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BP13382CITY OF BLAIR — APPLICATION FOR BUILDING PERMIT . q Promtso Permit #L' , Date: - ""'��� Approximate Completion Date: ✓ ` e Site Plan Attached: REScheck Attached: 1/`Complete Plans Attached Application for: Residential 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 pian required) Satellite Dishes/Radio Antenna/Cell Towers (plot pian required) Other Utilities: Public Water: Yes o 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 al Description of project if necessary: Project Information: Job Address: Legal Description (if applicable) '/ �' �7.Cr�``'�� LFA Owner: dress: Contractor: /1116 "' Address: Email Address for Contractor: d-1- m, `G'a°'9 ` hewZe/,17e Phone#: Phone #:' 6- -5 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 codes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 days or is not completed within two (2) years of date of issue. Signature of Owner/Conte r 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 ZONING REVIEW: Zonin Flood Plain tilities: Current Zoning: Conditional Use Permit Required: Yes No Date C P 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: _[W Lot Coverage % DrivewaysISidewalks: Sidewalk required: Yes No Sidewalk Waiver: Yes No Date Waiver Approved: Preexisting Garage requires driveway to be less than 3' from property line: Approved by: Flood Plain: Yes No If yes, specify special requirements: BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four Type of Residential Structure: Ranch Two Story Split Entry Yes >Four High Rise (>75 ft) Raised Ranch Other Rooms Bedrooms Bathrooms Fireplaces Gas Electric _ Egress in Basement: Required: Yes No Provided on Plans: Yes No Sleeping Rooms Square Footage: Main Level: Basement: (Unfinished) Living Area Other Egress Second Level: (Finished) Garage: 1 2 bay 3 bay Third Level 4 bay 5+ bay Detached Garage: Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Front Side Occur)ancv 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. At 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 L X $56 Unfinished basement sq/ft area f 0 0, X $29 Garage sq/ft area -LL —X$25 Total Valuation: Total Valuation ° 01' Issuance Fee: Multiplied by 0.006 = Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ 25.00_^>, RESIDENTIAL - ADDITIONS/ REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/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 following: 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 X $ $ Construction valuation is ...................................Permit fee is: $0 TO$50...........................................................$0 $51 TO $500 ........................................................ $25 $501 TO $2,000........................................................ $25 + $3 per additional $100 $2,001 TO $25,000........................................................ $70 +$13 per additional $1,000 $25,001 TO $50,000......................................................$370 +$10 per additional $1,000 $50,001 TO $100,000......................................................$620 + $7 per additional $1,000 $100,001 TO $500,000......................................................$970 + $5 per additional $1,000 $500,001 TO$1,000,000..................................................$2,970 + $4 per additional $1,000 $1,000,001 AND OVER..................................................$4,970 + $3 per additional $1,000 Permit Fee calculated from chart above $ Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ Additional Comments: Approved by: �'� Date: `c 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 6 76 MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street 2 Blair, Nebraska 68008 J Fax (402) 426-4195 M 1973 (402) 426-4191 /j 00 Application Date: `7 ! l ✓ ` Permit Fee: $ v Job Address 1-3&3 &3 • Owner / y�/J� , Mail A s s Zip Phone Contract dress . Zip Phone 2. e 3. Class of Work: O COMMERCIALAWkESIDENTIAL I 1gflew O Addition O Alteration O Repair O Replacement Describe Work: ,' ) 4. c.� Cil • O'? d a MECHANICAL PERMIT FEES Heat Pump Tons Central A/C pis 5 Tons Fumace/Heat Pump/Air Conditioner (Per Unit) X� C4� • 00 Furnace 19 BTU/H Up to and including 100,000 BTU / 3Ton............................$15.00 # of Units A/C Fumace/Heat Pump/Air Conditioner (Per Unit) Furnace Over 100,000 BTU / 3 Ton.............................................$25.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor — Commercial (New or Replacement) (Per Unit) ..............................................................................$15.00 Boiler Chart BTUFee 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 Boiler (use BTU Chart to left).................... Appliance Vent/Fans ........................$10.00 /G • UU Notice I hereby certify that I have read and examined this Duct System..................................$15.00 �• �� application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Gas/Air Outlets.................First 5 x $6.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give .........Additional x $1.00 authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Radiant Heat Systems/Gas/Water Piping System................................$50.00 Modular Home ............................... $50.00 Signature of Contractor or Authorized Agent r� Permit Issuance Fee .......................... $25.00 O� I� /C) i Total 'U Current License on File A4es O No O N/A Date Comment: WHEN PROPERLY VALIDATED (INTHIS SPACE) THIS 1S YOUR PERMIT Approved By: %' /P� Rev. 2008-10 N01 Jurisdiction of City of Blair, Nebraska 218 S outh 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: — 3— YI/ Permit Fee: $_ 1 )i �- Job Address owner Mail Address zip 6w, 'r Phone 36 1, 0 CA, 10-70 CO aell Mail Address Zip Phone 2. h U'60t� 3. Class of Work: XNEW RESIDENTIAL C] NEW COMMERCIAL 0 REMODELING/ADDITIONS 0 UPGRADE SERVICE - Describe Work: 4. a-LX—';4 5.Current License on File Yes OuNo 0 N/A Completion Date /(21 ELECTRICAL PERMIT FEES Service Fee = (Amp Fee + $5.00 per branch circuit) Upgrade Existing Service ............. $25.00 1-100 Amp Fee ....................... $25.00 Temporary Service............... $15.00 101-200 Amp Fee ....................... $35.00 201-300 Amp Fee .......................$55.00 Fire Alarm System .................... $15.00 301-400 Amp Fee .......................$75.00 Signs (each)................... ,,.,,, $25.00 401-500 Amp Fee .......................$95.00 Miscellaneous Apparatus .............. $15.00 501-600 Amp Fee .....................$115.00 601-700 Amp Fee .....................$135.00 Commercial/Multi Family and All Upgrades: 701-800 Amp Fee .....................$155.00 801-900 Amp Fee .....................$175.00 # of Circuits x $5.00 901-1000 Amp .........................$195.00 Amp Fee IF OVER 1000 Amp I't 1000 Amp Fee ..................$195.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $20.00 New Residential: (Finished Area) Single/Two Family Dwellings Notice I � LP sq. ft. x.063 -7 S—, 6 I hereby certify that I have read and examined this application and know the same to be true and correct. All Modular/Manufactured Homes ....... $50.00 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or Other: (alterations, additions and modifications) not. The granting of a permit does not presume to give Receptacles/Switches/Lighting Fixtures (110 volt only) authority to violate or cancel the provisions of any other # of Apparatus x $1.00 state or local law regulating construction or the .......... performance of construction. Power Apparatus (220 Volt or higher) # of Apparatus....... x $8.00 Smoke Detectors...., $3.00 —x Signature of Contractor or Auffiorized Agent Permit Issuance Fee.. ................. $25.00 Total Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: ,27 Rev. 2008-10 le� PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16"` Street -� Blair, Nebraska 68008 Fax (402) 426-4195 P 2091 (402) 426-4191 Application Date: ' �� '1 L✓ Permit Fee: $ /'. Joh Address + Oti . er it Address Zip Phone 1. 1I1 2ontraetor Mail re � � %C�. Z�pV. �rJ l`e .�- Q 3. Class of Work: d COMMERCIAL MRESIDENTIAt JSMew O Addition O Alteration O Repair O Replacement Describe Work: 4. PLUMBING PERMIT FEES Comments: Modular Home ......................$50.00 Type of Fixture No. Kitchen..............................$12.00 x I Bath..... Residential/Single Stall $12.00 x-3— —3—....................Multi-Stall .................... 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 Z • (� Notice Outside Water Faucet...................$6.00 x _ M rJC% I hereby certify that I have read and examined this application and know the same to be true and correct. Ali Drinking Fountain, ....................... $6.00 x 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 Backflow/Grease Trap ............. $15.00 — authority to violate or cancel the provisions of any other Water Service .......................$15.00 state or local law regulating construction or the performance of construction. Sewer.................................$15.00 Groundwork .........................$15.00 �_ %•Q(J Septic Tank & Laterals............ $15.00 Lawn Sprinkler System ....... .....$10.00 Sprinkler System (Commercial)..$30.00 ., Gas/Water Piping System (Commercial)... ..................... $50.00 �Si a e f Contractor ht Authorized Agent Permit issuance Fee.................$25.00 Total /Ap,:90 Current License on File Yes O No O N/A Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: 94 0&9 Rev. 2008-10 Application Date:57 Job Address PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska g'>� 218 South 16th Street �3 Blair, Nebraska 68008 Fax (402) 426-4195 P 2091 (402) 426-4191 Permit Fee: $ 1� 0 3 Owner /' it Address - Zip Phone 1, 1 f N'd , Contractor Mail red Y Zip Poems - 3. Class of Work: O COMMERCIAL_f RESIDENTIAL z;/ LEOew O Addition O Alteration O Repair O Replacement Describe Work: 4. 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. or Date Agent PLUMBING PERMIT FEES Modular Home ..... . ................$50.00 Type of Fixture No. Kitchen . . ............................ $12.00 x Bath.....Residential/Single Stall $12.00 x 3 ..... . ....... . .... ..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 J d z2, c9 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 Cs✓ 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 es O No O N/A Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: Rev. 2008-10 M PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16'` Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: 9- / & —149 Permit Fee: $� `-• .�`{ Lit i T:.;1367 Job Address ow erMail Ad ess Zip Phone Contra r ��Malt dress j / ���� Z'p f Phone 2. �f %CiL f'�t?.G� ,�/%Z� `�' 1" cJ l�13 t11� 3. Class of Work: O COMMERCIAL_; RESI NTIAL w 13 Addition ©.Alteration 0 Repair 0 Replacement Describe Work: !f 4. PLUMBING PERMIT FEES Comments: Water Tap Fee —3/411 $150.00 Water Tap Fee — V $200.00 X Water Tap Fee --1 %11 $250.00 Notice I hereby certify that ead 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 Water Tap Fee -- 0.00 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. "' ign ref ontractor or Au orized Agent (r` az/7A/2 Total �- 40 Current License on File ;Q -Yes 0 No O N/A ate Comment: WHEN PROPERLY VAL1llA"1'Yll (1N '1'HiS PHIS 1S YOUR YLKMf Approved By: Rev. 2008-10 6 0611 PLUMBING ITA Jurisdiction of City of Blair, Nebraska 218 South 16r' Street Blair, Nebraska 68008 Fax (402) 426-4195 T 1367 (402) 426-4191 Application Date: Permit Fee: $, Job Address � gra Ow per I Mail Ad ess Zip 1. �� °�f/ Phone Cont rac r Mail AddressPhone ,p d 2. at l j 3. Class of Work: O COMMERCIAL ,�FnESI NTIAL w O Addition 11 Alteration 11 Repair 11 Replacement Describe Work: Os 4. PLUMBING PERMIT FEES Comments: Water Tap Fee —3/411 $150.00 Water Tap Fee —1" Water Tap Fee —1 %2" $200.00 $250.00 Notice I hereby certify that Cead 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 orWater T Tap Fee — 2» . $2 PJ 00.00 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 Total Current License on File des O No O N/A Date Comment: Wrnh1N rKUYhKLY VALIUA1ht) (IN IRIS SPACE) MIS IS YUURPEKMIT Approved By: < Rev. 2008-10 CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS CITY, STATE, ZIP CODE Z,Jll THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68000 Project Title: Lot 52, Deerfield, Blair Report Date: 02/18/10 Data filename: Untitied.rck Energy Code: 2000 IECC Location: Blair, Nebraska Construction Type: Single Family Glazing Area Percentage: 11% Heating Degree Days: 6506 Construction Site: Lot 52 Deerfield Blair, NE 68008 Owner/Agent: McCaig Construction 1070 James Drive Blair, NE 68008 Compliance: 21.6% Better Than Code Maximum UA: 310 Your UA: 243 Designer/Contractor: Ceiling 1: Fiat Ceiling or Scissor Truss 1300 38.0 38.0 18 Ceiling 2: Flat Ceiling or Scissor Truss 1 38.0 38.0 0 Wall 1: Wood Frame, 16w o.c. 1200 15.0 15.0 45 Window 1: Vinyl Frame:Double Pane with Low -E 16 0.560 9 Window 2: Vinyl Frame:Double Pane with Low -E 16 0.560 9 Window 3: Vinyl Frame:Double Pane with Low -E 16 0.560 9 Window 4: Vinyl Frame:Double Pane with Low -E 10 0.560 6 Window 5: Vinyl Frame:Double Pane with Low -E 10 0.560 6 Window 6: Vinyl Frame:Double Pane with Low -E 10 0.560 6 Window 7: Vinyl Frame:Double Pane with Low -E 10 0.560 6 Window 8: Vinyl Frame:Double Pane with Low -E 10 0.560 6 Door 1: Glass 36 0.560 20 Door 2: Solid 18 0.350 6 Door 3: Solid 18 0.350 6 Wall 2: Wood Frame, 16" o.c. 1 15.0 15.0 0 Basement Wail 1: Solid Concrete or Masonry 1300 13.0 0.0 90 Wall height: 9.0' Depth below grade: 7.0' Insulation depth: 7.0' Basement Wall 2: Solid Concrete or Masonry 1 13.0 0.0 1 Wall height: 9.0' Depth below grade: 0.0' Insulation depth: 0.0' Furnace 1: Forced Hot Air90 AFUE Air Conditioner 1: Electric Central Air14 SEER Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheck Version 4.1.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date Project Title: Lot 52, Deerfield, Blair Report date: 02/18/10 Data filename: Untitied.rck Page 1 of 5 r.vunl 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. 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. 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 Co'nfractor/Owner City of Blair Date Table 9: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Insulation Thickness in Inches by Pipe Sizes Non -Circulating Runouts Circulating Mains and Runouts Heated Water Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum insulation Thickness for HVAC Pipes NOTES TO FIELD: (Building Department Use Only) Project Title: Lot 52, Deerfield, Blair Report date: 02/18/10 Data filename: Untitled.rck Page 5 of 5 Insulation Thickness in Inches by Pipe Sizes Fluid Temp, Piping System Types Range(°F) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heating Systems Low Pressurelfemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Project Title: Lot 52, Deerfield, Blair Report date: 02/18/10 Data filename: Untitled.rck Page 5 of 5 g % l = -g pro�/se of 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. 1 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 City of Blair Contractor Dat6 / 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 - E-mail cityofblair@ci,blair,ne,us ECT T 1 F ` CITY BLAIR� ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION: TY l 3 NAME OF OWNER- I CONTRACTOR- ONTRACTOR DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED: ,nF'r PERMIT NO --1 DATE 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� PASSE FAILED ❑ PARTIAL 3 q q ❑ COMMENTS: t lF.. u' 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 n INSPECTO DATE OF INSPECTION MADE: 6S—C_5F ,7-®16 TIME - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY CITY OF BLAIR am I iwu u ma I, ■ , ❑ WASHINGTON COUNTY LOCATION OF INSPECTION: NAME OF OWNER v ❑ OTHER DATE INSPECTION REQUESTED 3 TIME INSPECTION �r- r . PERMIT NO: { TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: �Q' "F'OOTINING F-1DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED El COMMENTS: �' 1I _e 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 El PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTORS DATE OF INSPECTION MADE: r TIM ��� ' I FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING CTI T 'El' -CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION ELECTRICAL ❑" ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSE AII,ED y{ f pfv T NAME OF OWNER °, =� ° `l t CONTRACTORS COMMENTS: DATE INSPECTION REQUESTED -TIME INSPECTION REQUESTED MECHANICAL: PERMIT NO- 0 ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL TYPE TYPE OF INSPECTION REQUESTED: - ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL m PASSED FAILED PLUMBING: ❑ ❑ ❑ COMMENTS: ❑ PRESSURE TEST ❑ ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC L❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL ❑" ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSE AII,ED ❑ PARTIAL ❑ COMMENTS: 1 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: ❑ OCCUP CY ANTED ❑ CONDITIONAL OCCUPAN Y GRANTED NnTRC/RRMARKC• l I.J Cj7r4�/ �7 /� i-,!. i /' �=G�� �V. lifr�c ���� - �.lJ'��� (li't?�6� � �'�I✓i)�% �' l 1 A V INSPECTO • DATE OF INSPECTION MADE: ®y—/ FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY rM r(CS t'Al- CITY OF BLAIR BUILDING ,REPORT ❑ WASHINGTON COUNTY LOCATION OF INSPECTION: k r �- NAME OF OWNER ^ ❑ OTHER 4 ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED DATE INSPECTION REQUESTED 3 i TIME INSPECTION REQUESTED- PERMIT NO• ❑ ❑ COMMENTS: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ COMMENTS: PLUMBING: ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED 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: ❑ GROUNDWORKn❑s ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ARTIAL PASSED FAILED ❑ PRESSURE TEST � ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- LU 6 R,),, ���e r" eJ FAop �cs 4 i / i& ti _42!t L �yGC.k V Cbt/td�, INSPECTOR` DATE OF INSPECTION MADE: 147-19 ` l TIME- FAXED IME FAXED OPPD\BURT REA TO CONNECT SERVICE: I' 1 % ' 3 '` -f CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION a� X'"�''` " ti C t NAME OF OWNER" ^ DATE INSPECTION REQUESTEDTIME INSPECTION REQUESTEDPERMIT N0: S TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN El FINAL REa PERMANENT SERVICE [:1 TEMPORARY SERVICE [:1PRECONNECT ASSED FAILED ElPARTIAL - y' r -- El COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: PLUMBING: F] GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: _ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED CLQ lie �N�O DATE OF INSPECTION MADE: `° (v� TIMR ✓_ AXED PPDIBURT REi D TO CONNECT SERVICE: ON BY ���� L ❑,, CITY OF BLAIR LOCATION OF INSPECTION:. NAME OF BUILDING '. ., REPORT .3 ❑ WASHINGTON COUNTY ❑ DATE INSPECTION REQUESTED: c Q TIME INSPECTION REQUESTED tkl ' PERMIT NO TYPE OF INSPECTION REQUESTED: _ ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWER TAP's°'❑ ,SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ COMMENTS: JV 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 INSPECTORi�/1i�1� DATE OF INSPECTION FAXED OPPD\BURT REA TO CONNECT SERVICE: ❑ CITY OF BLAIR El WASHINGTON COUNTY El OTHER F-1 PARTIAL COMMENTS: El MECHANICAL:F-1 ROUGH -IN El A/C -JOEM. F1 FURNACE El RADIANT HEAT F I FINAL El PARTIAL LOCATION OF INSPECTION- 1-1 F-1 COMMENTS: NAME OF OWNER-,.,"/" CONTRACTORL!;&L XK- PLUMBING: Fl GROUNDWORK F1 ROUGH -IN F1 FINAL El WATER METER INSTALLED ❑ PARTIAL PASSED FAILED - J DATE INSPECTION REQUESTEDZ TIME INSPECTION REQUESTED- 'PERMIT NO. ❑ El TYPE, OF INSPECTION REQUESTED: EICONFERENCE El STATUS CHECK BUILDING: F-1 FOOTING E:l DECK FOOTING ❑ FRAMING E:l DRYWALL E:l FINAL [:1 PARTIAL PASSED FAILED 1-1 ❑ COMMENTS: UTILITIES: F-1 SEWER TAP F SEWER ❑ SEPTIC 0 WATER TAP El REMOTE F1 WATER SERVICE PASSED FAILED 0 PARTIAL COMMENTS: ELECTRICALW.-,, ROU L GHIN ❑ FINAL SERVICEE] � TEMPORARY SERVICERECONNECT FAILED F-1 PARTIAL COMMENTS: El MECHANICAL:F-1 ROUGH -IN El A/C -JOEM. F1 FURNACE El RADIANT HEAT F I FINAL El PARTIAL PASSED FAILED 1-1 F-1 COMMENTS: PLUMBING: Fl GROUNDWORK F1 ROUGH -IN F1 FINAL El WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ El COMMENTS: F] OCCUPANCY GRANTED F1 CONDITIONAL OCCUPANCY GRANTE NOTES/REMARKS- INSPECTOR -Zk�.FA DATE OF INSPECTION MADE: TIME-. 6DPPMBURT REA ) CONNECT SERVICE: ON B � 3 � � ,� CITY OF BLAIR LOCATION OF INSPECTION ,. I Din m , . ) , I; ❑ WASHINGTON COUNTY ❑ C NAME OF OWNER -'CONTRACTOR = 61i ee &yB DATE INSPECTION REQUESTED . -.E' TIME INSPECTION REQUESTED , f PERMIT NOL ' TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: J0 FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED Y ❑ COMMENTS: ; E° fir'`' 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 F-1 PARTIAL1-1 ❑ 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 ❑ El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR"'wmma$2 DATE OF INSPECTION MADE: a TIME.- tt _3')A4" FAXED OPPD\BURT REA TO CONNECT SERVICE: t µ4 �§ s �n � � � L: �.A"y. R waw' SyMi 1 k <"�. ....�. �� �,�� �. �,;;,- �, �- .. �' � - � - `:� � .y` -.. ,� .. ;,� �t i_ PASS � ❑ FIIPNeCp ["1 PAOIMTIIIAf FlWAL PARNAL C —TPAAFMRINSVALI L PAPUA. El BcPI A I'UNOII'MNALOCCUPANC]'4RANfFD DATE OFASP ON MADE: 7/26/ mm"SEM a: 04 Rv T � �; _ �y °ti?l . i-` .0 +� �`� r' n'. ..—Lwv� le Y- ld �a ,. y�'e� Id I '[]--,,,,',CITY OF BLAIR I lil] 11113 112 ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION• NAME OF OWNER 4 «' DATE INSPECTION REQUESTED- r" � �� � _' - � TIME INSPECTION REQUESTED '�� ��= � � � � � PERMIT NO � TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL a �^INAL ❑ 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 ''MFINAL ❑ PARTIAL� PASSED FAILED ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN El-roFINAL ❑ WATER METER INSTALLED ARTIAL PASSED FAILED F-1PRESSURE TEST El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED N � w d INSPECTOR- "lam d i DATE OF INSPECTION MADE:( FAXED OPPD\BURT REA TO CONNECT SERVICE: 1 .yll v.� El�CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHI LOCATION OF INSPECTION: NAME OF OWNER•ZOV �eCONTRA DATE INSPECTION REQi`ESTED > f _ °fit • TIME INSPECTION PERMIT NO. 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 ❑ ❑ 33 COMMENTS PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED �� NOTES/REMARK ' b, /C�t.0 / o �t�� 1 Zi