BP5335BUILDING PERMITAPPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ "~ Z 7 ""l~ Issue Date:
CATION
~~ Z~- ~.
5335
Permit
Permit Fee: $
JOB ADDRESS I I- L~~1'C~ ~ I ~e~~ " ,_~ ~~ ` ~~ C ~C. / ~ ~ -- /~ ~~ 1. l / l
LEGAL
1 ' DESCR. LOT N0. C BLK. TRACT ~ SEE ATTACHED SHEET
OWNER M ILAD' FjESS ~ ~ ZIP
2. ~jti~r c~ -~ ~e~-2~J ~~ ~~G'~ _ ~ ~uG.~S~~' PHONE
CONTRACTOR ~f~ MA L ADDRESS PHONE
3. .r~ rVY"~ ~~l~t'il~ ~"1~~1 ~ ~~1 ~gX ~~ LICENSE N0.
yz~~-~~~~~~
USE OF BUILDING
4.
5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~ ~ ~~ ~ C
r
7. Sq. Footage of Structure (IHduaing Basamaot and Garaga):
$. Change of Use From: Change of Use To:
g, Valuation of Work: $
Floodway Yes ^ No ^ Dev. Permit
10. Floodplain: Fringe Yes^ No ^ BFE
EIev.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 _
BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
1 ~ NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I acknowledge that payment of the
building permit application fee does not constitute issuance of this building permit. I fuRher
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 her y agree t perfor th pro d wo in accordan ith the speafications setforth
ab a and in~a rda 't a co s~ rdinances of City of Blair and the State of
Ne r ka. I tin erstan t a this permj~is of ' work i of commenced within 180 days
or i of co o eted wit n nears of at of issue.. n
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 Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in ABC _
Final
Plumbing
Ground Work
SI~NATURE OF OWNER (IF OWNER BUILDER) DATE ~ Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approv d ~
POUNDS PHTG: alelr, NE nar. ~v,e.
CITY INSPECTION SLIP'S
Inspection has been requested for ~ ~ ~ ~-
q Location of building
by ~'\
Name of Company
`1'yp of Inspection
At ~~2-~
Date Tinre ;
Results of the Inspection are: !~
City RePreseri ative
LOCATION ~~jj~,~
~~ ~;
~~~~
~~,
DATE: ~ ~ s~9~
HOLE 1
TO'
JAL TEST~NO SERVICE
RT. 2 BOX 227
BLAIR NE. 68008
(402) 426-4851
HOLE 2 HOLE 3
TIME TILL EADING LOSS FILL ADING LOSS FILL EEIDII~TG LOSS
1:00 ~" G" 6"
1:30 6" 1.5" 4.5" 6" 3.25" 2.75" 6" 2.5" 3.S"
2:00 6" 2.5'• 3.5" 6" 4.0" 2.0" 6" 2.5" 3.5"
2:30 6" 2.5" 3.5" 6" 4.25" 1.75" 6" 3.0" 3.0"
3:00 6" 2.5" 3.5" 6" 4.0" 2.0" 6" 3.5" 2.5"
3:30 6" 2.5" 3.5" 6" 4.0" 2.0" G" 3.5" 2.5"
4:00 6" 4.25" i.75" 6" 4.5" 1.75" 6" 3.75" 2.25"
4:30 6" 4.0" 2.0" 6" 4.25" 1.75" 6" 3.75' 2.25"
S:UO 3.75" 2.25" 4.5" 2.5" 4.0" 2.0"
TAL LOSS 24.5" 16.25" 21.5"
SOIL ABSORPTION TEST DATA REPQRT
PRQPERTY WHERE SAIL TESTED: C7wner : ..~
Location: Township: 18 Address:-
Section ~ 15
Range 11
SOIL TYPE :Silty clay Silty clay loam X . Sandy laatr~~
Silty loam Clay loam Sandy clay
Dates of test :.11~,y 24, 1993 to Mav 25, 1993 ~ Weather : Precip:None Temp: 7~
PERCQLATIQN TEST DATA FILE
A B C D E F G H I J
_ K L M
H01~ PRE-SATURATION PERIOD PRCOLATION READINGS RESULTS
DEPTH STA RT _ EN D _ START _ EN D _ h7apsed W~erLevel Percolation
N im ra4iin ~ mc-d im r-rnin m im r~nin alerl~el ~m ran alarLevel Time min Dro m alas mina
4D' 5.24 5:50
P.i~i. 5.25 1:OD
P.hi. 5.25 1~D
PJrI. 6' 5:00
P.M. 3.75' 240 21.5' 9.8
45' 5.24 5:50
P.wi. 5.25 1:00
P1A. 5.25 i:00
P1wl. G 5:00
PJri. 4.5' 24D 1625' 14.7)
44' 5.24 5:50
P.~. 5.25 1:00
P1A. 5.25 1:00
P.(~I. 6' 5;00
P1A. 4.0' 240 21.5' 11.16
~9
~k~ ~~
I~0
60
,a ~ ~ ~
~
~gnature of person conducting test
Addresa:RR#2 BOX~.?7
Phone: 426 - 4851
5a ~
~ ~~~.
Sum of precolation rates:35.73.
Average of rates: 11.91 .
Inches per minute: 13.33 .
~ ~~ ~~~
~~~ ~
~
' ~~ J
`
1
6
~ ~ o ~;
~
~ ~
~
~
~~
~',. ~y ,
`~
1
~, ~ ~y -
~ V
,~~ F`~
~ ~4 ~*
dw ~
~ ~ ~ ~"~
r ~, ~~
~
~. ~ ~ ~ {,~ :.i N