BP5119~.~ ~ BUILDING PERMIT APPLICATION
.' Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 N® 5119
(402) 426-4191 Permit
Application Date:
o ~7
Issue Date: ~~~'~~'~~ Permit Fee: $
JOB ADDRESS ~ ~.-~ ! ~~
LEGAL
1 ' DESCR. LOT NO. /~,
~- % BLK. TRA ~ l n L
~ ^ SEE ATTACHED SHEET
OWNER
2. ?/~~~ r aIL DDRESS ZIP PHONE
3. CONTRACT
-~'~ MAILADDRESS/ -'7 /~ PH NE ~/~ ICENSENO.
~ C~ / /~L~
USE OF BUILDING
4. ~~~~-.---~C~
5. Class of Work: ~ NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~~ ~,y,,~~
]. Sq. FOOtage Of StrUCture (Including Basement and Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Flood lain; Floodway Yes ^ No ~~
p Fringe Yes^ No [~~ Dev. Permit Elev. Cert.
BFE
11. Current Zoning: ~ ~'(
12. State Fire Marshall Required: Yes ^ No[~
13. Special Use Permit Required: Yes ^ No [~-~
14. Variance Required: Yes ^ No ~'
15. Minimum Setbacks: Front ~-~ Side ~_ RearZ'
16. Sidewalk Required: Yes ~ No ^ Waiver Approved
APPI,J QTION_AC~ T~ I PLANS CHECKED BY I APPRO~I, ~D FOR ISSUANCE BY
NOTICE ~-
Separate permits are required far electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the
building permit application fee 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 this application form signed bythe Building Inspectorand stamped
'APPROVED'.
I hereby agree to perform the proposed work in accordance with the specifications setforth
above and in accordance with the codes~ordinances of the Ciry of Blair and the State of
Nebraska. I understand that this permit is void if work is not commenced within 180 days
or is not completed within 2 years of date of issue. ,
OF OWNERfCONTRACTOR OR AUTHORVLED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
Site Plan Attached ~' Complete Plj~ns Attached]
Approximate Completion Date ~~ / 9~
Inspection Required and Fees
~Q ~~ r~ltil'ties
Sewer Tap D~' ,Vx~ter Tap ~`
Sewers /~"o ~~ t z -r?-~z- W~ter Service ~ /O ° ~
Septic
Remote
Building
Footings~o~') ~i-~.~~,7 Drywall's
(before finish)
,Framin~ °~ Final s 2 ~
"lawn /~-lts~ivr~ Electrical
Rough-in / ~' ~' ~' +l ~L' =1 J~,~y, Fixtures
Final ~/ ~- ~ ~'~' l°" Permanent Service ~
Temporary Service
i-Co~f `~~ Mechanical
Rough-in~.C~C> °~ ~1cl~ur.Oh.l ABC r/ /G,4ca ~~1cF77w~~1~_
Final ~~~-~ ~
Plumbin
Ground Work ~
Rough-in ~~~Srn-~ t i ~ ~~'Final ~~~ f o~ "
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approve y' ~
SOUNDS PRTG: Blelr, NE Rev. 109'
r
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BUILDING PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Permit N~
Application Date: ~ z ~ >'~ I ~ Issue Date: /Z-/C~ ` ~~ Permit Fee: $ ~• ~~
JOB ADDRESS
905 N, z~ ~~.
LEGAL
1 ' DESCR. LOT NO. ~ BLK. TRACT 7 n~ ~ SEE ATTACHED SHEET
~- ~ I I~YIl! d~Oln..~ v
2. OWNER ~~, ~~ ~~ ~ ~UC~~ ZIP PHONE
LAD
D
R
ESS
MA
I
.~. CONTRACTOR ~~ ~ /lY~ l ~1 ~r~~ ~ ~
hC~ I uQ~r l~ S) O ~ IG~ ~ ~-(/ ~y) ~/~ ~Gt /„(~/~CENSE NO./ O
~
~
~
~
~
(%
USE OF BUILDING
4.
5. Class of Work: EW ^ ADDITION []ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~~ b . .~ C ~
]. Sq. FOOtage Of Structure (Including Basement and Garage):
8. Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: Floodway Yes^ No ^
Fringe Yes^ No ^ Dev. Permit Elev. Cert.
BFE
1 ~ .Current Zoning: Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
12. State Fire Marshall Required: Yes ^ No^
Inspections Required and Fees
Special Use Permit Required: Yes ^ No ^
13 utilities
. Sewer Tap Water Tap
14. Variance Required: Yes ^ No ^ sewer Water Service
15. Minimum Setbacks: Front Side Rear Septic Remote
16. Sidewalk Required: Yes^ No ^ Waiver Approved Building
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Footings Drywall
(before finish)
NOTICE Framing Final
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the Electrical
building permit application fee does not constitute issuance of this building permit. I further
agree that construction covered by this permit application shall not be commenced until I Rough-In Fixtures
have receivedacopyofthisapplicationformsignedbytheBuildinglnspectorandstamped
'APPROVED'. Final Permanent Service
I hereby agree to perform the proposed Work in accordance with the specifications set forth
above and in accordaAce with the codes/ordinances of the City of Blair and the State of
Temporary Service
Nt3braska. I under a d that this permit is id if work is not commenced within 180 days
Is of compl with' ars of a ofis Mechanical
Rough-in ABC
SI ATU OF OW ERfCO CTOR OR AU ORIZED AGENT DATE Final
Plumbing
Ground Work
~
OWNER BUI
DER Rough-in I ~" ~y Final ~' ~
L
SIGNATURE OF OWNER (IF
) DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approve B
- <
.-~.-.
ao,. ~nm
CATION
5171
ruunw rn, u: oieir, n~
BUILDING PERMITAPPLICAT101~1
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 0 ' '
(402) 426-4191 Permit ~- 517 6
~ ~a
Application Date: ~ ! ~ `Z ~ Issue Date: ~~- "~ ~' l~ Permit Fee: $ ~~
JOB ADDRESS
~~ ~ ~
1. LEGAL
DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET
2. OWNER ~ MAILADD S ZIP PHONE
3 CONT AC `~
-~Z ~J MAILADDRESS
'~ ~~ P/H~ON ~ LICENSE NO.
Y t%
USE OFBUILDING
4.
5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~ J ~ ~~' ~ ~
7. Sq. Footage of Structure (Including Basement ana Garage>:
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: Flooaway Yes^ No ^
Fringe Yes^ No ^ Dev. Permit
BFE Elev. Cert.
11. Current Zoning:
12. State Fire Marshall Required: Yes ^ No^
13. Special Use Permit Required: Yes ^ No ^
14. Variance Required: Yes^ No^
15. Minimum Setbacks: Front Side Rear
16. Sidewalk Required: Yes^ No ^ Waiver Approved _
ACCEPTED B1r; I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the
building permit application fee 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 this application form signed by the Building Inspector and stamped
'APPROVED'.
I hereby agree to perform the proposed work in accordance with the specifications set forth
above and in accordance with the codes~ordinances of the Ciry of Blair and the State of
Nebraska. I understand that this permit is void if work is not commenced within 180 days
or is not completed within 2 years of date of isspe.
SIGNATURE OF OWNERfCONTRACTOR OR AyliHORIZED AGENT DATE
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees
~~' Utilities
Sewer Ta
p ~,~ Water Tap
vet
Sewer 1 D /O o 0
Water Service
Septic Remote
Building
Footings Drywall
(before finish)
Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in ABC
Final
Plumbing
Ground Work
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE ~ Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved y:
BUILDING PERMITAPPLI
' Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Permit N-
Application Date: ~ Z-~.~ -Crz Issue Date: ~ 2"~~ ~ ~ ~ (~ Permit Fee: $ ~ ~ C C)
JOB ADDRESS ~ ~ ` r / ~ ~,/'~ ~~
~ (~ T,
1 . LEGAL LOT N0. C BLK. TRACT ~,~ l//~ ~~~ )
u/~j~ ^ SEEATTACHEDSHEET
~~/~
DESCR. n
2, OWNER ~i ^ ~ ~L~ f ~ ~ ~ MAILADDRESS
Cv I ZIP PHONE
MAILADDRESS
3, CONTRACTOR
~'~G ~~ ~ / 1 r ~ C ~l P,}iONE LICENSE NO.
~~ ~~C f~C/'U'Z,(~2Q ~~ ~~ X007 ~C~y~
USE OF BUILDING
4.
5. Class of Work: ~i NEy~/ ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~ ~ ~ C
], Sq. Footage Of StrUC1Ure (Including Basement end Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: FlDOawBy Yes ^ No ~ Dev. Permit
F
i
^ N
^
Y Elev. Cert.
r
nge
es
o
BFE
11. Current Zoning:
12. State Fire Marshall Required: Yes ^ No^
13. Special Use Permit Required: Yes ^ No ^
14. Variance Required: Yes ^ No ^
15. Minimum Setbacks: Front Side Rear
16. Sidewalk Required: Yes ^ No ^ Waiver Approved _
BY I PLAN3 CHECKED BY I APPROVED FOR ISSUANCE BY
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the
building permit application fee 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 acopyof this application form signed bythe Building Inspector and stamped
' 'APPROVED'.
I hereby agreeto perform the prgposed work in accordance with the specifications setforth
above and in accordance wlth the codes~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 days
9r1s}tot completedy~hin,2-yp~ys of-~t~ of ~e. ~ _
OF OWNERiCONTRACTOR OR /NTHORrLED AGENT DATE
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer Water Service
Septic Remote
Building
Footings Drywall
(before finish)
Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in ~v, bC~ ABC /U~ ~C~
Final ~~ ~ c1
Plumbing
Ground Work
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE ~ Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approv d B • t
CATIO~IV
5184
POUNDS PRTG: Blelr, NE Rev. 10/91
BUILDING PERIVIITAPPLI
' Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Permit ~° 5181
Application Date: ~~ `2 ~~ Z Issue Date: ~ ~ '~~-c~C Permit Fee: $
JOB ADDRESS ~^-
~LJ /V' ~7 ~ ~
-
1 ' DESCR, LOT NO. BLK. TRACT ~ ~ ~ ^ SEE ATTACHED SHEET
OWNER ~ /~ / j~
2. W ~/ MAILADDRESS ZIP PHONE
3 CONTRACTOR
~G MAIL ADDRESS PHONE
7n~' ~ ~~. ~.~r~~c~-~i LICENSE NO.
C~~O~
4, USE OF BUILDING
5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~~~C~~, ~ ~ c ~ ~
7. Sq. FOOtage Of StrUCture (Including Basement and Garage):
$, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. FIOOdplaln: Floodway Yes ^ No ^
Fringe Yes^ No ^ Dev. Permit Elev. Cert.
BFE
11. Current Zoning:
12. State Fire Marshall Required: Yes ^ No^
13. Special Use Permit Required: Yes ^ No ^
14. Variance Required: Yes^ No^
15. Minimum Setbacks: Front Side Rear
~ 6. Sidewalk Required: Yes ^ No ^ Waiver Approved _
BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the
building permit application fee does not constitute issuance of this building permit. I further
agree that construction c9vered by this permit application shall not be commenced until I
have received acopy of this application form signed bythe Building Inspector and stamped
'APPROVED'.
I hereby agree to perform the proposed work in accordance with the specifications set forth
above and in accordance with the codes~ordinances of the Ciry of Blair and the State of
Nebraska. I understand that this permit is void if work is not commenced within 180 days
or is not completed within 2 years of date of issue.
SIGNATURE OF OWNER~GONTRAGTOR OR AUTHORIZED AGENT DATE
Site P~~ n Att ch~d ^
t C
ti
D
t
A
l
l Complete Plans Attached ^
pprox
omp
e
on
a
e
,
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer Water Service
Septic Remote
Building
Footings Drywall
(before finish)
Framing Final
Electrical
Rough-in~<~~ Fixtures
Final G. C~
Permanent Service
Temporary Service
Mechanical
Rough-in ABC
Final
Plumbing
Ground Work
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
CATION
POUNDS PRTG: elalr, NE Rev. tOr91
CITY INSPECTION SLIPS ,//
Inspection has been requested for ~(~5~/(/L-~ ~~~~
Location of Building
BY ~~ ~-cc~/
Name of [/Cnompany
On ~G~-•-~/~
(Type of Inspection)
At /ryl~~j
Date Time ~~
Results of the inspection are: ~!//
O,fiQ-r ~' ~ .
City presentative
CITY INSPECTION SLI/PS p ,G
Inspection has been requested for ~(~ (~ y
~ Location of Building
By ~~iQ/L~
////Name of4 Company
On /ri/'D wti-~l Ir-6~-~
(Type of Inspection)
nt ~ 2~/.a~92~
Date Time
Results of the inspection are:
~1.~
Cij~ -Representative
CITY INSPECTION SLIPS
Inspection has been requested for `~ 0> •~r~a 2 `-~ ~5~~~'"~if4~
Location of Building
By ~~~~ ~~--- .
Name of Company
On c ~I- ~~
(Type o1L InspecC on)
At I' I ~1 / ~ ~--
Dat ' Time
Results of the inspection are: ~j ~ ~ ~~------
:Nft~~ sentative
r
CITY INSPECTION SLIPS
+~.
Inspection has been requested for •i
~7 ~ p` Location of Building
Name of Company
On
(Ty of spection)
nt ~ / p.~ •
D to Time ,
Results of the inspection are: /~
J \
y • .
City Representati e ~ -
CITY INSPECTION gSLIPS
Inspection has been requested for 1~ w Z~~ ~~l
Location of Building .
ny P~sAI UUY~,Q.YC~ ~ ~ .
~N+a~me of Company "
On ZP,I~ fef2 ~~~ '
Type of Inspection
llate Time ,
Results of the Inspection are: ~ ~~
City epresentative
h~
CITY INSPECTION SLIPS
Inspection has been requested for ~~ ?
Location of Building
By ~-zQ~,~.~~
Name of Company n nn
Type of Inspection
At ~'~Q' ~~7
-Date ~ Time
Results of the Inspection are: ~ ~~-•-^
~~ ,
City Representative