The URL can be used to link to this page

BP5734BUILDING PERMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~~-~ ~~ Issue Date: Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap JOB ADDRESS ~~ ~ ~~ ~ ~C ~ LEGAL 1 ' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET OWNER 2. .t,l S / MAIL AD ~ RESS Zlp PHONE .Q,I~SL%Y~ ~ ~,~'~- 3 CONTRACTOR ~ ~ ~• MAILADDRES PHONE - LICENSE NO. USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~ ~~~~~ ' ~,2 v 1r~ 7, Sq. Footage of StfUCtUre (Including Basement and Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. Floodplafn: Floodway Yes ^ Fringe Yes^ No ^ No ^ Dev. Permit Elev. Cert. 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 _ I APP CA(TI~~ C~CE~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, l 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 set forth above and in accordance with the codes~ordinances of the City of Blair and the State of Nebraska. I unde nd that this permit is void if work is not commenced within 180 days or is no co p ted ithin 2 years of date 'ssue. ~~""~ `T/1J3-c-~~ ~~ SIG A R OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Sewer Water Service Septic Remote Building Footings Drywall (before finish) Framing Final '~~" ~;~ ~'`' ~~~ c~ Electrical Rough-in Fixtures Final j~ <)~~ Permanent Service Temporary Service Rough-in Final - Ground Work Rough-in _ 5734 Permit Permit Fee: $ ~ ~~ Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT CATION Mechanical - ABC _ Plumbing Comment: Approv~d ~y: ti G---_~ f-Pl---~. f ~~ :.: T1e.. 'T1 ' :KE?rW+^^fF!'x..r"^`~~Mya, ..~El~{YS~s^R(/Hr:~,,.- T[~ ~ «.o "~~'{~...,. , (~ C'['C`Y t~(' -~LAIR [-) tiNAS}fI'VGl'©Pd ~t~Ci~Tlr [~ r'~'S I}L:R __ ..:_.~_---. _..._.m_ ~ ~ LC)C'r#T~ ~ '~ ~ ~~ ~~ ~~ - __ _ ~ ~ - 1)A~TEI1vr~C'CCTCC)NREQUF?~'r[.1):__,_ _____..1'ER~1I'['~`f.): ~~~~~~` -_ 'Tr41E 1'y'4PEICT10Iv RFQUE.~~"E[)~ __._._-_- 'C"5'1'1~~~ C)1~ 1~~;1'F;("]'l~~' r~~:{~Ui=~i'1'I:C). rl i,.l~~,l)litirr{i: ~~ [=r)o'rl;~t~ [i ~u,~,r~r'ar) ^ i)[tlr~~~t~1.[_. ~ I~r~f~ly ~~rfi.rl"rh~; n :~[~urri rn~ ^ srw~Elt (~ s~[>Tic ^ VJ,4TF1~ "raP I~~;IJ~:c:~r~icn~~: (:.~1 [~C)uC~[-~ t~ l:~~l [~[~T~~[~t:s [~ r[~:iz (~ j tr~~`r~[~t} (PI?R~1Av1~ti~t`SEk4~IC'C [~°C°Clhi['t:)CtAR YSCC~\°IC'C: ,~ ~"l ~~.~:~t~~l~.'r~l.: I'i,UMBI~'G: C~f~„SULTS()f~'~'CCC:INS!'FC"C"I()i`;: (I ~~I'r~~SEC);~t.i; ~ '~nt~:si [..~I~A[Li">I)~tit:t:t~urtr» , ~~ 1 7 m..,...... t. llA'["E'sOF'IN~I'~CI`10*9 btAC)fi .'~ ~ ~ ~~ ; c,~ ~ ~ ~, ~~~ ,~ ~~ "rr~~~:.~Y~~--------~ ~. C.~LC..CI) r)['I'I~)1 ~ __-__-- Tt) Ct)t1`,tik~C"[` ~LCt4'IC:E: ~YFS I~ tiO ~4~~NT BFI°C~`Fi S~'AF~?~ C'.1C,C> t')PC'1;~\ _._.______ --_ : ~ ^ YI?S ~] ~Q E3t.R 1 ~F F f ~'