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BP6335
.. er ~~ -~ ~ ~ BUILDING PERMIT APPLI ` Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 6335 Permit h n Application Date: o< ~ Issue Date: _ )' ~ " l 5 Permit Fee: $ ®~ ~ ~ JOB ADDRE ~~~ LEGAL 1 ' DESCR T O• C~'y R ~ BLK. ~, T ~~GtchQ.- p~ ^ SEE ATTACHED SHEET OWNE .2 ~' 2. MAILADDRESS ZIP PHONE 3 CONTR CTOR MAILADDRESS PHONE LICENSE NO. ~~, Cc>-.1~ ~.5. ~~~ ~ ~ 9 4, USE F BUIL ING ~ / ~ ~ 5. Class of Work: ^ NEW DDITION ^ALTERA ION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~-~~GoL G+~ c, ~,~ 7, Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ ~ ~`©6 u 10. FIOOdplaln: Floodway Yes^ No ~'~ Fringe Yes ^ No ^ Dev. Permit BFE Elev. Cert. 11. Current Zoning: ~ tM l-~ 12. State Fire Marshall Required: Yes ^ No[~ 13. Special Use Permit Required: Yes ^ No []r 14. Variance Required: Yes^ No[~- 15. Minimum Setbacks: Front Side `~ Rearms 16. Sidewalk Required: Yes ^ No 0`Waiver Approved APPLICATION ACCEPTED BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge 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 Inspectorand stamped 'APPROVED'. I herebyagree to perform the proposed work in accordance with the specifications setforth 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 pleted it ' is f date of issue. X SIGN URE OF OWNERfCONTRACTOR OR AUTHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Site Plan Attached ~- Complete Plans Attached Approximate Completion Date ~~ "3~ ~'S Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote ~ Building ~ ~ t~° f ~` f) ~o/Kcl1 e~ Footings'` (o'~ WSJ ~~ ~ • ~~7 Drywall ~'~' ~,5 (before finish) Framing z ~"~~"Ur Final ~1 ~~~ ~G ~~~j/~~ ' Flprtriral ~~ ~""'`-~ Rough-in -`'~fC.~-57"/ -yam Fixtures Final ~rP Permanent Service Temporary Service Rough-in Final - ? Plumbing Ground Workj Rough-in ~ ~~ Final ~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT CATION Mechanical - ABC _ f/ Comment: Approv By. C,.~, / 'OUNDS PRTG: Blelr, NE Rev. 70/9 BUILDING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit 6587 Application Date: ~ ~ ~ ~vl ~ Issue Date:. ~'~ ~ ~ Permit Fee: $ l2 -(}~) JOB ADDRESS i s I ~? L31..~- (,SL t~ LEGAL 1 ' DESCR. LOT N0. BLK. TRACT ^ SEE ATTACHED SHEET OWNER ~ MAILADDRESS ZIP 2• ~ro~d Ord PHONE 3. CONTRACTOR ~ MA14ADDRESS PHONE LICENSE NO. USE OF BUILDING 4. 5. Class of Work: ~] NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~~~-~~C~ r ~ ~C,~ 7. Sq. FOOtage Of StrUCtUre (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes ^ No ^ 10. Floodplain: Fringe Yes^ No ^ Dev. Permit BFE EIev.Cert. 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes ^ No ^ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes^ No ^ Waiver Approved _ Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge 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 byihe Building Inspector and stamped 'APPROVED'. 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 p rmit is void if work is not commenced within 180 days or i of comp) to ithi year f date of issue. -~, • ~.J SIGNATURE OF OWNER~CONTRACTOR OR AU ORIZED AGENT DATE CATIO\1V Building Footings Drywall - (beforefinish) Framing Final - Electrical Rough-in Co,~~) Fixtures Final ~ ~ U ~ Permanent Service Temporary Service Mechanical Rough-in ABC _ Final Plumbing Ground Work I SIGNATURE OF OWNER (IF OWNER BUILDER) DATE I Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THI S YOUR PERMIT Comment: Approved By: ~~ ~~ POUNDS PRTG: Bleb, NE ` Rev. 1091 ~~ ~ BUILDING PERMITAPPLICATIOIV Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 6 5 9 2 (402) 426-4191 Permit G Application Date: ~ ~ Issue Date: Permit Fee: $ JOB ADDRESS ~~ LEGAL 1' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2. 0 ~i IL ADDRESS Zlp PHONE 3, CONT ACTO ~ MAILADDRESS ~ PONE LICENS 0. USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: 7: Sq. FOOtage Of StfUCtUre (Including Basement and Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. Flood lain: Floodway Yes ^ No ^ p Fringe Yes^ No ^ Dev. Permit BFE Elev. Cert. 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes ^ No ^ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes^ No ^ Waiver Approved _ ACCEPTED 8Y I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge 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 copyofthis application form signed bythe Building Inspector and stamped 'APPROVED'. I hereby agree to perform the proposed work in accordance with the specifications setforth above and in accordance with the codes~ordinances of the Ciry of Blair and the State of Nebraska. I und~tand that this permit is void if wprk is not commenced within 180 days or is not coro ete within 2 years of date of issu . SIGNATURE OR AUTHORIZED AGENT DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote Building Footings Drywall (before finish) Framing Final Electrical Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in ABC Final Ground Work Plumbing SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in ~ Final WHEN PROPERLY VALIDATED (IN THIS SPArCF.~~IS IS YOUR PERMIT POUNDS PRTG: Blelr, NE Rev. 10/91 CITY OF BLAIR Application for Building Permit PLOT PLAN Address /~~ ~ ~~ 7l~, Date ~'~3" ~ ~~ D Legal Description: Lot 7~ ~s7 ~-~ Block -~ Addition T ~4 / 21 ~- O~ ~° T ~ Please show all measurements of existing and contemplated structures, also show distances between s~~tppructures, etc., and property lines. Is this a corner lot? N'~ F nom,.,.,-.,-.r+.~. 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