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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 buildin2: reauired 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 witt review new residential construction. AI witt review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
Buildin2: 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 $
RESIDENTIAL - NEW CONSTRUCTION:
Permit fee is:
Finished sqjft area '7 (J ()
(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
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Businessjl nd ustria IjEd ucationalj Assem blyjF actoryjStoragejUtility
*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
Sign Erecting/Awnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation:
Finished sqjft area / t!) 00
X$ /,;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$1.000.000.................................................. $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
$ (jJ~ 0 tJO, oi>'
i:l.'1
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
$ 750,O()
$ 25.00 ~ 775 J)t)
$ ) J, 15', CJ ()
Additional Comments:
Approved by: ~.rp//i~
Date:
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
>?' -- 6 = () q
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No
- ",- ~"-
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit #
n/~
'.....-
Date: '7- ,3 tJ ,,() "}
Approximate Completion Date: /v - i 5, 0 (1
Site Plan Attached:
V REScheck Attached:
Complete Plans Attached
~
Application for: Residential V Commercial/Industrial _
New Construction Manufactured Home Modular
Move-on: Home Accessory Building Other
Remodel Addition ~
Accessory Building: Garage _ Pole Barn_ Other
Floor Type: Dirt _ Concrete _ Electricity: Yes --=::::: No
Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) _
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) _
Other
Utilities: 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 _
IV" /JJ
Additional Description of project if necessary:
ho C:'(.,l1j , ):',. ,- )
s:'
Proiect Information:
Job Address: /tJftiLf:;t L~ ;(~j
~-""')
Legal Desc" riPtion,(i,f apPlic~b,l,e) ';).L 2", lP," g)-{ ~-II
\llc Y /c c1ciu
ownerJffi'1ctlcl,-t Jf\. aUf! "o'Address:
')0
&x I
8 '1 b 6/ C;(PiJ'I~
S,lo
at.
Phone#: r~!t" 43't;:.;J I
Contractor:
f
"1 (';" / j -I /;1
",..., ,., 'it ' ~ (//, ~./, 4'
Address: eX 6,:r:;Jd 1Jjp /I..1lctrc Ct" Cell #:
_' '7 ./~l ~r I~ "
",' ,c /,,1 I/,J ,</',/,,~ -51 " V' C" ,:.
" tJ'{~,) Iv.,; ,/j" ,;y'
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 mpleted within two (2) years of date of issue.
7~-~{' (-~) '~c) :7
Date
For Building Permits other than One & Two Family Residential Structures:
I hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for
Review.
'~
Signature of, Owner/Contractor
Date
@?
PLUMBING PERMIT APPLICATION \ 3;}1'3
~
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
9-'1-01
Job Address
Owne
Comments:
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.
_/~...
9-- 0
Date
Permit Fee: $
8;l?cI ~C
Zip
Zip
P 2048
$1/,00
!1l:lfr4Yt
Phone
Phone
o Alteration 0 Repair 0 Replacement
.~a{dt17v
PLUMBING PERMIT FEES
Modular Home... ... ... ...... ... ....$50.00
Type of Fixture No.
Kitchen... ... ... ... ... ... ... ... ... ... $12.00 x --1-
Bath.....Residential/Single Stall $12.00 x~
.................. ..Multi-Stall $25.00 x
Rough-In Bath.................. ......$8.00 x_
Additional Sinks..... .. ... .......... .$6.00 x
Slop Sink/Laundry Tray/Drain.....$6.00 x ~
Water Heater..................... ....$10.00 x ~
Outside Water Faucet...................$6.00 x--2-
Drinking Fountain........................$6.00 x
Backflow/Grease Trap............. $15.00
Water Service..................... ..$15.00
Sewer............................... ..$15.00
Groundwork... ... ... ... ... ....... ...$15 .00
Septic Tank & Laterals............ $15.00
Lawn Sprinkler System... ....... ..$10.00
Sprinkler System (Commercial)..$30.00
Gas/Water Piping System
(Commercial).................. ... ...$50.00
Permit Issuance Fee.................$25.00
Current License on File
Comment:
Yes 0 No
b.OO
~
/02 . t> ()
It! ,0 ()
/0. vO
/,,;2.00
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 1: .9 j /
.' . 1 'Jr J!.-uu-n
(
Rev. 2008-10
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
~
Application Date:
1rd~~J9
Job Address
Comments:
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.
Signature of Contractor or Authorized Agent
Date
1'''1
,'3;2IJ
Permit Fee: $
P 2052
':\
yo fJ~
C/
Zip
It /~ne
uPho.ne
/1(;
o Repair 0 Replacement
rYh.
PLUMBING PERMIT FEES
Modular Home... ... ... ... ... ... ....$50.00
Type of Fixture No.
Kitchen.. . .. . .. . ... .. . .. .. .. ... ... .. . $12.00 x
Bath.....Residential/Single Stall $12.00 x_
.................. ..Multi-Stall $25.00 x
Rough-In Bath....................... .$8.00 x_
Additional Sinks................... ..$6.00 x
Slop Sink/Laundry Tray/Drain.....$6.00 x_
Water Heater.................... .....$10.00 x
Outside Water Faucet...................$6.00 x
Drinking Fountain........................$6.00 x_
Backflow/Grease Trap........... ..$15.00
Water Service..................... ..$15.00
Sewer.............................. ...$15.00
Groundwork..................... ....$15.00
Septic Tank & Laterals............ $15.00
Lawn Sprinkler System......... ...$10.00
Sprinkler System (Commercial)..$30.00
Gas/Water Piping System
(Commercial)................. ..... ..$50.00
/,s-u0
Permit Issuance Fee... ...... ........$25.00
Current License on File
Comment:
Total
o No 0 NjA
WHEN PRO PERL Y V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ''7 .7 i
, '7:). j. J! 'l~{(jA:.~~~-~
Rev. 2008-10
~
~21 S
MECHANICAL PERMIT APPLICATION \ ~OI' -
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
Q- C; a.- 0 0;
Job Address
Contracto
2. d
3. Class of Work:
Describe Work:
4.
Heat Pump
CentralA/C
/5
Tons
Tons
Furnace
1/i- tJ
BTU/H
A/C
# of Units
Furnace
Completion Date:
Boiler Chart
BTU Fee
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
Notice
I hereby certifY that I have read and examined this
application and know the same to be true and correct. All
provisions oflaws 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.
~LP' ~ ------\
:7-- 7'- CJ 0
Date
Permit Fee: $
M 1914
f.f7.6tJ
&tU~
/{) tJ; t/,;7 (1t? ;Z d.
Zip
r?>
.::7'
Phone
Zip
Phone
o Alteration 0 Repair 0 Replacement
y~ ,/I ~ 'j tl'-pV
MECHANICAL PERMIT FEES
FurnacelHeat Pump/Air Conditioner (Per Unit) J 0 ' tJ {J
Up to and including 100,000 BTU / 3Ton............................$15.00
FurnacelHeat Pump/Air Conditioner (Per Unit)
Over 100,000 BTU / 3 Ton............... ............... ......... ... ...$25.00
Refrigeration Units/Coolers/Lines/Compressor - Commercial
(New or Replacement) (Per Unit)
. . . . . . . .. . .. .. . .. . .. . . . . . . . . .. .. . .. . . .. . .. . .. . .. . . . . . .. . . . . .. . .. . . . . .. . .. . . . .. $15.00
Boiler (use BTU Chart to left)... .......... .... ...
Appliance Vent/Fans.................... ....$10.00
Sot)
'7t} ,S';;/
~6
Duct System... ...... ...... ... ... ... ... ...... .$15.00
Gas/Air Outlets.................First 5
x $6.00
... ... ...Additional
x $1.00
Radiant Heat Systems/Gas/Water
Piping System... ... ...... ...... ... ... ...... ..$50.00
Modular Home... ... ... ... ... ... ... ... ... .... $50.00
P . I F $2500 C?/;./ ot)
ermlt ssuance ee. .. .. . .. .. . .. .. .. . .. .... ... J
Total ':2 Q..O
Current License on File ~es 0 No 0 NjA tJ;7. 5 tJ
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: i!.?- / .
f';:d~
(' <--0'
Rev. 2008-10
ELECTRI<OOjJ, ~~PPLICATION r1~
Jurisdiction of City of Blair, Nebraska \ 3 ?
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 E 3138
(402) 426-4191
Application Date: tl ~ ;J 7~ 01
Job Address
Permit Fee: $
(j;f It)
/ t1 /l:; c/;:? (~ ~ d ~
Owner 1 J r Mail Address /J,,I , ' ZiYJ j '1' ,D /1 ' Phone. >,
1. o/1afd ~' )cc:zwn ~() a C-F7 /iJ (/ C/;;1 (/cJ /cV eX r L)favt L/ eLf; -5tJ;11
contractd.'27,7 " ail Address.: .0 4A /' 3/ / / JtP ? /I.f1tJ1/, /J P)lOne /" '
2. /-:/l;/ {!/41 t/JJ , j '11- $1 ~ C>> {! r 41 t!-, / 7bJ ,d7 Lf t. L-t AI -1"41 a if il J,2
3. Class of Work: 0 NEW R 'IDENTIA 0 NEW COMMERCIAL REMODELING/ADDITIONS 0 UPGRADE SERVICE
Describe Work: c} j, r/ I'''' '
4. c.>> rJ I v1Ad .-4c:1CZC:V t'lv
5.Current License on File JQ Yes 0 No 0 N/A Completion Date
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
1 st 1000 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 oflaws 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
p rformance of construction.
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
CommerciallMulti Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
HcjlO
I' sq. ft. x .063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
# It>
Receptacles/Switches/Lighting Fixtures (110 volt only)
# of Apparatus .......... x $1. 00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.. . ..
x $3.00
Permit Issuance Fee................. ..$25.00 025, CJ 0
Total 1/1 I ~
Comment:
WHEN PRO PERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 'VV I
D " rj ~A.d-t~
I
Rev. 2008-10
221-0"
t:.,1 ~ II
.,.,-0
5'-6"
11'_0"
31_0" X 41_0"
~
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_I
(()
o
.
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ZONING REVIEW:
Zonin Flood Plain ><
Current Zoning: Conditional Use Permit Required: Yes _ No_
Date CUP Approved:
State Fire Marshal Required: Yes _ No 1- Variance Required: Yes _ No_
Minimum Setbacks: Front ~ Second Front Side <::TJ Side Rear <;'"0
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Lot Sauare FootaZ)IL
Length x Width: _ Lot Coverage %
Driveways/Sidewalks: .
Sidewalk required: Yes_ No -IJ./k Sidewalk Waiver: Yes _ No
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
Flood Plain: Yes No ~
If yes, specify special requirements:
BUILDING INSPECTOR REVIEW:
Number of Stories
One Two
Three
Four
>Four
High Rise (>75 ft)_
Type 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
Square Footage:
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 _
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NAME OF
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DATE INSPECTION REQUESTED- (J
TIME INSPECTION REQUESTED'
UTILITIES:
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TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o WATER TAP 0 REMOTE 0 WATER SERVICE
PASSED FAILED
o 0
COMMENTS:
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o PRESSURE TEST
PASSED FAILED
o 0
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS-
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NAME OF
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o STATUS CHECK
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o PRESSURE TEST
o PARTIAL
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o
PASSED FAILED
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BUILDING INSPECTION REPORT
OF BLAIR
o WASHINGTON COUNTY
LOCATION OF
NAME OF
DATE INSPECTION REQUESTED'
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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
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL:,~[d<ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
P~E~
COMMENTS:
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
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o 0
COMMENTS:
o OCCUPANCY GRANTED
~.
INSPECTOR,~Q R~
DATE OF INSPECTION MADE: (j 9- ) ?- dlYJ9
TIMR'/O ,\ V d
,
FAXED OPPD\BURT REA
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BY
1/'4;,
CITY OF BLAIR
BUILDING INSPECTION REPORT
LOCATION OF
o WASHINGTON COUNTY
NAME OF
DATE INSPECTION
.i A
TIME INSPECTION REQUESTED,,/l/,
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECKFOOTING..!SJ::FRAMING 0 DRYWALL 0 FINAL ~'PARTIAL
COMMENTS: S e €.. La v..J
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
o STATUS CHECK
PASSED FAILED
~' 0
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
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MECHANICAL~' ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 'l5k1ARTIAL PASSED FAILED
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o PRESSURE TEST 0 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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INSPECTOR'
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DATE OF INSPECTION MADE:
9 -/7..()~
TIMF' / d ';A~
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BY
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BUILDING INSPECTION REPORT
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o CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
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LOCATION OF INSPECTION'
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TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
COMMENTS:
UTILITIES: 0 SEWERTAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
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COMMENTS:
MECHANICAL: ",ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
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o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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o 0
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o 0
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~ 0
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INSPECTOR' ~)y-,/ 4Q,/
DATE OF INSPECTION MADE:
?-/~
FAXED OPPD\BURT REA
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BY
TIME' S r~
BUILDING INSPECTION REPORT
OF BLAIR
o WASHINGTON COUNTY
LOCATION OF
TIME INSPECTION REQUESTED'
it
NAME OF
DATE INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
PASSED FAILED
o 0
ELECTRICAI;;,;lGl)oUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
~ED
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
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o 0
COMMENTS:
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o 0
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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DATE OF INSPECTION MADE:
TIME'
J /: 2..1J
fAXED OPPD\BURT REA
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BY
?i1Je
o CITY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION-
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NAME OF OWNER- ii,~ :'Jt~l ( i/c~\
DATE INSPECTION REQUESTED- (1
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TIME INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
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COMMENTS:
UTILITIES: 0 SEWER TAP 0
o PARTIAL
SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVIC
o STATUS CHECK
PASSED FAILED
0 0
FAILED
0
PASSED FAILED
0 0
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0 0
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COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
MECHANICAL:O ROUGH-IN 0 A/C 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPECTOR'
1/J~/-fe-
DATE OF INSPECTION MADE:
q -. ;;;..S _c () 9 TIME- :J-!: 50 ('{//Nt.
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
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BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
D OTHER
DATE INSPECTION REQUESTED:/it/
,/ /,,"}
TIME INSPECTION REQUESTED- ,"),. 1;/:'/ )'!"~l,PERMIT
i!
NAME OF
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
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COMMENTS:
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COMMENTS:
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COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
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COMMENTS:
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NOTES/REMARKS-
INSPECTOR-
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DATE OF INSPECTION MADE:
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CLJ!'<2lTY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
LOCATION OF
/.. >~)I >\J ';71 ,
NAME OF
/.,/}. ,..,"":, l~:/l. ,/\ t;<,:)
DATE INSPECTION REQUESTED' /' t>'"'/,;,; l .' ,cd'; TIME INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECKFOOTING 0 FRAMING 0 DRYWALL ~AL ~ARTIAL
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
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PASSED FAILED
..:Rr 0
COMMENTS:
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COMMENTS:
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MECHANICAL:O ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT :~INAL 0 PARTIAL
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COMMENTS:
PLUMBING:
o GROUNDWORK 0 ROUGH-IN ~FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST ;,
~ED F~LED
COMMENTS:
''1v1 OCCUPANCYGRANT~ONDlTIONALOCCUPANCYGRANTED'_ pee.4..L~ ~te~{. F~',:-LJ- eC-ect' Ar'~"ta.....:do'"F
~ () C C:'-'l'M..Jcy.
NOTES/REMARKS' (j) :-Se.~L iA/a:i~ r Lr.').t>;:b a::t P~d{L ..
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INSPECTOR'
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DATE OF INSPECTION MADE:
I 0 -. -:J. 9 -() 9
TIMF' J PM
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
:~DFBLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION'
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BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
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o 0
ELECTRICAL':8~,:;~~:,~"~~ffiAL?~~;.ke'ER]J~X6 DffD'Jl'g r~of :~ED Fjl(D
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o PRESSURE TEST 0 0
COMMENTS:
Q f-e .h- .6-e OM II-I'C ~ d-r
DATE OF INSPECTION MADE: /() ... ~t:5 ~ TIMR I:~ dO
. #' ..
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
(~
,~
/,
~ , ,CITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
NAME OF
__./.."',,.ill" ", <,.
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j
DATE INSPECTION REQUESTEDi
} /}
TIME INSPECTION REQUESTED' /' ,f/",
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
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PASSED FAILED
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COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL,:;[S] PERMANENT SERVICE
"cO" .'-'."
D PARTIAL
FAILED
~
COMMENTS:
MECHANICAL:D ROUGH-IN D A/C D FURNACE D RADIANT HEAT 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:
&7r- iJf& (i~ '?'C~~--r'
77 cP'SC071/1C'C~' IS
DATE OF INSPECTION MADE:
}/-/~~ TIMP' /0,' dO
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
,J' ;i4.),
. tJ<CITY OF BLAIR
BUILDING INSPECTION REPORT
:/
D WASHINGTON COUNTY
LOCATION OF INSPE,CTION'
NAME OF OWNER' ,/;)/7l/(;{:/~il ~ A:';:;!,t:clfl /;~~t0(;?(:~j/;
) /,., I . '(~!' i:ii;
DATE INSPECTION REQUESTED' /1 l - .,
TIME INSPECTION REQUESTED' i/~C,~ ' {:~,;r:) /1 "it,,?, . PERMIT NO'
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING':~.2r....DECK FOOTING D FRAMING D DRYWALL D FINAL'~AL
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
D STATUS CHECK
,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 AlC 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
(j)
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INSPECTOR'
~1/f/~'"
DATE OF INSPECTION MADE:
tf-f(.-IJ q,
TIMP'
I d k>U/\......
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
06 /se 01
July 7, 2010
a
Donald & Karen Roach
10642 Co Rd 29
Blair, NE 68008
Re: Building Permit #13273
Dear Mr. & Mrs. Roach:
On July 30, 2009, the City of Blair issued you Building Permit #13273 for your breezeway
remodeling project, attaching together your house and porch and adding a bedroom and bathroom.
On October 29, 2009, City of Blair building inspector Howard Wolfe granted you "conditional
occupancy" pending a successful electrical final inspection and the electrical inspector's approval of
occupancy.
On November 16, 2009, Washington County electrical inspector Kris Robinson failed an electrical
inspection. Since that time several attempts have been made to schedule a follow up electrical
inspection, all to no avail.
Section R105.4 of the 2006 International Residential Code, which the City of Blair has adopted, says
in part, "The building official is also authorized to prevent occupancy or use of a structure in
violation of this code or of any other ordinance of this jurisdiction."
Therefore, because of the safety hazard caused by occupying a structure which has not received a
successful final electrical inspection, you are hereby informed that if you do not request and pass a
final electrical inspection by the end of business on July 23, 2010, the City of Blair building
inspector will place a "DO NOT ENTER - UNSAFE STRUCTURE" notice on your residence. We will
also work with Washington County Sheriff's office and Blair City Attorney to enforce this order.
I trust that you understand how important it is that this final electrical inspection occur quickly.
Please call Blair City Hall at 426 -4191 when you are ready to schedule the inspection.
Sincerely,
/?, /- C�,g�
Phil Green
Assistant City Administrator
Cc: Geoff Hall, City Attorney
Brenda Wheeler, City Clerk
YPPOPTVNTY
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 • E -mail cltyofblair @ci.blalr,ne,us
BUILDING INSPECTION REPORT
El CI LAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION � a
NAME OF OWNER CONTRACTO z } }° 4> € .
DATE INSPECTION RE VESTED Y) 0-�
Q Al- TIME INSPECTION REQUESTED- PERMIT NO
is .._ ... „.. r
TYPE OF INSPECTION REQUES ❑ CONFERE ❑ 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
El
❑
❑
COMMENTS:
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
ELECTRICAL: ❑
ROUGH IN ❑ FINAL,
- PERMANENT SERVICE ❑ TEMPORARY SERVICE❑ PRECONNECT
PASSEIFAII
ED
❑
PARTIAL
" I a
❑
COMMENTS:
f
MECHANICAL: ❑
ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑FINAL ❑PARTIAL
PASSED
FAILED
El
❑
COMMENTS:
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
INSPECTO R DATE OF INSPECTION MADE .A R . ` ' T TMR
AX WDBURT REA TO CONNECT SERVICE: 0 N BY
BUILDING INSPECTION REPORT
CITY OF BLAIR F WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OFOWNER:
CONTRACTOR --�k- e "t", ,k 5
DATE INSPECTION REQUESTED: TIME IN REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED: CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECKFOOTING [:1 FRAMING [:1 DRYWALL,.,,.,'Ej,,fINAL XPARTIAL PASSED FAILED
COMMENTS: 3< F
NOTES/REMARKS:
I ) I C7, - A
p
DATE OF INSPECTION MADE:
INSPECTOR ;w !! f — ( TIME:— / —r P'Vl
FAXED OPPD\BURT REA TO CONNECT SERVICE:
❑ ~ CITY OF BLAIR
LOCATION OF
C 1 N ' 9L '3'
❑ WASHINGTON COUNTY
f
❑ OTHE
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NAME OF OWNER , ' , ' w .;rte r > � ., ' ,.'• 7
CONTRACTO • r . :z
DATE INSPECTION REQUESTED >� TIME INSPECTION REQUESTED '` IL 9 PERMIT N0
TYPE OF IN REQUESTED: ❑ CO ❑ STA TUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ - JINAL PARTIAL PASSED FAILED
COMMENTS: ❑
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑
COMMEN
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
MECHANICAL: ❑
ROUGH -IN [_1 A/C ❑ FURNACE ❑ RADIANT HEAT , FINAL ❑ PARTIAL
PASSED
FAILED
jeory
r-]
COMMENTS:
F
PLUMBING. ❑�
GROUNDWORK ❑ ROUGH -IN XFINAL ❑� WATER METER INSTALLED ❑ PARTIAL
FAILED
F
PRESSURE TEST
El
COM MENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
INSPECTO ___ ° DATE OF INSPECTION MADE: y -1 T IME: -
FAXED OPPD\BURT REA TO CONNECT SERVICE: