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BP5843r ~ ~ °~ - ,. : t~ .~IiLDING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 ~~ CATION ,,-,-~~ I~~C cK #a~s~~~ Permit 5843 ~~z~~~ Application Date: ~ ~ 2~7- ~') ~/ Issue Date: Permit Fee: $ ~~'d ~ C~C~ JOBADDRESS jj~~ Ce~~,~.~ lJl ('"~ c~ ~ ~ C ~ ~ /-~/ „ a IJCJ~- l~ C IO ~ OU 1 ' D SCR, LOT NO. ~ ~ BLK. TRACT ~ ~ ~~~ ~~ ^ SEE ATTACHED SHEET 2, OWNER `~~v~ `! r ~ I ~^ MAILADDRESS ZI PHONE CONTRACTOR 3. ~~'Z~~ r ~ ~ MAILADDRESS ~'~'tr~S Z~ I~ . PONE 1 ~I ~~r~ ~~ LICENSE NO. ~~~. ~f ~9 ~ ~ 7i USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~ L; ~~, °~j~ ~ ], Sq. Footage Of StrUCtUre (Including Basement and Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ ~ S • ~~~ . C~ 10. Floodplain: Floodway Yes^ No ^ Fringe Yes^ No ^ Dev. Permit BFE Elev. Cert. 11. Current Zoning: ~ I' 12. State Fire Marshall Required: Yes ^ No[~ 13. Special Use Permit Required: Yes ^ No ^~' 14. Variance Required: Yes^ No[m]' 15. Minimum Setbacks: Front ~r Side ~ Rear ~~ 16. Sidewalk Required: Yes No ^ Waiver Approved APPLICATION AECEPTED 8Y PLANS CHECKED BY 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 ohs not completed within 2 years of dat~of issue. OF OWNERIC T ACTOR OR AUTHORIZED AGENT DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date ~-~-~y ZN-~,~ Inspections Required and Fees ' Utilities Sewer T~p~`~-~ Water Tap '~ ~ d ~ l Sewerl ~~~-~"-~'~ Water Service /' ~"\ Septic Remote fv4 Yd Building Footings '~/~-~~~?~~~~ Drywall (before finish) -0-2~"~'r`'r a~~ 22-'~~~ '~ Ib'31 ~~~ Framing ~ Final Electrical Rough-in ~~'~ ~ Fixtures Final r/te .~J -~ Permanent Service ~ ~ ~ ~ ~~ ~ Temporary Service `~ Mechanical Rough-in /C~.~.~~t~Da~{c,:tS ABC /GI~,V~•-(~ u,~1~3 Final / '-~ `~ Zz - Plumbing Ground Work _~- ~ ~~`~ SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in~Final /~~-~L WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Appro ed ~ ~--YL. Rev. 7019 ~OUNDS PRTG: Blelr. NE i ~'~4f?~D 15E HOMES G~~~ PROP05ED GON5T. ON LOT 28, ARBOR HE16HT5 Igr ADD., AN ADD. IN WASWIN6TON GOUNTY, NEBRASKA ~ GO~~~I~' ~'\ ~ ~E6END ~ V, ~~p' ~o ~~\ ,~? 9 PROP05ED ELEV '~' \ ~ EXI5TIN6 ELEV. = ~ ~ p, O. ~ . ,- wo .o ~ •o , ~ Q \ ,, o ' I ry ~ ~ 'd' i ~'-``_~y -,1 ` ~ . ` ` ~ /6s ~ ` -~ '~. JOB ND, qb5-101-Iq SWEET ND. BOOK PAGE DATE 4-25-q4 ~OMPSON, DRFE55EN AND DORNER, ING., 10836 OLD MILL ROAD. OMAHA, NEBRASKA 68134, 402-330-8860 G~RGL~ ~'BUIIIDI~~ hTSP~CTION REPORT ~~ y _ ` Z v `~ CITY OF BLA_ Ilt ^ WASH~TGTON COUNTY ^ OTHER - -~ ~C~ L~- 4 LOCATION OF INSPECTION: ~ f ~9 ~ ~' NAME OF OWNER: ~~~ CONTRACTOR: ~C<JL ~ ~ -~- ;.: J DATE INSPECTIONREQUESTED: ~ / ~~/~ ~ pERMITNO: ~ - ~ TIME INSPECTION REQUESTED: T ~ ~~ Fl ~ _ TYPE OF INSPECTION REQUESTED: BUILDING: ^fl FOOTING ^ FRAIvIING ^ DRYWALL ^ FINAL - ~ I UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPT.[C ^ WATER TAP - ^ REMOTE ^ WATER SERVICE - ELECTRICAL: ^ ROUGH IN ^ FIX'['URES ^ FINAL ^ MOTORS ^ PERMANINT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH IN ^ A/C ^ FINA]_, PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL '- RESULTS OF THEINSPECTION~PASSED ~s~xo~rFS~ ^ FAILED ~s~xo~s> NOTES/REMARKS: I i INSPECTOR: ~~ - DATE OF INSPECTION MADE: 11 ~ % TIME: 7 , j ~~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO . WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1 ~, ,,_ ~: 9 .. ,/~~ CITY O~,e~-7~ PLANNING DEPARTMENT PERMITS AND INSPECTION DIVISION APPLICATION FOR ELECTRICAL PERMIT DATE ~- ~ ~ 19~ We hereby make application fora permit to install electrical wiring and apparatus in the premises known ~e~ a s ~C1 ~s ~. i ~%2~t,~i (.c~c~.y please indicate suffix, St., Ave., Rd., Plaza, Cr., Bay Number Owner ~ ~ ~~~„ ~~, General Contractor ~~~.~ z~ Master Electrician Address P,ax 34185 ~ Outage Indicate: Comm. ~ New Res. ~' Old Commercial :Indicate Business to Occupy Indicate Service: Voltage Amp No. Wires Phase Over Ground Under Ground Temp. to OPPD (Date) (Number) Final to OPPD Separate Permit Application required for: A. Service B. Pre-Connect C. Temporary Pole Residential, Addition, Apartments fees are based on square feet. Commercial fees are based on Outlets. BPI-25 (Rev. 10-79) NO. PERMIT NO. DESCRIPTION OF WORK ~t=G Service Only amperes Pre-connection Temporary Pole Repair Damaged Wiring Outlets Fixtures Area (Sq. Ft.) Res. Ranges K. W. ea. Ovens K. W. ea. Range Tops K. W. ea. Dryers K. W. ea. Electric Heat Total K. W. Water Heaters K. W. ea. Toasters K. W. ea. Welders K. W. ea. Rectifiers K. W. ea. Disposals H. P. ea. Air Conditioners H. P. ea. Dishwashers H. P. ea. Furnaces H. P. ea. Fans H. P. ea. Motors H. P. ea. Rei spection Fee • C~ Generators (ac & dc) K. W. ea. Flood Lights Sign Connection Circuses, Carnivals, etc. (Pri. Connection) Events Held Inside Bldg.(Sec. Connection) TOTAL FEE ~~ t '~ r s ' BUILDING PERMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: CATIO Permit 5 9 4 8 Issue Date: ~'` ~~ ` ~ ~ Permit Fee: $ 2-~ JOB ADDRESS A O ~ ~ /n ', ~~~~ LEGAL 1 ' DESCR. LOT N0. C / ~ aV BLK. TRACT ~~~ / J 4/ ,~U~e ^ SEE ATTACHED SHEET 2. OWNER ~'-' MAIL ADDRESS IP v - r iS (~..Q,Q, PHONE 3. CONTRA OR ~l~~f C ILADDRESS ~ PHONE ~ ~~~ ~ LICENSE NO. USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: USe C( ~C~U ], Sq. Footage Of $trUCture (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 _ APPI~ C,EPTED BY PLANS CHECKED BY I APPROVED FOR ISSUANCE BY t 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 accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I under and that this permit is voi ork is not commenced within 180 days o 's plet withi y of date e. _~°~ ( ~ .OwNE' C CTOR AUTHORIZ DAGENT 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 L~ < ~ ~ Permanent Service Temporary Service Mechanical Rough-in ABC Final Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE I Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS I UR PERMIT Comment: Approved By: ..A A i POUNDS PRTG: Btelr, NE (.~~ /~ Rav. 10)91 ..~ ~ ~ ~ ~ BUILDING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 CATION 6038 Permit Application Date: ~ ~ ~ ~ ^ 9 ~--~ Issue Date: "~ ~ r9 ~~ Permit Fee: $ ~ ~~ JOB ADDRESS ~~~~ ` ~ ^. r ~~ ~,n A ^ ~ - ~.J' 4 \...) B ~~~ LEGAL 1' DESCR. LOT NO. BL K TRACT ^ SEEATTACHEDSHEET OWNER ~~ MAIL ADDRESS Zlp PHONE CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. USE OF BUILDING 4. 5. Class of Work: [NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~~(~~~._ ~~ Jhc , ], Sq. FOOtage Of StrUCture (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes ^ No ^ Dev. Permil 10. FIOOdplaln: 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 _ APPLICATION ACC PTED BY PLANS CHECKED BY 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 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 City of Blair and the State of Nebraska. I un erstand that this permit is void if work is not commenced within 180 days o ' not cqm ted within years o~~t~~ is ue. ~~~~ ~. 1.// ~ L S NATURE OF OWNE NCO RACTOR R AU ORIZED AGENT DAT Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Sewer Tap ~~ • U ~ Utilities Water Tap Sewer ~ U' pU Water Service ~ 4 • ~ C ~ 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 I ~ - C~G~) Final ' ~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blelr, NE ~ ~ Rev. 10/91 ~~ ,,-: ts9 ~ , .a b o r~ o. .~ z ~ d ~ ~ ~ : ° z . o E r 0 b _ ~ b . p o o ~. .. ~ ^ .. ° ~ ^ . o ~. r ,. 0 ~j '~e~ G~'~ C~7 ^ ~~ o ° ~ x, ~ x ~ ° ~ ~ ~ ~ H i ^ ~ ~ ^ ~.., n n ~ z ~` ~ ~ ~ ~ ~ o z ~ ~ _.. ., ^ ~ ^ o ~ ~ ~ ~ o a ~ ~a:~ ~ '_ ^ ^, ~ o ^ ~ v, a ~. 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