Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BP5856
- , - ~~BUIL®ING PERMITApPLI ~~ Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 ~~(x~v #9s ~~ CATIO-IV ~ Z ~~ur,d ue,d ~~7 5856 ~y Permit Application Date: ~ -~~ "~~ Issue Date: ~° 12~ r ~ Permit Fee: $ )f DO . C~~~ JOB ADDRESS . ~ U(~(.L~J /~ ~3 ~ !~~~~- 112~~ (~ 1. LEGAL DESCR. LOT N0. ~ ~ BLK. ~ TRACT ~, ~ ~ ! I ~ SEE ATTACHED SHEET 2, OWNER _ - MAIL DRESS ~~ ~~ I ~i G\ZI,P ~ /~~ /„ ~ PHONE 3, CONTRACTOR ~ Ln `~~~5~'~~ ~N(AIL ADDRE~ ` l / U / ~~ ~~~~ ~ PHO E ~~ ~ a 7 ~ ^ ~1 LICENSE N0. I OU USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~ ~ ~_ 1(j 7. Sq. Footage of StrUClUre (Including Basement and Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ `7 Z C~C~ ~ , n C~ 10. Floodplain: FI°odway Yes ^ No ^ Dev. Permit Fringe Yes^ No ^ BFE Elev. Cert. i 11. Current Zoning: ~{ ~ ~ 12. State Fire Marshall Required: Yes ^ No['r 13. Special Use Permit Required: Yes ^ No 14. Variance Required: Yes No[~ ~ b 15, Minimum Setbacks: Front ~~Side ~_ Rear 16. Sidewalk Required: Yes ~J No ^ Waiver Approved i ApPL~~AT~ f~C~~Y 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 acopy of this application form signed bythe Building Inspectorand stamped 'APPROVED'. I hereby agreetoperformtheproposedworkinaccordancewiththespecificationssetforth 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 SO days or is not mp~t d wig thin 2 y(e'ar date of issue. \4~"-'_ SIGNATURE OF OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Site Plan Attached Complete Pla/n~ Attache Approximate Com letion Date 9 ~~~'g`~ Inspections Required and Fee~~~" 4 Utilities Sewer Tap ~'~~~~^r~` Water Tap t/~i,~ s ~;~ Sewer /1 `1~~-11~~~.i, `I'_' S•`i~~ Water Service /~'~C.~ G~4,~~c._ y-ff"•~ Septic Remote C:=1/l~~ ~~ ~-%y Building Footings /~ ~~~~ Drywall °~ (before finish) ~~--Z'-/-`~~~ Framing =~`~ fib- `~ Final ;~ ~ o ' 2 ? " rt y' ~ Electrical Rough-in ~6U~•s R~ItO`q~ Fixtures Final /~•~~ '~ `S Permanent Service ~L~~y~y Temporary Service ~`Z3" `~`'~ I Mech anical ~ - Rough-in f/,,C~~(,~~L4; F ~ ABC v ~(t~, L,(1 Final' -'~'~~~~~`~ ~^ ~(~, E<<( Plum Ground Work ~~~'"~' 1-E'1Z bing //c ~ L~, ~~,~~~~ Fi l ~~~' ~_ Rough-in;/i na WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: ~ f ~ t~ d3 C ,~'S reps .~#~a r ~$ (~ I Appro e~yl/y' \ .~?7~ ~cJ ` ~C~r~. W t.,,,,. i ~. I POUNDS PRTG: BIeIr, NE / v Rev. 10191 W *(i/"'~~ Y ~ ^~ 4 ~ r Riuerv~euv Driue Lot 1 ~ Block ~ Euergree~n Rl~ff' - 60'0. a D d d a a a r ~ d o o ~' n z 0 n ~ .. ~e ^ ~\_ z 0 o ° r ~ ~ ° b z b ~ ; d 0 i d 0 0 0 r ^ ~ o x x ~ .. .~. '^ ^ __ ^ o ~ ~ ~ .. n ^ , C ^ ^ ^ ~ x o 0 0 ^ ~ ~ o ^ ~ ~~ td c r o d ~ ° ~, ~ ~ ~ C17 ^ y 'aC .. ^ '~ ~ C;+.' . ^ ~ r'~ ~ ~ ~ `, ' ~, S m ^ ~ b .- .... . _ ~ ^ ~ ' . ., r k ^ ~ a z _:.~ ^ __ ~', ~ ~t ~; i. ~.._ O z p d ~-,,, t~ a z r o ~ ° ~ o ~ ° ~ ~ L +` r ~-, ~ '~ b n ~ i ^ ~ ~ Z t~ _~~ l"7 ~t~y V q ~ ~ cnW ~~ a '~ ~ 11~. y ~ ~~ F^yG~ i w ° Q ~~ . ° ~; .~ z ~ a ` ~, Z: o i ~ ~ ~~ __.-.,.~ --~--Y - ~ ~ ~ - - ~_._.- r~ ^ ^ r' ^ ^ ~ ~ , ~ a o ~ o ~ ~~ ~ ~ ~ ~ ~ ~ r. G ~i; Z:a ~ ~ ~ Z ~ ~ ~ ~ C7 ~ ~ ~:~' Z n ~ 7 ~' ^ ^ ^ ^ S ^ ^ ~ 1'.~ .-~ .b ~ C] ~ d d ~° 1 H ~ ~ ~ ~ Q ~o d `~ ~ ^ ^ ^ ~ ~ 'V y o a ~ ~' ° ~ ° ICI nn ~ ^ ~ to ~ ~ ~ ~ ~ O ... _ "~ va ,.3 ~ ~ ^ ~ y ° ~± Z ~ ~ Q ~ l •I O ~ ~ ~ ~f 1~ ~ ° ~ y . ~ ~ BUILDING PERMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit pD Application Date: ~z ~~ G ~ Issue Date: ~'c~q Permit Fee: $ JOB ADDRESS I J ~,~^ u ~.~ ~ . LEGAL 1 ' DESCR. LOT NO. I BLK. ! TRACT ~~ V ^ SEE ATTACHED SHEET 2. OWNER MAIL ADDRESS ZI PHONE CONTRACTOR MAIL ADDRESS PHONE LICENSE N0. USE OF BUILDING 4. 5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: 7. Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 8. Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes^ 10. Floodplain: Fringe Yes^ No ^ Dev.Permit Elev. cert. 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 _ 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 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 setforth above and in accordance with the codesJordinances of the City of Blair and the State of Nebraska. I u rsta d that this permit is void if work is not commenced within 180 days or is not c pl a thin 2 ea of date o issue. SIG U E OF NERfC TRACTOR 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 On Rough-in ~~. Fixtures cv Final O ~ 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 IS YOUR PERMIT CATION 6005 Comment: Appro ed ` E BUILDING PERMITAPPLICATIO~IV Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402 426-4191 Permit_ ~1 Application Date: _ -~•-~J~'~ Issue Date: ~ - ~ - ~ ~ / Permit Fee: $ /r~ .~,0 !~ JOBADDRE~SI LEGAL 1 ' LOT NO. ~ BLK. TRACT ^ SEE ATTACHED SHEET DESCR. 2 OWNER MAILADDRESS Zlp PHONE 3. CONTRA TO MAILADDRESS ~ PHONE LICENSE NO. 57 ~~ USE OF BUILDING 4. 5. Class of Work: NEVI/ ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ], 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. Floodplain: EIev 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 _ APPLICATION ACCEPTED BY f 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 Ciry 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 completed within 2 years of d to of issue. G7'1 SIGNATURE OF OWNERJCONTRACTOR OR AUT ORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap ~'~.5' , O U Water Tap ~ Sewer / ~C9 ~ ('~ Water Service ~ /c'j . L~ ~ Septic Remote Building Footings Drywall (before finish) Framing Final Electrical Rough-in Final Temporary Service Fixtures Permanent Service Mechanical Rough-in `~ ~ ~ ~ y ABC %~ ~ ~ ' ~ ~ Final :/ ~ ~ © U Ground Work ~ Plumbing Rough-in ~/ - -L~ Final ~~ ~ ~-~~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS OUR PERMIT Comment: Approved By: ~~ ~ ~~ 6024 POUNDS PRTG: BIeV, NE Rev. 10/91 ..,a.. ~ ~ ~ -1 O z ~ ~ C, z°~ W 5 J N- W ~t ~~ .~1 ~ ~' oC '~ ~ F~1 C t: ,J/ q. p F- ~ oa. ~ ~ z M1 oc ~~ a pz ~~ ~ V U a V 1 a 1~.. F~ c ~ ,_. Y o w ..`'IY~ ~ !il 0 ~~ ~ z o w ~ ^ ~;~ O ~= ^ .moo ~ nm y ~. ~ O ~ ~ ~ h C7 ,: F ul. ~ ~ 'Fl ~- ~J ~ 3 F ~j E- CJ- x ~' U '.~~ C7 Z O ~(. .~ O~7 ~ C .OZ. FO ~ ~~ ~~ ~ ~ ~ Q. ~ 'Gq 70 F U1,' U F L "7 ~ J H ~ W a 0. U K ' U O ~: °' -0 ~_ ~~,, ~~ ~~ , ~, ~ ~ , o ~ - s `z ~ O 1 ^ ~ ~ a V W~; ~ ~ T~ ~ ~ ~ ~ ;~ I~1 - Q 5 O ~q o ~ m ~ °' ~ m °' f ~- z z . a . .CJ ' ~ 7. ~ G a ~ . o z o H Uo '^ o. ~' ~ W, ,~ ~ \` ~o o Q H ~ a ~ A 0 ~ u~ ~ ~ o ~ 4 ~ o o t ~ l ,U 4 ~ . ~~• 'o '`-~"~- z o ~i m~ °z °z ..., ^ 0'~ ~.. ^ ^ ., ~, s ~ ~ ~i O '~ V a 0-:; q~ ~ ' C U :, ~ o .z°. a' ~.. h 0. U . ~i p w O ~ O A ~ ~ _- _ .- - ~ .~ m J ~ „ n, s -, V ~ y ^ ^ ~ ^ ~ ~~ ~ ` O .- C ya a ~ ~ ~ w - ~ ~ o, c~ r~ ~ o. a o s- ^ ^ ^ .-^ ^ '~,U ~ O. ~" ^ ~~ ^ ^ ^ .U. ~ U ^ _ ~ ~ I ~ ~ ~ ~ ~ ~ o. o o ~ a ~ ~ o ~ ^ ~ v ~ a r,. ~ ~ v a ~ c~ ~ o ~ W o ^ ~ ^ a a U a 0 W ~. o o ~~. .j . ~ ^ U ~: ~; I S 0 C U 1i ~ ~ '{~ "~ ~ E.. •. y ~ ~ N S ~. ~~ o ~ 0 . 0 ' Q U , Q m ^ ^ ~ , ' ~= , _ ~ ~ ° ~ ^'^ ~a" ` : H' a r ~ ::~ .. ~, - ~- .; . o ~ ^' ~ vS ~ z ~ ~ . :W ~ ~ 5 _; ~ ~ .: ~ : . n. ~ ~ ~ ~ ~ ~ ~ ° x ,~' w _ ~' a °' S c ~ ~ ~ ~ o w ~ v o, z ~ ., ~ 'S 3 ~J ~ ~ ~ ti , ° ~ ; ~ ~ ° ~ ~ ~ o ~ . ti ~ w u a ~~ a ~ ~ ~ a ~ F ~ ~ ~ ~ ~ ~ S ~ ~ W`.^ ^ a ^ z ~ A a ~' E ~ ~ 0 l ~ ~ ~ ;Qa,. ~ ~--~ Z _ ~ ~ 4H,o^,~ o a ~ 3 ~ 5 ^ .' rr~~-kki o U- ~ ~ ^ ^ 5 ^ ^ ^ w ~ °~ ~ z ~`~ ~;a~ z ~ w o *rp ~ ~ 04 ~ ~ ~ ~ u ~ z ., 1"q o p~ w h y ~ C7 . ~ Gs] O U Cx7 Q ~ U .z. ~~~ H ~_ F ( a `. ~ ` l ' FWWW~Fjj~ . w o nd ' r~ ~. Y u O ...~ ` ~ a ~ o .. ~ F Q -. V ~ ^ o ^. ^ ~ °~ ^. ~~` ~ ~ ~ ~ a U p = Z ~ ~ ~ w ~ ~ ~ a j ~, ~ ~ o O s ^ ^ ^ ^ ^ 3 w ~ ~ ~ ~ o zw: a z ~ ~ °' ~ ~ ;~ yN ~ ~ ~U _ c+, y F y p µ~ vi I F-j i...:~ {Ay. ~ ~ ~ y U F w C q. ~7d- U q O Sw hM'~ `, o o "5550 ~ N o• _.oz.• ~ ,~ ~ o F -~ $~~j, a ~ m -o F!y a ~ . E] m ~ ya, a O ~~, ~ ~ W -004 ~j~a,{/\ v~ ~ ~ c9 O F, . S z a ~ F m ^ ~- ^ ^ w ^ ~~ ~' ^ a' ^ a z _ ... - _~ . _-- - _- n~ a a ~ ~ • I ~ o F z ~ ~ ~ w F''°' ^ g ~ - # ^ ^ ~ ^ x : t ~ ~. ~ ~ ~ ~~ ~ t ~ ~ ~r o ~ ~ w ¢ ~ ~ o `a' a ~ o o w ~ o o ^ ^ ~ v `t ~ , ~, , ~ A w ~ ~ 0 ~ z •-~~1~t3 i-~ + ~ ~ ~ ~ ~ ~ ~ w ' IF 'II ~ , _ 11 ` . l N , z rzX ~ ^ ~ ^ y F ^ a 0~7 v1 ' a' ~ ~ ~ h 0 ~ ~ ~. U ~., O ~ Q y ~, M ~~ w z o• 0. a Z C7 ~ c~ w 0 ~ V C~7 rz U. ~ ~ 5 x ~ [- 7 i. `U '~ U '~' ~<7 u~~ ~ j ~ ~ ~ 05~ . 4' W 04 0. U C 7 C7 0 ~ ~~ a o z F ~ m ^ ~ ^ ^ W ^ ^ ~ ^ a ^ rx z ~ z _ ~: 0 0 z z o ~ ~`~, ~. ~~ ~: i.U ,-~ N ` •~ o 0 a-' o U U . z N ~~ w! . F6. a ~, ~ d U: O ~ 00. ~ ; U 0 ~ LQ, 4 ~ ~ .L H ~ q v 3 u~~ •. ¢ ,. m 0 0 a ^ ^ ^, ~ ,V o s' o'; U', ~ OF:. ~' w F N ~ S U O ~ ~~a tbs.. ~: ~ ° ~ o H ~ ~ ' ~ a c~ 3 g m 0 0~' z z•, ^ ^.: o y 0 a. d. 0 cii °e ° ~ O, O ~ Ea" w m w' ~ S ~. O o ~ o- ~ ~ a ° ~ /A rr~` rv /„ r~~;• ! ,, c / ~ ~o U` ~~ - O ~ C /. ~ti' S~ ~~~` ~ a Q f.~ o ~ ~ °~ ~~ ._;; i` ~ ~ ~ .a . , w ~~7 .~_ ~ ~ ~ E" K u.. O: o.-~ ~ ~ ~ o W ~ ^ ~' W, r ~ DL ~~; a ~ ~D } W .. ~~jj O ~ ~ U W~ z V ~ Iii z 1 ~«„ W ~ F Fi ~ O ~ _ ~ _~ ~ ° ~ a ~ ~ ~ ~ o' ° ~ a z N 3 ~ y5~ ~ aUW.. A~~~~ ~~ a ~. W ~ ~ ~ W ~ e y ~ 3 ~ ~pVG~~ "W. O ~ ~ ~. h U F Fa ~ F C ~ ~~ a ~ ~ ~ z ~ ~ ~ W~{t7 ~ a ~ a ~ ~ ~ ~ ~ .~.1 ~ J N 0.' W C 0. U a ~ U ~ z °z' ^^ ~. ^~ 1 W V z~ O O 4 o~ .J U"~ ~~" o U ti' W s ~ o o ~ "~ ~ a o v 3 - - - ~ ~.~ m , . 'ado ~~ ~` ~~ _ ~ ~,• ul ^ F- W H 5 N LY 0. I s ~ ~ a S c~ w ~" ~ ` ° °~ .. Y ~ ~ ~ i yy `C F mm O ~.._ N o. U" i T'-__•O z0~ ~ °~' ~ W z ~ ~..- FFj O ~\ ~ .. _ 5a' = z ~ p ~ a ~ Op O~ ~~ F"" O ~ L7J O D. ~ O.. F W .F,{$~.j'~~ O ~~ ~.. 37 O K •] ~ O W .,~ ~\-"QU'~ ~ \ q PW.. I'a. W. .7 y' ~. PG--' ~ oC =-W PG ~ C7 ~ ~ y ° 6 ~.~ ~^~^^,~`~-off^a^ ~ z ~ A ~ ~ ,. -.~ __ ~~------ ~ -I ~ °~ i m i \ z o ~, ° ° ~ o ~ •~ tiH (,, `` ' H (a ~' a ~ ~ ~ ~. ^ ^ ~ a z'` ~ ~; ~~ ~ F - o ~ ^. ~. .x ~A \ 8 C _F tip ^ ~ ~] ^ ^ ^ k3 0 ~, `v of ~1 ~ _~ .:~_ .(,7~ _ ~yi ~ ° W~ ~ {] Cam, ,~ ~ O ~: _'-.. F"F a qO :'. 7C .W0. s W =I [u z ~ I ~ a ~.. U .•a O j~U ~ U .Z S y ~ ~ w~• O .'~O ll ~ ~ -¢ w w r N `w~ x a. ;U x ca .;- o ~ o, ~-' ~ I Q i i.:. ~_~s ~,::