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Signature PagesBUILDING PERMIT DEPOSIT AGREEMENT A 500.00 efundable deposit is being collected for any new commercial, new residen ial, and any additions, remodels and accessory building valued $10,000 or greater 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: 11 Theft of water service by the plumber, owner, or general contractor. 2) All permits have not been obtained. All required inspections have not been obtained. Occupancy occurs prior to a final inspection. The project is completed without a final inspection being done. W-9 is not filled out for return of deposit 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' a Date Contractor/Owner City of Blair 'C-ITY OF BLAIR 20S 16� � NE 68006 ' BAIR ____________________ �� Description______________ Permit N RN -282 -0OO75 L� CK13020T 1 P. 1� ��ITPMME� , 8m . 1 8� TO ��K Received , . ^� ____________________ 236 PART 4 N Energy Conservation N 1102,4* 1 CHANGE TYPE: Clarification Sealing i ;ng 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: N1102.4.1 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. 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. Certify that the building is 5. Dropped ceilings or chases adjacent to the thermal envelope. sealed as per code (2009 IRC) s. 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. Contractor Name: 4612. Other sources of infiltration. Dale Hansen Chimneys Site Address: Tract 1 Co Rd P27 Windows Electrical outlets Basement window Date: `n Signature: – U Recessed Attic hatch — lights 'Ceiling Rim joist corners junctions require Doors sealing Duct Typical sources of air leakage seal Rim joist