The URL can be used to link to this page

BP133849 Prom{sa ° pJo Date: CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT ' .330 Permit # Approximate Completion Date: Site Plan Attached: ✓ REScheck Attached: Complete Plans Attached L --- 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 No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement needed: Date Agreement Received: Public Sewer: Yes No Septic Drawing Provided: nsi If yes, respoble entity: Blair Kennard County Road Permit Required: Yes No Submitted: Yes No Additional Description of project if necessary: Project Information: Job Address: Legal. Description (if applicable) Owner: /OW a + Contractor: Address: t Address:�d `�` Phone#: Email Address for Contractor: Phone #: 1) A61 Cell #: q1 q-& 75 -1'7K '? Po & VA16 2, lar mcz,a/aw'l . Cad in 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 d s or is not completed withi two (2 ears of date of issue. gnature of 6wner/Contractor 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 vi Ignature of wner/Contractor Date 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. Al 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 X$29 Garage sq/ft area Total Valuation: 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: 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 Erect! ng/Awnings and Decks/Handicap Ramps: sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation: 9Z/ Finished sq/ft area_T X$ $ 5110040-, 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 r7N, 00 Issuance Fee: $ 25.00 907- Total 07 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ 1 6?', go -7, 00 Additional Comments: Approved by: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 For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes No 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 Se Minimum Setbacks: Front Second Front Side Side Rear Lot Square Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: 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: Yes 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 Sauare Footage: Main Level: Second Level: Third Level Basement: (Unfinished) I (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) CITY OF BLAIR, NEBRASKA Phone 402-426-4191 THANK YOU KEEP THIS COPY FOR YOUR RECORDS. NO Ri CEIVEDBY Pounds Printing, Blair, NE 68008 Me VI111� BUILDING PERMIT DEPOSIT AGREEMENT A$500.00 ref dable deposit is being collected for any new commercial, new residential, d any additions, remodels and accessory building valued $10,000 or 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. ontractor/Owner � ``"/Date Contractor/Owner City of Blair -'17Jse of av CITY OF 5tAIQ 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 ` Contractor City of Blair Date — 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblalr@cl,blair,ne.us ooPoa.,.r ❑,'CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER_ LOCATION OF INSPECTION a f � NAME OF OWNER• DATE INSPECTION REQUESTED e /? CONTRACTOR- TIME ONTRACTOR TIME INSPECTION REQUESTED Zre _/' �4s 2 l ' ° PERMIT NO:-- TYPE O• TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑: FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑FINAL ❑ PARTIAL PASSED FAILED COMMENTS:'; r $ F El UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL PASSED FAILED COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT El PARTIAL PASSED El FAILED ElCOMMENTS: MECHANICAL: ❑ ROUGH IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL 0 TIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: 4— / A TCS, ( —13 A ) -� c i a- ! n INSPECTOR ejn%� DATE OF INSPECTION MADE: w— % t TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING INSPECTION REPORT r ` CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION NAME OF OWNER r" s _Z'� CONTRACTOR- DATE ONTRACTOR-DATE INSPECTION REQUESTED °" t > `'' TIME INSPECTION REQUESTED- ,r"'f °` PERMIT No—.L3—.72-8 4— 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 F-1PRESSURE TEST f-: h El COMMENTS: € z ! 4r r ❑ OCCUPANCY GRANTED: -❑ CONDITIONAL OCCUPANCY GRANTED ��- INSPECTOR �` F '°� %`� DATE OF INSPECTION MADE: TIMF FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION'` a s ' '. �'� •' ' NAME OF OWNER._ CONTRACTOR - }L.t DATE INSPECTION REQUESTED - F TIME INSPECTION REQUESTED- `' PERMIT NO.• TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED El COMMENTS: =. A'` '. ..• 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:GROUNDWORKIPM ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED COMMENTS: ❑ PRESSURE TEST 7 a W� �-(L ❑ ❑ 6CCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- ft—nDL Waii w-,'iceL — rn/•,d 644 P—oxoo INSPECTOR, a—t 4. DATE OF INSPECTION MADE: E. gA 4 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY , CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION- NAME NSPECTION NAME OF OWNER CONTRACTOR. DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED ' < ° �'" 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 ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED C�1�i o V1/ t� • /a. � �,� ®° WG s'�ew�6c►2� �` �-c. INSPECTOR DATE OF INSPECTION MADE: TiMFO 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 " ° '' -_ s r CONTRACTOR E > "' Y • , , p ".� DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED ` `� ` PERMIT NO r TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK �ASSED BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL FAILED. COMMENTS: `` . g � -` fo 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 F-1 OCCUPANCY GRANTED NOTES/REMARKS- A,f j Aj 14 L.(-_ � 11 "E Ale sl Po ®; oo INSPECTOR- %' 7r�� DATE OF INSPECTION MADE: -� C? I b TIME 764t— FAXED VtZ "" `— FAXED OPPD\BURT REA TO CONNECT SERVICE: ON CITY OF BLAIR LOCATION OF INSPECTION: ❑ WASHINGTON COUNTY ❑ NAME OF OWNERS, �' �' CONTRACTOR - DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED - PERMIT NO - TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED 9ElCOMMENTS. :' E�"`�- gtf2Uiw-AAL'a-v� 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: j GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: wyv P -s- cc INSPECTOR DATE OF INSPECTION MADE: « C' ® TiME .1 pal FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ❑''CITY OF BLAIR ❑ WASHINGTON COUNTY —1 OTHER LOCATION OF INSPECTION ONTRACTOR NAME OF OWNER:., ' E CONTRACTOR- DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED-,""` _ PERMIT DATE NO• se " 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 D FAILED ❑ PRESSURE TEST 'r f SSE k ❑ COMMENTS ._.... ' �/ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- �'ey-w• 'k rt e e, W V✓ � ' (d (c 5, Coln Le INSPECTOR ir/ DATE OF INSPECTION MADE: TIM • Q FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY CITY OF BLAIR LOCATION OF BUILDING r REPORT ❑ WASHINGTON COUNTY ❑ OTHER �r F ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL E NAME OF OWNER- r . a r' x nCONTRACTOR- CONTRACTORS f t , rf � MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED DATE DATE INSPECTION REQUESTED " ' � y y5t,• TIME TIME INSPECTION REQUESTED - ° PERMIT NO PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL TYPE'OF INSPECTION REQUESTED: FAILED ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING" ❑ FRAMING ❑ DRYWALL ❑ FINAL �RTIAL EASSED FAILED ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ASSED 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 ❑ PRESSURETEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: cD a� F'0o tl - ®c - % J6 w_ INSPECTOR: DATE DATE OF INSPECTION MADE:" b TIMER FAXED OPPMBURT REA TO CONNECT SERVICE: ON BY tzl ��j 0410112010 0336 PM wpm �y' c fL' ti i CITY OF BLAIR LOCATION OF INSPECTION ❑ WASHINGTON COUNTY ❑ `¢i r NAME OF OWNER: � ,,'l y t CONTRACTOR c DATE INSPECTION REQUESTED r TIME INSPECTION REQUESTED, PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINALS❑ PARTIAL PASSED FAILED - , El COMMENTS 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 ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: m❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS:.4 ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED -- 11= /I-/ e f-_3 / I" L e ".,A pe'e-c is-iJ6 %t -Lt-I INSPECTOR • ,t"/ !W' DATE OF INSPECTION MADE: ! TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ,❑-F CrFY OF BLAIR BOUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION: NAME OF OWNER' DATE INSPECTION REQUESTED '> ''f TIME INSPECTION REQUESTED F` r' / 'tC== i` 'L't e PERMIT NO: TYPE OF INSPECTION REQUESTED: _ ❑ CONFERENCE ❑ STATUS CHECK BUILDING: [ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: FE ❑ ❑ 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: / t �' %� g Q A k 1=_R2_d wv l -F C_f 0 _l _ F / 1. - c - l -• INSPECTOR: DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: `❑ CITY OF BLAIR LOCATION OF ❑ WASHINGTON COUNTY ❑ OTHER NAME OF OWNER J %'r ';' " CONTRACTOR- DATE ONTRACTORDATE INSPECTION REQUESTED l' TIME INSPECTION REQUESTED u,";," x' PERMIT N0: 13 TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ A DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL P SSED FAILED COMMENTS:f' F, ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED F1 PARTIAL 1:1 ElCOMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED [I PARTIAL ❑ 1:1COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED El PRESSURE TEST El ElCOMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTESIREMARKS �_ �r _ tz � t- �` �t5 l _.c INSPECTOR: DATE OF INSPECTION MADE: TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION NAME OF OWNER -ivJ CONTRACTOR TIME INSPECTION REQUESTED: DATE INSPECTION REQUESTED PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE El STATUS CHECK BUILDING: ❑ FOOT DEC FOOTING ❑ FRAMING ❑ DRYWALL E:l FINAL 0 PARTIAL (3 PASSED FAILED COMMENTS: UTILITIES SEWER TAP ❑ SEWER ❑ SEPTIC F-1 WATER TAP [-] REMOTE'[] WATER SERVICE PASSED FAILED El ❑ F1 PARTIAL COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINALE] PERMANENT SERVICE F-1 TEMPORARY SERVICED PRECONNECT PASSED FAILED El El ❑ PARTIAL COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C F-1 FURNACE El RADIANT HEAT F1 FINAL El PARTIAL PASSED FAILED ❑ D COMMENTS: PLUMBING: ❑ GROUNDWORK F-1 ROUGH -INE] FINAL n WATER METER INSTALLED El PARTIAL PASSED FAILED 1-1 ❑ ❑ PRESSURE TEST COMMENTS: E] OCCUPANCY GRANTED M CONDITIONAL OCCUPANCY GRANTED - I x- i r- / L- 0 INSPECT DATE OF INSPECTION MADE: TM E: - FAXED OPPD\BURT REA TO CONNECT SERVICE: iflUILDING INSPECTION ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION NAME OF OWNER- '' CONTRACTOR - DATE INSPECTION REQUESTED'`` TIME INSPECTION REQUESTED 4 r r� PERMIT NO - TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: �❑.`FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS:fi El UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ ELECTRICAL: ❑ ❑ ROUGH IN ❑ FINAL ❑ PERMANENTSERVICE❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIAL PASSED ❑ FAILED ElCOMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ❑ ❑ PLUMBING: ❑ ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED FAILED COMMENTS: ❑ ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED - _t _ 9' -n i -14-- / 1 _ & `ro t INSPECTOR: fX/E'ln%i.� DATE OF INSPECTION MADE: -i fp TIMF G FAXED OPPD\BURT REA TO CONNECT SERVICE: ON Rv �. , -., _' _ _ � �I � � r �, _ -. lip a^ � BUILDING P , REPORT TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: UTILITIES: COMMENTS: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL ELECTRICAL: ❑ ROUGH IN ❑ PARTIAL f FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED PASSED FAILED 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 ElPRESSURE TEST ❑ El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS arK 1 , INSPECTOR DATE OF INSPECTION MADE: t` TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B 01',CITY OF BLAIR F] WASHINGTON COUNTY ❑ in IM ki ol ca) t LOCATION OF INSPECTION - MECIE[ANICAL:F-1 ROUGH -IN F] A/C El FURNACE [11 RADIANT HEAT El FINAL F1 PARTIAL PASSED NAME OFOWNER- CONTRACTOR:- F -I DATE INSPECTION REQUESTED- _7 TIME INSPECTION REQUESTED --j PERMIT NO - TYPE OF INSPECTION REQUESTED: E] CONFERENCE F] STATUS CHECK BUILDING: F] FOOTING F1 DECK FOOTING El FRAMING [:1 DRYWALL El FINAL F-1 PARTIAL PASSED FAILED ❑ F -I COMMENTS: ❑ El COMMENTS: F OCCUPANCY GRANTED F] CONDITIONAL OCCUPANCY GRANTED UTILITIES: F1 SEWER TAP F] SEWER F1 SEPTIC F] WATER TAP [:1 REMOTE R WATER SERVICE F] PARTIAL t COMMENTS: e 10CnI i o ELECTRICAL: F] ROUGH IN F1 FINAL F1 PERMANENT SERVICE [:1 TEMPORARY SERVICE F1 PRECONNECT F] PARTIAL PASSED FAILED 'rQ/ El L PASSED FAILED ❑ F -I COMMENTS: MECIE[ANICAL:F-1 ROUGH -IN F] A/C El FURNACE [11 RADIANT HEAT El FINAL F1 PARTIAL PASSED FAILED F -I El COMMENTS: PLUMBING: F-1 GROUNDWORK F -I ROUGH -IN El FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED F1 PRESSURE TEST ❑ F -I COMMENTS: F OCCUPANCY GRANTED F] CONDITIONAL OCCUPANCY GRANTED INSPECT R- DATE OF INSPECTION MADE: 0 TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY r,. _ a s 04112010 x;:15 NM'. 04/15/2010 0115 wrIla I cs :A _ 04/15/2010 01:33 PM � ��;� __. �� P ___ - _= r---- -------- s. 1 w: A .0 12010 01:35 PM U ILDING INSPECTION REPORT "CITY OF BLAIR F -I WASHINGTON COUNTY El OTHER LOCATION OF INSPECTION: COMMENTS: F -I OCCUPANCY GRANTED F1 CONDITIONAL OCCUPANCY GRANTED NOITES/REMARKS7 60e-Acke- VCe Crop ep,�CrA / /-A -4o I- INSPECTOR:DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON NAME OF OWNE"-'_l' CONTRACTOR - DATE INSPECTION REQUESTEDTIME INSPECTION REQUESTED- PERMIT NO TYPE OF INSPECTION REQUESTED: El CONFERENCE El STATUS CHECK BUILDING: FOOTING ❑ DECK FOOTING [:1 FRAMING El DRYWALL 0 FINAL El PARTIAL PASSED FAILED El COMMENTS: t UTILITIES: F -I SEWER TAP El SEWER E] SEPTIC El WATER TAP E] REMOTE F-1 WATER SERVICE PASSED FAILED F -I PARTIAL COMMENTS: ELECTRICAL: F -I ROUGH IN [_1 FINALE] PERMANENT SERVICE F1 TEMPORARY SERVICE F PRECONNECT PASSED FAILED F PARTIAL F -I F1 COMMENTS: MECHANICAL: F] ROUGH -IN F] A/C 0 FURNACE El RADIANT HEAT El FINALE] PARTIAL PASSED FAILED F -I 1-1 COMMENTS: PLUMBING: F -I GROUNDWORKE] ROUGH -IN El FINALE] WATER METER INSTALLED El PARTIAL PASSED FAILED F -I PRESSURE TEST F -I Fl COMMENTS: F -I OCCUPANCY GRANTED F1 CONDITIONAL OCCUPANCY GRANTED NOITES/REMARKS7 60e-Acke- VCe Crop ep,�CrA / /-A -4o I- INSPECTOR:DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON �+... 4'a atildt+ fff�l,,�,. n m Furca. r.... -, go Yd` 11 del �]a,�!lI�J IIdI r u}I Moil 5 Y {CITY OF BLAIR LOCATION OF ❑ WASHINGTON COUNTY ❑ NAME OF OWNER: L a CONTRACTOR d MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL �❑ PARTIAL fy FAILED ❑ DATE INSPECTION REQUESTED , _ TIME INSPECTION REQUESTED- ERMIT N0: PLUMBING: ❑GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL TYPE OF INSPECTION REQUESTED: FAILED ❑ CONFERENCE ❑ STATUS CHECK BUILDING: FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ARTIAL PASSED FAILED COMMENTS: � �. � V` '. J i� -�! NOTES/REMARKS- ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ❑ COMMENTS: ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIAL PASSED ❑ FAILED ❑ 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- INSPECTORS DATE OF INSPECTION MADE: 0 TIME• n FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY INSPECTORS ��/ _ DATE OF INSPECTION MADE: C S-- (n TIME: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ."uILDING INSPECTIONT I TY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION' NAME OF OWNER ' �. P r' .� r`C F CONTRACTOR- ONTRACTOR• r INSPECTION e'p•.' k K RE '' REQUESTED- Q TIME INSPECTION REQUESTED• �r PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: -r �. �t �� a� day S. -� , G� ��, ❑ S (i UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL El ElCOMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F-1 PARTIALEl E]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 INSPECTORS ��/ _ DATE OF INSPECTION MADE: C S-- (n TIME: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY 4/27/2010 1 M 04028-10 Christopher Holmes NNE Pharmaplan 3005 Carrington Mill Blvd, Suite 380 Morrisville, NC 27560- (919) 699-1747 NEBRASKA STATE FIRE MARSHAL PLANS DIVISION Novozymes Blair Inc -Fermentation Bldg NEJ 600 S. First Street /33eT Blair 68008 - Alt Phone: Occupancy Type: Industrial Estimated Start Date: 4/28/2010 Fire Protection Features: Email: CIHO@nnepharmaplan.com Construction Type: Type II -A 23,450 SF Estimated Completion Date: 10/20/2011 Sprinkler Total W Spinkler Partial ❑ Range Hood System ❑ Sprinkler Other: Fire Alarm Manual Sys. ❑ Smoke Detection d❑ Heat Detection ❑ Fire Alarm Other: Page 1 of 1 PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION. FINAL ONSITE APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE. SIGNED: Reviewed By: Main Office 246 South 14th Street Lincoln, NE 68508-1804 (402) 471-2027 David Autry Contact for Inspection: District B 438 W Market Albion NE 68620-1241 (402) 395-2164 yCITY OF BLAIR LOCATION OF INSPECTION ❑ WASHINGTON COUNTY ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: OF INSPECTION MADE: " L 0 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B NAME OF OWNER CONTRACTOR DATE INSPECTION REQUESTED TIME INSPECTION RE UESTED` a #` PERMIT NO f tf r r, TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: £ i Z'•r G �- �� dvwt L�� ❑ 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: OF INSPECTION MADE: " L 0 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B CITY OF BLAIR LOCATION OF INSPECTION INSPECTIONJDUILDING ❑ WASHINGTON COUNTY ❑ OTHER NAME OF OWNER: :` ��`` y` .; - CONTRACTOR DATE INSPECTION REQUESTED- % 44 �6 TIME INSPECTION REQUESTED X > _' PERMIT NO u, d,.r r a. • u TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: ',t �,p ' s �- t e sA. e, m (f at,4 Le El -4 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: OF INSPECTION MADE: G C ® TIME• // G/��Gei`� FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY tc'ruxr u u� 7/15/2010 3:59pm . 11) 17 DATE OF INSPECTION iECF SERVICE: ON 7/21/2010 10:04am -I riullilillNU CTI 1311—CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER— LOCATION OF INSPECTION: NAME OF OWNER =' CONTRACTOR: ^£ J DATE INSPECTION REQUESTED a .. a TIME INSPECTION REQUESTED- "' ¢` PERMIT NO• , TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑:;FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL PARTIAL PASSED FAILED COMMENTS: /9 It 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 N0TF.4/RFMARK.Q• I -A 6 d d6; -�a a -10 1O ll ®.A -for- ® o INSPECTOR • DATE OF INSPECTION MADE: � � � � TIME- FAXED IM- FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY 01v ❑ CITY OF BLAIR LOCATION OF ❑ WASHINGTON COUNTY ❑ OTHER NAME OF OWNER �`�' CONTRACTOR DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED: E "" 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 ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- De—_ fa V3 v " ,- & a 1 —1 a 4'y (- I -A I " F INSPECT O - s _� DATE OF INSPECTION MADE: 7A (� TIME - FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY