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BP4991
,~ BUILDING PERMIT APPLICATIO~iV ~~ Jurisdiction of City of Blair, Nebraska 218 South 16th Street _ _ Blair, Nebraska 68008 ~~ 4991 (402) 426-4191 Permit - - - - - Application Date: ~ - (~ -~~ 2-- Issue Date: Change of Use To: JOB ADDRESS - ~ ~Cl,l_i2, 1Yl C-lS~l2,~ ~u~ ~ L~ LEGAL LOT NO,~/ ~ `\ // ~- BLK. TRACT ^ SEE ATTACHED SHEET 1 ' DESCR. I ` LV(( lL~' 2.OWNER J ~ ~Z ~I IV ~ MA~ADgRESS G~ ZIP ~2~p P~ ~10~ 3, CONTRACTOR MAILUA~DD/R\ESS PHONE LICENSE NO. ~C~.r~9~ 4, USE OF BUILDING (, e ~ U I , ~ v' ~-~, cq ~--{ ~ 5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~~ ~~ ~(Yfi , ], Sq.FOOtageOfStfUCtUre(IncludingBasementandGarage): ~ ~ /~ l ~~ 8, Change of Use From: g, Valuation of Work: $ J C) , C~c~ Q 10. Floodplain; FlDOdway Yes^ No Dev.Permit- Fringe Yes^ No BFE 11. Current Zoning: M ~'~ 12. State Fire Marshall Required: Yes ,~ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes ^ No ^ 15. Minimum Setbacks: Front ~°,~fSide ~ Rear 16. Sidewalk Required: Yes^ No [~ Waiver Approved _ APPLICATION ACCEPTED BY PLANS C ECKED Y APPROVED FOR ISSUANCE BY ~f ~n ~~,~ ~~~ ~~ 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 Inspectorand 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 1 SO days or is not ompl within 2 years of date of issue. OF pS~fry~UCf~NTRACT9f~ OR At~fHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Permit Fee: $ Elev. Cert. Site Plan Attached ^ Comp~te Plans Attached` Approximate Completion Date Inspections Required and Fees /Z5-~~ fn •, ~ltilities ~,, Sewer Tap Water Tap • Sewer ~ ~S-yt~~ Water Service r~~,6 J ~z`~~Z-- Septic Remote Building Footings ~'~~ ~~ Drywall ~ (before finish) Framing Final ~/ / 2'Z ~~~~ F~lectrical - f ~° ~~ ~~ Rough-in ~ 'd e1 Fixtures ~o Final 1O Permanent Service ~ Temporary Service `f 4 ~ ~~3 echanical ~ A / Rough-in ~ Lam. CCU c. q~C f 0 'C?C~ I~ c; (,'U Final / /o. C?C~ N1 ; ~ Plumbing Ground Work/ 1 Rough-in / ' ~-'~ S' "Final ~ ~~ C)y WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved B : \~~ -~. Rev. 1019 POUNDS PRTG: 91eIf, NE ;~ ~. O N -~ ~. ~ ~ ~ ~ ~, ..z o . f~ ~ v a l~ h w ~` ~ U~ -~ ~ ~° ~ J. ~ ~~1~ ~~~- `o ~ 4 ~~G ~~~ I Y;, ~I N ~ ;, i I ~ ~ ~ ~ ~ ~ , i~ ''~11 ~`I ~ ~ ~ c 9 i Q U ~UQ U ~ ~ ~ Q~ ~' .~ ~ ~ i ~~ ~ ~ O N X ~~ `I (~ ~ ~ ~~ O i N~ ~8f> IP !OZ ry iL ' 80~ i A~ ~I I ~1. J i i i COMMERICAL CHECK LIST 1. OCCUPANCY CLASSIFICATION 1~j Z.. 2. TYPE OF CONSTRUCTION '~' Rf 3. BASE OF FOOTAGE ~,z~o ~ ALLOWABLE INCREASE ACTUAL AREA ~q cep ~i. USE ZONING _~a, 5. PERMITTED USE ~- y~s 6. SPECIAL USE PERMIT OBTAINED yES~ NO 7. SITE REQUIREMENTS: ZONING ~ UBC ACTUAL SETBACKS DE A ~ 11 SIDE B ~"'~'° -~ Z -- ---~'`~ LOT AREA ~- -"-" ---- LOT COVERAGE ~~ ~ -°°--- ~ ~ 8. EMERGENCY EGRESS URC NFI'A 101 NUMBER OF EXITS REQ'D .,, DISTANCE ~ (.5'~ EMERGENCY LIGHTING ~° -- A-.~ 9. TIRE PROTECTION '-'-'- UBC NFPA 101 SPRINKLER ALARM ~ 0 10: OCCUPANT LOAD JI"~ ¢ 2 ~ Z v 11. SANITATION RFQ'1~ POTS SHOWN URINALS M"'~"' 41 --" M ~ W LAVATORY 12 PARKING rt~~W ~ l1j"~'-~~7 REQ'D SHOWN HANAICAP REGULAR -_.~,_.....,. _..... ....... ... re ~~~~ S~ 5 ' ~ lY.t c k' C ~~", ~. ~ > 'mac. tj - iV~ #~ Cl1 rf, ~~ - ~~ VI. ,.~. ~ ~ ~ ~:: ,, :. .t] ~ i ~ 5,~. i ~;2yTG. ~ r, ~ '~~ ~ ~ ~ ~d(~ +!~a~+yl'40 ;1•G ~01 ~t~ ` +. r P ,i ~ ~ ~ , i ~ ~ p _ ~ _ w a ~ ul ~ l~ y ~ ro L ~ 'cF 9 ~ ~ yL%~ (/1 ~, 3'. .~ ~: " C -_ V ~ ' ~ p ~ o. v7 ~ ~ ,4~r,' ~ ~dlk ~~ t? coo ~ N ~, 3 w ,~' i ~T~ a ~ F ~ ~ _ "fig ~~~~ ~~ ~ ~~ , Si ° zj ' ~ ~ ~ ' (~ _ atii .~ -- ,P~~', ,c i li~ ;fix rl1 c ~` ' z~ ~ x~-~t ,~ `AR _ ~ ~', ' ' ~ '; s ~'~ ~ P ~ ti:S ~ 6 ~s1 1 ~ ~' ~ ~„ ti "#~ ,~ i~ c ~ , ~s '~~J ~° C3 ~ ~, ~ ~~ i c~,fl..~jr7 r ii~u ~ ~, ~ ii,'R-~~«f i --~ c c ~ ~.' x ~' ~~~ ~ P j~4i ;Ih l ~'~;~hhl I ' r'tU~~s t 4: . 3 ~ ~rrtl'cr~c c~ r ~ _ I t T f _~~ y~~q ~A, i ~ g c ;( ~ '1 ~ Ss~i ~[, I / ~1 l.~~ ~~~ ~t 'w ~ ': IY+. + S`.Y~`~~c~ L~ L 7~'~~ ~/~{/ -\~4 L.~NS1~ t' .:~ ~ rt ~ ~ r i ~ ~, l: ~ ~.~` ~;~~ ~~~fx!~~ ,R~ ii ' ~ ~I!~'~- ~1~-1!~)f~~l, ~ ;~`,'~~ ~~ , , r ~ NIW (I~) £I ~ ; ~i x. HIV ~ e. .,~ e~~ :a ~ ~ ~,~ ?. ,d-` ~ d ~ i i ~ -t ~i~ ! (~'c~ ~ F~_~ d i~ ~ ~ ~ ~ r is , jpr~~., ~'~~ ~' ~~~_ 1 t~~t ~~~~~~~ -_ 1"~~~~~' (ELI) „0,~ I E ~~ t ~'~,I { Q ~ ' t~ ~ ~ ~ ~~ t~ ~ ~ r. ,_ ~~ I i '~I M a0 '>, 1~ 7 ~: E 4ir .i it ~+ i 1! i i I. ~_ r; ~.,. ~. ~°~qi~1 c r;' ~i M I ' ~ ~ i ~ `~ ~ I~~ - ~ :i ~, ~ ~ ` ~ i~ `.~d ~ I .i. 1.:ii ~ i i S ~~ t n ~ 'bSe ce - ' N % 1 4s ~~ '~ ".:~ ~... i..u i'r.J ~ ~r 9 / Y c ~ f ~ _ ~ ~ S„ ~' ~ ~~ ~ , F,~~~ ~ ~ i ~ r~~ 'i1,~ ~ < i !+~-. yam' 'y -_ i i a '3. I Ii1 w: r iq ~'; ~ `, } ~~ ~, . q ~ .f, i 4 ' °'"~ h ~i e i ~~~~ t ~ 3 ~~ ,~ , ~~~ r. ~~. , ~T4 , x '~ ~ ~~~ ~~ i~ F i 3~ 1 ur 0!!~ O ,; .~ ~..~ ~ y 7~~5 ~~~rf~P i t ~ CJ 'C~' O O ~ ~ Y ~~ 3k ,{ ~F~ ~ r~i~ ~ ~~ ,' J n1 - ' G1 b ' i C , r'~ j & i i ~ 1 it ~ U d ~ O ~ U i..~~i~'~'•-~ +~~r~ ~~ 2 tiff ~ ~~ ~ ~ _ (A (%1:~~ 0 ti `O ~ (b '~1~~r~ ~ ~~ r~ ~ ~ ~ ~ ' j~ try ~ ' b L ~ ;b N T 1 ~ &~d~~ f~S Lg€'~ Llt ~' ~ ~ '. 1 pFp jO ~ a' U..v!~ ~II.,~~ i~. ~t.t~ "9 ~'d~~ ~. ..~ O ~ _- ~ ~ C, ~' f ~ ~ _~ ~~ 1 ~ - ~ ro;ro t ~~ ~ ~, ~ i ~ , ~ N. N ~ Q L~ t ~ r ~,,y`~, !l '~~ t . U .~ b ~ " O ~ tq f j ~'*_ "3f a ~ P~' ~ ~ ~ ~ ~I 1 N ,~.. N ~ ~ C t ~ ~~ yg "f5 ~~ ~ ~ McU~ c 1~tiN:~ ~~~ ~ i ~ t ~ ~ « 17 lly (d ~D C O - N OCS ~ ~ -~' ~ ~ - +~r~ r ~~I 1 _~ 5~~ ~a "mil tq ~ ~ ~ I ~ ~ ~; ~ ~, . ~ BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street _ - 5 O O ~ Blair, Nebraska 68008 ° 402 426-4191 ~ermit ~ ) ~j' ~- Issue Date: ~ ' ~d .q Z Permit Fee: $ Application Date: ~-5 JOB LEGAL LOT NO BLK. TRACT 1' DESCR ~'~ ~~ 2. OWNER ~GC ~ `mil U ~ ( ~l/ 6 q c~t'ilii~- 3. CONTRACTOR ~ ~~ M DRESS r ~d~,~n~-~ ~~ ~~L 4 USE OF BUILDING V`G ~ Q ~ (' ems` 5. Class of Work: ~ NEW ^ ADDITION ^ ALTERATION 6. Describe Work: ]. Sq. FOOtage of StrUCtUre (Including Basement and Garage): 8. Change of Use From: g, Valuation of Work: $ Floodway Yes^ No ^ 10. Floodplain: Fringe Yes^ No ^ Dev.Permit_ 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 APPLICATION ACCEPTED 8Y 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 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 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 isn't t completend within 2 years of date~p~sue. ~ ~ SIGNATURE OF OWNERJCONTRACTOR OR ^ SEE ATTACHED SHEET ZIP PHONE PHONE ^ REPAIR ^ MOVE ^ REMOVE Change of Use To: Elev. Cert. Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required end Fees ,~iior~ o ~~ ~ © Utilities ~ ~~~ Sewer Tap Water Tap Sewer `~ '' ~'~ Water Service ~~ ~ ~ ~ Septic Remote - Building Footings Drywall (before finish) Framing Final - Electrical Rough-in J Fixtures Final Permanent Service Temporary Service DATE I ~ Mechanical ? Rough-in ~ ABC ~ ' Final Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) Rough-in Final ~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~ ~ ~ (1 1 I n Rev. f0~91 CITY INSPECTION SLIPS Inspection has been requested for C~(7~--~ Location of Building By I ~ 1~ W ~ L~~ ~~( ..N{{ame of Co~\mypan~ , n ,, On J~ Q.W, ~ ~1 Type of- Inspection nt it/G ~~,~ ~a~A.~OcI~ua ~te Time /~ Results of the Inspection are: (`l ~/ ~ ~ ~ City Representative 1 , p ~~ ~~ ~ _ . . c~`\~ CITY INSPECTION SLIPS Inspection has been requested for ' S~ ~ L ~Q/l! Location of Buildi g By- C~ ~/ N~_a~me~(I~of' Company On ~(~t'~ n !?' ' (Type of Inspection) At q-lc~~i~. ,~,,, Date Time ~- Results of the inspection are: ~ VI City Representative CITY INSPECTION SLIPS ~/p ,.,/ ~ r , Inspection has been requested for ~~1:~1~L51.~ ~~~~ Location of Building By ~C~ ~~ CUiL`°~IL. Name of Company on G~C(,~~fr ~C(JLy..._P Type of Inspection Date Time /f /~ Results of the Inspection are: /~/ //1 City Re resentative CITY INSPECTION SLIPS ~~ ~, Inspection has been requested for Loca n of~ .ilding n ~~~~~ /~ y Name ' f Company c Type of Inspection Date Time Results of the Inspection are: _ ~~~~ ~~ City Representative CITY INSPECTION SLIPS Inspection has been requested for ~iy~ ~ ~ ~ ~ ~ / L6cation of Building - By / Name of Company On ~ l~-~ Typ of Inspection At ~~_. Date Time Results of the Inspection are: ,~ 1~( Cat Rsentative Y F BUILDING PERMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~~ /(~ ~gT Issue Date: o Permit ~ 513 3 Permit Fee: $ ~C7C) JOB ADDRESS ~ ~ j ~ ~ ~~ 7-i"(.-~ 1 ' DESCR. LOT NO ~~ ~~ BLK. TRACT ^ SEE ATTACHED SHEET 2 OWNER ~ ~ - MAILADDRESS Zlp PHONE L 3. CONTRACTOR / C ~ ^/ ~~ ILA E~ ~~ ~~~~HONE ~~ ~ ~~7(/ LICENSE NO. °•(/l1 ~ J 7 / 7 7 USE OFBUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE _ / 6. Describe Work: I~LLI ~~ ~ Lc~ ~~1 C/1r ], Sq. Footage Of Structure (Including Basement and Garage): 8. Change of Use From: Change of Use To: g, Valuation of Work: $ 1~. FIOOdplaln: Floodway Yes ^ No ^ Dev. Permit Elev. Cert. Fringe Yes^ No ^ 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 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 copyof this application form signed bythe Building Inspectorand stamped 'APPROVED'. I herebyagree 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 ngt~completed within 2 years of date o~is,~ue. SIGNATURE OFOWNER/CONTRACTOR OR 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 (~'OO ABC _ d `~ Final • ~~ Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in /2 - ~ Final - (~ • ~~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Appro - ~By: ~ ~ ~\ 1~ CATION POUNDS PRTG: Blab, NE Rev. 10/91 BUILDING PERMIT APPLICATI~~1V Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 ~~ 5 2 3 4 (402) 426-4191 Permit /~ ~~ A lication Date: ~`~' Issue Date: Pp ~~ ~~ ~-~~_ Permit Fee: $ ~o~ ~~ n J08ADDRESS ~ ~ ~i~, a~ ~' / C ~ LEGAL 1 ' DESCR. LOT NO ~ ~ ~~ BLK. TRACT ^ SEE ATTACHED SHEET 2, OWNER ~M LADDRE ~~ ZIP HONE, _.~ r 3, CONTR R ~ ~ MAIL ADDRESS L/S ~ ~~` ,,,_ pH ~ , ^/ ~f 'rJ 'V LICENSE NO. USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ©ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~~ ], Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. FIOOdplaln: Floodway Yes^ No [~ Dev. Permit 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 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 thls application form signed bythe Building Inspectorand 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 completed within 2 years of date of issue. Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Sewer Ta Utilities p Water Tap Sewer Septic Water Service Remote Building Footings Drywall (before finish) Framing Final Electrical v~> Rough-in ~ CJ~ Fixtures Final ~ Permanent Service Temporary Service SIGNATURE OF OWNERJCONTRACTOR OR AUTHORIZED AGENT DATE Rough-in Final _ Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE RDUgh-In Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Mechanical - ABC _ ~.vinniani. I A /rf~tlX~~~ 1~ A~J~ BUILDING INSPECTION REPORT ~~CITY OF BLAIR WASHINGTON COUNTY LOCATION OF I NSPECT I ON : d~~c~ i T ~nC~U"~ f r C~,~ ~i NAME OF OWNER : ~ ,,] +~~~ CONTRACTOR j Z-2--- ~3 DATE INSPECTION REQUESTED: PERT TIME INSPECTION REQUESTED: ~T;~30 rim TYPE OF INSPECTION REQUESTED: BUILDING: FOOTING FRAMING FRAMING UTILITIES: SEWER TAP WATER TAP ELECTRICAL: ROUGH IN: PERMANENT SERVICE FINAL SEWER WATER SERVICE DRYWAL' SEPT I REMO' FIXTURES FINAL TEMPORARY SERVI~ MECHANICAL: ROUGH-IN A\C FINAL PLUMBING: GROUNDWORK ROUGH-IN FI1 RESULTS OF THE INSPECTION: PASSED / (SEE NOTES) NOTES\REMARKS: INSPECTOR: C%- g DATE INSPECTION MADE: !i ~i CALLED OPPD\ TO CONNECT SERVICE: WANT OFFICE STAFF TO CALL OPPD\ TIME: YES YES