BP5805✓ 62, 7(0
BUI_L_ DING PERMI APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
foo
Blair, Nebraska 68008 5805
(402) 426-4191 Permit
Application Date: L11:1 h t Issue Date: `l— 12-_ / q Permit Fee: $ Loo S,
JOB ADDRESS
I7-3I �P�'neww
f)r'Uurr_
0-0)2,0
LEGAL
1. DESCR.
LOT NO.
BLK.
TRACTCt��
P1-�—
��
❑ SEE ATTACHED SHEET
2. OWNER
�C.iGI<
ILADDRESS
cam_ II
ZI
I an� �r
PHONE
Ll Z(L" - 2 L )(
3. CONTRACTOR MAILADDRESS
PHONE
LICENSE NO.
L, cJ
lv< r 1210- `15) 1
4. USE OF BUILDING
x y _�Sl]
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: $
)50.000a
10. Floodplaln: Floodway Yes ❑ No Pm
Fringe Yes No Is
Dev. Permit
Elev. Cert.
BFE
11. Current Zoning: 'KL
12. State Fire Marshall Required: Yes ❑ No❑____
13. Special Use Permit Required: Yes ❑ No El'
14. Variance Required: Yes E] No El'
15. Minimum Setbacks: Front 25 Side '�(' - Rear -L-5"',
16. Sidewalk Required: Yes" No ❑ Waiver Approved
APPLICATION ACCEPTED BY I PLANS CHECKED BY APPROVED FOR ISSUANCE BY
V 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 agre to perform the proposed work in accordance with the specifications set forth
above a In accordance with the codes/ordinances of the City of Blair and the State of
Nebr a. I nderstand that this��ermit is,voN�If work is not commenced within 180 days
or' not co pleted withia,2 vt;ars�of d�fe of i' ue.
OWNERICONTRACTOR OR MJIHORIZED AGENT DATE
OF OWNER (IF OWNER BUILDER) DATE
Site Plan Attached ❑ Complete Plans Attached ❑�Qhuo
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer Water Service
Septic S • Remote
&Y -J.
Building
�,cw
Footings Drywall
y (before finish)..�.�
Framing ! (�_ T5 Final � X' y ,5- 7"
Electrical
Rough-inFixtures
�4'
Final Permanent Service
Temporary Service
'3'tO 5 Mechanical
Rough -in ASC v fecA Sri,
Final L./
Ground Work -IU'gS Plumblr g
Rough -in re2PcA_ S✓77fFinal ✓/'l(IcA• ✓£S'.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approv By
`�/'� \ 1X!.11 •
,`\� \�''�' at � �'� ''t►'4 .O ��.. x,40
. �• 111; � �+ .�r�; . $
o .0 V
=-------- J V,, •row
■ \ p 170.00
■ 0 i XX• L 1` (•� 7p
i .' ►X ��
BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 6 318
(402) 426-4191 Permit
Application Date: �� Issue Date: Permit Fee: $
JOB ADDRESS /
LEGAL
1 ' DESCR.
LOT NO.
BLK.
TRACT
SEE ATTACHED SHEET
2 OWNER
MAIL RESS ZIP
L4L
PHONE
C�
3. CONTRA
MAILADDR)_SS � H
LICENSE NO.
4. USE OF BUIL ING
5. Class of Work: ❑ NEW
❑ ADDITION ❑ALTERATION ❑ REPAIR ❑ MOVE
_]REMOVE
6. Describe Work:
fy-
7. Sq. Footage of Structure (I uding Basement and Garage):
8. Change of Use From:
Change of Use To:
9, Valuation of Work: $
10. Floodplain: Floodway Yes ❑
No 0 Dev. Permit Elev. Cert.
Fringe Yes El
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 _
ACCEPTW 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 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
oris 70plq1pd within 2 years of date of issue.
SIGNATU E & 64ERICONTRACTCIROR AUTHORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS R PERMIT
Comment: Approved By:
Site Plan Attached ❑ Complete Plans Attached ❑
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer Water Service
Septic , �l> Remote
Building
Footings Drywall
(before finish)
Framing Final
Rough -in
Final
Temporary Service
Electrical
Fixtures
Permanent Service
Mechanical /
Rough -in � ASC f b-�
Final �
Ground Work Plumbing
Rough -in ,/� o u Final (�
POUNDS PRTG: Blair. NE // Rev. 10)91
I
BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 6341
(402) 426-4191 Permit
Application Date: 3-13—q5- Issue Date: 3 ` 3 S Permit Fee: $ /2.
JOB ADDRESS 12 -sl 6�
LEGALLOT
1' DESCR.
NO.
BLK.
TRACT
❑SEE ATTACHED SHEET
2 OWNEfj-,n MAILADDRESS ZIP
PHONE
CONTRACTOR MAILADDRESS PHONE
3. Dec (/ C
LICENSE NO.
e_1Z(-3.5CKd
4. USE OF BUILDING
5. Class of Work: NEW ❑ ADDITION ❑ALTERATION ElREPAIR
ElMOVE []REMOVE
6. Describe Work: 14&ix LP— Gkc c -o/
7. Sq. Footage of Structure (Including Basement and Garage):
8. Change of Use From: Change of Use To:
9, Valuation of Work: $
10. Floodplain: Floodway Yes ❑ No ❑ Dev. Permit Elev. 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 _
BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
NOTICE
Separ to 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 setforth
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 not completed within 2 years of date of issue.
I-) 3 -I3
SIGNATURE OF OWNER/CONTRACTOR 01914UTHORIZED 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
Footings
Framing
Building
Drywall
(before finish)
Final
Electrical
Rough -in e!!!�, 0 Q Fixtures
Final 4 o C/ Permanent Service
Temporary Service
Mechanical
Rough -in A\C -
Final
Ground Work Plumbing
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE I Rough -in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS R PERMIT
Comment: Approved By:
POUNDS PRTG: IaIr. NE 111X Rev. 10191
❑ SEWER TAP.::.' Q SEWER El SEPTIC Q WATER TAP
= �.Lo yr � nc uv�rrl: ilU1V: XJ PASSED (mEmms) [I FAILED (SEE_NoTEs)
NOTES/REMARKS: f
N
INSPECTOR:- L',
o
Y,
y
r
d
. o
b
Y
° '
tri
yo
CrJ
r
0
b
b
v
o
y
00)
l
❑
00
❑
�1
0
0
r
O ❑ r -:R;❑ r ❑ El►3 El
;u f 1 •b 7d n v' O O
o
o z o
CI -
o
El
CO) a
.l C7
❑ ❑ ❑ ❑� 1 ❑ ❑
b `z' renceld d CD k' ,
o t o -�v X NN Z
K
❑ ❑� El ❑
� � � � �
o�� d
o z
1 '
I CIP /% rT"NT•
"_1 �. I I A. 11.11 ".
"'on Cram
Pinewood Estates
1)A i .v. .Iukv 1, 1� 5
"OLF a.
.T L TESTING SERVICE
RR #2 BOX 227
BLAIR NE, 68008
(402) 426 -- 4851
HOLF 2 HOLE 3
I G��'
I..__ -ILL
I�,I,7.I1riiG,
y s -/I
T+II,i,
t �I31N
LOSS
FILL
READIN
LOSS
611
6v'
to
6"
0
6
6"
1
5
I
10.18
6"
0
6
I 6"
0.20
5.75
6"
1
5
10:40
(i"
4
6
6"
0.25
5.75
6"
1.25
4.75
1:10
ti"
0
6
6"
0.5
5.5
6"
1
5
1: �•�i
I 6"
0
6
6"
1
5
6"
1.5
4.5
I
I
I
I
Via.aga
I r"
I
I
I 0
I
0,75
515
6"
1.75
4.25
21,
„"+
+3.5
-5.5
v"
0.75
S.LS
6"
1.5
4.5
I
/
/
1:10
0.70
J.2j
0.75
5.25
1.75
4.25
1'O`ll"AL LOSS 46.75 43.75 37.25
A
T
A.
SOIL AV10R1DT101'-Z TEST DATA REPORT
PROPERTY WHERE SOIL TESTED:
n«'J).E'T': DOR Grfwe
S011, TYPE: siltyClay Silty Clay Loam X
Silty Loam Clay Loam
Daies of Test: june 30, iggs to July1,1995
PERCOLATION TEST DATA FILE
3 5 (
30(
Ia
25(
15 20(
IZ Dc
A Jt
10C
Address: 1160ffigJdandDr.
Blair Ne 68008
Sandy Loam
Sandy Clay
Weather: Pecip*NoneTemp: 72
PERCOLA110N READINGS
RESULTS
61' ucl,
END
Elapsed
Time (Min)
Water Level
Drop In)
Percolation
RatesMin-ln)
rime(W-Min)
Water Level
Time(Br-Min)
MG
6"
1;10
240
46.75
5.13
A.M.
1:1e
210
411.75
5.49
r',
100
240
37.25
6.44
0 10 20 30 40 50 60
.-E, TUCCLAT10*41 1' 1 11.', IN MMUTES PER INCH
.j&i, t'k,S'J INU Sum of perclation rates: 17.06
BOX 2211 Average of rates: 5.69
Inches per minute: 6.10
C9�
IV
T—
U---------
---- --
0 10 20 30 40 50 60
.-E, TUCCLAT10*41 1' 1 11.', IN MMUTES PER INCH
.j&i, t'k,S'J INU Sum of perclation rates: 17.06
BOX 2211 Average of rates: 5.69
Inches per minute: 6.10
C9�
Dear: Don Grace
Report of Pecolation Tests
J&L Testing Service
RR#2 Box 227
Blair Ne, 68008
(402)426-4851
This letter outlines the results of the field percolation tests for the proposed sewage
disposal system conducted at the referenced site. The following procedures were used in making
the required percolation tests.
1. Three test holes are drilled at the site with a 5" diameter continuous flight auger to the
depths of about 5.0'. All loose materials were removed from the borings. Sides and bottom of
the holes are roughened to provide a natural surface and the bottoms of each were covered with
gravel to prevent scour.
2. The drill team filled the borings with clean tap water. Water was refilled from a surplus
reservoir of water (automatic siphon) for at least four hours.
3. Measurements of water drop in each hole were recorded 12 to 16 hours after pre -
saturation began
4. From a fixed reference point the drop in water level was measured at 30 - minute
intervals for a four hour period. The drop which occurred during the final 30 - minute period
was used to determine the percolation rate. An average percolation rate, for the entire field was
then determined from the percolation rate of each test hole (inches per minute). This figure
determines via the graph provided, approximately how many square feet of laterals are needed
per bedroom,
Test results indicate percolation rates at the time of our investigation. Variable soil
conditions ear cause highly variable rates at any site and differing weather conditions can affect
results.
If we may be of additional assistance please do not hesitate to contact us.
J&L Testing Service
1:9C.A T F"AT-
DATE E. 1 1, 1995
HOLE I
'rS,L TESTING SER1710E
Rk #2 BOX 227
BLAZES NE, 68008
(402) 426 - 4851
HOLE 2
HOLE 3
T LUE
FILL
READING
LOSS
FILL
READINC
LOSS
FILL
RE, ADINC
LOSS
9.10
6't
6"
A
611
I
.
- - --
- - -,- -,- -- -
/- --- - - -
Z --- - - -
---
-/
0- 11
611
0
6
611
0
6
611
1
5
i
I
0
6
619
0.25
53.75
6"
1
5
6
611
6 .25
5.75
61f
1.25
4.75
6
6"
0.5
5.5
6"
1
5
I 1:40
Wt
0
6
6"
1
5
6"
1.5
4.5
12:10 6" 0
6
611
0.75
5.25
6"
1.75
4.25
0.5
5.5
5.25
6"
0.75
6"
1.5
4.5
101. "Is
5.25
1.75
4.25
5.Z5
0.75
-143.75
46.75
37.25
SOIL ABSORPTION TEST DATA REPORT
PROPERTY WHERE SOIL TESTED:
0S iri] Pl': 1 bFD. x'.3':1 ••
SO I , ' V 11 F. Silty(,,19y Silty Clay Loam X
`,illy Lo;ui} Clay Loam
Lr:SG9.: v 1bl +^; l:.imie 31),L!l _., �O Jul
PERCOLATION TEST DATA FILE
350
300
Add1'ess: 1160 00dmd Dr.
Blair Ne 68008
Sandy Loam
Sandy Clay
Weather: Pecip:None Temp: 72°
vt'ED.I OLA,TICN•I (t.F
L A IIID
RIiSULTS
-v S1'Alc"f
END
Elapsed
Water Level
Percolation
T'imc LL -Min Water .Level
�
--, ------
Time(1L-Min}
Time (Klin)
Drop (In)
Rates(Min-In
9:10 6"
1:10
240
46.75
5.13
A.M.
P.M.
9.10
6"
1:10
240
43.75
5.49
A.M.
P.M.
9:10
V
1:10
240
37.25
6.44
A.M.
P.M.
50
0
J&L 'li E5TING
Eft:ff2 -iftO y 2.27
e,26 '?5 LL
10 20 30 40 50 60
PERCOLATION RATE IN MINUTES PER INCH
Sum of perclation rates: 17.06
Average of rates: 5.69
( Inches per minute: 6.10
J�
f
z
z
d
W
ZO❑
O
o W
u
❑
❑
❑
❑
❑
>
z
F o
1bJ U
a
❑
2P16
o
❑
❑
a ❑ ❑
❑
❑
N
o
V{ V
o
.-
F
0
5
rr,�
z
Gs7
❑
4
O
7c
W
W: O
U
u.
UF
0.0.y
z
'� V-
{aa37
O U
LK W
6~L6
V
U
0.�
Z
U
y
D 0
cbK
I
O z
G
F
, ❑
9 ❑
❑ a ❑
u�
❑
0. El
yW�
s
os
0 �yv
U 7 0 V 1
❑ z\Ql
z
z
O
❑
>
F o
G
a
❑
o
❑
o
V{ V
o
.-
0
5
❑
❑
❑
❑
o
'J, 3
;:3
�
�
�
A °
�
�
u�
0
E+ ❑
❑
3
❑
ElF
w
�
❑
W
o
O
N
a �i
s
p
¢,
O
coo
zo
ti
cz
o o'
o
v
o
a
o
v
o
x
M x
U
'
z
a
w
-1a
v
3
1(
o
m❑❑❑
w❑❑°
i❑
o
z