1939-2.tif ee C � ►�'
add
CITY OF BLAIR o MISCELLANEOUS BUILDING PER IT
Permit # c
4a
.q Pramiz °°
Date: / -6 Approximate Completion Date: l "� Site Plan Attached:
Estimated Valuation of Project:
Application for Permit Fee $20 /Issuance Fee $20 Fee: $40.00
Sign Erecting, Awnings (Persign)
Roof ing/Siding/Soffit and /or Eave Repair /Gutters
Window /Door Replacement (size change only)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required) j
Fences (plot plan required)
Decks /Handicap Ramps (plot plan required)
Satellite Dishes /Radio Antenna /Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items otcoveredbyone of the above)
Other Z � ;/e
Patios /Driveway Permits /Utility Excavation and Curb Grinding Fee $35
Curb Grind
Length
Utility Excavation
Length Lin. Ft.; Width Lin. Ft
Type: Water ; Sewer ; Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Lin. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will only be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life -
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0- $50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee: $ 20.00
Total Renewal Remit Fee = Permit Fee /Issuance Fee
Z6 616
Additional Description of project if necessary: �z t ✓c P ��%'�'° '
u s I
ti
Blair Building Permit Detail
i
Permit #: 12974 Issued: 5/7/2008 Type: Miscellaneous building permits
Completed: 10/16/2008 Valuation: 10000
Location: 1939 Pleasant Valley Blvd
Owner: Shay Center Inc. (Jay Gerke) Permit Fee: 20
Address: 1939 Pleasant Valley Blvd Issue Fee: 20
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone: 402 278 0299
Section: Township: Range:
Subdivision: Lot: Block:
20,000 sq ft retaining wall - block wall
I I
Contractors
Hometown Center, Inc. General Contractor Permit # Issued
i
Remarks
i
Inspections Date By
10/16/2008 DEM Final Inspection of Project Pass
I
I
I
I
I
i
I
I
._ .......................... ..
BUILDING INSPECTION REPORT
r OF,BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION "
CONTRACTO r
NAME OF OWNER•
PERMIT NO
DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED
[] CONFERENCE F1 STATUS CHECK
TYPE OF INSPECTION RE PAS ED FAILED
BUILDING:
FOOTING ❑ DECK FOOTING ❑ FRAMING El DRYWALL ❑•. FINAL ❑PARTIAL
❑
COMMENTS . <�� Ns_ .�a� ,,,�. PASSED FAILED
UTILITIES. ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ El
COMMENTS
PARTIAL
ROUGH IN ❑ FINAL E] PERMANENT SERVICE El TEMPORARY SERVICE El PRECONNECT
PASSED FAILED
'ELECTRICAL: El El ❑
❑ PARTIAL , ..
COMME PASSED FAILED
MECHANICAL: ❑ ROUGH -IN E] A/C ❑ FURNACE ❑ RADIANT HEAT ❑FINAL El PARTIAL El ❑
C OMMENTS
,_.��� .�.� r� __ ��u� �» � �. PASSED FAILED
PLUMBING: ❑ GROUNDWORK E] ROUGH-IN El FINAL ❑ WATER METER INSTALLED PARTIAL ❑ ❑
COMM ENTS
E] PRESSURE TEST
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE:
�® TIM e
FAXED OPPDIBURT REA TO CONNECT SERVICE: ON
BY
ION REJrOR
BUILDING INSpECT
❑ OTHE
E] WASHINGTON
COUNTY
YOFBLAIR
S CI F
rf
INSPECTION
LOCATION OF , f
F -`
' CONTRALTO '
PERMIT NO'
NAME OF OWNER
11 4 �°
�"
3
TIME INSPECTION REQUESTED' � S ❑ TATU S CHECK
DATE INSPECTION REQUESTED
❑ CON ❑� —
PASSED FAILED,
•u FINAL ❑ PARTS ❑ ❑ ,
TY O IN SPECTION REQUEST FNING ED] DRYWALL
❑ Y
����
m, FOOTING E] DECK FOOTING E] p
BUILDING- El
❑❑ - PASSED FAILED
r❑� ,.,per ❑
COMM ❑ WATERTAP E] REMOTE E] WATER SERVICE E] - EWERTAP SEWER ❑ °
S ❑ ,
UTILITIES: ❑ PASSED FAILED
❑ PARTIAL ICE El pRECONNECT ❑ El
COMMEN P ANN ' SERVICE ❑ TEMPORARY SERV
ROUGHIN
E] FINAL El m
ELECTRICAL: E]
PARTIAL PASSED FAILED
C OMMENTS
❑ "
`�'� "��� �� PARTIAL El ,. sue- �������-
IAN
T HEAT ❑ FINAL ❑ ❑
� -_- FURNACE ❑ RAD
ROUGH -IN ❑ AIC ❑ _ ,� ��.�,� . �
u
MECHANICAL:❑ v PASSED FAILED
_. d PARTIAL El ❑
COMMENTS ``x,.. FINAL El WATER METER INSTALLED
,a GtwN ❑
GROUNDWORK ROU
❑
PLUMBING: ❑
PRESSURE TEST
S _ P M
COMMENT ❑ �,� �� N � GRANTED
,. DITIO
AL OCCUPANCY
CY GRANTED ❑ CON f " A
❑
OCCUPANCY � ❑ � ��� � �'��
y* (
r
NOTES/RE MARK ` s
t
d 3
F M DATE OF INSPECTION MADE: a
BY
INSPECTO
TO CONNECT SERVICE: ON
FAXED OPPD \BURT REA