BP5350• ( ~• ~, '
~BUIL®ING PERMIT APPLICATION
` Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Permit 5 3 5 0
p
Application Date: ~~~' ~ 0 "C~~ Issue Date: ~ ~ ~~~c~ Permit Fee: $ ~C"C),C~C~~
JOB ADDRESS
~ ~ ~ c~ ~; ~ l ~ ~'~~p UC° ~ .
C~~~.~
1 ' DESCR, LOT NO. ~ ~ B~• TRACT (~ ~ ~~ ~~ ~ ~C'~~ /~~ ^ SEE ATTACHED SHEET
~-}
j
2. OWNER r MIL DDRESS
~~ h~ ~ ~~~,~~ ~~ ~ ~ y~~~l PHONE
ZIP.
3. CONTRACTOR MAILADDRESS PHONE LICENSE NO.
USE OF BUILDING
4.
5. Class of Work: ~ NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~~ U ~,L_
7. Sq. Footage of Structure pnduaing Basamam ana Garage): ~~~~ C
$, Change of Use From: Change of Use To:
g, Valuation of Work: $ ~~ Q L~ L; ~
10. FIOOdplaln: Floodway Yes ^ No ^ Dev. Permit
Fringe Yes^ No ^ BFE Elev, 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 _
A~PP~LICj~T-ION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
(Cf~C.f~GY~--
-~~ NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I acknowledge 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 spedfications set forth
above and in accordance with the codesJordinances 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 t~co/mpleted yvithi ye~ of date of issue.
SIGNATURE OF OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
Site Plan Attached ^ Co plate Plans Attached ^
Approximate Completion Date ~~~~~ ~l ~~~
Inspections Required and Fees
Utilities
Sewer Tap v' ~~%-~~ ° ~~azc~ Water Tap t/'
Sewer /~~~ ~~ / WaterServioe ~ 14-~ ~ ~~'~`'"
Septic Remote
Building
Footings ~~~~~~ 3 Drywall `~ ~ "~ ~ ' ~ ~'~
(before finish) t
Framing ~•~ >-~ ~'J`I Final °~~ 27 r ~(-Z 4- ~~
Electrical - fw " ~' ~ ~ -~
Rough-in y ~~~-y~l ~~~--~.-k Fixtures
Final i O C?t~`-1~,,-~, -r~;~-' permanent Service
Temporary Service r_ ~
(:,~'~
2'L~ ~` l y Mechanical - ~~~
Rough-in ~%~'~ ~~u'1- ~~ ABC v-~,n z,%
Final / '~~
~ bing ~~ ~~~.~~
Ground Wor~7 ~ ~`I ~ ~ ~ ~ ~ ~ _ ~ ~~
Rough-in~~Z-ckI _:-v,,Final t/~.c~~{~- ,~raz-~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approv B • _ Q
rvunu~ rn i ~: nieir, ne
r i
r.M., e
~A ~b ~~ ` 1
;I
~~' CHECK LIST FOR ISSUING RESIDENTIAL BUILDING PERMITS
SITE
1) Zoning ~L Y''~ Flood Plain: Yes No i
2) Permitted Use~~ a
3 ) Special Use ~~ Special Use Permit Issued
4) Location on Lot (Setbacks)
a. Front Yard Required Z~ ~ , Shown aU
b. Rear Yard Required `Z~ , Shown ~~
c . Side Yard Required ~ w , Shown `7
5) Variance Required: Yes No .~
6 ) Lot Area Required , Actual ~ ~,~(
7) Lot Coverage Allowed , Actual ~L
8 ) Other Structures on Lot,
9 ) Utilities_
Adjacent Lot,
BUILDING PLANS
1) Floor Plan
C/
a. Room Sizes
t n .,
b. Emergency Egress, D o;} ~1~~;,,,~Q.~-~,, `,~.. X.~~~,~ ,,,,,_,
~~c
2) Foundation Plan ~
3) Framing Plan's
a. Cross Sections ~
b. Stairs
4)Elevationsand Grading
5) Electrical
6 ) Mechanical ''~
7) Plumbing ~
ci ~.
~cr_._., _._...... .
~! :+:~;;
,.,.i.. u
=r ; r r is ~ ' c.: ~ ~ _ L
fir:.
r ~ ~'~
+fi f.i11
~,- ,:! ;•
'~ U~~,l) nil: u'~h (r ~ , i - •~ ~ r ;:%t ~.._ l.?.- I ~; .. `• ._ . _y .._..
IUD ~°` L ~ 1 ~ ~ ,..._...ri
,.
i ' •,
, .. ,,
~~! , ~ ~ -
....., .~?~ ~,, ,l ,' ,~ ~.,. ,..,. ,.,~.. .....-~
ls~
r'` ri /J ~l a/~ ~ 4 't y
/)1~~'~', ^'I r ~ V tlx: ~J ~~ .f~l+.
CJ ~'
~ 4 ~ ; ;a tl ~ ,,~
F
~ ~` ~`' "
,,\ -
.~
~ 1' -... , ...~ -~ ~ .-~.. _.. .. .~ ... _- r J-...~_... -
,-
-,-_.
f,. ~ ,
.,..,z.. ,: ;.
•la. ',
~~~
`'~
...L% ;a i~a., .
::ail"~ii:~~:~',y'~~ 'LIr
..-.~1 .,°•, rr."r•. e!1^. F.vl .... ,.li iCl;'"J.,_i,n n7.. .V'!~ ~'~., .. _
City of Blair
218 South 1 bth
Blair, Nebraska 68008
402-426-4191
Q~
~:'
~. ~:
O
.. D~~J
~ promise
October 28, 1993
Sherwood Homes
14711 Industrial Rd.
Omaha, NE 68144
Dear Sirs,
The enclosed permit is being issued so that you may proceed
with building. However, the required paving is not complete at the
present time. We anticipate it being completed this fall.
Please be aware, that if the weather does not allow the
contractor to complete the paving this fall, it may not be
completed until Spring. Therefore, the construction of the
attached permit could be completed before all paving is complete.
Thank you for your cooperation.
Sincerely,
c
William D. Wilson
City Bldg. Inspector
Enc.
CITY INSPECTION SLIPS
. ~ ~ Q~ `~ .cam ,
Inspection has been requested for
Location of Building
~~~-E~u.c,~~/lr-z~
Bx
Name of Company
Type f Inspection
Date Time ~, ~
!J% ~
Results of the Inspection are:
!~ ~~ ~--\
2 l _ ~ ~ ~,3 City Representative ~
Cam"-" ~ --~
. ?\
i
~~.
BUILpING PERMITAPPLI
- Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
5725
Permit
Application Date: _ ~' ~y ~ ~ ~~ Issue Date: ~~~ ~~~ ~`/ Permit Fee: $ Z ~-UCH
JOB ADDRESS ~ (~ C1 ~ ~~\Nt1 ~ ~~ ~ l~_ ~~~'4~~~
CJ
LEGAL
1 ' DESCR. LOT N0. BLK. TRACT ^ SEE ATTACHED SHEET
OWNER l ,/~ MAILADDRESS Zlp PHONE
3 CONTRACTOR - MAILADDRESS 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 (Ind ding Basement and Garage):
$. Change of Use From: Change of Use To:
g, Valuation of Work: $
Floodway Yes^ No ^ Dev.Permit
1Q Floodplain: 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
BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
CG ~,r~lvt--°
NOTICE
Separat . ermits 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 permitapplicetion fee does not constitute issuance oithis building permit. I further
agree that construction covered by this permit applicetion 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,~ot completed w~hi¢2 yg~s of date gyissue,.~
SIGNATURE OF OWNERfCONTRAC~ 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
Rough-in ~~C1(~' Mechanical
ABC ~~'~~
Final G,. d ~_~
Plumbing
Ground Work
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
CATION
POUNDS PRTO: Blalr, NE Rev. 10/81
~~IJILpING PERMIT APPLI
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 -7 ~ • ~ Water Tap
Application Date: ~.. ~- I ~ ` ~( Issue Date: Permit 1=ee:-$ . (}C,~ ,
JOB ADDRESS I I ~ ~ ~ V~ ~~~~,U~
V ~~^ _ ~ ~,
1 ' DESCR. LOT NO. ~~ BLK. TRACT
~(~~,~
~~` ~~~ ^ SEEATTACHEDSHEET
OWNER M L DRE~,S.\,~,/
2. ~~~^ ~ ~ ~ I ~S ~~ ~~ ~ f~P(~-JU~-~S
ZIP PHONE
3 CONTRACTOR _ MAILADDRESS PHONE LICENSE NO.
4. USE OF BUILDING
5. Class of Work: ~] NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: j~U (~ ~ ~ ~/ ~j C ~~
7. Sq. FOOtage Of StrUGtUre (Including Basement and Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: Floodway Yes ^ No p
Fringe Yes^ No ^ Dev. Permit
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 _
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
~~I//o
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 spedfications 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 BO days
or is not completed within 2 years of date of issue.
SIG TUBE OF OWNERICONTRACTOR OR AUTHORIZED AGENT DATE
~. f
-- ~ ~Ol~ /~Ci
SIGNATURE OF OWNER (IF OWNER ILDER) DATE
Sewer I ~ ~ ~Q Water Service f ~ ~ ~~
Septic ~ Remote
Building
Footings Drywall
(before finish)
Framing
Rough-in
Final
CATION
Permit 5 715
Final
Electrical
Temporary Service
Fixtures
Permanent Service
Mechanical
Rough-in ~ ABC >t
Final '~~
Ground Work Plumbing
Rough-in / Z ~ ~~ Final ~~ - ~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
~c~
POUNDS PRTG: 91a1r, NE Rav. 1081
~~ ~ ` BUILDING P~RMITAPPLICATIOfV
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 5 7 3 0
(402) 426-4191 Permit
Application Date: ~ "~~ ~1 ~ Issue Date: ~ ` ~ "~~ ~ Permit Fee: $ ~~- (J~
JOB ADDRESS 1 ~ ~ ~ ~~~,1 ~u~~ ~~ ~~
I
1 ' D SCR, LOT NO.
~
~~/ BLK. TRACT ~ - ~~~
r`~,T`
^ SEEATTACHEDSHEET
2 OWNER MAIL ADDRESS ZIP
~ C~rl~ .D~~~lc~~Sa PHONE
3. CONTRACTOR ~ ~ ~ ~ e ~_ f ~ t ~ MALL AD~DREZ ~O x I ~~ ~ r /C~ ~ rE
L~ u - ~ ~ ~'1 1 j ~~) ~ ~ LICENSE NO.
C~
4. USE OF BUILDING
5. Class of Work: C~NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~~v~~ ~~~G17i~
7, sq. FOOtage Of StrUCtUre (Including Basement end Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
Floodway Yes^ No ^ Dev.Permit
10. Floodplain: 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 _
I AP~GC.1 ~ IQ~TED BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY I
' 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 permitapplication fee does not constitute issuance of this building permit. I further
agree that construction covered by this permit applicetion 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 wiih 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 ism completed wit4inJ~fears of,~ate of issue.
OF OWNERfCONTRACTOR OR AUTHORIZED AGENT
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 ~ - C~ 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 PHRMIT
Comment: Approved By: ,~ _ / ~
POUNDS PRIG: BIaV, NE Rev. 10/91
_ - ~ m
Ei °z z
0 ~ ~ ~ ^ ^
-a
~
.,
`"` _
~
a
oJ
~
~ z ~ , ~
z
o, ~ - ~
~ ~ ~ ~
~ o ~ ~ ~ ~
W ~ z
~"
~~ _
t ~ ~ _ ~ ~
U1 z ~ N ` i ~ ~ °~ ~ ~ a
o ~ ,o
o
~ ~
~'
~
~ ~ °'
z
F--f,
0~ ~ ~ ,o
~
~ , ~ ~
z
~ _
~ 5`
~
~ I
~ ~
o
~ a
~ o a , ~ ~ ~ N ~ N ,
5 ~ °
FBI O ~:p
' < ~ ~ w.-, `n 'yn
..,~ ~ F7 k.
~ Z F
q ~ ~
F ~ ~j~ O
~ o~ U ~
~- X00.' ~,~, ~L
.:~ ~U 7.J-
:a -
~
U~ h.
;;_. ~
•_ O
W
~ O
~ Cu
~ ~-;I
- _ -
_ . {
- l w. ~ ~ .
11 e '
F ,. ~~ ~ .
S-
G ~0 r y ~ -~ r °z °z
~, ~ ~ J ~ ~ ~
~ i -b
~ ~ ~ ~ ~
o N ~ z ~
Q ~i 3 5` ~ a. ~ ~
d `" ~ ~ ~ r ~
w0 z u°4 N ` a - iv ,~ a v ~ 'v 54 i~ ~ ;.o o~ d ~ w
`.~ ,,~ o ~ ~ w c o ~~ ~ r~ ~ o /,~ `o ,z ~ to `~ .~ :, ° 0 0
. ~_ -
,_ -I -.. _.. _ _.. -. - r --'.-- y °, ~
_m ':{
H ~ z z
p0 fl ~ ~ ^ ^
is _ ~ ' ~ ``~ ~ ' ~ a
a ^ ~
~`z ~ ~y ~ ~~ ~ W 1
ooyy ~
'~ 6 ~ . U ' \` 5 r
. ~ ~ ~ a ~ ~ o ~ o ~ ~
~ i
pa o ~ ~ ~ N
i , Fps W~ ~ ~-S ~ U1, ~ ~ ~ -,
t G ~ ~ ~ o W ^ ~~ e. 3 ' ~ c. 6 w
uu~7 ~ ~ _ -Z .~J VJ F w O. '
..~.s ~ Q .~ ~ m ~ ~ ~ ~ w ^ 0 .~ ~ a fl ~ z ~i n c~ 3 I
~ r - ~~~ ; d