BP5052I-i) ~ a u ' ~ _ ~ /,=~ ice?) ~~ ~v ~ ~ ~ ~' _ f:
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 >~ 5 ®~ 2
(402) 426-4191 Permit z
Application Date: ~~ ` ~ "C t~x ... ~° ~ ~~_ ~~~~
~ ~ ~.. Issue Date: I ~ ~ „ ~ ~~ Permit Fee: $
5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~ ~~ ~ ~I ~/~~,~ ,~ ~~ 1~1~ t~ _ -~Jr2~'Y1 ~~
], Sq. Footage Of StrUCtUre (Including Basement and Garage):
8. Change of Use From: Change of Use To:
g, Valuation of Work: $ g(~~~, ~'~
10. Floodplain: Floodway Yes^ No ^
Fringe Yes® No ^
11. Current Zoning:
Dev. Permit
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
ON ACCEY ( PLANS CHECKED BY ( APPROVED FOR ISSUANCE BY
~~i` l
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 copy of this application form signed by the 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 permit is void if work is not commenced within 180 days
or is t completed within 2 years of dat f issue.
SIGNATURE OF OW ER~CONTRACTOR OR A THORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
Elev. Cert.
Site Plan Attached ~ Complete Plans Attached ^
I
Approximate Completion Date ~ ° ~U _ `I~{
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer Water Service
Septic Remote
building' ®'' -~~ t ~
:~I ))s.~ tea. i; C ~ ~
Footings. ~ ~~ [3rywall
(beforefinish)w°" °- "~'°~ ®~ f `f
Framing ~' ~'I_, ~~~' Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Ap roe ~
e
5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6, Describe Work: ~ ~ ~-' _ ,~~ ~-
7. Sq. Footage of r CtUre (Including Basement and Garage):
8, Change of Use From: Change of Use To:
~a
g, Valuation of Work: $ V~ ~ ~ ~,,~n,~,~
~,
10. Floodplain: Floodway Yes ^ No ^ Dev, Permit
Fringe Yes^ No ^ BFE Elev. Cert.
11. Current Zoning: I~ b'1°< <~~ Site Plan Attached ^ Complete Plans ched ^
12. State Fire Marshall Required: Yes ^ No^'~^ Approximate Completion Date ~
Inspections Requi a and Fe ~ .- ~ a
_
13. Special Use Permit Required: Yes ^ No ^-- utilities
Sewer Tap W t T
14. Variance Required: Yes ® No @ ~ Wer Service ~' ' ._y
sewer
15, Minimum Setbacks: Front Side Rear f
septic ~ Remot °
16. Sidewalk Required: Yes ^ No ^ giver Approved
,,// Buil ng
. 6.~. _~~
"
~~~~~E ED BY I PLANS CHECKED 8Y 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 copy of this application form signed bythe 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 permit is void if work is not commenced within 1 SO days
or is not completed within 2 ears of ~ to of issue.
,~- j~~
SIGNATURE OF OWN R~CONTRACTOR AUTHORIZED AGENT DATE
Footings
(before fin~h)
Final t ~ ~ ~.~ ,_.c~~,
~ t
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
~ Mechanical ~ ~c~
Rough-in ~ ABC
Final !~ - ~-
Plumbing
Ground Work ~~ ~
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE ~ Rough-in ~~'~ ~' `~ Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THI~YOUR PERMIT
POUNDS PRTG,-Blelr, NE
Rev. 10/91
~~,
Application Date: ~ ~~~ ~ ' ~ ~~~ Issue Date: ~'~ ' ~- ` ~~~ Permit Fee: $ ..~ ~~-~(~~°
J08 ADDRESS
LEGAL
1 ' DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
OWNER ~ ~ ~ I ~ ~ ~ MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAILADDRESS PHONE LICENSE NO.
USE OF BUILDING
4.
5. Class of Work: C~I~NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
- ;,
•,
6 Describe Work: ~ 4
- - :;
7. Sq. Footage of Structure (Irl~luaing Basement and Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10, FIOOdplaln: Floodway Yes ^ No ~ Dev. Permit Elev. Cert.
Fringe Yes^ No ^ BFE
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 _
APPL),CATION 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 copyof 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 completed within 2 years of date of issue.
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 ~£--t~f`~~' Fixtures
Final ~~-• <`~ <-~' Permanent Service
Temporary Service
Mechanical
Rough-in ABC
SIGNATURE OF OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE Final
. ~ Plumbing
~'~~ ~~' ~~ `~~ '~!~~~(',~ Ground Work
SIGNATURE OF 0 ER (IF OWNER B LDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS~;YO,UR PERMIT
Comment: Approved By:
~'
~ / ~ ~` ~
POUNDS PRTG: Rlal~, NE ~- it Rev. 10191
-2' cl ~--- (402) 426-4191
Application Date: Issue Date: ~ '~~~
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer Water Service
Septic Remote
JOB ADDRESS ~ ~ ~~~~
ye-~
LEGAL
1 ' DESCR. LOT NO. BLK. TRACT
^ SEE ATTACHED SHEET
2. OW R / MAILADDRESS
~ / < ZIP PHONE
3 CONTRACTOR MAILADDRESS
~~ PHONE LICENSE NO.
USE OF BUILDING
4.
5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6, Describe Work: ~ ~ ,,~-~ ~~~'
]. Sq. Footage of r CtUre (Induding Basement and Garage):
8. Change of Use From: Change of Use To:
g, Valuation of Work: $ ~ -J~~ a
10. Floodplain: Floodway Yes^ No ^ Dev. Permit
Fringe Yes^ No ^ BFE Elev. CeR
11. Current Zoning: ~_ ~ t't'
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 ^~aiver Approved _
~~.~~~1~
PLANS CHECKED BY ( 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 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 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 permit is void if work is not commenced within 180 days
or is not completed within 2 ears of to of issue.
SIGNATURE OFOWN RfCONTRACTOR AUTHORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER)
DATE
Permit
6445
~LV ~~
i
_~ ~ ,Pre, rmit Fee: $ ~ ~~
ILL! IU7. ~~~~ .L_ll ~~1 .(z~~i ~ !~ ~i
Building
Footings Drywall
(before finish)
Fra ' a Final t~
Final
1/
Electrical
Fixtures
Temporary Service
Permanent Service
~U Mechanical OG
Rough-in ~ ABC ~C~
Final -"
Plumbing
Ground Work ~, o
Rough-in /'~ ~' ~ Final ~ y
WHEN PROPERLY VALIDATED (W THIS SPACE) THiS IS YOUR PERMIT
POUNDS PRTG: BIaIr, NE / Rev. 10/91
RICE. PRILLIP
TYPE OF PNSPEOTION ROJGH FINAL AMOUNT DUE DATE PAID SUB-CORITF..4~TO~iS
Temporary Service '
___
Footings ~ __
;
Framing i I
~ J
Permanent Service
Plumbing ~
Electrical ~
Heating ~ ~ ~~
Air Conditioning ~ 4 "~~~
~
Septic/Sewer Inspection -y ~-
~ "t~
~~
Water 1 nspection ~
~ ~ "`
~- ~ ~ ~!~,
Sewer Tap
-- - -._ ~.
Water Tap ^~
Remote -- `
i --~--__ ______. _-
I
Final Inspection ~
!COMMENTS:
DATE
BUILD A GARAGE
10/30/9DAPPLICATION NO.: 4557
10/30/9DPERMIT NO.: 4756
NAME: Rice, Phillip
AMOL;N"(" PAIN: 8000.00 30.00 ~~84569
ADDRESS: 1060 State St.
LOCAT,ON: Lot 7, Block 3
. ~ CITY INSPECTION SLIPS
Inspection has been requested for ~ ~..? ~~ C-r ~ . ~~~--~°-- ~--~~
Location of T3uilding
i
Narnef of Com/pany
On ~~C.E C',r<~. ~` l~~- ~~1,~.~ L is 1 ~~"~~~,~-J
'type of Inspection
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--
llate `l'ime
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Reaulta of the Inspection are: ~
/ ~~ ~~
~'a "^'?~f lf''r` ,aF ~ i vi ~ ~ .tom` ~ ~. ~:"i
City Representative
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I
CITY OF BLAIR
Application for Building Permit
PLOT PLAN
Address ~~(~(~ ~`~G~-~~ ~?~ ~ _ Date ~ty~ i ~ ~~~
Legal Description: Lot Block Addition
Please show all measurements of existing and contemplated structures,
also show distances between structures, ete., and property lines.
Is this a corner lot? ~~
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Pro ert Line
1
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_ _Center Line_of _ _ _
Street_ _
Applicant ~~ ,, ~ ~~ ~ ~~ t
. CITY OP BLAIR
Application for Building Permit
~ ~ , _ ,~.
.. . -.
Address ~~;~ t ti( ~ ~ ~~ ~~"°:;-~ ~`"= ~-~.- ~ Date :=h~~~ ~ ~~ '~ .~
ji
Legal Description: Lot ~ Block ~ Addition ~r~"~~(
-~
Please show all measurements of existing and contemplated structures,
also show dis-L-ances between structures, etc., and property lines.
Is •this a corner lot? ~`;~~
~'~-,) ~
L ''"~
Pr_ o ert ~"` ~ ~ Line
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Center Line of ~,~~~ ~' Street
Indicate North
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Applicant `~, -~.~~'.%.L~~F~ ) ~-a .. ~.-~~ a
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<_J'
City of Blair
218 South 1 bth
Blair, Nebraska 68008
402-426-4191
Fax - 402-426-4195
0
~~~
August 29, 1994
Phillip Rice
1060 State St.
Blair, NE 68008
Dear Mr. Rice,
This is to notify you that the building permit you were issued
on September 11, 1992 for building of a new garage located at 1060
State Street will expire on September 11, 1994.
Please be aware that you must either obtain a renewal on this
permit or discontinue any construction at this property that you
may be doing. If you have completed this project, please contact
our office at 426-4191 for a final inspection.
If you have any questions, please contact our office, Thank
you for your cooperation in this matter.
Sincerely,
c~ ®.~
Brenda Taylor '~
City of Blair ~` ~
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~,
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