Signature Pagesf r 01111 --
BUILDING PERMIT DEPOSIT AGREEMENT
"J A $500.001`refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory building valued $10,000 or
UTe8Ue-r at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
addition or accessory building valued under $10,000.
A $50.00 refundable deposit is being collected for all misc. permits.
The City reserves the right to not refund this deposit if any of the following
conditions occur during the construction period:
1) Theft of water service by the plumber, owner or general contractor.
2) All permits have not been obtained.
3) All required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspection being done.
6) Storm Water Management Plan inspection not obtained. (If Required)
If any or all of these situations occur during construction, you may forfeit your
deposit.
I hereby agree to the above conditions, and understand that should any or
all of the above situations occur, the building permit deposit SHALL be forfeited or
discounted upon the discretion of the City of Blair, Building and Inspections
Department.
Contractor/Owner
� A12
g
Date City of Blair
PITv [IF -e.LAIF...,
285 16TH ST
PUIR NE 68008
De-;-: cr
N A iniw unt
PerMit 9 R N -270220 - 0 0 m3
71
KINDER, MARK'.
CHff A-4702
E
PERMIT PAYM.NT 2,3766
5.00
CHCK Rp-ceWed 2,366M
Cha%ne =00
----.--.------------.--..--...--
q 51/01/20 10.32 Rcpt# 23480
236 PART 4 Im Energy Conservation
GRANGE TYPE: Clarification
Sealing of the Building CHANGE SUMMARY: Attic access openings and rim joist junctions
have been added to the list of specific locations requiring sealing to
Thermal Envelope prevent air infiltration.
2009 CODE: N11®2.4.1 Building Thermal Envelope. The build-
ing thermal envelope shall be durably sealed to limit infiltration. The
sealing methods between dissimilar materials shall allow for differen-
tial expansion and contraction. The following shall be caulked, Bas-
keted, weatherstripped or otherwise sealed with an air barrier mate-
rial, suitable film or solid material.
Certify that the building is
sealed as per code (2009 IRC)
Contractor Name:
Mark Bolander
Site Address: 2386 Clark St
1. All joints, seams and penetrations.
2. Site -built windows, doors, and skylights.
3. Openings between window and door assemblies and their re-
spective jambs and framing.
4. Utility penetrations.
5. Dropped ceilings or chases adjacent to the thermal envelope.
6. Knee walls.
7. Walls and ceilings separating the garage from conditioned spaces.
8. Behind tubs and showers on exterior walls.
9. Common walls between dwelling units.
10. Attic access openings.
11. Rim joist junction.
-0 12. Other sources of infiltration.
Window;
Electrica
outlet:
Basemen
window
Date:
Signature'�"� Sill
Typical sources of air leakage
Rim
joist
Rim joist
junctions
require
sealing
Sill
seal ((>>