BP13213
/l,Q CITY OF BLAIR - MISCELLANEOUS BUILDING t~T& ~
~ Permit #
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Date: 6"- po .-61 Approximate Completion Date: 0-/5 -01 Site Plan Attached:
Estimated Valuation of Project: ~Cfl 060
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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
Length
Utility Excavation
Length
Type: Water
Fee: $75 plus bond
Un. Ft.; Width
; Sewer
Un. Ft
; Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
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PROJECT INFORMATION:
Job Address:
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Legal Description (if applicable)
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Owner: ,I. r,-b.
Address:
Phone#:
Phone #: tftJ;l- 5/ tf -/(p()3
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Cell #: ,j"ltI-1u / /
Contractor:
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Address:
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 onlv 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 offour (4) years.
Original permit fee of $0-$50,000 $150.00 $
Original permit fee of $50,000 - $100,000 $200.00 $
Original permit fee of $100,000 - $500,000 $300.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee:
$
25.00
Deposit:
$
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.
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For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
DatePermitPaid:__")-dtJ-'O'1Receipt# .- Approvedby: Jij, ?Jlf~
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Blair Building Permit Detail
Permit #: 13213 Issued: OS/20/2009
Completed: 12/22/2009
Location: 611 S 1 st St
Owner: O.P.P.D.
Address: 444 S 16th St Mall
Type: Fences - All types
Valuation: 29000
Blair, NE 68008
Phone: Mark 514-1611
Permit Fee: 0
Issue Fee: 0
Deposit Amt.:
Receipt #:
Section:
Subdivision:
Township:
Range:
Lot:
Block:
480' x 255' chain link fence with barbed wire on top makeing it a total of 8' tall.
Contractors
Omaha Public Power District
General Contractor
Permit #
Issued
Remarks
Inspections Date
12/22/2009
By
HOW
Final Inspection of Project
Pass
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BUILDING INSPECTION REPORT
:(}','CITY OF BLAIR
D W ASHlNGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
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NAME OF OWNER- /'j, l ' I"~, ,/:J '
CONTRACTOR-
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DATE INSPECTION REQUESTED' ,/bJ~.',,;,) ;J,
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TIME INSPECTION REQUESTED-
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PERMIT
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL "~:'FlNAL 0 PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWERTAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
\:.A~SED FAILED
"Est 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 A/C D FURNACE D RADlANTHEAT 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
NOTES/REMARKS-
INSPECTOR-
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DATE OF INSPECTION MADE:
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TIME- '~;(' t' {Y';
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY