BP13388BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OF OWNER r _ "` r r` ° _ 9 €`
CONTRACTO
DATE INSPECTION REQUESTED �`° TIME INSPECTION REQUESTED PERMIT NO �_
TYPE OF IN SPECTION REQUESTED: ❑ CONFERENCE
❑ S CHECK
BUILDING: ❑
FOOTING ❑ DECK FOOTING 'FRAMING ❑ DRYWALL [:1 FINAL PARTIAL
PASSED
FAILED
❑
COMMEN
�❑
UTILITIES: ❑
SEWER TAP ❑ SEWER ❑ SEPTIC WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
El
PARTIAL
❑
F]
COMMEN
ELECTRICAL• ❑;,
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
F1
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
[:1
PRESSURE TEST
❑
F]
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES /REMARKS
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INSPECTO � DATE OF INSPECTION MADE: ( o TIME � -1 `
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B
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3R MECHANICAL PERMIT APPLICATION
Jurisdiction of City of t1 Blair, Nebraska 3
218 South 16 Street
Blair, Nebraska 68008
Fax (402) 426 -4195 M 1975
(402) 426 -4191
Application Date: % ® °` ® Permit Fee: $ a `/
Job Address
i Q'I ai gt a�ow
Owner #Mail Address Zip Phone
1.
Zip Phone
Contracto Mail Address M/
�.
2. c,Q .'��
3. Class of Work: MMERCIAL O RESIDENTIAL O New O Addition eration 0 Repair O Replacement
Describe Work: O &rp 4.
MECHANICAL PERMIT FEE
Heat Pump Tons
L7? °
Central A/C Tons
Furnace/Heat Pump /Air Conditioner (Per Unn � �t) ll 1 15"
Furnace BTU/H
Up to and including 100,000 BTU / 3Ton.. ... ......................$15.00
# of Units A/C
Furnace/Heat Pump /Air Conditioner (Per Unite IdO • 49
Furnace
Over 100,000 BTU / 3 Ton .................... .........................$25.00
Completion Date:
Refrigeration Units /Coolers /Lines /Compressor — Commercial
(New or Replacement) (Per Unit)
Boiler Chart
BTU Fee
...................... ............................... .........................$15.00
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
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
Radiant Heat Systems /Gas /Water
performance of construction.
Piping System ....... .........................$50.00
-
Modular Home ............................... $50.00
Signature of Contractor or orized Agent
Permit Issuance Fee . .........................$25.00 00
I
Total 00
Current License on File �kKes 0 No 0 N/A
Date
Comment:
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4/29/2010 1 M 04130 -10
Steve Connick
General Fire and Safety
5641 South 85th Circle
Omaha, NE 68127-
(402) 556 -6100
Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act.
Suppression Shop Drawing Clean Agent
REMARKS:
This Code Review does not include a determination for compliance with the State of Nebraska
Accessibility Guidelines. Accessibility compliance must be determined by the local jurisdiction in which
the project is located.
Review is for a fire suppression system as shown only.
1. The system shall meet the requirements of NFPA 2001.
2. All total flooding systems shall have the enclosure examined and tested to locate and then effectively
seal any significant air leaks that could result in a failure of the enclosure to hold the specified agent
concentration level for the specified holding period. The currently preferred method is using a blower door
fan unit and smoke pencil. Quantitative results shall be obtained and recorded to indicate that the
specified agent concentration for the specified duration of protection is in compliance with Section 3 -6,
using an approved blower fan unit or other means as approved by the authority having jurisdiction.
Documentation of the test, or on site witness of the test shall be provided at the request of the authority
having jurisdiction.
Cc: Dist. B
Blair codes
Page 1 of 2
PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION.
F FINAL ONS(TE APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE.
SIGNED:
NEBRASKA STATE FIRE MARSHAL
PLANS DIVISION
Code Review
Great Plains Communications -Data Center
1600 Great Plains Center
Blair 68008- i
Dow Hohbein
Reviewed By: Main Office
246 South 14th Street
Lincoln, NE 68508 -1804
(402) 471 -2027
Contact for Inspection: District B
438 W Market
Albion NE 68620 -1241
(402) 395 -2164
4/29/2010 1 M 04130 -10
Steve Connick
General Fire and Safety
5641 South 85th Circle
Omaha, NE 68127-
(402) 556 -6100
Great Plains Communications -Data Center
1600 Great Plains Center
Blair 68008 -
..)
Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act.
moo= ENSIM
r ow
Alt Phone: Email: Steve @generalfiresafety.com
Occupancy Type: Business Construction Type:
Estimated Start Date: 5/10/2010 Estimated Completion Date: 6/10/2010
Fire Protection Features:
Sprinkler Total ❑ Spinkler Partial ❑ Range Hood System d❑ Sprinkler Other:
Fire Alarm Manual Sys. ❑ Smoke Detection ❑ Heat Detection ❑ Fire Alarm Other:
Page 2 of 2
PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION.
FINAL ON-,%ITF: APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE.
SIGNED:
Douq Hohbein
Reviewed By: Main Office Contact for Inspection: District B
246 South 14th Street 438 W Market
Lincoln, NE 68508 -1804 Albion NE 68620 -1241
(402) 471 -2027 (402) 395 -2164