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BP13448CITY O: ; APPLICATION Permit # Date: W m to Approximate Completion Date:®/ Site Plan Attached: Z REScheck Attached: 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 plan required) Satellite Dishes/Radio Antenna/Cell Towers (plot plan 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 project if Proiect Information: ® Private Well Blair OPPD Line Kennard Date Agreement Received: ® Septic Drawing Provided: Blair Kennard Submitted: Yes No 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 des/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 8 ays-card not complete withwo (2) years of date of issue. 2 ignature 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. Signature of Owner/Contractor Date ZONING REVIEW: Zoning/Flood Plain Utilities: 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 - 1 Lot Square Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: Sidewalk required: YesNo 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 req irements: BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four >Four` High Rise (>75 ft) Type of Residential Structure: Ranch Two Story Split Entry Raised Ranch Other Rooms Bedrooms Bathrooms Fireplaces Gas Electric Egress in Basement: Required: Yes No Provided on Plans: Yes No Sleeping Rooms Living Area Other Egress Sauare Footage: 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 Occuaancv Classification: Assembly, theaters, with stage Assembly, theater, without stage Assembly, nightclubs Assembly, restaurants, bars, banquet halls Assembly, churches Assembly, arenas Assembly, general, community halls, libraries, museums Business Educational Factory and industrial, moderate hazard Factory and industrial, low hazard High Hazard, explosives (section continued on next page) High Hazard HPM Institutional, supervised environment Institutional, incapacitated Institutional, restrained Institutional, day care facilities Mercantile Residential, hotels Residential, multiple family Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building required to be protected by automatic fire sprinkler system?" No Only partially in some areas or rooms Please Specify Yes If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 13D Driveway Grade: 20% grade or less? Yes No (Dale will review new residential construction. AI will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: Permit Fee Calculation: Building Permit Deposit Fee: Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 All other permits Fee = $50.00 $ CRIESIDIENTIAL -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 1 —X$29 Garage sq/ft area 5oo X$25 Total Valuation: Total Valuation Multiplied by 0.006 = Issuance Fee: Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ __ 00 $ /.2"® •go_ $ 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 Proiects: 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 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 $ AdditionalComments: Approved,by: , L!, Date: ' 7 -1 Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes No C MECHANICAL PERMIT APPLICATION huisdiction of City of Blair, Nebraska If 218 South 16t1i Street Blair, Nebraska 68008 Fax (402) 426-4195 M 2010 (402) 426-4191 t-6 Application Date: �'! Permit Fee: $ � lo • 0 0 _ Job Address Ie I ,, ,? :& � �' Owner Mail Add 'ss �° Zip Phone Contract° ail Ad ress Zip Phone 2. �.. ",4 ''CC n 3. Class of Work: O COMMERCIAL -'WI SIDENTIAL I ' _ New O Addition O Alteration CI Repair O Replacement Describe Work: G �, a ) �'��` a4-4. MECHANICAIL, P'ERMI'T' FEES Heat -Pump _ Tons ` Central A/C Tons Furnace/Heat Pump/Air Conditioner (Per Unit) Y E �� Furnace -z Q, t%� . BTU/H Up to and including 100,000 BTU / 3Ton........ . . . .................$15 AO # of Units / A/C Furnace/Heat Pump/Air Conditioner (Pei, Unit) e o Furnace Over 100,000 BTU / 3 Ton.............................................$25.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor — Commercial (New or Replacement) (Per Unit) Boiler Chart ........................ . ..$15.00 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 Boiler(userTUCharttoleft)...•..,........,.... _ Over 1,750,000 ................. .............$100.00 . Appliance Vent/Fans ............... ....... ..$10.00 NoticeDuct System..................................$15.00 I hereby certify that I have read and examined this and know the same to be true and correct. AllCTff9 %w application First 5 x $6.00 provisions of laws and ordinances governing this type of ...... work will be complied with whether specified herein or x $ I.00 not. The granting of a permit does not presume to give ... , , ....Additional 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 ............................... signature of Contractor or Authorized Agent Permit Issuance Fee..............x...........$25.00 Total �a Current License on File es 13 No ® N/A (� Date Continent: TTTT XTT WEEN F1ZU1'P-KLY VALI.Va1nU �11N 1 1 OCtLI,U) 1111 1J 1vvl�i Ll. x111 Approved By: Rev. 2008-10 Application Date: 17- 11 t / Ii Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 M 2010 Permit Fee: $ IV, Job Address Owner Mail Add ss Zip Phone 1. t261J Contracto ail Ad r:ss Zip Phone ° 2. � 3. Class of Work: O COMMERCIAL SIDENTIAL I Joew O Addition O Alteration O Repair O Replacement Describe Work: / 4. jjj ,/ 1e MECHANICAL PERMIT FEES Heat Pump Tons Central A/C,,�� Tons Furnace/Heat Pump/Air Conditioner (Per Unit) yy Furnace As'�) 1 BTU/H Up to and including 100,000 BTU / 3Ton............................$15.00 # of Units A/C Furnace/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) Boiler Chart BTUFee 500 ......................................................................... 1 . $ 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 Duct System..................................$15.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All i First 5 x $6.00 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 .........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 Authorized Agent Permit Issuance Fee..........................$25.00 Total 06 r License on File es O No O N/A DateCurrent Comment: WHEN PROPERLY VALIDA'1'Ell (1N IHIS �SFAUE) 1ti1N 1N YUUKFhK1V111 Approved By: Rev. 2008-10 PLUMBING PERMIT APPLICATION Jurisdiction of Ci of Blair, Nebraska 218 South 16th Street 4 Blair Nebraska 68008 r Fax (402) 426-4195 P 2121 y (402) 426-4191 r Application Date: t A " / Permit Fee: $ / J Job Address Owner r MailAddress J Zip Phone I. d ContractorL,,, aJ Address Zip Phone 2. 3. Class of Work: - COMMERCIAL_M RESIDENT ew O Addition O Alteration O Repair O Replacement Describe Work: 4. " 1v 611-1 PLUMBING PERMIT FEES Comments: Modular Home ......................$50.00 Type of Fixture No. Kitchen .............................. $12.00 x _ °. o Cet 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 Drinking Fountain ........................$6.00 x provisions of laws and ordinances governing this type of work will be complied with whether specified herein or Backflow/Grease Trap$15.00 not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other Water Service .......................$15.00 state or local law regulating construction or the performance of construction. Sewer.................................$15.00 Groundwork................ f Gj .........$15.00 Septic Tank & Laterals............ $15.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial)..$30.00 Gas/Water Piping System (Commercial)........................ $50.00 ignature of Contracto or orizQd g Permit Issuance Fee.................$25.00 <,' 0 Total Current License on File es O No O N/A Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: .ev. 2008-10 ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16" Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: U-,2-10 K.31215 Permit Fee: $ Job Address , r� i /S's (� Owner Mai Address J Zi Phone 2ontractor il Address1 3ji7- �� 67d ��.Cf'GP 7W & 7 TU ✓ �J 3. Class of Work: ANEW RESIDENTIAL Cl NEW COMMERCIAL 11 REMODELING/ADDITIONS 0 UPGRADE SERVICE Describe Work: 4. G7 5.Current License on File Yes O No 0 N/A Cothpletion Date ELECTRICAL PERNIIT 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 15 ®® 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 1" 1000 Amp Fee..................$195.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $20.00 New Residential: (Finished Area) Single/Two Family Dwellings Notice dgd V,,,.3 sq. ft. x.063 l�d 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 (I 10 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 Detectors..... x $3.00 ILQSmoke Sign re of Contractor or Authorized Agent Permit Issuance Fee...................$25.00 Total fj® /C? Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: 9 R'j1aW4\'1 Rev. 2008-10 �� F W:W, 0 H'14'k jjKA JNIIVJNJ���[Vj 11111 JU Ell! I '' Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: U - � — /0 E 3215 Permit Fee: $ / 7� ° Job Address Owner -"? 'e N Z' Phone Mai Add;z'�'� ,V SZ� ,WG Contra Ph 2. 3. Class of Work: '*E"EW RESIDENTIAL 13 NEW COMMERCIAL 13 REMODELING/ADDITIONS 13 UPGRADE SERVICE Describe Work: t N 4. Z--��cTl 5.Current License on File ')gYes C3 No 0 N/A Coftletion Date 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 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 1St 1000 Amp Fee ..................$195.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $20.00 New Residential: (Finished Area) Single/Two Family Dwellings Notice - 9 d 7 5 sq. ft. x .063 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..... x $3.00 Signature of Contractor or Authorized Agent Pen -nit Issuance Fee ................... $25.000 7,19 Total Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: Rev. 2008-10 cil.rYor 5L - - J, I I W41 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. f caner/Occupant City of Blair Contractor Date 218 South 16th Street • Blair, Nebraska 68008 - 402-426-4191 - Fax 402-426-4195 ^ E-mail cityofblair@ci,blair,ne,us THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 Project Title: Emerald Plan W/Unfinished Basement Energy Code: 2006 IECC 0.0 Location: Blair, Nebraska 27 Construction Type: Single Family 15.0 Building Orientation: Bldg. faces 270 deg. from North Conditioned Floor Area: 2073 ft2 Glazing Area Percentage: 10% Heating Degree Days: 6506 Climate Zone: 5 5 Construction Site: Owner/Agent: 1432 Voss Drive Dave and Debbie Burger Lot 61 Replat 2 Deerfield dba Diamond Homes Blair, NE 68008 12367 Merriam Dr Door 1: Solid 20 Blair, NE 68008 0.160 (402) 426-5382 Orientation: Front diburger@abbnebraska.com Compliance: 2.7% Better Than Code Designer/Contractor: Dave and Debbie Burger dba Diamond Homes 12367 Merriam Dr Blair, NE 68008 (402) 426-5382 diburger@abbnebraska.com Ceiling 1: Flat Ceiling or Scissor Truss 1062 0.0 38.0 27 Wall 1: Wood Frame, 16" o.c. 396 15.0 0.0 28 Orientation: Front Window 1: Vinyl Frame:Double Pane with Low -E 16 0.310 5 SHGC: 0.29 Orientation: Front Door 1: Solid 20 0.160 3 Orientation: Front Wall 2: Wood Frame, 16" o.c. 252 15.0 0.0 19 Orientation: Left Side Wall 3: Wood Frame, 16" o.c. 342 15.0 0.0 21 Orientation: Back Window 2: Vinyl Frame:Double Pane with Low -E 9 0.310 3 SHGC: 0.29 Orientation: Back Window 3: Vinyl Frame:Double Pane with Low -E 16 0,310 5 SHGC: 0.29 Orientation: Back Door 2: Glass 40 0.310 12 SHGC: 0.29 Orientation: Back Wali 4: Wood Frame, 16" o.c. 210 15.0 0.0 14 Orientation: Right Side Window 4: Vinyl Frame:Double Pane with Low -E 16 0.310 5 SHGC: 0.29 Orientation: Right Side Window 5: Vinyl Frame:Double Pane with Low -E 16 0.310 5 SHGC: 0.29 Orientation: Right Side Wall 5: Wood Frame, 16" o.c. 352 15.0 0.0 23 Orientation: Front Window 6: Vinyl Frame:Double Pane with Low -E 16 0.310 5 Project Title: Emerald Plan W/Unfinished Basement Report date: 05/05/10 Data filename: C.\Users\dlburger\Documents\Emerald unfin res check.rck Page 1 of 6 - Ar -1111119I1,10»Viv 11111] I10I+1kr_T-e V:4:1IT, l:4kikl 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 greaterbt-wthe 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. h. /V a ontractor/Owner Contractor/Owner City of Blair Date Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 continuous insulation Comments: Above -Grade Walls: ❑ Wail 1: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wail 2: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wali 3: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 4: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 5: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 6: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 7: Wood Frame, 16" o.c., R-15,0 cavity insulation Comments: ❑ Wali 8: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insul, R-11.0 continuous insulation Comments: ❑ Basement Wall 2: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insul, R-11.0 continuous insulation Comments: ❑ Basement Wali 3: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insui, R-11 A continuous insulation Comments: ❑ Basement Wall 4: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insul, R-11.0 continuous insulation Comments: Windows., ❑ Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.310 For windows without labeled U -factors, describe features: #Panes — Frame Type Thermal Break? Yes No Comments: ❑ Window 2: Vinyl Frame:Double Pane with Low -E, U -factor: 0.310 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3: Vinyl Frame:Double Pane with Low -E, U -factor. 0.310 For windows without labeled U -factors, describe features: Project Title: Emerald Pian W/Unfinished Basement Report date: 05/05/10 Data filename: C:\Users\diburger\Documents\Emerald unfin res check.rck Page 3 of 6 w ✓ ^yam_' �✓'-"` � RES. -heck ofaare Vzw er"4.3," 3>" Software _4sev ChecklistInwection Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 continuous insulation Comments: Above -Grade Walls: ❑ Wail 1: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wail 2: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wali 3: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 4: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 5: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 6: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: ❑ Wall 7: Wood Frame, 16" o.c., R-15,0 cavity insulation Comments: ❑ Wali 8: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insul, R-11.0 continuous insulation Comments: ❑ Basement Wall 2: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insul, R-11.0 continuous insulation Comments: ❑ Basement Wali 3: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insui, R-11 A continuous insulation Comments: ❑ Basement Wall 4: Solid Concrete or Masonry, 8.8' ht / 7.5' bg / 8.8' insul, R-11.0 continuous insulation Comments: Windows., ❑ Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.310 For windows without labeled U -factors, describe features: #Panes — Frame Type Thermal Break? Yes No Comments: ❑ Window 2: Vinyl Frame:Double Pane with Low -E, U -factor: 0.310 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3: Vinyl Frame:Double Pane with Low -E, U -factor. 0.310 For windows without labeled U -factors, describe features: Project Title: Emerald Pian W/Unfinished Basement Report date: 05/05/10 Data filename: C:\Users\diburger\Documents\Emerald unfin res check.rck Page 3 of 6 Project Title: Emerald Plan W/Unfinished Basement Report date: 05/05/10 Data filename: C:\Users\diburger\Documents\Emerald unfin res check.rck Page 6 of 6 Z Coiling / Roof 38.00 Wall 15.00 Floor I Foundation 11.00 Ductwork (unconditioned spaces): iffl�a��.571i�-,�.�������� Window 0.31 0.29 Door 0.31 0.29 Forced Hot Air Furnace 92AFUE Electric Central Air Conditioner 13 SEER Water Heater: Name: Date., Comments: 0610412010 0222 PM BUILDING INSPECTION CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION NAME OF OWNER• a . -0 e" C, CONTRACTOR DATE INSPECTION REQUESTED- " TIME INSPECTION REQUESTED PERMIT NO TYPE OF INSPECTION REQUESTED: _ ❑ CONFERENCE ❑ STATUS CHECK BUILDING f ❑� FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL 1-1 1-1COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F-1 PARTIAL1-1 F-1COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIALS PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F-1 PRESSURETEST F-1 FlCOMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTO, R �� 6 DATE OF INSPECTION MADE: ' ^ 7 © TIMES if e FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY 6/1712010 1:59 ". ��INSPECTION ev CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION E' NAME OF OWNER s ` ¢ G -. CONTRACTOR' 6 DATE INSPECTION REQUESTED: .I a TIME INSPECTION REQUESTED PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED �•�r f / � ❑ j OMMENTS COMMENTS- UTILITIES: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED 1 FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH—IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH—IN ❑ FINAL ❑ WATER METER INSTALLED ❑ M'PARTIAL `ry PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED��� w INSPECTOR: V DATE OF INSPECTION MADE: _�� j�- 6 TIME• FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ❑',CITY OF BLAIR LOCATION OF 1i , ❑ WASHINGTON COUNTY ❑ OTHER r � NAME OF OWNER' .�=< CONTRACTOR• , ` DATE INSPECTION REQUESTED �_ TIME INSPECTION REQUESTED'° g` a ° PERMIT NO �.. TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIALS 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 [_1 A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING ❑ , GROUNDWORK ❑ ROUGH IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑L4RESSURE TEST ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- INSPECTORS S ° 'l DATE OF INSPECTION MADE: i< R FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY ' t; ❑m" CITY OF BLAIR 1991111111 ❑ WASHINGTON COUNTYF1 OTHER INSPECTI011 REPORT NSPECTION LOCATION OF INSPECTION- / PLUMBING: ❑ ` PASSED FAILED ❑ NAME NAME OF OWNER- I L / a > ' . , CONTRACTOR • - a �2 £ S r DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTEDL-L PERMIT N0: s _• TYPE OF INSPECTION REQUESTED: ❑� CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: UTILITIES: F -I SEWER F1 SEPTIC ❑,,;WATER TAP F] REMOTE F1 WATERSERVICE PASSED FAILED ❑ PARTIALS _517-S`tWER 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 fy s , INSPECTOR • _ DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON