BP13107
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Blair Building Permit gMJIi~
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Permit #: 13107 Issued: 10/17/2008 Type: Accessory Building
Completed: 10/19/2009 Valuation: 7224
Location: 1227 Kristen Cir
Owner: Steve Appel Permit Fee: 138
Address: 1227 Kristen Cir Issue Fee: 25
Deposit Amt.: 200
Blair, NE 68008 Receipt #: 23331
Phone: 402 426 2439
Section: Township: Range:
Subdivision: RIDGEVIEW Lot: 16 Block:
12x14 wooden shed with concrete slab will have electric.
Contractors
SELF
SELF
Remarks
General Contractor
Electrical Subcontractor
Permit #
E3140
Issued
9/8/2009
9/14/2009
HOW
1. final-shed-partial-needs elect. approval-hw.
9/11/2009
KAR
Not a final. Groudning conductor required to switches. Romex needs to be secured 1 1/4"
back from edge of studs. Protect Romex from floor to top plate of wall. Relabel main panel in
basement.
9/22/2009
KAR
Not a final inspection until romex had a 15 minute fire rated covering from floor to ceiling to
protect it. Such as 1/2" drywall or OSB. Noted panel outlets, switches and lighting are ok.
10/19/2009 HOW 1. final-bldg.-partial only-needs elect. final approval-wash.co.
Inspections Date By
12/11/2008 OEM Final Inspection of Project Pass Partial
9/11/2009 KAR Electrical Final Fail
9/11/2009 HOW Final Inspection of Project Pass Partial
9/22/2009 KAR Electrical Rough-ins Pass
10/16/2009 KAR Electrical Final Pass
10/16/2009 HOW Final Inspection of Project Pass
10/19/2009 HOW Final Inspection of Project Pass
Blair Building Permit Detail
Permit #: 13107 Issued: 10/17/2008 Type: Accessory Building
Completed: 12/11/2008 Valuation: 7224
Location: 1227 Kristen Cir
Owner: Steve Appel Permit Fee: 138
Address: 1227 Kristen Cir Issue Fee: 25
Deposit Amt.: 200
Blair, NE 68008 Receipt #: 23331
Phone: 402 426 2439
Section: Township: Range:
Subdivision: RIDGEVIEW Lot: 16 Block:
12x14 wooden shed with concrete slab.
Contractors
SELF
General Contractor
Permit #
Issued
Remarks
Inspections Date
12/11/2008
By
OEM
Final Inspection of Project
Pass
Date:
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit #
t)
Approximate Completion Date:
Site Plan Attached:
/f
P'
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REScheck Attached:
Complete Plans Attached
Application for: Residential Commercial/Industrial _
New Construction Manufactured Home Modular
Move-on: Home _ Accessory Building Other
Remodel Addition I
Accessory Building: Garage _ Pole Barn_ Other d
Floor Type: Dirt _ Concrete)4;/5/d~ Electricity: Yes X No
Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) _
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) _
Other
Public Water: Yes_ No Private Well
If yes, responsible entity: Blair OPPD Line Kennard
Agreement needed: _ Date Agreement Received: _
Public Sewer: Yes_ No Septic Drawing Provided: _
If yes, responsible entity: Blair _ Kennard
County Road Permit Required: Yes_ No _ Submitted: Yes _ No _
\
I) X
Utilities:
Additional Desr.rintion of project if necessary:
1.J I GJ~ "~ O.A~ ~::"i:o
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Proiect Information:
Job Address:
\ ))1
81IJ05-7'/o7 <?JcF3dr;)>>V:>SS+~
/( {\ stelA C'" r dot It? 111./ ?e 1(0 ,t//3Ac...
lZr d:je '{Ie 1'1/
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Phone#: ltJG
Legal Description (if applicable) Lot I Ct,
Afyl? J Address:
Owner' Ste (Ie.
contr~ctor: J4 ·
Phone #:
Address:
Cell #:
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
codesjordin}mces of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within
18~~t.i~.~otPomPle~~ within two (2) years of date of issue. I ^ /j " /."
';>' G ~.~.( l t}/I 7 / tJ J(
Signature of Owne,l/Contractor Date /' I
ZONING REVIEW:
Zoning/Flood Plain/Utilities:
Current Zoning: fZ~r\
"
Conditional Use Permit Required: Yes _ No
Date CUP Approved:
State Fire Marshal Required: Yes _ No -X Variance Required: Yes No
Minimum Setbacks: Front Second Front Side Side Rear "t;:)
Lot Sauare Foota~e:
Length x Width:
Lot Coverage % (rjL-~
Drivewavs/Sidewalks:
Sidewalk required: Yes_ No
Sidewalk Waiver: Yes
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
No
Flood Plain: Yes No
If yes, specify special requirements:
BUILDING INSPECTOR REVIEW:
Number of Stories
One Two
Three
Four
>Four
High Rise (>75 ft)_
Tvpe of Residential Structure:
Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other
Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric_
Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes No
Sleeping Rooms Living Area Other Egress
Sauare Foota~e:
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front
Deck that affect setbacks:
Second Level: Third Level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Rear
Rear
Occupancy 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 _
(section continued on next page)
High Hazard HPM
Institutional, incapacitated _
Institutional, day care facilities _
Residential, multiple family _
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous _
Institutional, supervised environment _
Institutional, restrained _
Mercantile Residential, hotels _
Residential, one- and two-family
Is buildin~ 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: 20% grade or less? Yes _ No_
(Dale will review new residential construction. AI will review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
Buildin~ Permit Deposit Fee:
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater
Fee - $500.00
Residential additions/remodels/accessory buildings valued under $10,000
Fee = $200.00
All other permits Fee = $50.00
$~O
$ dot) , (Jt)
$
RESIDENTIAL - NEW CONSTRUCTION:
Permit fee is:
Finished sqjft area
(not including finished basement area)
Finished basement sqjft area
Unfinished basement sqjft area
Garage sqjft area
Total Valuation:
X $92
X $56
X$29
X$25
$
$
$
$
$
$
$
$
Total Valuation
Multiplied by 0,006 =
Issuance Fee:
25,00
Total Permit Fee == Deposit + Permit Fee + Issuance Fee
qg.....',
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ELECTRICAL PERMIT APPLICATION 1
Jurisdiction of City of Blair, Nebraska " "J \ 0
218 South 16th Street -"
Blair, Nebraska 68008
Fax (402) 426-4195 E 3140
(402) 426-4191
Application Date:
Cj-fj-C)q
Job Address
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee... ... ... ... ... ... .....$25.00
101-200 Amp Fee.......................$35.00
201-300 Amp Fee.......................$55.00
301-400 Amp Fee.................... ...$75.00
401-500 Amp Fee.......................$95.00
501-600 Amp Fee................... ..$115.00
601-700 Amp Fee................... ..$135.00
701-800 Amp Fee.....................$155.00
801-900 Amp Fee.................... .$175.00
901-1000 Amp........................ .$195.00
IF OVER 1000 Amp
1511000 Amp Fee............... ...$195.00
Each additional 100 Amps...... ...$20.00
Notice
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
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction.
3(7 at)
Permit Fee: $ .' ,
/;/ c? 7
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Zip
Phone
Zip
Phone
NEW COMMERCIAL 0 REMODELING/ADDITIONS 0 UPGRADE SERVICE
Completion Date
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$25.00
Temporary Service.................... $15.00
Fire Alarm System................. ....$15.00
Signs (each)......................... .....$25.00
Miscellaneous Apparatus......... .....$15.00
Commercial/Multi Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x.063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/Switches/Lighting Fixtures (110 volt only)
# of Apparatus.......... /,? x $1.00 I,;! '00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
Permit Issuance Fee.................. .$25.00
Total ,
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ,,'7 P, /. ,
( T). / J ",e..~~
Rev. 2008-10
CITY or BLNQ
HOMEO'VNER VERIFICATION FOR ELECTRICAL 'VIRING PERMITS
slec~ t~
print your full name on line above:
, states the following:
1. I am the O"wner of the single family dwelling for which I am applying for an
electrical permit.
Address:
/2z( /f~ ,/___
;J /
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. 2. I am applying for an electrical permit for a single family dwelling and it is or will
be my principal residence.
3. I will install and connect the electrical wiring for myself, without compensation
or pay from or to, any other person.
4. I have sufficient knowledge of the 2005 National Electrical Code requirements to
make an electrically safe and mechanically seClU'e installation which will meet the
minimum standards referenced in 81-2104.
5. I am aware of all inspections required prior to a final.
6. I will call twenty-four (24) hours in advance for an inspection. I am also aware
that it is not the inspector's job or duty to be my instructor in electrical wiring.
7. I am aware that Nebr. Rev. Stat. 81-2143 makes it a Class 1 misdemeanor to
make a false statement on a request for inspection.
8. By signing this form I am stating the above information is true an correct.
~---~ 9/f1df
Homeowner/Applicant Signature Date I
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cilyofblalr@ci.blair.ne,us
~Ql,IAl.-HOtJ!OlN(l
OP.POIlTUlltTY
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/I nd ustria IjEd ucationa Ij Assembly/Factory /Storage/Utility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except for the following:
Accessory Buildings & Interior Remodeling Proiects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sh!n Erecting/Awnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation: , /C;
Finished sqjft area IceG>
X $ 1.f:3
Construction valuation is ...................................Permit fee is:
$0 TO $50.......................................................... $0
$51 TO $500......,.................................,..,............$25
$501 TO $2,000........................................................$25 + $3
$2,001 TO $25,000........................................................$70 + $13
$25,001 TO $50,000.........................,........................... $370 + $10
$50,001 TO $100,000......................,.............................. $620 + $7
$100,001 TO $500,000..................................................... $970 + $5
$500,001 TO$1,OOO,OOO ..................................................$2,970 + $4
$1,000,001 AND OVER ..................................................$4,970 + $3
Permit Fee calculated from chart above
Issuance Fee:
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
$ 7, lZq,OO
I
per additional $100
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
$ \ 3f1, (!Ii 0
$ 25,00::: ~ 1&300
$ fUk:41/f 31/ E . 6il
,
Additional Comments:
Approved by:'-
Date:
)
Contingent On Approval by Fire Marshall 2(
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: il) - ;Jll'o8
Permit Fee: IX,,;,g. O()
Deposit Amount ,,.J 00 I/U )-) . ~ '
Receipt # d,q~q I ';' . (/ ',//
Deposit Paid by for return to: C _ ../ J /I... . /~
Building Inspection Pouch given: Yes JL... No
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CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS,
NO
RECEIVED BY
Pounds Printing, Blair.... NE 68008
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:}: LUMBER YARD
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CEDAR RAPIDS, NE
BLAIR, NE
ST, PAUL, NE
SOLD TO
QUOTES & BIDS
NOT FOR INVOICING
1680 FRONT STREET. BLAIR, NE 68008-1699
PHONES: YARD (402) 426-3333 FAX (402) 426-2127
MILL (402) 426-3343 FAX (402) 426-5343
SHIP TO
QUOTES & BIDS
NOT FOR INVOICING
BLAIR, NE 68008
BLAIR, NE 68008
**** QUOTE ****
STEVE APPEL
1227 KRISTEN CIRCLE
BLAIR NE
10X12 8' WALLS
40 LF 2X4 ACQ G-C #lSYP R/L, 8-14' 20.27*
24T
LN# : 20
1/40
90 LF 2X4 SPF/HF,#2&BTR,R/L, 8-14' 27.60*
24S
LN# : 30
1/90
42 EA 2X4 SPF/HF,STUD GRADE, 92-5/8 104.16*
2492S
LN# : 40
2 EA 2X12 HF 2&BTR/SEL-STR S4S, 8' 14.30*
2128S
LN# : 50
2 EA 2X12 HF 2&BTR/SEL-STR S4S,10' 18.40*
21210S
LN# : 60
10 EA OSB, REGULAR, 4X 8- 7/16 100.48*
7160X
LN# : 70
168 LF 2X6 SPF/HF,#2&BTR,R/L, 8-14' 76.10*
26S
LN# : 80
September 22, 2008 08:43:0
MERCHANDISE
SHIP VIA
*********
OTHER
TAX
* QUOTE *
*********
PAGE 1 OF 3
FREIGHT
TOTAL
) LUMBER YARD
..... ~=~=~MllfIHI
_ ~~ON~
CEDAR RAPIDS, NE
BLAIR, NE
ST, PAUL, NE
SOLD TO
QUOTES & BIDS
NOT FOR INVOICING
1680 FRONT STREET. BLAIR, NE 68008-1699
PHONES: YARD (402) 426-3333 FAX (402) 426-2127
MILL (402) 426-3343 FAX (402) 426-5343
SHIP TO
QUOTES & BIDS
NOT FOR INVOICING
BLAIR, NE 68008
BLAIR, NE 68008
. . .
7/10 ,7/14
1 EA 2X8 SPF/HF,#2&BTR,S4S,14' 8.75*
2814S
LN# : 90
6 EA OSB,REGULAR,4X 8-15/32 OR 1/2" 63.55*
SPLOX
LN# : 100
20 EA PLYCLIP,42PCS/LB,15/32" 0.060 1.20*
1532PSC
LN# : 110
1 ROL FELT,NUL,36" X 4 SQ ROLL,#150 28.590 28.59*
FELT15
LN# : 120
3 EA RGG, 'EE' GUTTER APRON, 10' GAL 4.390 13.17*
EEGAL
LN# : 130
3 EA RGG, 'D' ROOF EDGE,10 I GAL 3.390 10.17*
DGAL
LN# : 140
2 SQ RFG,CTEED,XT25-SPECIFY COLOR 77.290 154.58*
CT25
LN# : 150
3 SQ SID,VIN,CTMS, 8"X12'6",DB4CLR 69.000 207.00*
MDB4CLR
LN# : 160
4 PC SID,VIN,CTMS,OSC POST, 10' ,ALL 12.890 51.56*
MOSC
LN# : 170
10 EA SID,VIN,CTMS, 1/2JC, 150" ,ALL 4.190 41.90*
12MJC
LN# : 180
September 22, 2008 08:43:0
MERCHANDISE
SHIP VIA
*********
OTHER
TAX
* QUOTE *
*********
PAGE 2 OF 3
FREIGHT
TOTAL
<I LUMBER YARD ~
~=ce=~MlIlrIHI ..
~~ONJ~
CEDAR RAPIDS, NE
BLAIR, NE
ST. PAUL, NE
SOLD TO
QUOTES & BIDS
NOT FOR INVOICING
1680 FRONT STREET. BLAIR, NE 68008-1699
PHONES: YARD (402) 426-3333 FAX (402) 426-2127
MILL (402) 426-3343 FAX (402) 426-5343 SHIP TO
QUOTES & BIDS
NOT FOR INVOICING
BLAIR, NE 68008
BLAIR, NE 68008
3 PC SID,VIN,CTMS,U-SILL,12'6",ALL 5.390 16.17*
MUS
LN# : 190
4 PC SID,VIN,STARTER,2.5"XI20",ALU 3.890 15.56*
STALU
LN# : 200
1 EA TTI00 PH 4-9/16 AJS,3/0 X 6/8 197.000 197.00*
30TTI00
LN# : 210
1 EA ALLOWANCE,HARDWARE,DOOR,BID 29.990 29.99*
DOORHDW
LN# : 220
2 EA 2X6 SPF/HF,#2&BTR,S4S,10' 8.80*
2610S
LN# : 230
2 EA 2X6 SPF/HF,#2&BTR,S4S,14' 13.08*
2614S
LN# : 240
26 LF BRICK MLDG,I-I/4X2,FJPINE,R/L 0.790 20.54*
WM180
LN# : 250
2/8 ,1/10
1 EA GARAGE DOOR,R24 ,NO-INS, 9X7 264.000 264.00*
97RSP24
LN# : 260
1 EA GARAGE DR OPERATOR 248.571 248.57*
O.H.OPENER
LN# : 270
1 EA 48X24 AWNING WINDOW 162.000 162.00*
4824AWN
LN# : 280
September 22, 2008 08:43:0 MERCHANDISE 1917.49
SHIP VIA
********* OTHER 0.00
* QUOTE * TAX
********* PAGE 3 OF 3 7.000% 134.22
FREIGHT 0.00
TOTAL 2051.71
CITY or 5LNQ
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 BuildinQ
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.
Contractor
City of Blair
flj//)li/\07
ICJ/o\f u i'J
Date
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@cLblair,ne,us
EQUALliOllSlllCi
OPPORTUNITY
BUilDING PERMIT DEPOSIT AGREEMENT
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 $50.00 refundable 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.
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.
aa-1L~ n
Contractor/Owne
Contractor/Owner
City of Blair
/O/d.~I!O ~
Dare
----,---,,-.---,,-..,...,~-.... ....~..- ...~......, "'...._,~.~"- ....:....-...c~. -.,c'"".",,,"_' '~__'~ '."~
BUILDING INSPECTION REPORT
"
/
ca CITY OF BLAIR
I
o WASHINGTON COUNTY
/ ' .r-i t/~ ~--_., /
/ -0/} 7 ,;, 'L ,r.~ /
LOCATION OF INSPECTION' / ,~~ ,::.::;>\ / /.A?/ ~) / c;.".,0..
/:1/,-f. '/ /~ I
NAME OF OWNER' / 7' "rc c.......... .
; /
DATE INSPECTION REQUESTED' /O?// I /IOt!...? TIME INSPECTION REQUESTED'
o OTHER
//;
I~ , .-;;::::=>
{ /t' I.....~
~.......
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PERMIT NO' / Q/v /
CONTRACTOR'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
- BUIL~ING: 0 FOOT~G 0 D;;Z~;;' 0 -;~G 0 DRYWALL ~ 0 PARTIAL
,r
,
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATERSERVICE
o PARTIAL
PASSED FAILED
0' 0
ELECTRICAL: D, ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PA~SED FAILED
o 0
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: ' p GRQUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
. 0 I'l&S~URE TEST
COMMPNTS: .'
P b-SSEp FAILED
O' 0
tJO&CUFAijcY'GRMUED [] CONDITIONAL OCCUPANCYGRAmED
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BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
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NAME OF
DATE INSPECTION REQUESTED' (} c J!
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TIME INSPECTION REQUESTED' ,/~~I; .{l I;') ...,.~i . 11/1 '
CONTRACTOR'
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PERMIT
TYPE OF INSPECTION
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL
D CONFERENCE
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC
D PARTIAL
PASSED FAILED
'~. D
WATER TAP D REMOTE D WATER SERVICE
PASSED FAILED
D D
PASSED FAILED
D D
PASSED FAILED
D D
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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DATE OF INSPECTION MADE: ~ -i (-0 ,
TIME' I (] AWB1
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TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
OF BLAIR
D WASHINGTON COUNTY
D OTHER
LOCATION OF
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TIME INSPECTION REQUESTED'
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NAME OF
'/~''''
DATE INSPECTION REQUESTED' l,t
TYPE OF INSPECTION REQUESTED: , D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
PASSED FAILED
D D
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN.:~;,FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
P~ED F~
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
CONDITIONAL OCCUPANCY GRANTED
'I
DATE OF INSPECTION MADE:
o9--II-;d:(cJt!I:1' TIME' 10'6
INSPECTO .
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
OF BLAIR
o WASHINGTON COUNTY
LOCATION OF INSPECTION'
NAME OF OWNER' ,':j,Je \.J ,:
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CONTRACTOR'
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DATE INSPECTION REQUESTED' <l", ~;;l;l ... {;;, (;4
TIME INSPECTION REQUESTED'
,/~<) '<;>,('/,,,,/' ./4, PERMIT NO'
TYPE OF INSPECTION
o CONFERENCE
o STATUS CHECK
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
COMMENTS:
PASSED FAILED
o 0
o PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
~ F~ED
COMMENTS:
MECHANICAL: 0
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESS URE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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INSPECTO~~ ~ DATE 0, INSPECTION MADE, o9-0?,;(?-c!fJ TIME-lo.' OS'-
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
BUILDING INSPECTION REPORT
'8],: CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
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NAME OF OWNER'
CONTRACTOR'
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DATE INSPECTION REQUESTED''/
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TIME INSPECTION REQUESTED' "",d';r' I
PERMIT NO'
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TYPE OF INSPECTION
D CONFERENCE
D STATUS CHECK
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH m:ptii( FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
DPARTIAL'
~ F~ED
COMMENTS:
MECHANICAL:D ROUGH-IN D AfC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
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NOTES/REMARKS'
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INSPECTOR4I~f!;1~
DATE OF INSPECTION MADE:
10 - /0- ,;{f!Z:H
TIMF' /0.' ~O
,
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
V1r~
CITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
NAME OF OWNER' ,S'~I {' l,
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CONTRACTOR'
DATE INSPECTION REQUESTED' J (1 i ') () 9
TIME INSPECTION REQUESTED'
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PERMIT NO' ! ,J j (:' ')
TYPE OF INSPECTION REQUESTED:
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL
D CONFERENCE
FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D AfC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPECTOR'
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i
DATE OF INSPECTION MADE:
J ,,, IJ" '1
' I J "j' '" , (), I",
',. I',j ~r ~I
I "-1
TIMF' / 'j(", '
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FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY