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BP13344CITY OF BLAIR — APPLIC TION FOR BUILDING PERMIT Permit # -35 Date: s 'o G Approximate Completion Date: Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential, New Construction -1-e Move -on: Home Commercial/Industrial Manufactured Home Modular. Accessory Building Other Remodel Addition Accessory Building: Garage Pole Barn Other Floor Type: Dirt Concrete Electricity: Yes No Sign Erecting, Awnings Decks/Handicap Ramps (p►otp►an 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 Additional Description ofpect i necessary: Project Information: Job Address: & C � , /5 -/- Legal Description (if applicable) �� 9 Owner: � "efIld z6 4 Address: '� J I - Phone#: Contractor: Address: _ Phone #: Cell #: Ive Separate permits are required for Olectrical, plumbi g, heartin , venti atmg 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 �;Ignature 0 ys r.'s not completed within two ) yea s of date of issue. of Owner/Contractor Date For Building Permits other than One & Two Family Residential Structures: I hereb cknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for evie kr( i nature of Owner Contractor Date g wrier/ Contractor ZONING REVIEW: Zoning/Flood Plain/Utilities: Current Zoning: Conditional Use Permit Required: Yes No Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front Second Front Side Side Rear Lot Square Footage: Length x Width: Lot Coverage % D r iveways/Sidewalks: Sidewalk required: Yes No 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', Sleeping Rooms Living Area Other Egress Sauare Footage: iC 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 Occupancv 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, 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: 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: Building 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 sq/ft area X$92 (not including finished basement area) Finished basement sq/ft area X $56 Unfinished basement sq/ft area Garage sq/ft area Total Valuation: X $29 X $25 Total Valuation Multiplied by 0.006 = Issuance Fee: E $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ ess/Industrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the folloMtI Accessory Buildings & Interior Remodeling Projects: sq/ft area X $43 Pole barns with no hard surface floor: sq/ft area X $25 Sign Erecting/Awnings and Decks/Handicap Ramps: sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation: _ _ Finished sq/ft area 5.5 , l 0 X $ b,:3 $ �'�; )910. 0� 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 Additional Comments: 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 a �/ 4I L.' $ O , '7 $ 25.00 / 1�i `i 0 0 Approved by: Date: 4. t ( 0 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: Permit Fee: Deposit,Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes No C C% PLUMBING PERMITPICATI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 2123 (402) 426-4191 Application Date: Permit Fee: $ ' Job Address C /�C f L & Owner Mail Address ,,/) Zip Phone Contra t�r M '. AddI- atlpress r� Zi �✓T h e 3. Class of Work: OMMERCIAL 0 RE IDENTIAL-_Moe w O Addition O Alteration O Repair O Replacement Describe Work: 4.� < j� PLUMBING PERMIT FEES Comments: 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 Notice Outside Water Faucet...................$6.00 x I hereby certify that I have read and examined this Drinking Fountain ........................$6.00 x 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 Backflow/Grease Trap$15.00 not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other Water Service .......................$15.00 state or local law regulating construction or the Sewer performance of construction. .................................$15.00 Groundwork .........................$15.00 Septic Tank & Laterals............ $15.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial).. $3 0.00 ` Gas/Water Piping System r (Commercial)........................$50.00 Signature of Contractor or Authorized Agent Permit Issuance Fee.................$25.00 Total Current License on File esO No Cl N/A Date Comment: WHEN FXUFhKL Y V ALIUA 1 LIJ �11V 1 tnta 3rAkuz) 1 n10 10 1 v v1N- 1 1"uv11 I Approved By: r .ev. 2008-10 Jun, 17, 2010 11:44AM CITY OF BLAIR (402, 426, 4191) No, 5023 P qq t PLUMBING PERMIT APPLICATION Jurisdiction of City 0"Ilair, Nebraska 218 Smith 16 thStreet Blair, Nebraska 6$008 Pax (402) 426-4195 p 2123 (402) 426-4191 r� Application Date: (U ` Permit Pee - Job Address p _ f� (% / �j - �'q �� Owner ( Gr j Mail) Address f�/A Zip Phone 1. D Ile GAO • / Contra t�r �/ M H Address �F (� ( 7 c2 Ti7eG� 2. Twwt'AP L> {/rte '7 / C) t� Ul`Gc cl 3. Class of Work; `,COMMERCIAL Q RE IDENTIAL I Zk-New ❑ Addldon ❑ Alteration ❑ Repair ❑ Replacement Describe Work: 4. SA i PLUMBING PERMIT FEES Cosrunents: Modular home......................$50.00 Type of Fixture No. Notice I hereby certify that 1 liave 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 spcoified horein or not. The granting of a permit does not presume to give authority to violate or cancel tine provisions of any othcr state or local law regulating construction or the performance of construction. gnature of Contrittor or A utnoMoa A: r7nre Kitchen..............................$12.00 x Bath... Residential/Single Stall $12.00 x ..............Multi -Stall $25.00 x Rough -in ]Bath ........................$5.00 x Additional $inks.....................$6.00 x Slop Sink/laundry Tray/Drain ..... $6.00 x Water Hoater .........................$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 & 1laterals....... ..... $15.00 Lawn Sprinkler System.,.. ....... $10,00 Sprinkler System (Commercial)..$30.00 Gas/Water Piping System (Commercial) ............. • ..........$50.00 Permit Issuance Fee ...... ...........$25.00 D Total Current license on File es 0 No ❑ N/A Cormnent: WHEN PROPERLY VALIDATED IN TT�YS SPACE) THIS I� YUU1t P�tiNal'l Approved By: ROV, 2005-10 THANK YOU KEEP THIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 iiKW4*.�roof CITY OF BLAIQ 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 Building 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. Owner/Occupant Gon#rac#or City of Blair 11, i C)ate Q- 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@ci,blair.ne,us oPooa.,r. BUILDING PERMIT DEPOSIT AGREEMENT CA$500.00 efundable deposit is being collected for any new commercial, new ntio , 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 $50.00 refundable deposit is being collected for all misc. permits. The City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) Theft of water service by the plumber, owner or general contractor. 2) All permits have not been obtained. 3) All required inspections have not been obtained. 4) Occupancy occurs prior to a final inspection. 5) The project is completed without a final inspection being done. 6) Storm Water Management Plan inspection not obtained. (If Required) If any or all of these situations occur during construction, you may forfeit your deposit. I hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/Owner Date Contractor/Owner City of Blair ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER ❑ REMOTE ❑ WATER SERVICE PASSED FAILED LOCATION OF INSPECTION 11 f k ,; s, ¢ ;:°.i bf ,r• §r d NAME OF OWNER-'` ed �" I a. ONTRACTOR CONTRACTOR- ELECTRICAL: ❑ T. DATE INSPECTION REQUESTED: k, TIME INSPECTION REQUESTED L) = PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ ❑ ❑ CONFERENCE ❑ STATUS CHECK BUILDING:� FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL PARTIAL PASSED FAILED ppElCOMMENTS: Jt Gl G N U i C$ e L -Q w. FAILED 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: I ! ;',t,ti NG"f = F11, nl ` r.-., t I KI S `4 1(o a b'Ly f -(k e tlo'6,. ;Lo„v .-D < GG y INSPECTORS ` '& c" DATE OF INSPECTION MADE:/ —13- f b TiMF © wL FAXED OPPD\BURT REA TO CONNECT SERVICE: ON 1� LTL U❑, CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION'` r: NAME OF OWNER - r CONTRACTOR DATE INSPECTION REQUESTED- — 7IME INSPECTION REQUESTED r.=.' " PERMIT NO - TYPE OF INSPECTION REQUESTED: BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL COMMENTS: ❑ STATUS CHECK FAILED El 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 INSPECTOR— a! t✓ J DATE OF INSPECTION MADE:- —12 - t C) TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: _A_ ❑v, CITY OF BLAIR LOCATION OF INSPECTION: BUILDING INSPECTIONrinKtfp ❑ WASHINGTON COUNTY ❑ OTHER ov. COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR 7-/�/•r�ai,? DATE OF INSPECTION MADE: r r� (2 ) 6 TIME- FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY f,F NAME OF OWNER ' ,t a - a CONTRACTOR 2L 917— / ® 7 DATE INSPECTION REQUESTED'' TIME INSPECTION REQUESTED ' P PERMIT N0 61, TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL CSfPARTIAL PASSED FAILED �ElCOMMENTS: # � J' O c d - = UTILITIES: ❑ SEWERRTTAP ❑ 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: INSPECTOR 7-/�/•r�ai,? DATE OF INSPECTION MADE: r r� (2 ) 6 TIME- FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY NOTESIREMARKS - ,x `x N S ,.i g Lc ✓ €.'� INSPECTOR F' DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING CT CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION: NAME OF OWNER: J 6 - 4CONTRACTOR: DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED- PERMIT N0: — TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE Q El STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL_ ❑';PARTIAL PASSED FAILED COMMENTS: _ o w (s t s t. E �, `? _._ "•v (a 3` , " ; El. ij.. . _ 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 ❑ PARTIALS PASSED FAILED ❑ ❑ s COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ?' ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTESIREMARKS - ,x `x N S ,.i g Lc ✓ €.'� INSPECTOR F' DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: T CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER J LOCATION OF INSPECTION. WNER bCONTRACTpR '., x✓: ..r: NAME OF OWNER-s t DATE DATE INSPECTION REQUESTED `- = r TIME INSPECTION REQUESTED: _ 3 p jet Lt ° PERMIT N0: , TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑: FOOTING ❑ DECK FOOTING F-1FRAMING [:1 DRYWALL [:1 FINAL ❑ PARTIAL ASSF,D 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 e �f,cvoa ag-f iy Fa S f a. l o f —. R L- C a L S - k INSPECTO /i DATE OF INSPECTION MADE: f 7 ` l ® TIME- FAXED IM FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY { INSPECTO BUILDING INSPECTIO Is- I o TIME-_�� 1 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B CITY OF BLAIR El WASHINGTON COUNTY Ell OTIIE '747"T LOCATION OF INSPECTION - NAME OF OWNER' CONTRACTOR 7 DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED PERMIT NO -- TYPE OF INSPECTION REQUESTED: EICONFERENCE F1 STATUS CHECK BUILDING: F1 FOOTING El DECK FOOTING E] FRAMING El DRYWALL El FINALp)�ARTIAL PASSED FAILED El El COMMENTS: UTILITIES: F -I SEWER TAP F1 SEWER El SEPTIC F-1 WATER TAP F1 REMOTE F-1 WATER SERVICE PASSED FAILED F I PARTIAL Nl__, N�_ 1-1 COMMENTS: 1-01-11 ELECTRICAL: F -I ROUGH IN F1 FINAL F] PERMANENT SERVICE E] TEMPORARY SERVICE F -I PRECONNECT PASSED FAILED F -I PARTIAL F -I F] COMMENTS: MECHANICALF] ROUGH -IN [_1 A/C El FURNACE El RADIANT HEAT El FINAL El PARTIAL PASSED FAILED F -I 0 COMMENTS: PLUMBING: F -I GROUNDWORK 7 ROUGH -IN El FINALE] WATER METER INSTALLED El PARTIAL PASSED FAILED F-1 PRESSURE TEST El F -I COMMENTS: F -I OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED INSPECTO DATE OF INSPECTION MADE: Is- I o TIME-_�� 1 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B -12o6TY OF BLAIR I wgrmmmlm U DEW I I IDIM110.41 ❑ WASHINGTON COUNTY F-1 OTHER INSPECTOR- DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON NAME OF OWNER- CONTRACTORLI/eL DATE INSPECTION REQUESTED -L.-j'TIME INSPECTION REQUESTED-,,- PERMIT NO TYPE OF INSPECTION REQUESTED: [] CONFERENCE ❑ STATUS CHECK BUILDING: F-1 FOOTING R DECK FOOTING E:l FRAMING [-] DRYWALL El FINAL F-1 PARTIAL PASSED FAILED COMMENTS: UTILITIES: Fl SEWER TAP R SEWER El SEPTIC R WATER TAP F-1 REMOTE R WATER SERVICE PASSED FAILED F-1 PARTIAL El El COMMENTS: ELECTRICAL: R ROUGH IN F-1 FINAL R PERMANENT SERVICE F] TEMPORARY SERVICE F-1 PRECONNECT PASSED FAILED R PARTIAL El 1:1 COMMENTS: MECHANICAL: F-1 ROUGH -IN R A/C F] FURNACE -1 RADIANT F1 FINAL El PARTIAL PASSED FAILED F-1 F-1 COMMENTS: PLUMBING: Tl GROUNDWORK 0 ROUGH -IN F1 FINAL El WATER METER INSTALLED PARTIAL PASSED FAILED El F-1 PRESSURE TEST y COMMENTS: -'? F] OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED NOTES[REMARKS- wa-sile- 1,1a es 0 Fo 0 cl IN INSPECTOR- DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON -' CITY OF BLAIR LOCATION OF INSPECTION: NAME OF OWNER• 101 BUILDING INSPECTION REPORT WASHINGTON COUNTY n° „v g r DATE INSPECTION REQUESTED r �' TIME INSPECTION REQUESTED " PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED DATE OF INSPECTION MADE: 3-3-10 TO CONNECT SERVICE: ON BY TIME- © "j 0 El 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 ❑ PARTIALS PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: _ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED e4 e-- (lfc - v -A / L -• INSPECTOR FAXED OPPD\BURT REA DATE OF INSPECTION MADE: 3-3-10 TO CONNECT SERVICE: ON BY TIME- © "j 0 .P CITY OF BLAIR LOCATION OF ❑ WASHINGTON COUNTY ❑ OTHER NAME OF OWNER- F` 6% frI 3 CONTRACTOR,'' BUILDING: ❑ FOOTING ❑ DECK FOOTING Q FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED aI ��• r ` DATE INSPECTION REQUESTED COMMENTS: TIME INSPECTION REQUESTED-/" PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING Q FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ COMMENTS: u.> UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTICS❑ 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 ` tu, d — [ � 4 e'vA ✓z_ ge da NOTES/REMARKS i l ^ ( C�2_ e w-47, vC - INSPECTOR:' DATE OF INSPECTION MADE: a TIMES FAXED OPPDIBURT REA TO CONNECT SERVICE: ON B 0", --CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ �. LOCATION OF INSPECTION a F NAME OF OWNER:. r VI .:= CON' Wei :r f:,f DATE INSPECTION REQUESTED - .sry TIME INSPECTION REQUESTED: PERMIT N0.' TYPE OF INSPECTION REQUESTED: _ ❑ 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: INSPECTOR �% �1/�� 7 L/ DATE OF INSPECTION MADE: 3- 1&. 1 C) FAXED OPPMBURT REA TO CONNECT SERVICE: CITY OF BLAIR LOCATION OF INSPECTION NAME OF BUILDING INSPECTION REPORT F -I WASHINGTON COUNTY a INSPECTOR- 2A DATE OF INSPECTION MADE: TIMR FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY DATE INSPECTION REQUESTEDL TIME INSPECTION REQUESTED PERMIT NO- 2,2 TYPE OF INSPECTION REQUESTED: EICONFERENCE F -I STATUS CHECK BUILDING: F -I FOOTING F1 DECKFOOTING ❑ FRAMING F -I DRYWALL F -I FINAL [:1 PARTIAL PASSED FAILED El 1:1 COMMENTS - UTILITIES: F] SEWER TAP [I SEWER ❑ SEPTIC F -I WATER TAP [_1 REMOTE ❑ WATER SERVICE PASSED FAILED F1 PARTIAL El El COMMENTS: ELECTRICAL: ❑ ROUGH IN [-I FINAL [_1 PERMANENT SERVICE F -I TEMPORARY SERVICE El PRECONNECT PASSED FAILED F -I PARTIAL COMMENTS: MECHANICAL: F] ROUGH -IN [_1 A/C El FURNACE F] RADIANT HEAT F -I FINAL F -I PARTIAL PASSED FAILED F] R COMMENTS: PLUMBING: F-1 GROUNDWORK El ROUGH -IN F] FINAL F] WATER METER INSTALLED El PARTIAL PASSED FAILED [I PRESSURE TEST El El COMMENTS: F1 OCCUPANCY GRANTED [_1 CONDITIONAL OCCUPANCY GRANTED INSPECTOR- 2A DATE OF INSPECTION MADE: TIMR FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY w' `Z -J, ❑`'CITY OF BLAIR LOCATION OF ❑ WASHINGTON COUNTY ❑ E NAME OF OWNER r CONTRACTOR DATE INSPECTION REQUESTED t - ' `w TIME INSPECTION REQUESTED:PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED El COMMENTS: f3 , UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED F1 PARTIAL El❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIALS PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED ,�Cty�.. � � f!o � cT Wcr-�-�-5 (.--(��i 'G �`{7Q �o��✓ f�rd "�� �� INSPECTOR- ✓rJ`if - DATE OF INSPECTION MADE: -3-5--(o TIM - 0 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ❑ CITY OF BLAIR I: 1 U KUM M I it . I . ❑ WASHINGTON COUNTY LOCATION OF INSPECTION• ` NAME OF OWNER: t _. f h �fi f • _,p� ❑ OTHER DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED .r PERMIT NO31 F TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED r 4,;rd C ;.g• <' ,r ,. ❑ ❑ 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 METEk INSTALLED ❑ PARTIAL� PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED Re & oe , C, L 6�- — A — Cc � c INSPECTOR: KATE OF INSPECTION MADE: ® TIME• �-N"" FAXED OPPDIBURT REA TO CONNECT SERVICE: 's INSPECTOR :7X!�` - DATE OF INSPECTION MADE: 73 -9- - t 0 TIME FAXED OPPMBURT REA TO CONNECT SERVICE: ON BY BOUILDING INSPECTION REPORT CITY OF BLAIR El WASHINGTON COUNTY El OTHER 3', LOCATION OF INSPECTION - NAME OF OWNER-- pi CONTRACTOR JJI-ZL t(A 4 4 DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED- PERMIT NO- i 7r TYPE OF INSPECTION REQUESTED: E] CONFERENCE mom n STATUS CHECK BUILDING: FOOTING El DECK FOOTING El FRAMING El DRYWALL El FINAL n PARTIAL -PASSED FAILED COMMENTS: El UTILITIES: n SEWER TAP El SEWER D SEPTIC El WATER TAPE] REMOTE El WATER SERVICE PASSED FAILED n PARTIAL n n COMMENTS: ELECTRICAL: n ROUGH IN E] FINALE] PERMANENT SERVICE F1 TEMPORARY SERVICE n PRECONNECT PASSED FAILED El PARTIAL n n COMMENTS: MECHANICAL: n ROUGH -IN El A/C 0 FURNACE El RADIANT HEAT El FINAL El PARTIAL PASSED FAILED n n COMMENTS: PLUMBING: El GROUNDWORKE] ROUGH -IN El FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED n PRESSURE TEST n n COMMENTS: n OCCUPANCY GRANTED n CONDITIONAL OCCUPANCY GRANTED 's INSPECTOR :7X!�` - DATE OF INSPECTION MADE: 73 -9- - t 0 TIME FAXED OPPMBURT REA TO CONNECT SERVICE: ON BY ..CITY OF BLAIR LOCATION OF NAME OF OWNER• fr ❑ WASHINGTON COUNTY ❑ 9 u' e DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED PERMIT N0: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED TO CONNECT SERVICE: ON El El 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 ` l ❑ COMMENTS:°"� 4� i r / �%✓'6t"5 `Fd/ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• -S ,� � , , , ref(_ v L L- jko tj AA_e_ els P4 INSPECTOR: DATE OF INSPECTION MADE: 0 TIME- ro/L FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY INSPECTOR• -Z DATE OF INSPECTION MADE: -Gy TIMF FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION NAME OF OWNER• a' t `,i dr''£ c'.0 f zC.,.>,. ......�:-^a ^'+ f IrY f ,' x. ..,,[ ,f ., s i'I r f :,✓ J.",: _} � ., .• • - --' CONTRACTOR -<- , i � �� rd DATE INSPECTION TIME REQUESTED — INSPECTION REQUESTED PERMIT N0: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING:r. FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: c ti UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED Fl PARTIAL E] El COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL U PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATERMETERINSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTOR• -Z DATE OF INSPECTION MADE: -Gy TIMF FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY - ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER i 3 LOCATION OF INSPECTION'' NAME OF OWNER- CONTRACTOR G+ `6k' € x w: DATE INSPECTION REQUESTED,-'., ` �- ' TIME INSPECTION REQUESTED` _' f _ °°° PERMIT NO - TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑e -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 ❑ PARTIALS PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED f"Q :)- -A - -L INSPECTOR / DATE OF INSPECTION MADE: C a TIME- C C , FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY N� __ �- 4 s �\ �- :,, a +. � . ,�- j ram .. ` s