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BP8311~. /-~ ~jg~ I -1 z-9 9 The City of Blair Building Permit Detail Permit #: 8311 Issued: 09/30/1998 Type: Pole Barn/AG Barn Completed: 12/10/1998 Valuation: $39,000.00 Owner: Paul & Cindy Christensen Permit Fee: $195.00 Issue Fee: $15.00 Address: next to Jones Deposit Amt.: $200.00 Blair, NE 68008 Receipt #: 08243 Phone: 426-8802 Section: Township: Range: Subdivision: Lot: Block: 45' x 80' x 15' wick building with 6' porch, concrete floor used for machine storage. Inspections Date By 12110/1998 KAR Final Inspection of Project Pass Remarks Contractors Jorgensen Contracting, Inc. General Contractor Permit # Issued BUILDING PERMIT APPLICATION f ~~~~ .~~~~b~lurisdiction of City of Blair, Nebraska Permit Fee: 218 South 16th Street Issuance Fee: ~ ~ ~ Blair, Nebraska 68008 $ 3 ~ 1 Deposit Receipt #: ~ ~~'~ (402) 426-4191 • Fax (402) 426-4195 `Permit Application Date: ~ ~ ~ Q ~ / ~ Issue Date: ~ LEGAL 1. DESCR. LOT No, ~ Z BLK. `` Q 1 O - TRACT 1- `Z ^ SEE ATTACHED SHEET 2.OWNER MAIL ADDRESS ZIP PHONE , ~~ 2 CONTRA TOR 3. Y MAILADD_RES~ ~ S ZIP ~ PHONE 4. Class of Work: NEW O ADDITION O REMODEL 5. Describe Work: 4~x ~O x ~'~ ~ ~~ ~ ~ I~ ment O Finished Basement O Unfinished Bas e ~ n ~ V' ~' ~ '°' 1 _ l ~~\~ t^ .1~~ 1? . Acf ~ ~ U lJ~. ~ e ~~ 1 lJi ~ '"1 J~~11~ i). Total Sq. Footag@ (Including Basement and Garage): Total Finished Area: 7. Valuation of Work: $ ~- 1 ~ Floodway O Yes ~No Dev. Permit 8. Floodplain: Fringe O Yes ~'NO BFE Elev. Cerl. 9. Current Zoning: ~ lrlr 10. State Fire Marshall Required: O Yes ,C~ No 11. Special Use Permit Required: O Yes ~No 12. Variance Required: O Yes ~ No 13. Minimum Setbacks: Front ~ Side ~ ~ Rear 14. Sidewalk Required: O Yes ~ 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 a copy of this application form signed bythe Building Inspector. 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 of Nebraska. I understand thatthis permit is void if work is not commenced within 180 ys or is not cgmgleted within 2 years of date gf~ssue. OF Comment: ~~~rtr+~ ~C ~ IIIEDtJIREMENT~ ~-~ DATE O Site Plan Attached O Complete PI n ttached ~~ Approximate Completion Date ~©" ~~ - Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card Building Footi~ Drywall (before finish) Frames Fir~al~ Electrical Rough-irt" Fixtures F1~ Permanent Service Temporary Service Mechanical Rough-in A\C Final Plumbing - Ground Work Rough-in _ Final WHEN PR~PERLY VALIDATED (IN T OUR PERMIT POUNDS PRTG: Blair, NE `~ Rev. el96 V rtA ~ , cai ~ rv ` ~ w ~ ~ rv ! r ~° pp (~ r- ~ ' A ~ ~ ~ ~1'i ~. ti...~ rv ~ao~ao'~'T"~ ~ ~ ~°~'~~ ~ ~ cn~ ~~ ~ ~ ~~ ~ ~ ~ ~x C] v ~ ~ .. *~ ~ ~ mss- ~~ ~~ ~ w w ~ ~~~ h ~ _z ~ 7 ' S C7 ` E a~ '° ~~ cr ~" w ~ D ~ ~ +~, 8 2 3 . ~ ~' c~' ~ rv G b ~J ~ - ~ 03 ~ ~r' So ~r, ~_ ~ ~' - C1 ~ ~ u ., a~ o ~_ ~ ~° ~ ~ N o ~- ~" ° Q ~ ~-; • ~~ ~ ~ g~~ 03 ~ 467.5~~~R~kC) ' ~ ~ 4 ~ I r ~I~ 5 S TA T ~' - - ~" H I G N W ~ Y ------ 13 3 -----~ ~j -•~~~.. -- V1 _ S 00°~2~ ~5'~ W -. C, ~- a ~ y I~1 ~• 1~/ 4 *+- ~+ ~d WaaS:60 S66ti tic. 'dab 99~~ ~6~ ~0ti 'ON SNOHd tte~.tdLO aa~}saNa~sa~ry W0~{d City of Blair 218 South 16th Blair, Nebraska 68008 402-426-4191 Fax - 402-426-4195 ~~, BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 refundable deposit is being collected at the time of your building permit application for all permits in excess of $10,000.00. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) water is connected without a meter by either the plumber, owner or general contractor, 2) all required inspections have not been obtained (this includes drywall prior to taping) as per attached checklists (Both Rough-In and Final), 3) occupancy or utilization occurs prior to a final inspection, and 4) all permits have not been obtained. 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 may be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. ~; Date Contractor/Owner City of Blair EW~LHg14N0 OPPORTUNRY ",' promise - BUILDING INSPECTION REPORT - ~~ CTTY OF BLAII2 ^ WASHINGTON COUNTY ' ^, - ; • FR - , . - . - ~OC ~ ~(( ~- ~~~~ ATION OF INSPECTION: ~r ~'-- f J ~ ~1 ~ - 1.~ ~ ,, _ ~', NAME OF OWNER:'. ~ ~ I=1 f , ~. - .~ ,y~~ .~ ;~ CONTRACTOR:-~_ ~ J~" I~'~~/,~~~:~~'~~r ~} 1 DATE INSPECTIONREQUESTED:_ (~~, ~ ~'ILr~ PERNIITNO: V/~ `;~ l ~t TIME INSPECTION REQUESTED: 11~~d~1 TYPE OF INSPECTION REQUESTED: . ~~ ~ BUILDING: ~ ~, -~ +~~~ ^ FOOTING ^ FRAMING ^ DRYWALL ~d FINAL ~'~ ~' UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ~ ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS -^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH.IN ^ A/C ^ FINAL ' PLUIVIBINCs ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ` . RESULTS OF THE INSPECTION• ASSED ~s~ rroTES~ ^ FAILED ~s~ rioTES~ NOTES/REMARKS: =DATE OF INSPECTION ,~ CALLED OPPD\ ~ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF° 10 CALL OPPD\ ' :^ YES ^ NO BLR 1 - . >= D ~~a~/~y~y' ~/~~P/S~/s~,~ ,C3~~/~, /~£ ¢~Da~" y~~'-~4~ ~/cK ~S~~X is G~/rk ~~d~ ~~ C ~ h ~~r~-l~~ /DD ~ Bo S ~d t /~ ~t /Do ~ `' ~,~,r~ r~~~trv W ~D~ r~PlISS /sl .?.rG Gi~erS 6r~~c~0 coA rr~,v ~a~F ryi~~~tb i ~ t''C,?JC~PfTE siRa ;;; ~+~na~~.r~~ ~u.~ ~~tivy .~~r~i~ i E~ I 1 -~ ..~ ~o ~ s XNpM M Tai N NMr /S' 100'MR oCa 'l ~f { :=;, L ~~ ~- i Sti' `~ ' ~ ,,c ~ ~->~~1 g ~ `8~" ° LL n ~~ ~~~ ~ :~~ ffi>,L ~~ ppoi ~ ~ o ~6~~/ A V 1_ M f7=