BP8274The City of Blair Building Permit Detail
Permit #: 8274 Issued: 08/28/1998
Completed:
Owner: Country Gardens
Address: 1502 Washington Street
Blair, NE 68008
Type: Signs
Valuation: $3,100.00
Phone:
Section: Township: Range:
Subdivision: Lot:
new lighted sign for business replace exisiting sign
Inspections Date By
10/19/1998 DEM
11/02/1998 DEM
Final Inspection of Project
Final Inspection of Project
Remarks
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Fail
Pass
Contractors
Jorgensen Contracting, Inc. General Contractor Permit # Issued
Hayes Electric, Refrig., Htg., & A/C Electrical Subcontractor 0554 10/21/1998
_ BUILDING PERMIT APPLICATION
I ~ , O~ Jurisdiction of City of Blair, Nebraska
Permit Fee: 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195
Application Date: ~ I ~ ~ I ~~ Issue Date:
JOB ADDRESS ~~~ ~~~~,~ ~ ~,
LEGAL
1. DESCR. LOT NO. BLK. ~ TRACT
^ SEE ATTACHED SHEET
2.OWNE ~ ~ ~MAQLrA-lDD ESS ~ , ~ ZIP PHONE
J ~A
CONTRACTOR ~ MAIL ADD ES ZIP PHONE
3.
4. Class of Work: O NEW O ADDITION O REMODEL
5. Describe Work: ~~,~ `` ~ ~~ ~~ ~ >~~cJ ,- ~ ~ h.}~(, O Finished Basement O Unfinished Basement
c`S~i ASS. ~LC~rr`c: ,~,,,,,_~k .e,.e.d~d .
6. Total Sq. Footage (Including easement and Garage): Total Finished Area:
7. Valuation of Work: $ ~1 ~'~ - ~~
Floodway O Yes O No
8. Floodplain: Fringe O Yes O No Dev. Permit Elev. Cert.
BFE
9. Current Zoning:
10. State Fire Marshall Required: O Yes
11. Special Use Permit Required: O Yes
12. Variance Required: O Yes O No
O No
O No
13. Minimum Setbacks: Front Side Rear
14. Sidewalk Required: O Yes O No Waiver Approved .
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature below, I acknowledge 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 acopyof this application form signed by the Building
Inspector.
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. c~
` '~~- G~
SIGNATURE OF OWN CONTRACTOR DATE
O Site Plan Attached ~~ OlCpmple~ lans Attached
Approximate Completion Date ``tt ~~tt
Inspections Required and Fees
Utilities
Sewer _
Septic _
Buildin
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
Permit
Water Service
Remote
Stop Box Card
Drywall
(before finish)
Final
Fixtures
Permanent Service
Plumbing -
Ground Work
Rough-in
A1C
Final
WHEN PF,~OPERL,y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
8274
POUNDS PRTG: 81air,NE V r ~ Rev. 8196
. I ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 Permit ~ ~ ~ 4
(402) 426-4191
o_
Application Date: ~~ ~ Permit Fee: $ ~ ~
JOB ADDRESS
~D~
LEGAL
1 • DESC . LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2. OW ER MAIL AD RESS ZIP ONE d
r3• CONTR CTOR MAIL ADDRESS \ iw PHON CENSE NO. d
~6
4. Class of Wor . O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: a.~
6• Current License on File O Yes O No O NA
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ......$10.00
101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00 Fire Alarm System ................. $10.00
301-400 Amp Fee ............................ $ 42.00 Si ns $15.00
g ..................................... ~ ~' ~
401-500 Amp Fee ............................ $ 55.00
501-600 Amp Fee ..... $ 67.00 Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801-900 Amp Fee $105.00
............................ Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
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erein or not.
The granting of a permit does not presume to give authority Receptacle/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures x $.75
law regulating construction or the performance of Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
)o ~w~ ,.p Power Apparatus (220 Volts)
SIGNATURE OF CONTRACTOR OR A HORIZED AGENT # Apparatus x $3.00
~~o~
Permit Issuance Fee .............$15.00
DATE
TOTAL
~' ~
WHEN PROPERLY VALIDATED (IN THIS SPACE~THIS IS YOUR PERMIT
I Comment: I Approved By~/6/~
POUNDS PRTG: Blair, NE Rev. B/97
STATE OF NEBRASKA
DEPARTMENT OF LOADS
Allan L. Abbott, Director-Stale Engineer
August 26, 1998
~ E. Benjamin Nelson
Blair Clty Hall Governor
218 South 16 Street
Blair N E 68008
Enclosed is the City of Blair's copy of the permitted new sign encroach-
ment for Country Gardens.
Sincerely,
DEPART EN OF ROADS .
~/, ,/ ,/
f //_ 4
Robe~t Muehlich
District Permit Officer
Enclosure
District 2 Headquarters 4425 South 108th Street PO Box 45461 Omaha NE 68145.0461 Phone (402)595-2534 FAX (402)595-2406
An Equal Opportunity/Affirmative Action Employer
szsoos:
crinted on recpeted paper
State of Nebraska
Application/Permit
~~or Encroachment
ENCROACHMENT OWNER: 1_ 1
.Sandt-c~ ~.rm-GYIGL~I
ADDRESS: (Box, Street or Route
I DATE OF APPLICATION:
~-II-`~ ~
TYPE OF ENCROACHMENT:
Sign ^ Awning ^ Manser Roof
Other
cIT~Y/f~TowN:
`~`l 1 Ct ~ ~'
couNTY:
~/Llc~s~} rn~`I'O~
` `J- U d w ~ `J r l ~ n 'i' Q r'L ~ '~`, HIGHWAY NO.: SIDE OF HIGHWAY: R.P.:
CITY:
` ATE: /' ZIP: //~~
~ 3 U ~ N ^ S ^ E ^ W ~~ ~ S
l
t ~^ N C ~ gO(~ STA. NO.: ^ Rt ILLUMINATION: DATE EXISTING
ENCROAC
~
TELEPHONE NO.: /Include Area Code) ON PROJECT:
_ CONTROL NO.: ^ I_t. YBS NO
® ^ HMENT ~~jj ,r,
ERECTED: 9~0' f7 ~I
II
/~, ~~- ~~10 ` 3n ~ ~ ,~ Yes ^ NO HEIGHT ABOVE SIDEWALK TO BOTTOM OF WIDTH OF SIDEWALK FROM BACK OF CURB
ENCROACHMENT: TO PROPERTY LINE OR BUILDING:
PROJECT NO.: ~
i~ ,
8
~ ~~
IF SIGN, ADVERTISING COPY READS: ~ ~ ,
n WIDTH: LENGTH: ~ HEIGHT: ~
SKETCH OF ENCROACHMENT: /Side vfewJ -~ AFFIX PHOTO HERE OF ENCROACHMENT LOCATION:
i
-
Country
Garden~ ;,
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150 W/~sJ{INGTDN ST, NsfPC Mw~ 30
2Q~ t N 6800 R•~• ~FB~~
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8
0 ~ •• • •• • '• •• - • • • • • •
~LI~
1l 1. No beacons, strobe lights or bright flashing lights shall be used in
HW `~~ 30
~ U
S
.
.
illuminating the encroachment.
2~
~~ s ~ D~ ~~ ~ K T W~SI{/Nc ioh) ST. 2. The owner shall not be entitled to any compensation or damages for
i- -~- - - -- the removal of the encroachment.
3. The owner shall remove the encroachmen'. within 10 days after receiving
• ' " • • • • written notice for its removal from the Department of Roads.
I assign the right to the State of Nebraska Department of Roads to 4. Encroachment must be erected according to sketch submitted. Any
act as my agent to remove the above encroachment if I, the owner, changes or alterations to encroachment from submitted sketch is cause
have failed to remove the encroachment after the 10-day written for the permit to be revoked and encroachment removed.
notification. If there is a change in ownership of encroachment, new 5. Owner will have 10 days, after receiving written notice, to correct or
owner agrees to permit stipulations or removes encroachment. ter-a croachment a ause of a problem.
)WNER OF RECORD: (SlgnafureJ ~
P
e~
~ DATE:
~'-~'-~ g DE ARTMEN OF ROA AUTH RIZE REPRESEN\ TIVE: (Signature)
v DATE:
~
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IR Form Zt3, Jun 93 / ~prlnfed on recycled paper
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