BP5924~~a~-
~3lJILDING PERMITApPLI
Jurisdiction of City of Blair, Nebraska
~~~~~~- ~ 218 South 16th Street
~'~~ ~~~ Blair, Nebraska 68008
(402) 426-4191
CATION
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Permit
5924
Application Date: /S` `f Issue Date:_ - l~'~ 17 ^~`~ Permit Fee: $ ~ 6 0 ~,v
JOB ADDRESS
LEGAL
1' DESCR. LOT N0. BLK. TRACT
^ SEEATTACHEDSHEET
2, OWNER MAILADDRESS ZIP PHONE
jd/~/d L ~OGJ(_'
3, CONTRACTOR MAILADDRESS PHONE LICENSE NO.
~ 12 L./~ eL1.D ~v~ P, ,3 3 a~ ~ T ~~r~~ G ~ 3 7 ~ 30 °I ~ v
4, USE OFBUILDING`L~C ~~~eA ~ ~~~ STS Teo ~
5. Class of Work: NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work:
], Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 273 -- ~~
8, Change of Use From: Change of Use To:
ov
g, Valuation of Work: $ g' 3E16
10. Floodplain: Floodway Yes^ No ~ Dev. Permit Elev. Cert.
Fringe No BFE
11. Current Zoning: ~ ~
12. State Fire Marshall Required: Yes ~ No^
13. Special Use Permit Required: Yes ^ - No`m'
14. Variance Required: Yes ^ No ~
15. Minimum Setbacks: Front Side ~ Rear ~
16. Sidewalk Required: Yes^ No~ Waiver Approved
APPLICATION ACCEPTED 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 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 issue.
SIGNATU~
L F OWNERJCONTRACTOR 0 AUTHORIZED AGENT DATE
SIGNA
TURE W ER (IF OWNER BUILDER) 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 ~~~~'l~ Drywall
Framing "~ (before finish)
r
Final /[~l~~ ~~
Electrical
Rough-in '-~ N~` ~ e 2 m ~ ~~~x~'iires~~
Final ~ Permanent Service 7-z /-QJ~
Temporary Service
Mechanical
Rough-in ABC
Final
Ground Work Plumbing
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approv ~'
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LEGAL DESCRIPTION:
Part of Tax Lot 13 lying intthe SW4 SE4 of
Section 18, Township 18 North, Range 12 East of
the 6th Principal Meridian, Washington County,
Nebraska, and more particularly described as
follows: Beginning at the northeast corner of the
SW4 SE4 of said Section 18, T 18 N, R 12 E; thence
S 00°22'08" W (assumed bearing) along the east line of
said SW4 SE4 a distance of 818.39 feet to the northeast
corner of Tax Lot 3 in said Section 18; thence along the'
North line of said Tax Lot 3 as follows; S 62°05'08" W
a distance of 279.20 feet; S 29°01'08" W a distance of
255.94 feet to a point on the easterly right-of-way line
of the abandoned Chicago & Northwestern Railroad
line (now removed); thence N 51°42'01" W along
said easterly railroad R.O.W. line a distance of
442.29 to a point on the southerly R.O.W. line of a
Proposed County Road; thence N 35°59'21" E along
the southerly R.O.W. line of said proposed county road
a distance of 1111.26 feet to a point on the north line
f 'd SW% SE%• thence S 89°41'38" E along said
' ~T 70.23 (ml
1~ 70.i9 (RI
S 89° 4i 38-
--- ~ --- -
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ND
LEGS ~.
Scale I inch = 2001eet
~ 5uDdivisionol Corner Found (See Tie
s
~ Found Cor!crete Monument with
'
S. of
V2 ~~ Rebor Core Found 41.47 ~,
N.E. Corner of 1'. L. 3 and 0.19' E,~ ,
ti \~
of True Line.
0 Found 5/8' Rebar ~ Q
Q' ~
~d
h~
Found 5/11~~ Iron w/Plostic Cop ~
31o
LS
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ry
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marked ~
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(RI From Records ~
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(ml Measured /
\ICI Compul~d
•A Sel V2' r ZO' Rebor,- ' 1 •;.
...
o sai a ar
north line a distance of 70.23 feet to the Point Uf ~ ~°°
Beginning; and containing 9.60 Acres, more ~r less.
~' gegtip \ J~
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SURVEYOR'S CERTIFICATION:
I hereby certify that the survey shown and
described hereon was made under my direct super-
vision and that I am a duly Registered Land
Surveyor under the laws of the State of ~1~+Yi'"~"s~'a~a,,,
~;GUupO r'! O'n.
G ~ ~ . ~ o°° t ~_
~~~~ °a'. '~ ;
`~~ nr7.tt~n~~ ~n G; ..n
Richard L. Hansen ~ ., i,;~;;_ . Q,~;;W ~'•".
Registered Land Surveyor ~:;;; ,,,,.: ~,
Registration No. LS-382 '' I"°~ ` ~ a~ '
Date: December 27, 1993 ~n~., g~'?'~ a
Client: Omaha Public Power District ':°^.~.,, ~°°°: .~
~-ocoaco~
i .r.;
TIES TO SUBDIVISIONAL CORNERS:
® FOUND 5/8" IRON WITH PLASTIC CAP MARKED
LS-310 FLUSH WITH GROUND SURFACE IN
EAST-WEST FENCE LINE
0.3' NE to steel fence post
93' South to centerline of overhead
Power line
13.27' West to 'x' Nails in brace post
oti~o ~0
9.60 Acres
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® FOUND CONCRETE MONUMENT WITH %Z" REBAR
CORE EXPOSED 0.6''
7' South to centerline of field lane
34.69' North to ~/8" Rebar with
plastic cep marked LS-310
32.05' NE to 'x"Pdails in 10" Elm
47.23' SE to 'x' Nails in 12" Elm
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SE Corner
Swy4 SE y4
Sec. 18.18-12
B~ 9LAIR ENGINEERING
9 SURVEYING CO. INC.
S 1570 worningran SvrN
P.O. Boa 100
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