BP5033- '~ BUILDING PERMIT APPLICATION
~- Jurisdiction of City of Blair, Nebraska
r 218 South 16th Street
Blair, Nebraska 68008 ~® 5033
(402) 426-4191 Permit
~I a p
Application Date: r~ ~~ ~ " ~1 ~ t~
ds Issue Date: Permit Fee:
JOB ADDRESS
LEGAL
1 ' DESCR. LOT NO. BLK. TRA
^ SEE ATTACHED SHEET
2. OWNER MAIL ADDRES Zlp PHONE
3. CONTR , MAILADDR ~ / ~ PHO LICENSE 0.
~//U7
USE OF BUILDING .'
4.
5. Class of Work: -NE~1/ ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work:
], Sq. FOOtage Of StrUCtUre (Including Basement and Garage): ~~ ~ ~ ;
8, Change of Use From: a of Use To:
g, Valuation of Work: $ ~ ~ d
10. Floodplaln: 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 0'
14. Variance Required: Yes ^ No [~"
15. Minimum Setbacks: Front ?~~ Side ~ Ream
16. Sidewalk Required: Yes'] No ^ Waiver Approved
ACCEPTED 8Y I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air crondi-
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 thecodes/ordinances of the City of Blair and the State of
Nebraska. I understand that t is permit is void if work is not commenced within 180 days
or is not comple~e~v~in 2x~ars of date of issue. ~ ~ ~ ,
SIGNATURE OF OWNERJCONTRACTOR OR AUTHORIZED AGENT ~ 'DATE
SIGNATURE OF OWNER (IF OWNER BUILDER)
DATE
Site Plan Attach Complete PI ns Att the t~
A roximate Com letion Date l ~ ~-~
PP P ~ :
Inspections Required and Fees
Utilities ~
Sewer Tap /'1 S ~~~ ~~U~UNWater Tap
!d`
Sewer / 1 ~ • d 0 ~o -Le ~ ~ Water Service ~/ ~ 0~ ~U ~~~`'~'/~
Septic Remote
Building
Footings /`i'1~1.g2~- Drywall ~
(before finish)
Framing ~ ~ -~~ CI a Final ~/ ~' ~~ ~ ~~
Electrical
Rough-in ~/ ~ lo. UO `~-g Fixtures
Final r~ ~• Cw -~ permanent Service ~
Temporary Service .
'~/ Mechanical ,~,y~
Rough-in ' 1~~2u'~C , - ABC ~ ,
Final ; ~ 1/
/°/~l.~~~ Plum ing
Ground Worker
Rough-in ~/ / 2. [~c~ Final +~ ~' • UO
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Appr d
~ro lone oorr_ of-i, u~ Hev. 10/91
CFIECK LIST FOR ISSUING RESIDENTIAL BUILDING PERMITS
Site
1. 7_oning ~ ~ ~ Flood Plain: Yes _ No ~~
. ~ -__..
2. Permitted Use
3. Special Use Special Use Permit Issued _
~. Location on Lot (Setbacks)
a. Front Yd. Required ~ ~ Shown `~,~
b. Rear Yd. Required 2 ~ Shown > ~ o ~,
c. Side Yd. Required ~ Shown / ~ , ~/ c~-
5. Variance Required: YES NO ,i
G. Lot Area Required ~ 2~ ~, ~ ~
, Actua 1 2_ ~ ~ ~ ~ ~
7. Lot Coverage Allowed __~~ j~ ~ Actual ~°~
O. Other Structures on Lot •~
Adjacent Lot
9. Uti 1 i ti es ,~~~~~_~,~ ,~' P° 'd
building Plans
1. Floor Plan
a. Room Sizes v
b. Emergency Egress -~
2. Foundation Plan V
~~
3. Framing Plan zX ~ ,~~
l ~ - ~ ~~,-~~~
a. Cross Sections
t i ~ !9
b. S t a i r s --~~ a t~-~~ ~.
~. Elevations and Grading '
G. Electrical ~
G. Mechanical ~
7. Plumbing
CITY INSPECTION SLIPS
~ ~'Z_ ,
i
Inspection has been requested for ~ p i~Ji,~a ;%3.._ ~'==t
/v~~ I Location of Building
BY P~ /'W t~ ~ ` o~ 2d
Name of Company
C
On ~o ,~r_
(Type of Inspection)
At y~r~
Da a Time
Results of the inspection are: ~/ ~ - YJ dl A' ,~l.,_~_ - Y
City~Representative
-----'--- - - -_ ~- - ~ r
CITY INSPECTION SLIPS
Inspection has been requested for ~ ~Jr !la(P Z
Y~ Location of ilding
sy-- ~J9 vl 5 - ~av~e
Name of Company
on ~p ~-tY1q 5
Type of Inspection
Date Time !
Results of the Inspection are: ~ !y\ /
Cit Representative
CITY INSPECTION SLIPS
' \ ~ y~ s
Inspection has been requested for / \ 1/ '`~ '^g_
(:~.1CA ~f ~t.L. r ~ ~3Y.~i~i
C Location of Building
BY L10t^Q,fa
Name of Company
(Type of Inspection)
At -o'~e
Date Time
Results of the inspection are: ,~~
City Representative --
_- - _ ~
CITY INSPECTION SLIPS
(off 2 Wc~~~~1~i
Inspection has been requested for ~~r~-
Location of Building
BY ~~~~~LSUr~
Name of Company
On V\'C~1~-C -L-/~~-
(Type of Inspection)
At io-2(9.~t2 S;C~
Date Time
Results of the inspection are: ~/
~/.,~ fir/ ~,cJ,~„~.~.~ --
City Representative
r ~ -
CITY INSPECTION SLIPS
Inspection has been requested for I l,l~~ `N Z~~~~-
(~,, /~ '1 ' ,l Location of Build g -
BY .1 Y ~l,l~l ~ 1~11~~ /LUC#-t0"/l
Name of Company `~ 1 r ~ '
On ~t(G1.3'1'l,Cx1P, ~ F(~ec,'~/1CCL~ ~ ~~ - G/~,P`~ ~YLI.~/
~~TlIym(pe of nspection ,~ (' a
At I-~ `i``~~ ~T'IT
Date Time
Results of the Inspection are: ~(~
City~Representative
._ n
CITY INSPECTION SLIPS
Inspection has been requested for J 6 L 2 ~2o4-rte rQ s a
Location of $uilding
Name o$ Company
r'
Type of Inspection ~
At_ J/~~
Da a Time
Results of the Inspection are: ~il
,~~~
Ci~Representa ve
- ^ _ ___ -
CITY INSPECTION SLIPS
s.
Inspection has been requested for ~~-~~~-<- ~~ ~~
Location of I~uilding
Name of~Company
Type of Inspection
AC ~~~'
Dace Time
'-~ ,
Results of the Inspection are: i~~~~
City Representative
r
CITY INSPECTION SLIPS
e
Ins ection has been re uested for l~C/~ ~° ~'~~~ ; --Q-
P q
Location °o~ ]3uilding
Dy ~ ~ ~b°"
Name of C mpany
n
/Type of Inspection
At ~~I
to Time
~' /'~ r
Results of the Inspection are: .~`~~ ~°~ ~
~~-,~
City `Representative
r
BUILDING PERMITAPPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date 1 '~~~ `~
Inspections Required and Fees
Utilities
Sewer Tap ~~~ ~ y Water Tap
Sewer ~~ • ~U Water Service ~a - 0 CS
Application Date: ~ O~ZC~'q ~ Issue Date:~.0 'ZU ~~ Permit Fee: $ /~ ~ ~~
JOB ADDRESS I ry ~ ~ ~ ~S~r (~ ~~ ~~
1 , LEGAL
DESCR. LOT N0. ~ BLK. TRACT p~~
~ C~ 1'1 1 ~G~ e ~ ^ SEE ATTACHED SHEET
2 OWNER l.~p ~~~5 MAILADDRESS ZIP PHONE
l_
MAILADDRESS PHONE LICENSE NO.
,3. CONTRACTOR
~e~ ~~~(~S cry Zl 3~ ~~S h vac ~
USE OF BUILDING
4.
5. Class of Work: L~] 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: $ ~ gU, ~~~
10. Floodplain: FI°odwey Yes^ No 0 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
APPLICATION 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 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 tand that this permit is void if work is not commenced within 180 days
or is,no mplet within 2 years of date gf~e. ~ - ~"~
OF OWNERICONTRACTOR OR AUTHORIZED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER)
DATE
Septic
Permit N°_ 5109
Remote
Building
Footings Drywall -
(beforefinish)
Framing Final
Electrical
Rough-in (p.6 ~~ Fixtures
Final Cv• 0~ Permanent Service
Temporary Service
Rough-in
Final -
Plumbing
Ground Work
Rough-in / 2. U U Final ~~ 0 0
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approve B
A~~~ ~
CATION
Mechanical
ABC
xn iuns aam .aim. uc .l ReY. 109
BUILDING PERMITAPPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Application Date: /Z'Z ~~~~ Issue Date: I2 3y^~Z Permit Fee: $
JOB ADDRESS ~ ~\~ ~ ~~c~/
J
V
LEGAL
1' DESCR. LOT NO. ~ BLK. TRACT
,QS~f~
^ SEEATTACHEDSHEET
2, OWNER \ n inn ~ MAILADDRESS
~( `-C. v/-lam ZIP PHONE
3 CONTRACTOR ~~' "/ ~ "v~I,r{7~ ~~~--C.CJ'GLAIL ADDRESS
'/ Z ~ ! _ PHONE
~ ~ ~^ ~~~ LICENSE NO.
USE OF BUILDING
4.
5, Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~(.~../Z-j") G I OJ
], Sq. FOOtage Of StrUCture (Inoluding Basement and Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: FI°Daway Yes^ No ^ Dev. Permit
Fringe Yes^ 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 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 herebyagree 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 underst nd ihat this per it is old if work is not commenced within 180 days
t complet withi 2 ye da of Issue.
SIGNATURE OF OWN fC NTRACT_ OR AUTHO IZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
Sewer
6
Permit N 518 7
Water Service
Septic Remote
Building
Footings Drywall
(before finish)
Framing Final
Electrical
Rough-in
Final _
Temporary Service
Fixtures
Permanent Service
Mechanical
Rough-in ~.6b ABC /U
Final ~~ UU
Ground Work Plumbing
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Appro ed B~ ~
SOUNDS PRTG: Blelr, NE Rev. 10/9'
CATIO`iV
BUILDING PERMITAPPLICAT101V
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 j~o 5233
(402) 426-4191 Permit
Application Date: _ ~° ~ S -- ~l ~ Issue Date: ~ ° ~ ~' -1~~ Permit Fee: $ r. , ~i
JOB ADDRESS II~ ll
~ ~ ~ Vv ~5~~ ~ C/~
'~'~ lJ~--
LEGAL
1 ' DESCR. LOT NO. ~ BLK• TRACT
~'~,(~
^ SEE ATTACHED SHEET
2 OWNER ~ / /~~ ~~ MAILADDRESS ZIP PHONE
3. CONTRACTOR ~ I MAIL ADDRESS PHONE ~ LICENSE NO.
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):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $ (7 (~ ~ ~1
10. 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
qY 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 applicatlgn fee does not constitute issuance of this building permit. I further
agree that construction cgVered 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 City of Blair and the State of
Nebraska. I un el`tand that this permit is void if work is not commenced within 180 days
or is not cor~q~l~%within 2 Years of~datq 9f issue.
OR AUTHORIZED AGEN? 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
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Appro d~By
OUNDS PRTO: Blelr, NE r o.... ,nm