BP5766`/. ,. - . .
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SI~ILDIIVG ~P~RMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
- ~~ ~ ~ ~~
CATION ~,~~~
Permit 5 ~6 6
J /~ / D
Application Date: / ~ `'I' Issue Date: ~' r ~ ~~ Permit Fee: C>~
JOB ADDRESS
'
1, LEGAL
DESCR. ` ~ BLK. TRACT /~_ r/~~ // ^ SEEATTACHEDSHEET
2, OW ER MAILADDRESS Zlp PHONE
CONTR T -~LADDRESS
3. ~~~ -~-Gt P 0 LICENSE NO.
~ 1~
USE OF BUILDING _+~~ ~~~
4.
5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Wo
], Sq. FOOtage of StrUCtUre (Including Basement and Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $ /~ ~ ~ ~
10. Floodplain; FloDdway 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 ~Ilaiver Approved _
ACCEPTED BY 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 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 Ciry of Blair and the Siate 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 df issue.
SI NATURE OF OWNERiCONTRACTOR OR AUTHORIZ - = GENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER)
DATE
Site Plan Attached ~ Complete P ans A ached ~~~,
Approximate Completion Date ~~ 3~ ~-' ~ "
Inspections Required and ees
Utilities
Sewer Tap Water Tap
Sewer
Septic `~~-~ ~-+~"~
~- a~ -~~+
Water Service
Remote -
- ~' Z7 c4 Building
Footings ~~`~ ~ ~~ Drywall ~
i (before finish) ~C3; Z ("~( ~~
Framing'~~ Final '~ ~ ~- ~ ^ ~ ~/
~~~ Electrical
Rough-in Yri.i~L~nu.~c~~-~~ Fixtures
Final ~ ~''n~n-taco' Permanent Service ~
Temporary Service
Mechanical
Rough-in ~iyi ~u ABC /
Final ' ~!r't 1~/
~~ ~ ~ Plumbing
Ground Work < ~'~~ ~
Rough-in -/~P~!-2.l `~~~ "I-5`~'~ Final /~.~1
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approve By: A
SOUNDS PRTG: Blelr, NE Rav. 70/9
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EXHIBIT "A"
LEGAL DESCRIPTION: A 'tratt,of land lying the Northeast Quarter of the South west ..
Quarter of Sectxon_15iTownship 18 North, Range 11 East of the
6th P.M., Washington County, Nebraska, containing 10.01 acres,
more or less. More particularly described as follows:
Commencing at the Southwest corner of the Southeast Quarter
of the Southwest Quarter of Section 15 and assuming the west line
of the East half of the Southwest Quarter to bear North 0°00'06"
West; thence North 0°00'06" West a distance of 1771.82 feet to
the point of beginning; thence continuing North 0°00'06" West
a distance of 580.05 feet; thence South 89°31'13" East3 a distance
797.46 feet; thence South 36°00'25" West, a distance of 123.27
.feet; thence South 13°01'32" West, a distance of 55.36.feet; thence
South 0°31'37" East a distance of 44.79 feet; thence South 14°31'27"
East a distance of 207.51 feet; thence South 09°41'46" East a
.distance of 166.55 feet; thence South 0°27'48" West a distance of
16.52 feet: thence North 89°31'13" West a distance of 792.86 feet
to the point of beginning. (subject to easements of record.)
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. ~ BUILDING PERMITAPPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
CAT101V
Permit 5 812
Application Date: ~~~ ~ ~ 1 ~'"I Issue Date: ~ ~ ~ ~-~ ~f Permit Fee: $ ~ ~ : ~~
JOB ADDRESS
LEGAL
1 ' DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
2. OWNER ~n ,M n ~ ~~ MAILADDRESS
(,
~-1' ~ mac.. Zlp PHONE
~ MAILADDRESS
CONTRACTOR
~
s. ~~.~ -~-er,~ PIh~ ~ z~i ~ i~ . ~a.~-~ ~~~mdn'l ~Q d ~LS~ LICENSE NO.
~~i- s~s~
USE OF BUILDING
4.
5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: C C ~ ~ _ ~ ~ ~ ~~~_ ,
7. Sq. FOOtage Of StrUCtUre (Including Basement and Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: Floodway 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 _
APPLICA~ rACCG ~ 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 ofthis 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
is t co 2 ye of date of issue.
Z-
SIGNATUR WNERjCONT CTOR OR ORIZED AGENT DATE
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer Water Service
Septic ~ ~~' U ~ 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 I Z • C~ O Final ~ ,d ~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YO R PERMIT
Comment: Approved By:
POUNDS PRTG: Blelr, NE // Rev. 1091
r BUILDING PERMITApPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Ground Work
5920
%g°-~ (J ~ ~~ Permit Fee: $ ~ -
Application Date: Co - ~ ~ '~ ~~ Issue Date: /
JOB ADDRESS
~~
1, LEGAL
DESCR. LOT N0. - Q UGl1" I" r
~ )~ ~U,~ ~~", BLK. TRACT )
J ~ -I ~ ~ l
^ SEE ATTACHED SHEET
2. OWNER ~~ ~~~ ~~~ MAILADDRESS ZIP PHONE
CONTRACTOR AILADDRESS ~
3. C~~rn rn ail t,v~:~ 1~/~ "~c1=r~~ c ~~~ PHONE
`t2.z~ S . G.'~' ~5~ . LICENSE NO.
~ mc~.hrn. iz
USE OF BUILDING
4. ~\ 'i
5. Class of Work: NEN/ O,A~ ITION ^ ALTERATION ^ REPAIR
~..
G ^ MOVE ^ REMOVE
6. Describe Work: ~L~~ !
V ~.C,~ ~,,
rt
7. Sq. Footage Of Structure (Including"Basement and ~arage):
8, Change of Use From: F Change of Use To:
g, Valuation of Work: $
10. Floodplain: FI°oaway 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 _
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 herebyagree to perform the proposed work in accordance with the specifications setforth
above and in a rdance with the codes/ordinances of the City of Blair and the State of
Nebraska. I unstand that this permit is void if work is not wmmenced within 180 days
or is not comp) ed within 2 years of date of issue.
SIGNATUf~~OF/OWNE N A~TORO THORIZEDAGENT ~~~~~~~
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 ~ ~ U~ Fixtures
Final ~~~. ~ Permanent Service
Temporary Service
Mechanical
Rough-in ABC
Final
CATIO`iV
Plumbing
SIGNATURE OF OWNER (IF OWNER BUILDER) BATE ~ I Rough-In
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS
Comment: Approved By:
%J • ~ ~
Permit
Final
YOUR PERMIT
POUNDS PRTG: Bleb, NE ~ Rev. 70/91
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' ~UILDINCa PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191 Permit_
Application Date: ~~~L/- ~y Issue Date: ~-~~I- ~~~ Permit Fee: $ ~~~~~
JOB ADDRESS ~ n
I ~
LEGAL
1' DESCR. LOT N0. BLK. TRACT ^ SEE ATTACHED SHEET
2, OWNER / MAILADDRESS Zlp PHONE
3, CONTRACTOR QIIf~1 MAILADDRESS
vm ~ ~1~ //Z bar PHONE LICENSE NO.
~ G~/~s/ C.~a ~~4 s-~s~~~
USE OF BUILDING
4.
5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: /~'US ~ h.~G~.-~'1 q ~C
], Sq. FOOtage Of Structure (Including Basement and Garage):
$, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: Floodwey 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 ^
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer
Water Service
15. Minimum Setbacks: Front Side Rear Septic Remote
16. Sidewalk Required: Yes^ No ^ Waiver Approved Building
APP ICATIO 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 EleCtrlCal
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 Fixtures
have received a copy of this application form signed bythe Building Inspectorand stamped
~
'APPROVED'.
' Final 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 Ciry 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 t completed within 2 years of date of issue. Mechanical
-/y-q Rough-in ~a-C~~ ABC ~~•~~
ATURE OF OWNERJCONTRACTOR THORIZED AGENT DATE Final • a
Plumbing
Ground Work
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS OUR PERMIT
Comment: Approved By:
POUNDS PRTG: Blair, NE Rev. 10191
5975