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BP5322-~. - BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 5 3 2 2 (402) 426-4191 Permit Application Date: ~ ~L> `~~3 Issue Date: ~ _z ~!, ~~ Permit Fee: $ (~ ~'C~~ JOB ADDRESS f / ~ / ~~ 1 . D SCR. LOT N0. ~ I, v BLK. ~ ~®_ -7-' ~ I SEE ATTACHED SHEET I ~ A~ OWNER _ 2. ~~ ( ~)1 _ ~ ` /~MAILADD/~JEISS ``~ r ZIP L-~ I cJ ~/ PHONE ~ I L.~~~-i 1 f `U r ~~11/r ~ 1 ~lp~ ~ `r~ 3. CONTRACTOR ~~ ~ ~ n~~ ~M~ADDRESS PHONE LICENSE NO. .1}-~ I I 4, USE OF BUILDING 5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6, Describe Work: ~~ 7. Sq. Footage of Structure (IRdoding BaSam9R-BrldGaraga): 8. Change of Use From: Change of Use To: g, Valuation of Work: $ ~ -~ ~~ , ~~ Floodwey Yes^ 10. Floodplain: Fringe Yes^ No ^ Dev. Permit No ^ BFE EIev.Cen. 11. Current Zoning: `~ L 12. State Fire Marshall Required: Yes ^ No[~ 13. Special Use Permit Required: Yes ^ No [~ 14. Variance Required: Yes ~~'/o^ .~ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes ^ No ^ Waiver Approved _ BY I PLANS CHECKED 8Y 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 setforth above and in accordance with the codes~ordinances of the Ciry of Blair and the State of Nebras I understand that this permit is void if work is not commenced within 1 SO days or is no mpleted within 2 years of,d~+te of issue. OF OWNERJCONTRACTOR OR AUTHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) 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 t/ (before finish) Framing ~ Final / ~3-~ ~-w~~ Electrical Rough-in ~ _ Fixtures Final ~ / ~~_ ~ d ~, I ~~~~ permanent Service Temporary Service Mechanical DATE Rough-in q~C _ Final Ground Work ~~' ~~ X13 plumbing Rough-in /2.Gb ~ IY)rcl/(ir~~ Final. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ~ Comment: Approv~$y: '` ~1INf1C PRTl:.Rlnlr NF Rav. 1018 ~ - I 2 - o --- - -~ - -- --- -- - I - - -I -- -- - ;- i - - - I- i ~ -- -- -- -- - s o ~.~ , - - - ~ 0. -- -- - - - - -~ ,-- - - - i ~ - -r-- ~ - - - ---- - - f~N - -- +- - - ---- - - i ~ N: Mf '/s oak - - -- - ~~ - _ ~ - -~ I ~ _ -- ~ - - - ~ - r- ~ ---- ----- - --- -- -- - - ~ - -- - -- - - ~ - ~ ~- ~ -- - -- -- - -- -- .. _.. --. - - I •- i i r ~ - - -- -- -- - -- - -- I - - - - - - - - I --- - - . - -- -- -- -- ----- - -- - - - = --~ - - - - ~- i - - -- ~ -- I - - i - -- - - ----- -- - -- - --- - -- - -- - -- - -- - - ~ ~ - --- - ---- ~ - i:, ~ - ~ ~ I - -- - --- - - -- --- --I - -_ I ._~ _~ -_ -_ -. __ - I __ .-- ~, ff -.y -__ -.- __ --- - - - ~ - -_ .-- _ - - -J. ..__ _ -- _ - . _ _-. -- . ~ - - . -~ - -_ --_ __ I ~ _ ~ . .-_ - .~ - -_ _._ _._.. __ __- --.- -- -_ -.- _ .- -. -- --~ ~ ~ ._ . _ _ I - ~ - - --~ _ - - -- - _ ~ - - - ~- --r --i --~ __ _._ ---r ---- - - - ~ BUILDING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: g ' ~ Issue Date: Permit Fee: $ JOB ADDRESS ~CI ~ ~ /) I llN,• ~ LEGAL 1 ' DESCR. LOT NO. LK. TRACT ^ SEE ATTACHED SHEET 2. OWE Ll/V~-S~y~ MAID ~tE$S j ~ ZIP PHONE 3 CONTRAC J//~ ff I/~MAILADDRESS PHONE LICENSE NO. 1' I LG Q` ~4`/ USE OF BUILDING 4. 5. Class of Work: ~ NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: _ , ~ ~~r, ~ 7. Sq. Footage of Structure (IRduaiRg BaSemaRt aoa Garaga): $. Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes ^ No ^ Dev. Permit 10. Floodplain: FriRga 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 by the 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 Clty 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 completed within 2 vgars of date of. issue. SIGNATURE OF OWNERICONTRACTOR OR 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 Final Temporary Service Rough-in Final _ Ground Work Plumbing SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in 1„~ p` Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approv $y: ~, CATI O N Permit 5 4 8 6 Fixtures Permanent Service Mechanical - ABC POUNDS PRTG: Blelr, NE Rev. 10rB1 BUILDING PERMIT APPLI ' Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 CATI O N Permit 5484 Application Date: ~/~ ~~ Issue Date: ?S ~ ~~ ' c~ Permit Fee: $ ~z -~ JOB ADDRESS C~ ~ ~ ~ - LEGAL 1 ' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2, 01~dJ R MAILADDRESS ZIP PHONE ,3. CON RA TOR MAILADDRESS PHONE LICENSE NO. USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~ 7. Sq. Footage Of StfUClUre (Including Basement and Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. Floodplain; Floodway Yes ^ No Q Dev. Permit Elev. Cert. Fringe Yes^ No ^ BFE 11. Current Zoning: Site Plan Attached ^ Complete Plans Attached ^ 12. State Fire Marshall Required: Yes ^ No^ Approximate Completion Date Inspections Required and Fees 13. Special Use Permit Required: Yes ^ No ^ utilities Sewer Tap .Water Tap 14. Variance Required: Yes ^ No ^ Sewer Water Service 15. Minimum Setbacks: Front Side Rear Septic Remote 16. Sidewalk Required: Yes^ No ^ Waiver Approved i3uilding APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Footings Drywall (before finish) NOTICE Framing Final 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 Electric a 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 Rough-in ~ ~ ~ ~ixtures have received a copy of this application form signed by the Building Inspector and stamped . 'APPROVED'. Final ~ .~ ~ ~r~ - permanent Service I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codesJordinances of the City of Blair and the State of Temporary Service 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. McChaniCel ~~.w-~-~ ~ $-! ~ "~~ Rough-in ABC SIGNATURE OF OWNER~CONTRACTOR OR AUT ORIZED AGENT DATE 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 By: ~~~~ SOUNDS PRTG: Blelr, NE Rev. 10/9 ~ ~~ y J w0 H J Z O H U d N H H U O b Ol h 7 cr d Y+ d A m O d w C H ,~~ ~ ~ ~ ~ ~ ~~ ~ A~ ~ S ~ ~~~ ~ ` ~ ~ eo ,~ ' b ~ ~ 4~ 7 w ~o (~, '~h ~ ~ O O . m H a w '~ ,- a ~ © T y~ ~ Z O \ J M U ~ U W d t N Z ~--i N W } ~ C F ~ ~ U d N N E H q ~ ~ U ~ O M ~' A N vii P. P. ~ ~ F+ W I ~ M N N Q O U N V H W N ~ P U ~ P. vCi Q ~ y N W ~ O N H d ~ .G ~ al axi ` S 2 ~ ~ ~ 2 E' W ~ O O M 01 o La +l ~ u T F ~ ~ ~' ` P. v A ~ ~ o d N a H w o 6 a 7