._. —. :s � .. 4 :�"� . .. � � �'.._ �a pais PAR i Y �J T t. _ J 0411012008 0240 PM BUILDING INSPECTION REPORT �RCITY OF BLAIR El WASHINGTON COUNTY El OTHER 3 LOCATION OF INSPEC�10N- -W _. NAME OFM.___. CONTRACTOR - ':DATE INSPECTION 4fid �d X-1 REQUESTED _' �TIME INSPECTION REQUESTED- PERMIT N TYPE OF INSPECTION REQUESTED: El CONFERENCE El STATUS CHECK BUILDING: F -I FOOTING -4 ,;,DECK FOOTING El FRAMING El DRYWALL El FINALE] PARTIAL PASS D6 FAILED COMMENTS: UTILITIES: F-1 SEWER TAP F -I SEWER El SEPTIC El WATER TAPE] REMOTE El WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ El COMMENTS: ELECTRICAL: F -I ROUGH iNF] FINAL ❑ PERMANENT SERVICEE] TEMPORARY SERVICED PRECONNECT PASSE I D FAILED F -I PARTIAL El M COMMENTS: MECHANICAL: F] ROUGH -IN E] A/C E] FURNACE E] RADIANT HEAT El FINALE] PARTIAL PASSED FAILED El El COMMENTS: PLUMBING: F -I GROUNDWORK El ROUGH -IN El FINAL E] WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F -I PRESSURE TEST COMMENTS: :71 -OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- ONNE CT SERVICE: ON- AT n7fglfn(1nR 4M J r ROV2008 1628- M .1 -El -20F BLAIR LOCATION OF ❑ WASHINGTON COUNTY ❑ NAME OF CONTRACTOR- ONTRACTOR•DATE DATEINSPECTION REQUESTED TIME INSPECTION REQUESTED .° �� PERMIT N0 TYPE OF INSPECTION REQUESTED:i'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 ❑ ❑ 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: A !t S N ��iQc�c c C U'e,'s t5 d'�� ete-q" INSPECTOR:_�j✓ DATE OF INSPECTION MADE: (' t'• F 3 TI d �. FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT Ell_�,_�ITY OF BLAIR F -I WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION - NAME OF OWNER� CONTRACTOR DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTED- (yd J 011 PERMIT N 2 �' TYPE OF INSPECTION REQUESTED: El CONFERENCE F -I STATUS CHECK BUILDING: F -I FOOTING F -I DECK FOOTING ❑ FRAMING El DRYWALL ❑ FINAL F1 PARTIAL PASSED FAILED F -I F] COMMENTS: UTILITIES: F] SEWER TAP R SEWER F1 SEPTIC F] WATER TAP R REMOTE R WATER SERVICE PASSED FAILED ❑ PARTIAL COMMENTS: ELECTRICAL:' ROUGH IN ❑ FINAL ',V3."PERMANENT SERVICE F1 TEMPORARY SERVICE ❑ PRECONNECT PSS FAILED ❑ COMMENTS: PARTIAL /Y El MECHANICAL: ❑ ROUGH -IN R A/C tl FURNACE El RADIANT HEAT El FINAL F1 PARTIAL PASSED FAILED COMMENTS: PLUMBING: F1 GROUNDWORK F1 ROUGH -IN El FINAL F1 WATER METER INSTALLED El PARTIAL PASSED FAILED F-1 PRESSURE TEST El El COMMENTS: F -I OCCUPANCY GRANTED F-1 CONDITIONALCCUPANCY GRANTED ry Ad , - I y oi 'Idus-e-, 7tZW 67 7 'Y�Oi Ouc_v� V INSPECTOPA-)-/i ,-] zl: IDATE OF INSPECTION MADE:— TIME 60 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY