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BP13346DR IN TT CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT Permit # I Date: ��~� r C/Approximate Completion Date: %�" �� Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential New Construction Move -on: Home 49K- 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 (plot pian required) Satellite Dishes/Radio Antenna/Cell Towers (plot pian required) Other Utilities: Public Water: Yes No If yes, responsible entity: Agreement needed: Public Sewer: Yes No _ If yes, responsible entity: County Road Permit Required: Yes No — Private Well Blair OPPD Line Kennard Date Agreement Received: Septic Drawing Provided: Blair Kennard Submitted: Yes No Project Information: Job Address: �✓G%7 / -5-/4-�� Legal Description (if applicable) Owner: ���� Address: Phone#:' Contractor: /y/VE Add ress: , Phone #: Cell #: acl /V Separate perms s are requifed 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 4odes/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 d s -or is, of completed within two ( ) years of date of issue. igna ure of Owner/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 Review /) lobjo nature of Owner/Contractor Date ZONING REVIEW: Zoning/Flood Plain/Utilities: Current Zoning: _ State Fire Marshal Required: Yes Minimum Setbacks: Front Conditional Use Permit Required: Date CUP Approved: No Variance Required: Second Front Side Side Lot Square Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: Yes No Yes No Rear 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 Type of Residential Structure: Ranch Two Story Split Entry Rooms Bedrooms Bathrooms >Four High Rise (>75 ft) Raised Ranch Other Fireplaces Gas Electric Egress in Basement: Required: Yes No Provided on Plans: Yes Sleeping Rooms Living Area Other Egress Sauare Footage: No 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 Occuoancv 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 reauired to be protected by automatic fire sprinkler system?" No Only partially in some areas or rooms Please Specify Yes If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 13D Driveway Grade: 20% grade or less? Yes No (Dale 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 X $29 $ Garage sq/ft area X $25 $ Total Valuation: $ Total Valuation Multiplied by 0.006 = $ Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ AL ANEW CONSTRUCTION ADDITIONS REMODELS: I--siness/In sttVdf/€ducational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the followinis: 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 $2000) Construction valuation computation: Finished sq/ft area /�i , '7 +X —X$ $ ��i � 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 $ LI to e '17 vu Issuance Fee: $ 25.00 z: Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ ��62 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 PLUMBING PERMIT ACA I Jurisdiction of City of Blair, Nebraska 218 South 16 Street Blair, Nebraska 68008 Fax (402) 426-4195 P 2122 (402) 426-4191 Application Date: Permit Fee: $ ` Job Address Owner Mail Address Zip Phone Mail/Ad, Z PoeeContracto 2. 3. Class of Work: ` bMMERCIAL O RESIDENTIAL IkNtw 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 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 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Drinking Fountain ........................$6.00 x 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 Backflow/Grease Trap$15.00 Water Service .......................$15.00 state or local law regulating construction or the performance of construction. Sewer.................................$15.00 Groundwork ......................... $15.00 Septic Tank & Laterals............ $15.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial)..$30.00 Gas/Water Piping System (Commercial)........................$50.00 Signature of Contractor or Authorized Agent Permit Issuance Fee.................$25.00 Total d eq Current License on File 114es O No O N/A Date Comment: WHEN PROPERLY VALIDATED (1N THIS SPACE) THIS IS Y V U X. FEKIVii i Approved By: -2 Rev. 2008-10 Jun. 17, 2010 11:44AM CITY OF BLAIR (402, 426, 4191) No, 5023 P. 3 PLUMBING PERMIT APPLICATION � � X40 hArisdictiorl of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 2122 (402) 426-4191 df / y / V UV Application Date: _ 1'etlnit Fee: $ ' job Address Owner Mail Address Zip` Plione 1. a V �' v ContrnCto Mail d res �. PI o�ttc.yj 2. 3, Class of Work: OMMERCIAL d RESIDENTIAL w ❑ Addltlon O Alteratlon A Repair M Replacement DoscribCwork: �� 4. 7 PLUMBING PERMIT FEES Modular home .................... •.$50.00 Comments: Type of Fixture No. Kitchen..............................$12.00 x Bath...,0esidential/Single $tall $12.00 x Multi -$tall $25.00 x Rough-ln Bath ........................$5.00 x Additional Sinks.....................$6.00 x Slop Sink/Laundry Tray/Drain.._..$6.00 x_ Water Beater .........................$10.00 x Notice Outside Water Faucet.. ................. $6.00 x I hereby certify that I have rend and examined this application and know the same to be true and correct. All pro Visions of laws and ordinances governing this typo 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 ally other state or local law regulating construction or the performance of construction, Drinking Fountain ........................$6.00 x Backflow/Grease Trap ............. $15,00 Water Service .......................$15.00 Sewer. ................................$1,5.00 Groundwork .........................$15 AO Septic Tank & Laterals•........... $15.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial)..$30.00 _X ( d, D D Gas/Water piping System (Commercial)........................$50.00 $ignalure of Co radar or Authorized Agont Permit Issuance Fes...... -. • • • •. •. • •$25,00 Total D CwTent License on File des O No O N/A Date Comment: v YYn ry n\ mYYY(� YC TT/IT TTI YIY^YI'K /(YT WHEN PROPERLY VALID l3IE (11N 1 16 6r1-iU:Pj Ih10 ib IyUA_ ZAIVILI Approved By: Rev. 2003-10 CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVEDOF: ADDRESS CITY, STATE, ZIP CODE THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Punting, Bkeir, NE 68008 N o4rozrzo1a .. �. ,: i � �,�5, ., Cc �� .,� � ., U�cIasi crw+ - IrP Ir a.�.. A w IN ..o r 1 r r �..n.. . u ")RI IN �..L AvIlTA o ,a aw+uuo � roTI � o ._......_ i_ r....��...,n. . vli _nw 04/0112010 05.55 PM 0410112010 03'55 PM \\ l CITY OF BLAIR LOCATION OF BUILDING R ❑ WASHINGTON COUNTY ❑ 51 NAME OF OWNER: CONTRACTOR... f DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED s ° % x 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 ❑ COMMENTS PRESSURE TEST K ❑ ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED_ I1i6 �fLL 5144e 412e 5fc , I i c wwwJ. s INSPECTOR .. DATE OF INSPECTION MADE: 7 - l "' d TIMES > .¢ FAXED OPPD\BURT REA TO CONNECT SERVICE: BY •IU KIM M 1 ,1., ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY LOCATION OF INSPECTION: ti NAME OF OWNER: ❑ OTHER_ f y DATE INSPECTION REQUESTED I TIME INSPECTION REQUESTED. " f`''¢ ' PERMIT NO �a TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ARTIAL PASSED FAILED COMMENTS: ❑ ❑ COMMENTS: PASSED FAILED UTILITIES: ❑ SEWER TAP 'R SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED COMMENTS:A ❑ PARTIAL h d O "� e— C c h ❑ ❑ PRESSURE TEST �+ ❑ 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 a �-oo1 0��d / Fo Lic q �1 + !� !� ��.�:� �c���wt.�t, ��n"� 5 !J t,� G�- � G°� � .f /A© Jnr S � i� �' cd i �. "'�~ �✓ AA -1 fee le '�:�y •� vL L, [,(o ".yc INSPECTOR: ✓"�-�' DATE OF INSPECTION MADE:_ ( to TIME - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY CITY OF BLAIR LOCATION OF NAME OF r DEN 111 ♦ r WON r ❑ WASHINGTON COUNTY ❑ d 4 � v`\ ! c °2 E ' // DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED. A4, 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 N� PARTIAL PASSED FAILED ❑ PRESSURE TEST ' r e f ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS7 c are �� Nc-�x�a.y !°UC 4, -e -6u",( C�/ff+= GN u� INSPECTOR.v� , DATE OF INSPECTION MADE: TiMF �l FAXED OPPDTURT REA TO CONNECT SERVICE: ON '"BUILDING INSPECTIO N REPORT F -I CITY OF BLAIR F -I WASHINGTON COUNTY El OTHER vI LOCATION OF INSPECTION` NAME OF OWNER- P'J n CONTRACTOR .t# DATE INSPECTION REQUESTED., -2 J TIME INSPECTION REQUESTED-- PERMIT NO - TYPE OF INSPECTION REQUESTED: - ❑ CONFERENCE F] STATUS CHECK BUILDING: F -I FOOTING F -I DECK FOOTING ❑ FRAMING [:1 DRYWALL F -I FINAL [_1 PARTIAL PASSED FAILED ❑ F -I COMMENTS: UTILITIES: F -I SEWER TAP F -I SEWER El SEPTIC F -I WATER TAP F1 REMOTE 7 WATER SERVICE PASSED FAILED El PARTIAL El El COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL F -I PERMANENT SERVICE El TEMPORARY SERVICE [_1 PRECONNECT PASSED FAILED F -I PARTIAL COMMENTS: MECHANICAL: F] ROUGH -IN [_1 A/C El FURNACE El RADIANT HEAT El FINAL El PARTIAL PASSED FAILED F -I F -I COMMENTS: PLUMBING-,., "M"" GROUNDWORK ❑ ROUGH -IN El FINAL F1 WATER METER INSTALLED El PARTIAL ZA4SED FAILED PRESSURE TEST El COMMENTS. F -I OCCUPANCY GRANTED F -I CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: i') V31vVe INSPECTOR. DATE OF INSPECTION MADE: —Z - ' is E - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B , T-VAl ❑' CITY OF BLAIR JUK v 1 0 of W ❑ WASHINGTON COUNTY ❑ C LOCATION OF INSPECTION - NAME OF OWNER- DATE WNER DATE INSPECTION REQUESTED r �r }� TIME INSPECTION REQUESTED P``�� PERMIT �t t 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 ❑ 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 ❑ FAL ❑ WATER METER INSTALLED PAA jIAI� PASSED FAILED F-1PRESSURETEST F�° ❑ COMMENTS: -24-1-p ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED r 5+ - !`-1 4 fez-, 4C44- vuxw 3 o k r e V,/ t7 6' o INSPECTOR. 34�� DATE OF INSPECTION MADE: c T. / O�A FAXED OPPDIBURT REA b TO CONNECT SERVICE: ON BY INSPECTION CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER � LOCATION OF INSPECTION: "} osl lv. s NAME OF OWNER: �._." '0,21 CONTRACTOR F r a PERMIT Na� ~, �r' 4 DATE INSPECTION REQUESTED_(43TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK I _ BUILDING: FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL __ FAILED 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: j PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: j ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: f, F INSPECTOR: F t r DATE OF INSPECTION MADE: TTMF.: FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING INSPECTIO N REPORT ❑4 CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER t t LOCATION OF INSPECTION: t, € °4 NAME OF OWNER- _ ` Ai '- Vra CONTRACTOR p.. DATE INSPECTION REQUESTED• & TIME -INSPECTION REQUESTED: ' �� ff._. 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 El PARTIAL ❑ ElCOMMENTS: 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 - wEl COMMENTS ' � X ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS �. rF INSPECTOR'° DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ,,❑..*,_CITY OF BLAIR BUILDING , REPORT ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION NAME OF OWNER `s r s' �'� ` s CONTRACTOIL _ DATE INSPECTION REQUESTED r n" TIME INSPECTION REQUESTED: '',ttv , r _ PERMIT NO: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ,FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED F-1 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 ❑ PARTIALPASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTOR: `r1� DATE OF INSPECTION MADE: �' d TIME ~ 3Q FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ?id/w201�1 IIS '. 3 y1v ❑t e CITY OF BLAIR LOCATION OF INSPECTION: ❑ WASHINGTON COUNTY ❑ C r : UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE 2 r6 r, NAME OF OWNER r CONTRACTOR , ❑ COMMENTS: j { ` " DATE INSPECTION REQUESTED -�f- " > ° ``f TIME INSPECTION REQUESTED r f PERMIT NO- O TYPE OF INSPECTION REQUESTED: TYPE PARTIAL ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED MECHANICAL. ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED 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❑TROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS:y �. ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- las INSPECTOR • DATE OF INSPECTION MADE: `✓� TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: BY .1r El, CITY OF BLAIR i 111 u DIN 9 1 a DIMON ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION: j r NAME OF OWNERtiil� DATE INSPECTION REQUESTED � -� TIME INSPECTION REQUESTED ° ; F f� PERMIT NO {' TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: : K F' r r, # ,.' r d - . C El _ (.i 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/ %� DATE OF INSPECTION MADE: (! Z TIME• _' 3e°414,� FAXED OPPD\BURT REA TO CONNECT SERVICE: BY -BUILDING INSPECTIONT CITY OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER f i -- LOCATION OF INSPECTION r NAME OF OWNER- ,'' `` t �1, r 'i ` r�.. s.- CONTRACTOR ; t r DATE INSPECTION REQUESTED-,, TIME INSPECTION REQUESTED TYPE OF INSPECTION REQUESTED: m BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL r, COMMENTS: A� [IT NO- [::STATUS CHECK PARTIALSSED FAILED UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED:,. ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ ;'FINALFl-PERMANENT SERVICE ❑ TEMPORARY SERVICE—El PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ! J ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS, /y INSPECTOR_ �/ DATL-OF INSPECTION MADE: I �`" ( ® TIME- 4t-6�� FAXED OPPD\BURT REA TO CONNECT SERVICE: 05/12/2010 0491 PM 4t 0 UM40M �..��- �> �`�ay _ a�Y 16111011 A age dl IIF7iC. I8 -A it _A A0.�`t\ L wre C! m.ewlY f I YO.� f • 'wr 1 .•••• r.r ���wr U ®rrla f ] O RfMYtoM� G] n�pYlia�+rl��Y�M� .. � r +- ��-'ilr� -Y Kik ov2,; �c;,c u��,ae aN x 04121/2010 09.49 AM p; 0412112010 C AM 1 33-6 1INI 7/1/2010 10:20am r }�-�- m 3.: #y .�� s. r, ,w t F a �s \ \7 11 5n./ Ili OF INSPF.(—no N MADE: 'ICF_ ON 7121 010 Y_ mwmmm,F _—�— D Iy ' :31am m MA - 10 N 1 7/2/2010 _ --J � \ tea• � � y 2':05pm , meq, J a 7/2/2010 2A5p f _MW a 7/2/2010 2A5p "❑' CITY OF BLAIR LOCATION OF ]BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ s ''fin P J e` TYPE OF INSPECTION REQUESTED: BUILDING: COMMENTS: UTILITIES: ❑ CONFERENCE U FOOTING ❑ DECK FOOTING, FRAMING ❑ DRYWALL, ❑ FINAL PARTIAL ❑ SEWER T p ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SER ❑ STATUS CHECK P SSED FAILED COMMENTS: ❑ PARTIAL VICE PASSED FAILED NAME OF OWNER ❑ ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY CONTRACTO SERVICE ❑ PRECONNECT PARTIAL PASSED ED FAILED COMMENTS: _ ❑ ❑ DATE INSPECTION REQUESTED g ° �� COMMENTS: PASSED TIME INSPECTION REQUESTED ❑ ❑ ���. _ •� PERMIT NO ElPRESSURE COMMENTS: TEST PASSED FAILED TYPE OF INSPECTION REQUESTED: BUILDING: COMMENTS: UTILITIES: ❑ CONFERENCE U FOOTING ❑ DECK FOOTING, FRAMING ❑ DRYWALL, ❑ FINAL PARTIAL ❑ SEWER T p ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SER ❑ STATUS CHECK P SSED FAILED COMMENTS: ❑ PARTIAL VICE PASSED FAILED ❑ ❑ ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY ❑ SERVICE ❑ PRECONNECT PARTIAL PASSED ED FAILED COMMENTS: _ ❑ ❑ MECIIANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: PASSED FAILED ❑ ❑ PLUMBING: ❑ GROUNDWORK❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL ElPRESSURE COMMENTS: TEST PASSED FAILED ❑ ❑ ❑ OCCUPANCY GRANTED �� � �. � ,. r�� :����o �,�.�. ❑ CONDITIONAL OCCUPANCY GRANTED "`'`�`" �'"�"� NOTES/REMARKS• `C r-- `�l u• -'L ' , Birt., =o J2 r, BUILDING INSPECTION REPORT DATE OF INSPECTION MADE: F] CITY OF BLAIR El WASHINGTON COUNTY El OTHER FAXED OPPD\BURT REA LOCATION OF INSPECTION - B 2 NAME OF OWNER- CONTRACTOR - DATE INSPECTION REQUESTED- Ix TIME INSPECTION REQUESTED: PERMIT No. TYPE OF INSPECTION REQUESTED: El CONFERENCE El STATUS CHECK BUILDING: 0 FOOTING F1 DECK FOOTING El FRAMING El DRYWALL F] FINAL [:] PARTIAL PASSED FAILED ❑ F -I COMMENTS: UTILITIES: F -I SEWER TAP E] SEWER El SEPTIC F -I WATER TAP El REMOTE F-1 WATER SERVICE PASSED FAILED F-1 PARTIAL COMMENTS: ELECTRICAL: R ROUGH iNF-1 FINAL F -I PERMANENT SERVICEE] TEMPORARY SERVICE F -I PRECONNECT PASSED FAILED R PARTIAL 1-1 F -I COMMENTS: MECHANICAL: F] ROUGH -IN F] A/C El FURNACE [:1 RADIANT HEAT E] FINAL El PARTIAL PASSED FAILED F -I F] COMMENTS: PLUMBING: F -I GROUNDWORK R ROUGH -IN El FINALE] WATER METER INSTALLED N-c'PARTIAL PASSED FAILED / _'PRESSURE TEST ME COMNTS. ' F -I OCCUPANCY GRANTED E] CONDITIONAL OCCUPANCY GRANTED! NOTES/REMARKS- INSPECTOR DATE OF INSPECTION MADE: E-1 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B CITY OF BLAIR LOCATION OF i t moo i I I, ❑ WASHINGTON COUNTY NAME OF OWNER' " DATE INSPECTION REQUESTED- TIME IN TYPE OF INSPECTION REQUESTED: ❑ OTHER s CONTRACTOR: ECTION REQUESTED- �' � `" PERMIT {�LL ❑ CONFERENCE ❑STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL COMMENTS: PASSED FAILED INSPECTOR � DATE OF INSPECTION MADE: 1 d TTMF 'a p 01 UTILITIES: ❑ SEWER TAP ❑ SEWERR ❑ SEPTIC ❑ WATER TAP ff 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 4 NOTES/REMARKS i n / ✓ �Q i S�-yf e INSPECTOR � DATE OF INSPECTION MADE: 1 d TTMF 'a p 01 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION NAME OF OWNER: CONTRACTOR• _ DATE INSPECTION REQUESTED ' TIME INSPECTION REQUESTED 'k PERMIT N0: LZ _ TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ 1 FINAL '`,<a ,PARTIAL , 11 COMMENTS: PASSED FAILED El UTILITIES: ❑ SEWER TAP F❑ 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: l'k --�- -�L- 6 r�- "A I �4� Pw, Lo&' " INSPECTOR:—<<�- DATE OF INSPECTION MADE: CTIME- FAXED OPPD\BURT REA TO CONNECT SERVICE: L� CITY OF BLAIR LOCATION OF a NAME OF OWNER- DATE WNER ❑ WASHINGTON COUNTY ❑ st(e (® *Lf4" NOTES/REMARKS: C A G. G-- (a �« m INSPECTOR- DATE OF INSPECTION MADE:7:2, ,1 — I o TIM '. (NwiA FAXED OPPI)1BURT REA TO CONNECT SERVICE: ON BY f i PERMIT NO - DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED. TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL RTIAL PASSED FAILED ❑ COMMENTS UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ ATER TAP ❑" REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL �„ Sq❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: G MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: (GROUNDWORKb ^ PLUMBING: ❑� ❑ ROUGH IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: C A G. G-- (a �« m INSPECTOR- DATE OF INSPECTION MADE:7:2, ,1 — I o TIM '. (NwiA FAXED OPPI)1BURT REA TO CONNECT SERVICE: ON BY CITY OF BLAIR LOCATION OF INSPECTION - NAME OF OWNERS Fl WASHINGTON COUNTY - u plel 0 1 ON Oki Di 011 Itym ❑ OTI e- -/ e, I` COMMENTS: R OCCUPANCY GRANTED Fl CONDITIONAL OCCUPANCY GRANTED M INI — - - INSPECTOR- IN DATE OF INSPECTION MADE: ® TIME :3 loc-v� FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTEDL-, -l--',LjLi, PERMIT NO-- F TYPE OF INSPECTION REQUESTED: El CONFERENCE F-1 STATUS CHECK BUILDING: FOOTING ❑ DECK FOOTING [:1 FRAMING E:l DRYWALL E:l FINAL � PARTIAL PASSED FAILED ❑ COMMENTS: UTILITIES: F-1 SEWER TAP F-1 SEWER F1 SEPTIC ❑ WATER TAP ❑ REMOTE F-1 WATER SERVICE PASSED FAILED F-1 PARTIAL El El COMMENTS: ELECTRICAL: Fl ROUGH IN F-1 FINAL F-1 PERMANENT SERVICE Fl TEMPORARY SERVICE F-1 PRECONNECT PASSED FAILED F-1 PARTIAL 1-1 F-1 COMMENTS: MECHANICAL: Fl ROUGH -IN F-1 A/C Fl FURNACE El RADIANT HEAT F1 FINAL F1 PARTIAL PASSED FAILED Fl 0 COMMENTS: PLUMBING: Fl GROUNDWORK [:1 ROUGH -IN El FINAL [I WATER METER INSTALLED El PARTIAL PASSED FAILED F-1 PRESSURE TEST El 0 COMMENTS: R OCCUPANCY GRANTED Fl CONDITIONAL OCCUPANCY GRANTED M INI — - - INSPECTOR- IN DATE OF INSPECTION MADE: ® TIME :3 loc-v� FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY