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BPM1997Blair Building Permit Detail Permit #: M1997 Issued: 6/21/2010 Type: Mechanical Miscellaneous Completed: 6/24/2010 Valuation: Location: 1112 Sunrise Dr owner: Dave Schroeder Permit Fee: 30 Address: 1112 Sunrise Dr Issue Fee: 25 Deposit Amt.: Blair, NE 68008 Receipt #: Phone: Section: Township: Range: Subdivision: Lot: 1 Block: 1 Replace 2 ton furnace and 60,000 BTU. Contractors Millard Appliance Service (MAS Inc.) General Contractor Permit # Issued Remarks Inspections Date By 6/24/2010 HOW Mechanical Final Pass 6/24/2010 HOW Final Inspection of Project Pass CITY OF BLAIR I ❑ WASHINGTON COUNTY 1:1 LOCATION OF INSPECTION NAME OF OWNER- "o" CONTRACTO 7 DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED PERMIT NO: l TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL EL ❑ PARTIAL PASSED FAILED ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAPE] REMOTE ❑ WATER SERVICE PASSED FAILED Fl PARTIAL 1 1 COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINALE] PERMANENT SERVICE E] TEMPORARY SERVICE E] PRECONNECT PASSED FAILED El PARTIAL F F COMMENTS: MECHANICAL:F ROUGH -IN, ❑"FURNACE ❑ RADIANT HEAT 9fINAL ❑ PARTIAL PASSED FAILED ❑ COMMENTS: PLUMBING: F GROUNDWORK E] ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST 1 El COMMENTS: F OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR: I& -vd4z DATE OF INSPECTION MADE: 4 - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ME CHANICAL PERMIT APP Jurisdiction of City of Blair, Nebraska 218 South le Street Blair, Nebraska 68008 Fax (402) 426 -4195 M 1997 // f (402) 426 -4191 / C 0Z) V Application Date: - ,2 I '10 7 / �)� Permit Fee: $ SJ lY/r �nnn Ova -aj /)x, TF! /J� �/7 /�� l 12E- Job Address Own, M '1 Address Zip Phone .�ot�� Contracto Mail A ress Zip Phone . 16�4 ' cr��cG �(�!� 50 131 ` 1��4% � 3�5 2. :�IGr� 3. Class of Work: df dOMMERCI AL RESIDENTIAL O New O Addition O Alteration O Repair Replacement Des e W rk: . 4. C G C MECHANICAL PERMIT FEES Heat Pump Tons o'er 1 Central A/C Tons Furnace/Heat Pump /Air .Conditioner (Per Unit) © Furnace 6 , J OD 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: y c 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 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 Gas/Air Outlets 5 x $6.00 provisions of laws and ordinances governing this type of .................First 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 ,, er rmance of co Piping System ................................ $50.00 4 Modular Home ............................... $50.00 ignature of Contractor or thorized A nt G7o .-- Permit Issuance Fee ..................... $25.00 f Total 9Y Current License on File Yes O No 13 N/A DaY Comment: WHEN KU -VEKLY VALWAILIJ t11N 1ri1J arllt r,) 1 M-0 to 1 UUtc rrnrvli-. Approved By: Rev. 2008 -10 M ECHA N ICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16 Street Blair, Nebraska 68008 Fax (402) 426 -4195 M 1997 (402) 426 -4191 Application Date: b . " Permit Fee: $ Job Address pp 5 4 4 4 C 0 Ovine r Mil Address Zip Phone 1. ��J�6lrt /cat��e/ Contracto 2. : �14e� Mail A ress Zip Phone Vice, s�efo\ L� w13 �0 13� 35 3, Class of Work: OMMERCIAL RESIDENTIAL O New O Addition O Alteration O Repair Replacement Descr'be W k- 4. 4. C j MECHANICAL PERMIT FEES Heat Pump Tons Central A/C Tons 01 1- Furnace /Heat Pump /Air Conditioner (Per Unit) Furnace lD y , J O D 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 �1 Completion Date: 0 I Refrigeration Units /Coolers /Lines /Compressor — Commercial (New or Replacement) (Per Unit) ...................... ............................... .........................$15.00 Boiler Chart BTUFee Up to 100, 000 ....... .........................$15.00 100,000-500,000 .............................. $30.00 500,000 -1, 000 ,000 ........................... $40.00 1,000,000 -1, 750, 000 ........................$60.00 Over 1, 750, 000 ...... ........................$100.00 Boiler (use BTU Chart to left) .................... Appliance Vent / Fans ........................$10.00 Notice 1 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 Authorized Agent Dd r Permit Issuance Fee .......................... $25.00 Total�� Current License on File X Yes O No O N/A Date Comment: WHEN PROPERLY VALIDATED (1N THIS SPACE) THIS 1S YOUR PERMIT Approved By: Rev. 2008 -10 BUILDING INSPECTION REPORT CITY OF BLAIR ❑ WASHINGTON COUNTY F OTHER LOCATION OF INSPECTION ` NAME OF OWNER 1 - - CONTRACTOR DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED PERMIT NO , TYPE OF INSPECTION REQUESTED: FICONFERENCE F STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING E:l FRAMING [:] DRYWALL ' Ek -- fiNAL ❑ PARTIAL PASSED FAILED COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER [:1 SEPTIC F WATER TAP ❑ REMOTE F WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN F FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL COMMENTS: MECHANICAL: F ROUGH -IN A/C ❑ FURNACE ❑ RADIANT HEAT la, AL ❑ PARTIAL PASSED FAILED „El” COMMENTS: PLUMBING: F GROUNDWORK F ROUGH-IN R ❑ FINAL ❑ WATER METER INSTALLED F PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- i - INSPECTOR u__Zlle44LZ DATE OF INSPECTION MADE: 9 f v I FAXED OPPD\BURT REA TO CONNECT SERVICE: