Loading...
BP7246BUILDING PERMITAPPLICi4TION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4 91 Permit ~S'~-~ ~ ~~ Application Date: ~ ~ ~ Issue Date: ~ ~" ~ Permit Fee: $ l~ ~i~ o~ JOB ADDRESS LEGAL 1 ' DESCR. LOT NO. BLK. TRACT ~ G ^ SEE ATTACHED SHEET 2. OWN G_ MAILA-DRESS n -+ ~ ~~ y Y / ~ IL r P D / ~I w NE~ I ~ DRESS PHO NE 3. CONTRAC MAILA LIC E NSENO. 4. USE OF BUILDING _~~~~6r ~ _ 5. Class of Work: ^ ADDITION ^ALTERATION ^ R AIR ^ MOVE ^ REMOVE 6. Describe Work: 7. Sq. FOOtage Of StrUCtUre (IndudingBasementandGarage): ~~ ~ ~ ~ ~ ~ 8, Change of Use From: Change of Use To: g, Valuation of Work: $ ~ ~~ ~ Floodway Yes ^ No ^ Dev. Permit 10. Floodplain: Fringe Yes^ No ^ BFE Elev. Cert. 11. Current Zoning: Site Plan Attached ^ Complete plar}a A~ta~t~ ^ _ Approximate Completion Date (P~>/Y 12. State Fire Marshall Required: Yes ^ No^ 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 ~rP~ Side ~ Rear~~ Septic Remote 16. Sidewalk Required: Yes^ No ^ Waiver Approved Building ` TIOEPTED BY J PLANS CHECKED BY APPROVED FOR B Footings Drywall (before fi ) / / ~ NOTICE F i " ~~/~~~ Final ram ng Separate permits 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 permit application fee does notconstitute issuance of this building permit I further Electrical ~~P, h c:~+f- -(.~cU'l~ agree that construction covered by this permit application shall not be commenced until I '~ have receivedacopyofthisapplicationformsignedbytheBuildinglnspectorandsiamped Rough-in Permanent Service 'APPROVED'. hereby agree to perform the proposed work in accordance with the specifications set forth Final's Tem ora Service p ry 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, is n t compJe a within 2 years of the date of jssuance, or if work is abandoned for six (8) Mechanical m hs Flo er, whic r is liest. ~ ._. ~`"~~ Rough-in ABC SIGNAT EOFOWNER/CONTRA OR AUTHORIZED AGENT DATE Final Plumbing Ground Work SIGNATURE OFOWNER (IF OWNER BUILDER) DATE Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS~S~GQI~ ~i~T~ ~ f•.. tll~ Comment: Approved By: Rev. OBr95 POUNDS PRTO: Blair, NE ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Permit ~ 3 (402) 426-4191 Application Date: ~ ~ O ~ I ~D Permit Fee: $ Z ~~ JOB ADDRESS 1 • LEGAL LOT NO. ~ BLK. TRACT (~ ~ t f • n ~~ I~ I I ~ O SEE ATTACHED SHEET DESCR. 1 ' ,~ OWNER S ©~ ~ ^ ^ j ~ ~ a~ +.J~ ,, M~1L~1DD~lESS~ V ~/ ~ ~ `~I~ ~ ~ •~ I +` l PHONEr ~~~ 3 CONTRACTOR MA IL ADD RESS PHONE LICENSE NO. 4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL [~ REMODELING/ADDITIONS O UPGRADE SERVICE ~ 5• Describe Work: ~ ~ .-n• ns n rf ~ n ~.~ ,'~• ,-~ (/ ~ 6• Current License on File v O Yes ~ O No New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 101-200 Amp Fee ...................••..••.•• $ 18.00 201-300 Amp Fee ............................ $ 30.00 301-400 Amp Fee ............................ $ 42.00 401-500 Amp Fee ....• ................•.•...• $ 55.00 501-600 Amp Fee ....•.........•.........•.•. $ 67.00 601-700 Amp Fee .....•............•..•.••.•. $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ....•..•......•.•....•.•.... $105.00 901-1000 Amp ............•.•.....•..•.••...... $117.00 IF OVER 1000 Amp 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 NOTICE I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of -. , .., SIGNATURE OF CO R TOR OR AUTHORIZED AGENT DATE ELECTRICAL PERMIT FEES Upgrade Existing Service ...... $10.00 Temporary Service ......•......... $10.00 Fire Alarm System ................. $10.00 Signs ..................................... $15.00 Miscellaneous Apparatus ...... $11.00 Commercial/Multi-Family and All Upgrades: # of Circuits x $2.00 ~• v Q Amp Fee Amp Fee + Circuit Total y • ~~ New Residential: (Finished Area) Single/Two Family Dwellings sq. ft. x .045 Receptacle/S~(Itch Outlets Fixtures.~•~ x $.75 ~ ~ -~~ Residential/Commercial Appliance # Fixect Outlets x $3.00 Power Apparatus (220 Volts) # Apparatus x $3.00 Permit Issuance Fee ............. $15.00 TOTAL iS.ov zp WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR IT Comment: Approved By: POUNDS PRTG.-Blair, NE (% ~ Rev. 12195 G I i I ~ 1 I 7~ i h I ~c- ~~ i c '~ s y ..., ~ C3 0 U ~' ~ O W ~ z O ~ ~ `~' ~: ~ O F ~ ,J a F N w ^ E- o ~ ~ ~ a ~ s ~ W r y ~ ~VJl, ^- Ov ~\ V ~ z \ r p ~ q ~ U v~ ~ V ~ ~ W~ F ~ ~ FUl O ~ ~ , VV ~ ~. ~ \ F ^ ^ 5 ~. ^ ^ P4 ^ u. H 3 0 ~ ^ ~ ~ ~ ~ ~ ~ w ~ Q ~ ~v ~ ~ ~ ~ z °' c o ~ ^ ^ 3 ^ ~ ^ 5 ~ ~ ^ ~ ~ z ~ z 0 3 ~ W ~~ . '" ~ F ~ x O 3 ~ vJ o ~ z ' w ,, ~ z v ~ ~ am ° w F e ~ ~ a ~ v ~ ~ ° ~.~ o a ~ .. .a ~t c ^ m ^ c~ W z chi a ~~ ~ ~ ~ .a x ~ m ~ ^ w ^ ^ ~ ^ a ^ a z " F ~ ~` ~ ~ ~ ~~ ~ a ~ a W `~ Z ~ ~ z ~_ N ~ 0 w -~ ^ U ~ \ ~L U ~`y ^ ^ ^ N ^ z a T^ O v` O~ H ~ 3 Q ^ a ..~MM ~I O 4! C~ .] C A ti '~.~ zz Fz ~ ~ K, N C 0 W ~ ^ ^ 5 ~ ^ ^ ^ ^ 0 o, W ~ ~ x ~' ~ w z o ~' °' 0 O' 0 z ^ ti ^ 3 o ~ o 5 ~ ~ ^ o a ~ y O W O ~ ~ w ~ W Z p ,: ~ ~ C7 ~ O F. ~ F p~u; 3 O ~ :~ U x ~ ~ ~ ~ ~ C ? a z ~ p~ O ~ F 55 4~ E m F ~ GW. .7 L u. ~..a E., y,~ m l vW,W ^ ^ ~ rX ^ a o U ~ ~ ^ ~ C7 ^ O ~ z o ~ V ~ W a m' °z °z": ^ ^ ~ ~ `u~~ 0 0, ~~zU11 O O .. y ~' ~~ v ~ o ~ w F . ~ a ~ a ~~ u. o w ~ w ~ o v I , 3 a ~^ z _. z ^ C ~ " ~-, ._y `^ C U m VV O OF yW F~ w O Q 0 0. "1 O j -! ~; ~~ H L I1 m. ~ -~ ~- v o o~ ~a° ` ~c ~ W ~ ~ z 'Z .C O ~ ~ z Q O ~ ~ ~ o ~ ~ ~ ^ ^ w ^ ^ ° a `- ~ 'ice ~ O ~ U W p ~~ P• ~ a ~ j z ~ ~ _ ~ O F C] ^ U `~ ^ w 5 ~ ~ ~ ( ~ ^ ^ z fy ^ O `~ ^ v ~ '-'` A 3 0. - ^ ~ ~ ~ ~ W ~ ~ W o F ~ w 3 d ~~ 5 o ~a M ~~ ~ ~ ~ v. ~ O ~" zo C w ~ ^ p, ^ I ^ ~ F ~ ^ ~ ~ ~ Li ?9i ~ ~ O zi ~ O C O E:, O ~ ~ z~7 X{ CC j 'y, ~"' ~ ~ C U Z a ~ ~ O ~ t~7i E '' ~ o ~ W ~ ~ro ^ ~ ^ ^ p w ~ ^ ~ P 7 ^ ~ F ^ a z° ~ o a J ~ ~" ^- ^ U ~ ;" ~` -~ O 3 O (,; s` a< "1 O_, :.a iti a<?; a,: v.. z a O ~9 ~ 4 F ;7 a q ~; ~ °' ~ ~~ O 0 0 0':~ w ~ F .-1 ~ :' p_ Q ~ 1 I i b 0 ~ ~~ ~' J ~ ~~ I,~;-~`~ ~ ~~ iI ~~ i ;~ ~~~~1~ ' ii ---- ~ ,__ ~ j 1 ~ ~I , ! i i ~ I I i ' I ~ 1 i 1 j I 1 ' j t ~ ~ ~ I I I ~ j ~ .3 ~° ._,a,_,.~_~.~.._,~....~ i _~... .E