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BP4937
BUILDING PERMITAPPLICAT101V Jurisdiction of City of Blair, Nebraska 218 South 16th Street ~~ y 4937 Blair, Nebraska 68008 ~ ' - (402) 426-4191 Permit ~,~ Application Date: ~7 ~ ~y ~~ Issue Date: ~ `~'~ ~~ 2 Permit Fee: $ C~~~ JOB ADDRESS 1 ' DESCR. ~T ~~ ~jr ~ 5 ~~ S BL~ ~ C-C, ~ TRA~ ~~~ -~ = ^ SEE ATTACHED SHEET OWNER" 2. ~ ~i~i~ C~ C1 t-' ~ ~ `- ~~~~_ "MAI ADDRES P (J f i ~C) 5~ X_ (ii ~/~~ PONE r~ ~~~ ~ _~,J~ ~~ 3, CONT A 0 f/ . L ~ Y J ~- i 7 (, ~ ~~ Y ~ ~~ ~ MAIL ADDRESS PHONE ~~.i" l ,-: '~}~~%%h~~Y1 LICENSE NO. ~`I•t"=~j ~C4~J USE OF BUILDING I 4. ~'-~ ~ ~ ~~~~ ~; 5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: -~ L~~ ~ ~ tom-, ~], Sq. FOOtage Of StrUCtUre (Including Basement and Garage): - ~ ~~ ~~ ~ ~ 8, Change of Use From: Cha ge of Use To: n~~ g, Valuation of Work: $ ~~~~~ OCR 10. Floodplain: FI°odway Yes ^ ' No ^ Fringe Yes^ No ^ Dev. Permil 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 _ ACCEPTE9 BY I PLANS CHECKED BY I APPROyED 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 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 City 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 comple d within 2 years of dam teo o~lssue. SIGNATURE OF OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Site Plan Attache Complete PI ns Attach~~_ Approximate Completion Date ~~~~ ~G~~--' Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service /' •'~' uc.r~~a Septicf/ ~~ n'QZ " ~~c ~lo~k~l- Remote - Building Footings r/7'z~l-9Z Drywall C~ (before finish) / C Framing "~ Final ~/`~ ~" ~~'~~ Electrical Rough-in /(o-(3f3 ~y s E~• Fixtures Final ~~•(X~ -- Permanent Serviced ~~ ~~(1Z-- Temporary Service Mechanical / Rough-in ~L~. bb P~cl;r~ds.y~.. ABC,/ /0 , OQ ~x-kr~e~ Final / •~~ `` Plumbing Ground Work ~,3~~z Rough-in / ~2.C~d ~~~~'~'~--final ~~G~ ~` WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ant: Rev. 1091 ,~ ~ ~ ' CI-IFCK LIST FOR ISSUING RCSIDCNTTAL DUILDING PGRMI7S Site 1. ?.onin9 ~ C-~.C-~ Flood Plain: Yes No • -._.. - 2. Permitted Use r~ I~ 3. Special Use d Special Use Permit Issued , ~. Location on Lot (Setbacks) a. Front Yd. Required~~~ b, Rear Yd. Required __~r . c, Side Yd. Required ~ 5. Variance Required; YCS G. Lot Urea Required ~~~t ~ ~ Acts Shown 6 5 l Shown Shown _ ~ S~ , NO C as l ~~~ ~. Lot Coverage Al)owed ~-- Actual 0. Other Structures on Lot Adjacent Lot -~,~~ ~ 9. Ut1~ltleS ~~GJ~ building Plans 1. Floor Plan a. Room Sizes f r b. Cmergency Egress ~lJ ~ ~-e~(~o~ 1,~-1,,, :~ (,~~G ~ ~~_,~ 2. Foundation Plan ~ a. Framing Ptan i a. Cross Sections i b. Stairs ~ ~1. Clevations and Grading 5. Clectrical ' G, Mechanical ,~ , 7, Plumbing .BUILDING PERMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit Ns 5023 Application Date: ~(- ~ ~ 'q2. Issue Date: ~} - / / ~7~ Permit Fee: $ Z°a~ JOB ADDRESS LEGAL 1 ' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2. OWNER rl V~QOC~ ~I O~'f1~~/ ~OLADpRESX ~~ ZIP ~~ N~ 3. CONTRACT 5 ~lec~-~f~c MAILADDRESS PHONE Zc~3y l 1aZCl ~er»on foFl~Z.S~ LICENSE NO. °ILI~- ~C~Z© USE OF BUILDING 4. 5. Class of Work: [~`NEN/ ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~~C~~ L ~ c ,~ 7. Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 8. Change of Use From: Change of Use To: 9, Valuation of Work: $ 10. Floodplain: Flooaway 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 16. Sidewalk Required: Yes ^ No ^ Waiver Approved _ AP~TION ACCEPTED 8Y PLANS CHECKED BY 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 agree to perform the proposed work in accordance with the specifications setforth above and in accordance with thecodes/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 n completed within 2 years of date of issue. ~ ~ ~~z SIGNATURE OF OWNER~CONTRACTO R AUTHORIZED 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 ~ wd ~'~~ S Fixtures Final C~.UC~ Permanent Service Temporary Service Rough-in Final - Ground Work CA`TI~N Mechanical - ABC _ Plumbing SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Appro a y: CITY INSPECTION SLIPS t ~ ~ ~ 2~ Inspection has been requested for Location o£ Building By )~ - Name o~ Company On •-~~ Type of Inspection At ~~~ ~ ~~ ~s .Date Time ~~ ~r-p.;~~'-,~~ ~ ~.~.-~ ~_~~ '~'~s~ y " , Results of the Ins action are : ~ ~~~~ ~-~e~'~ ~~`~ ~ ~ ~~~ ~~ ~~ ~ ~~"~ ~.~ - ,~ City;:~epresentative ' S h ~ /y~ ~ .~ L".. min-~dM- A..trt~'~v.~-..-e~ ~'"°~ C`-o.._,+~.n ~ R ~' ~, h 1 CITY INSPECTION SLIPS ~~`~,~ ~.~ Inspection has been requested for Jd ~~ 2 ~ Location of Building By Name ~f Company On c (Type f Inspection) At //~/ 7 Da a Time Results of the inspection are: Ci Representative r ~/ ~~. ~ _WASHI•NGTON-COUNTY"INSPECTIONS ~t ~Q~~ ~ Inspection has been. requested for ~,_„_, p Q~ o~ nn nn /n~ Location o Buildin~- BY L( cQ ~~? ~ for ~~g-G~~~iyt~ n Name of Company Type of nspection ~~ aK p''' At ?-.~~-~j~ ~f-~- Results of the Inspection are: ;i?r; Date Time Mileage Left Mileage Return ~ \ Coufity Building Inspector _ -- =- ' _ __ --!--- vv JJ n, • CITY INSPECTION SLIPS ~ vl~-~' 7~ Inspection has been requested for_ t~(~fJIJGC~ ~~ vl_Y ~`~2, O // / Location of Bui ding ~, ' Name of C mpan~yj - ' Type of Inspection At ~'~.3/~9Z ~iul~no Date Tim Results of the Inspection are: ~~ ~~ ~~ City Represen ative ,,, CITY INSPECTION SQLIPS Inspection has been requested for ~of 2~ 4' ~~~/~ / Location of Building By r}-/..rLL r9 Name of Companyrr n } On ~ ~~M ~ fi~-~ e~-~•il / Type of Ins ection At ,^1f~~1,~~ Date ~ Time Results of the Inspection are: ~~ Rep~ve -_ n BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 N9 5035 (402) 426-4191 Permit a Application Date: ~ -Z-qZ Issue Date: ~ "~J`~ f ~. Permit Fee: $ Q. JOB ADDRESS LEGAL 1. DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2. OWNER ~ ~ r !~ I /~` ~tAIL~~DCSR~ S S~ ~ ZIP PHONE 3. CONTRACTOR ~r \~~ /I. MAILADDyIES~; 1 ~O ~ . ~ C PHONE ~~~a~ ~ ~_ ~~ E~ V ~%/~` J USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ' ,~ c, ~ ~ ~ c ~ ~} /('~ ]. Sq. Footage of StrUCtUre (Including Basement and Garage): 8. Change of Use From: Change of Use To: g, Valuation of Work: $ IC~p ~~~ 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_ 16. Sidewalk Required: Yes^ No ^ Waiver Approved APP ICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY ~ren ~~ 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 bythe Building Inspector and 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 y~~rs of date of issue. n r~ OR ANTHORIZEDAGENT i)~ 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 Dr wall y (before finish) i F Final ram ng Electrical Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in ~• ~?C~ ABC l0~ Od Final ~~ ~ Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE ~ Rough-in (2' ~ U Final ~ -~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ^ Comment: Approve y %~"'^ BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 e (402) 426-4191 Permit N~ Application Date: ~ 2" ~ '~ Z Issue Date: `Z " I "~ Z- Permit Fee: $ ~~ JOB ADDRESS n ~L LEGAL 1 ' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2. OWNER \^ . ~~\~ MAILADDRESS Zlp PHONE 3. CONTRACTOR (1Lo n '^ t1'< ~•' (~ LL - r U l n/~ MAI ADDRESS~X I/ lit ~~~ V` Jv'~~PU?E /~ /"0 ~/ 0 ~~0 '~ / ~C C/ e~ 4. USE OF BUILDING 5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~ ~_ ~ ~ ~~ 7. Sq. Footage Of StrUCtUre (Including Basement and Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. Flood lain: FI°°dway Yes ^ p Fringe Yesl] No Q Dev. Permit No ^ 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 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 fes 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 acopy 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 City 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 mpleted withi y ars o ate of issue. NATURE OF OWNERiCONTRACTOR OR AUTHORIZED AGE DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic ~ U ' O ~ 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 5159 Comment: Appro d~~ -~ OLINDS PRTG -Rlnlr_ NF Rnv 1N9