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BP5168~~~ , ,~, BUILDING PERMITAPPLICAT10~1V Application Date: ~~l ~' ~~ Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit No 5168 ~~ Issue Date: ~2- ~ ~ ' ~~ Permit Fee: $ JOB ADDRESS .Z U V b NUI 7'1 III! ~ ~ ~ C~ LEGAL 1 ' LOT NO. ~ ~ BLK. T CT ^ SEE ATTACHED SHEET DESCR. 2, OWNER MAILADDRES ~ l /~ ~~ ~r~ PHON ~/~ n 3, CONTRACT ~ AI ADDRESS PHONE ~ ~ ' ~C ~ LICENSE NO. ~ . (G ~~,(.-L.~I S C'~71 ~rn~ ~ USE OF BUILDING 4 . 5. Class of Work: EW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6, Describe Work: ~ ], Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 2a c~ Change of Use To: 8, Change of Use From: g, Valuation of Work, $ ~ ~~U °~ 10, Floodplaln: Floodway Yes ^ No ^ Dev. Permit Frin e Y ^ ^ N Elev. Cert. g a es 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 `~Sr Side `~ Rear: 16. Sidewalk Required: Y~s'~ No ^ Waiver Approved _ ACCEPTED BY I PLANS CHECKED BY I APPFj~1VED 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 coveted by this permit application shall not be commenced until I have received a copyof this applicatlon 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 des~ordinances of the City of Blair and the State of Nebraska. I understand that this a it is void if w k' not commenced within 180 days or is not compJet~¢~within 2 ve of date o}.~ OR AUTHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) Site Plan Attached Co~pleye PJ~ta§~ttached~ Approximate Completion Date ~~~~ Inspections Required and Fees Utilities Sewer Tap ~~75_ b ~~ Water Tap / Sewer ,'~ I ~ . L~ -~?c~ hw ~//JWater Service/ / (~ . C)C~ Septic ~ Remote Building Footings~~ Z~ ~~ Drywall ~ (before finish) ~~-- Framing ~~~Z~3 Final ~/ J'~ ~~-~ Electrical rZ - 23 Rough-in ~~ ~~ ,1/n~~c~ ~~'~F ztures Final / ~ ~~~ `~ Permanent Service Temporary Service ~ ~~' Mechanical Rough-in ~ ~~~ `-~ f~a,~i!o%A~C r~ /d~~c1 Final ~^ ~ ncJ Plumbing Ground Worka/ ~~ Rough-in ~/ / Z -UCH -Cll'~l'rf ~inal ~ ~~ ~~-~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved 'OUNDS PRTG: Blelr, NE Rev. fore DATE -~ ~- BUILDING PERMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~~<~ - ,~-~ issue Date: o Permit N 519 3 Permit Fee: $ ~ ~ j . JOB ADDRESS ~«~ v ~I~ r~ ~ ~ ~9 ~ Crr~ o LEGAL 1 ' DESCR. LOT N0. ~ ~.~ BLK. TRACT ~~~~' ^ SEE ATTACHED SHEET OWNER MAILADDR S IP 2. ~~rK~o 1 C'o~s~ ~zl~{ w. l~a'~L ~rv~ c~-~ a_ L ~i~~ PHONE 3 CONTRACTOR ~~ ~~ ~~~ ~ ~MAILAD~RES~~ ~ ~ ~~~ ~ ~ ~ PH ~l~ _ ~ ~~~ ~ L,,~L•! 33 A/` ~~~~~LICENSE N J ~~ C-fJ USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ©ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~-~gu~, f~~/ ~ ~~,~~~~~ 7, Sq. FOOtage of StrUCtUre (InGuding Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. Floodplain: FI°odwey 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 _ 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 copyof 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 completed within 2 years of date of issue. Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date ~-~"p~~ Inspections Required and Fees Sewer Tap ~.~ C~ Utilities Water Tap Sewer ~ ~' ~~-~ Water Service f~ ~ ~C~ Septic Remote Building Footings Drywall (before finish) Framing Final Electrical Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in ABC SIGNATURE OF OWNERtCONTRACTOR OR AUTHORIZED AGENT DATE Final Plumbing Ground Work. /~/~ SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in ~~1 Q~S Final ~ ` vy WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: ~ Approv~`By: ~ CATIOrI ru~nw rn~~: oiair, nc BUILDING PERMITAPPLICATIO~I Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 N® 5213 (402) 426-4191 Permit Application Date: ~• y-~Zj Issue Date: Permit Fee: $ ~~ ~~ JOB ADDRESS „ _~ ~ ~ rG f I f ` ~C ~ C-/ ~~ 1- / ) G~~~ N 'r`1 LEGAL 1. DESCR. LOT N0. 2 Z_~J B L K. TRACT ~~~Or SEE ATTACHED SHEET S ~ I ~ 1I r 2. OWNER ~ ^ `I 16 I ~~5 1 1 _ GY-I' G MAIZI D~SS ~ , G~ ~ /, ~-/ ( U ~~C~ GL. ~d ~ ~ 0 PHONE CONTRACTOR MAIL ADDRESS s. ~~ i~~l~~a~ ~'3~ ~ el s~n~ PHONE LICENSE NO. ~. ~i~ 4, USE OF BUILDING 5, Class of Work: NEy1/ ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: I~OUS~ 7, Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ ~ j Floodway Yes^ No ^ Dev.Permil 10, Floodplaln: 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 _ ARP~ATION ACC PTED 8Y I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY 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 set forth above and in accordance with thecodes/ordlgances 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. '; ~~1(~1~~~1F~Ty 0I~0'T,JNEP/,GQNTRP;CTOR bR AUTIiOR1Z~4 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 ~~~~ ~~ G d W k Plumbing SIGNATURE OF OWNER (IF OWNER BUILDER) DATE roun or Rough-in _ Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved y: - . BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit_ Application Date: ~(- C{ - ~~~ Issue Date: ~ - Z. I " C~_~ Permit Fee: $ ~ ~ 7 ~ ~ JOB ADDRESS ~~;~; `~ l~i~~i~~~rt do ~ C~y~~)C', LEGAL 1 ' DESCR. LOT NO. ~~ BLK. TRACT ~ ~ ~ I'~-~,t ~~ ^ SEE ATTACHED SHEET 2. OWNER ~,( `I MAILADDRESS ~U~ 1 l~ I '~~S~ULI'~~,~~ ZIP PHONE 3. CONTRACTOR ~ ~ y (M'JAI\L ADDRESS ~r~ ~~~~ ~ ~ I~C. T'r ~ ~, ~ J ~J ~ l^~ oHONE ~~~~ / ~CENSE NO. ~1., F..3 QC/ USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~ ~~;~~ _, ~~~~ ~~ 7. Sq. Footage of Structure (IRra~dlRg Basement and Garaga): $, Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes ^ No p Dev. Permil 1O FIOOdplaln: Fringe Yes^ No ^ BFE EIev.Cen. 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 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 no m fed in 2years of to of issue. ~~\ SIGNATURE OF OWNER/CONTRACTOR OR AUTHORIZED AGENTq DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date ~~ ~GL~T `~~ Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote Building Footings Drywall - (beforefinish) Framing Final Electrical Rough-in w ~ Fixtures Finale !f, C~~^~ Permanent Service Temporary Service Mechanical Rough-in q~C Final Plumbing Ground Work Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By~~~~ ~~-L 534.2 POUNDS PRTG: BI9Ir, NE Re~• 10re1 CITY iNSPECTiON SLIPS cQ Inepcction has been requested far Zdo .=' ~-<Yi:~~,./Le.~u ~,;~ " Location of DuildingT- /~ i Ry G(jn, l.~,e_ ._ Nmnc of Compnny c On ~:;. Type of Ins~:ection nt -~ ~? ~ !fu to 'Pime Results of the Inspection are: ~1~ C1 y Representative ~~ CITY INSPECTION SLIPS /~ ' ~a2a~ ~r%4~~.~n, it ~ (J ~~ IJfs 1 - Inspection hoe been requested for ~-.r Location of building i ame of Company / Type of Inspection Mate Time /~~ / ' Results of the Inspection are: ~'G`` ' City Representative CITY INSPECTION SLIPS Inspection has been requested for ~~~ 0 ' `~lf~'~~I ~~ ~~"~`~ ' Location of Duildiing ny Ccl'C~ ~UI'lS~~r/~C.Oa~ Name of Company n ~ ~/ecf~ ' On I"1~ -y /~CC~2~.!'ll/ '" PI[x7. Ulr~, Type of Inspect on nt ~/ -/Z- 93 ,q. /17 Date 'l'ime '/ Results of the Inspection are: ~ " ~ ./~ r~~, ~ City R presentative CITY INSPECTION SLIPS Inepcction has been requested for ~~CY (V~r7~~~«^~ ~Q-~'~ ~/ Location of Duildiig ' Ngam/e of Com a y On ~/l/lid-~ ~~~~-J ype oL Inspection At ~ z ~/~ D~ Da e 'Pime ~ , Results of the Inspection are: ~"~i(/ ~~ City Representative CfIECK LIST, FOR ISSUING RESIDENTIAL bUILQING PERMITS Site 1. ?.oning ~ ~( Flood Plain: Yes No '~ ~ _.... ,. 2. Permitted Use _~,~, 3. Special Use Special Use Permit Issued ~. Location on lot (Setbacks a. Front Yd, Required ~~~' Shown ~-~ S'+' 1~(LmuJT' b• Yd. Required =~ ~~ , Shown __ /~ ~~~, c. Side Yd. Required ~ Shown ~_i __ S. Variance Required; YES , NO G. Lot Urea Required _ ~,)'~lU , Actual _ D /~ 7. Lot Coverage Allowed __ c~d`~~ ^, Actual _ ~ fl. Other Structures on Lot ~, Adjacent Lot 9. Utilities ~~~/d17 ~ `` • °--.Atli'. ~~ ~'~,~ t.T building Plans 1. Floor Plan a. Room Sizes 2, b. Cmergency E .~~~ 3. ~. r~ 6. ~. Plumbing Foundation Plan ~-! Framing Plan "~ a. Cross Sections b. Stairs ~ Elevations and Grading ~ ' Electrical ~ ' Mechanical