BP6877BUILDING PERMIT APPLICATI®N
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 ~ g ~ 7
(402) 426-4191 Permit
Application Date: ~ ~ " ~ ~ ^ R ~ Issue Date: ~~ " ~-~-~ ~ Permit Fee: $ ~O . ~
JOBADDRESS ,~l L( ~ ,~~~~ ~7•
LEGAL
1 ' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHEDSHEET
2. OWNER ~~~ ~ ~l C~ MAILADDRESS ZIP ~~.~ ~ ~) ~~PHONE
3. CONTRA~~~~~OC~ I C MAILADDRESS( ~ ~ ~ NE ~~ ~ I/1 LICENSENO.' /~~
V 't
USE OF BUILDING
4.
5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~ ~ X `~_L
d
7, Sq. Footage of Structure (mduding BasemaBt and Garage>:
8, Change of Use From: Change of Use To:
g, Valuation of Work: $ (~~ ~ I . ~
10. Floodplain: Floodway Yes ^ No ^ Dev. Permit Elev. Cert.
Fringe Yes^ No ^ BFE
11. Current Zoning: Site Plan Attache Complete Plans Attached ^
12. State Fire Marshall Required: Yes ^ No^ Approximate Completion Date ~ ~ ~K
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
~ -/ 3 9~ I 1 ~or~rv~ -
16. Sidewalk Required: Yes^ No ^ Waiver Approved Building ~- ~u
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APP ~ ATION AC EPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Footings. ~r
Drywall ?"~`1'`«' " `
v (before finish) / ~' ~~
NOTICE Framing Final
Separate p mits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I acknowledge that payment of the
building pelmitapplicationfee does notconslitute issuance of this building permit. I further
lication shall not be commenced until I
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have receivedacopyofthisapplicationformsignedbyiheBuildinglnspectorandstamped Rough-in Permanent Service `
'APPROVED'.
Iherebyagreetoperformtheproposedworkinaccordancewiththespecificaiionssetforth
Final
.Temporary Service
above and in accordance with the codes/ordinances of the City of Blair and the Siate of
Nebraska. I understand that this permit is void if work is not commenced within 180 days,
is not completed within 2 years of the date of issuance, or if work is abandoned for six (6) Mechanical
months or longer, whichever is earliest. Rough-In ABC
SIGNATURE OF OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE Final
Plumbing
~
~~ ~~~ ~~~ ~,~ ~ Ground Work
SIGNATUREOFOWN~ (IF WNERBUILDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment:
Approved By:
POUNDS PRTG: Blair, NE (/ Rev.Oal85
SULLOCI~
GARA
CES Office Phone #
Building Size Salesman
Customer
I & Street
No
B I ~ S
H E ET .
cis State ZIP
Telephone
Base Price ....GN,~.~.y...... S3~ 7
Extra Footage (576) .. .....
. ~ /~
Siding .. ~.. Ul.i/.~f. ~..G. ~~~.~J.l. ~~U
O.H.D. Ilo ~ ~ / ~` ~°°t'
Service Door ...... ~1.~ .............. S~
Vinyl Slider Window ..... C~.~ ....... ~-
Shingle Color ~~-
^ INDICATE NORTH FINANCE
~ %
Months
Payment
I Life Ins.
PLOT PLAN
'~/O
Black Pa
er ~ I i I i~ I i i i t I
.........................
p
;3~ ' ~- i i I J ~ '~ I , I I ~
Metal Edging ........................ ~ ~
House Studs ........................ I i I I I ~I ~
O.H.D. Under Eave ...................
... .
C
Rafters 16" O
. ... ... ......
.
7'~
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C.
Subsiding ........
Ties ................................
Protrusion ..........................
.......
Patio Bldg
. ...................
Trusses .............................
Permit .............................. I
Other: , ,
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3 Si i I I
TOTAL ............................. '~ G 3 ~
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Drive/Apron 5~ ~~ ~~~
Extra Concrete
Site Preparation ~ ZU
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Footings ,~Q ~'~~ °
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Rebar 3 ~ ~ '~ ~U'
Block
Wheel Material ,
Excavation
Other:
TOTAL ............................. 90 T
Total Options .......................
Total Additional ........... ........ .
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TOTAL BID
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City of Blair
218 South 16th
Blair, Nebraska 68008
402-426-4191
Fax - 402-426-4195
~~,
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July 17, 1997
Alan and Dawn Bunch
214 S. 20th St.
Blair, NE 68008
RE: Building Permit #6877 for construction of a garage
Dear Mr. and Mrs. Bunch,
~~~'~~~
~~
Someone for our office spoke with you on July 14, 1997 regarding the above
building permit. I am aware your project is not complete; however, I did want you to know
your building permit for this project will expire in November, 1997. You need to contact our
office at (402) 426-4191 for a final inspection no later than Friday, September 28, 1997. If
you are unable to complete this project by that date, you will need to renew this permit.
If you have any questions, feel free to contact me. I just wanted you to be aware that
this permit will expire, and perhaps, you would be able to complete this project prior to the
expiration date. Thank you for your cooperation in this matter.
Sincerely,
~~~~
Brenda Taylor
Administrative Assistant
EOU~L HOUSING
OPPORTUNfTY
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