Loading...
BP5406r BUILDING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 AGENT DATE Application Date: C' , C~ -C(.~ Issue Date: ~ ° ~ - ~ •~ Permit Fee: $ ~0-U ~~ JOB ADDRESS 1 ' DESCR, LOT NO. ~ ~ / ~ BLK. TRACT ~f` ~ ` (~ j ( l Q" / / ^BEEATTACHEDSHEET 2. OWNER MAILADDRESS '~a--h ~-~ 1'~~ CI c~ ~,C ZIP PHONE 3. CONTRACTOR , b •^ MAILADDRE ~ L X~ ~~• `x. /c_!'1'1L'~~~~ ~~~' ~ 7~ LICENSE NO. USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: C ~~ `~ i~QCyYI f~ CJC~.~ C, ~ ~-C'`--° ~Cl /i ~~ ~~Cf~ 7. Sq. Footage of Structure (I~duding Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ ~ 3 C3 CCU • CC Floodway Yes ^ No ^ 10. Floodplain: 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 _ APpLICATI\~ON ~~ ~,ED BY I PLANS CHECKED BY I APPROV~ 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 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 or is not completed within 2 years of date of issyg,,, ~ `-~~ OR SIGNATURE OF OWNER (IF OWNER BUILDER) Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date ~~,~3C~- ~_3 Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer 5406 Permit Water Service Septic Remote Building ~-ZN`r13~ Sell Actk~ve Footings Drywall (before finish) '/ ~Q,~~ Framing' Final r~1-Z(o~ y,~~ Electrical ~ aLJ Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in ABC Final Ground Work ~ Plumbing DATE Rough-in ,~/ ' 12 •v ~ P~c,v~l, Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS ISYOUR-PERMIT CATI®N Comment: Approved ~ - ~ BUILDING P~RMITAPPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 5 4 41 r~ _ (402) 426-4191 Permit Application Date: / ~ Issue Date: ~ ~ ~ 1' ~~~ Permit Fee: $ JOB ADDRESS LEGAL 1 ' DESCR. LOT NO ~ J~ ( BLK• TRACT ~ ~ ~ (~ /J / ^ SEE ATTACHED SHEET 2, NER ~' MAILADDRESS ZIP PHONE 3. CO ACT MAILADDRESS ^ ~ HONE-) LICENSE NO. ` _ !/ (/~Q[/~ USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~[ ], 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 _ 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 a copy of this application form signed bythe Building Inspector and stamped 'APPROVED'. thereby 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 1 SO days or is np~orgpleted within ?„year~f date of issue. t 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 . ~.o Electrical Rough-in Fixtures Final ~~ ~ Permanent Service Temporary Service Mechanical Rough-in ABC SIGNATURE OF OWNER/CONTRACTOR OR AUTHORIZED AGENT DATE Final Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough~in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approve ,. OUNOS PRTG -fllelr. NE flev. 1019 BUILDING P~RMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 CATIO N 5441. Permit _ (402) 426-4191 r~ c Application Date: ~ 'Issue Date: ~ - ~ 1 ~ ~-~ Permit Fee: $ JOB ADDRESS 1 ' DESCR. LOT NO ~ ~~ BLK. TRACT ~ G / ~ r~ // / ^ SEE ATTACHED SHEET NER ~' MAILADDRESS 2. ZIP PHONE 3. CO ACT MAILADDRESS _ ~ HONE LICENSE NO. ` _ (/!d7[IvJ) USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ 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: $ 10. Floodplain: Flooaway 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 _ ACCEPTED B'~.I PLANS CHECKED 8Y 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 riot 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 np~orgpleted within 2„year~f date of issue, t SIGNATURE OF OWNER~CONTRACTOR 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 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 PERMIT Comment: Approve A ~ OUNDS PRTG: Blelr, NE Rev. 1018 BUILDING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: n ~ -`~1- .~ Issue Date: ~ - ~~n' CATION Permit 5 4 51 Permit Fee: $ - ~ V JOB ADDRESS 1 . LEGAL DESCR. LOT N! I L BLK. TRACT C ~, I ~- ~ ^ SEE ATTACHED SHEET J 2 OWNER ,-~~~~ ~~ r'` j ^' ` ~ ZIP PHONE MAILADDRESS ~~ ~ CONTRACTOR 3. ~~ V' ; ~ f~C:~..t. MAIL/1DDRESS / PHONE ~~~ ~ ~~ ~ / LICENSE No. N ' `-l ~~ USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~~ ~~ ~ ~ {~~~ ~-~~~,1,~ 7. Sq. FOOtage Of StrUCtur@ (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes^ No Q 10. Floodplaln: Fringe Yes^ No ^ Dev.Permit BFE EIev.Cert. 11. Current Zoning: Site Plan Attached ^ Complete Plans Attached ^ ^ ^ Approximate Completion Date No 12. State Fire Marshall Required: Yes Inspections Required and Fees 13. Special Use Permit Required: Yes ^ No ^ Utilities Sewer Tap Water Tap 14. Variance Required: Yes ^ No ^ sewer Water service 15. Minimum Setbacks: Front Side Rear Septic Remote 16. Sidewalk Required: Yes^ No ^ Waiver Approved Building APPLICATION ACCEPTED BY PLANS CHECKED BY APPROV D FOR ISSUAN C 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 EleCtriCel 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 copyof this application form signed bythe Building Inspector and stamped 'APPROVED'. Final Permanent Service I hereby agree to perform the proposed work in accordance with the specifications setforth above and in accordance with the codes~ardinances of the City of Blair and the State of Temporary Service Nebras a. I understand that this per ' ' void if ork is not commenced within 180 days or is t compl within 2 year d of i ue. McChaniCel Rough-in ABC SI NATURE NER~C ACTOR 0 A HORIZED AGENT DATE Final Plumbing Ground Work ( SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in 12 -C~c~ °` yC~ Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved y: .~~LG-a-..,.. , ()1INnC PRTfl _Rlnlr. NF RBY. ~~ ;.i I ;~