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BP8315r . ~~ The City of Blair Building Permit Detail Permgt #: 8315 Issued: 09/30/1998 Completed: 12/22/1998 Owner: Roger Olsen Address: 1020 James Drive Blair, NE 68008 Phone: Section: Township: Range: Subdivision: Lot: 30' x 38' detached garage, electricity run to it Inspections Date By 12101/1998 KAR 12/22/1998 DEM Remarks Contractors Gordy Ray Construction Judt Electric Type: Garage ,Additions Valuation: $23,000.00 Permit Fee: $115.00 Issue Fee: $15.00 Deposit Amt.: $200.00 Receipt #: 08264 Block: Electrical Rough-ins Pass Final Inspection of Project Pass General Contractor Permit # Issued Electrical Subwntractor 0580 11/30/1998 BUILDIN~a PERMIT APPLI ' ~ ~~ 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 X315 Permit Application Date: ~ -~ -J ~~ Issue Date: -~© ~~ ~~~ JOB ADDRESS I ~~ LEGAL 1. DESCR. LOT No. BLK. TRACT ^ SEE ATTACHED SHEET OWNER l\ MAIL ADDRESS 2. ZIP PHONE 3.CO~C~Y ( ~ c ., ~IL~AD~DRESS 1 ~ -~ IV • ~"'C~~ ~Z~PHO~~ O REMODEL 4. Class of Work: O NEW \ ADDITION 5. Describe Work: ~.X __ ~`~ ~ ~ O Finished Basement O Unfinished Basement ol~ _ ~ ~'1 ~iCZ~ 6. Total Sq. Footage (Including easement and Garage): Total Finished Area: 7. Valuation of Work: $ ~ ~~~ Floodway O Yes No Dev. Permit 8. Floodplain: Fringe O Yes No BFE Elev. Cert. 9. Current Zoning: f~ m ~ O Site Plan Attached O Complet tans Attached Approximate Completion Date ~ ~ ~ ~~ ~ G 10. State Fire Marshall Required: O Yes ~ No a Inspections Required and Fees 11. Special Use Permit Required: O~Yes fZi Nom ~~~, f Zg ~n~q Utilities 12. Variance Required: O Yes I,ZJ No ~o~l~g u ~5 ~~'C~-~ ~ Sewer Water Service 13. Minimum Setbacks: Front oZ S Side ~ Rear 14. Sidewalk Required: O Yes ~ No Waiver Approved 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 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 State of Nebraska. I understand that this permit is void if work is not commenced within 180 days or is of completed within 2 years of date of issue. f~'~ SIGNATURE OF OWNERlCONTRACTOR DATE Comment: ~ ~~~ Septic Remote Stop Box Card Buildin Footi all (before finish) Framin Final g El ic ~~ X~ ectr C Rowugka•itr Fixtures Fi Permanent Service Temporary Service Mechanical Fir Plumbin - Ground Work Rough-in Final WHEN PROPERLY VALIDATED (IN THIS CAT'IC~N IS YOUR PERMIT ~ Rev. e196 POUNDS PRTG -Blair, NE ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 ~ ~ Q (402) 426-4191 Permit. Application Date: I I v 3~ ~"I Permit Fee: $ """'`~~ JOB ADDFJ~S,S L LEGA 1 • DescR. LOT N0. BLK. TRACT 17 SEE ATTACHED SHEET 2. OWNER ~ MAILADf~~S$~„ ZIP PHONE 3• CONTRACTOR MAIL ADD ASS PHONE LICENSE N0. 4• Class of Work: EW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5• Describe Work: ~ l,eC i ~~ 6• Current License on File Yes O No O NA New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES I~ 0 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 ' b 101-200 Amp Fee ............................ $ 18:00 Temporary Service ................ $10.00 201-300 Amp Fee ............................ $_ 30.00 Fire Alarm S stem $10.00 y ................. 301-400 Amp Fee ........................:.:: $ 42.00 Signs .....................................$15.00 401-500 Am Fee $ 55.00 p ............................ $ 501-600 Am Fee 67.00 p ............................ 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: 00 12 901-1000 Am $117.00 p ................................. . # of Circuits x $2.00 IF OVER 1000 Amp ,OD Amp Fee 1st 1000 Amp Fee ....................... $117.00 A F Ci i T l GSA ~~ Each additional 100 Amps ........... $ 13,00 ee + mp rcu t ota , 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 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 an other state or local Receptacl%s itch Outlets ~ Fi t $ 75 /j~ I ~~ lJJ y x ures x . 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 Power Apparatus (220 Volts) ATURE 0 ONTRACT OR OR AUTHORIZED AGENT A ~ D o # pparatus x $3.00 • 2 ~~ ~ /U `- ~~ Permit Issuance Fee .............$15.00 ~S DO DATE TOTAL `'~ ~ V WHEN PROPERLY VALIDATED (IN THIS SPACE) Comment: POUNDS PRIG: Blair, NE Approved By: IS YOUR~PERMIT Rev. fl/97 ~' ~_ ~~ _ JO ~~ ~54 ~.ri O from ise 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 dccur 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. ~~~ Contractor/Owner Contractor/Owner -~0 -~~ Date City of lair EQUAL HOUSING OPPOflNNfTY 4i~~-K,~<-E-5 ~ecor~ec STATE OF NEBRASI(A COUNTY OF WASHINGTON) SS Oenerai ENTEREDINNUNIERICALI DEXANDFILEDFORRECO D Numerical ~~ _ ~~~ %.= Ttils~th , i, ^,~ r,~ ' ~,.C.1p j AT~O'ClOCK n, _s_._~v ~~ Photostat '~ M AND fltCORI~EQ IN (~0~3i( n R,. ,,, ~~ ~' ~~y' ~ ^UC._O,NTI G~TO1J8 'PARCEL AGREEMENT rr: s T- -'~~~'-h T agreemen is made t is ~~- day of ''~ -,{ `; 1:99', by ~ ' ' , herein ~tet'~- referred to as " wnt rs . " . Whereas, Owners are all of the record title holders, enti- ties, or persons having any interest in the following described real estate, to-wit: ~~~~ ~ and, Whereas, the individually described parcels are contiguous and adjacent to each other; and, Whereas, pursuant to Section-1110(2) provides an owner of real estate may by an agreement with the terms and conditions set forth herein utilize the outside boundary of the entire tract as the lot or boundary line for set back. purposes and waive building across or the requirement of any set back line with regard to the interior contiguous line for building purposes. For and in consideration, the waiver of said set back re- quirements from and the right to build across the interior lines of the contiguous lots by the City of .Blair..., the undersigned hereby irrevocably agree in perpetuity all the above described real .estate shall after the date of this agreement be conveyed only a.n a simultaneous conveyance, to the same grantee or gran- tees, and that said real estate shall not. be conveyed,- sold, divided, or otherwise transferred except in conformity with this CQg~~.~lfl~nt. The Owners further hereby agree this agreement may be termi- nated only upon express. written approval of the City of Blair releasing the Owners from the irrevocable nature of this agree- ment. The Owners further warrant and covenant this agreement shall run with the, land and shall be binding upon the heirs,. personal r,epresentatives;; successors, and assigns of the Owners. r ~ Owner ~~ a r d 0 b d O n y r~- n a 0 b °z ~ f A~ o - ~q a 0 b d a 0 b z 0 f'] n .~ z 0 i~ Q ~' r z ~ o x o y m `~ ,~ o 0 ~ o z z coi z ~ a ~ n ~ ° ~ .. ~ o ~ z c~ , ~ ~ ~ ~ ~ ~ ~ , a C '~ ~~\ ~ ~ ~ ~ z7 _ _ ~ ~ ~ ~ ~ C] ~ b ~ ~ Ca,. $ r ~ ~y .m-j m y ~ 9 9 t~ `" ~ o a ~ ~ a 0 a a ° G0. ,: ~ m ~ a s~ ~ b o 0 o, z '~ A '~ r J z z ~ ~ ~ H ~ ~ ~ ~ 'o ~~ c ~ ~ a ~~ z a ~ a ny d ,~' .~ ~' Z --1,~ .--- ` o _ u ~ ~ ~, O ; ~ ,~~ ~_ ~ ~ ~ _ ~~ '~ ~ ~~ ~.~ i • ~-.,v ~ ~ ~.~ ~ ^~ F-] l l =~ __ ; ~ 0 z t~7 p C d 0 ~ ~ 0 3 0 ~ 0 y ~ a o° ~ ~ ~ ~ ~.° o ~ ~' ~ ~ o ~ b o ~ ~ x ~ .. ~ ~ ,ra,- ~' a ~' ~' o -~ n z ~ ~ z c] ~ ~ ~ ~ p o ~' z ~' ~ o ~ u - - --- .~ m ~ ra~ ~ r n ' ^• d z o ^ ~ ^ ^ ~' ~_~:,. ~ o a ~ ~~ `° Q .-~ ~~l ~ d ~~~. O ~ a b z a r' ~ o ~--~ . ~ o o z ~, ~ ~ _ 0 oc r. ~~. ~ ~` ^ z a ~ Z ~~ ~ 0 Z ~ ~/~ V! . C ;~ ^ , ~ r J ~ ~ \, ~1 /uT ~ i - i! ~~ ~~, .~ `-_ ~~"~~ -" ~3