BP6775~ ~ LC
DING _~?ERMIT APPL
_ ~ ~ ~ I ~ Juris~tion of City of Blair, Nebraska
_ ~ '~ 2'18 South 16th~Street ~~
Blair, Nebraska 68008
(402) 426-4191
~~~
Permit
Issue Date. ~ d '~ ~ ~ "~~ Permit Fee: $
Application Date: I j.
JOB AD 11 ~ 2
IL~ -~ ~
BLK.
LEGAL LOT N0.
1 • DESCR.
OWNER ~~ I;~ ~ C n I <
2. r \ 'c_ I \
3..,.,.. - C~c
USE OF BUILDING
4.
5. Class of Work:
G n_~...I1...1Alnrl[•
~~ S
c
,~-r ct.
TRACT . (__.~'~.. ^ SEE ATTACHED SHEET
lr~r ~~ ~G~ ~7 ~ PHONE
BAIL ADDRESS `~P
PHONE `LICENSE t•
MAILADDRESS~~ ~/Un~ / l ~~r (.F ~ j
` G "~
NEW ^ ADDITION
~i~,r esz _
^ALTERATION
^ REPAIR
U MVVC
^ REMOVE
~ .,_ ~,...,....e.,fRtrnrture nndudinoBasementandGarage):
I . may. ~ .,...wy.. _. _ -~ - -
n nL........ of I Ien 1=rnm'
/1 ~ )
O. vnuny.. ... _-- - ----
g, Valuation of Work: $ ~I
10. Floodplain: FI0°d"'ay Yes^
Grinno VBS^
11. Current Zoning:
12. State Fire Marshall Required: Yes ^
13. Special Use Permit Required: Yes ^
NoL~'
No
14. Variance Required: Yes^ ~ No[~ ~,
15. Minimum Setbacks: Front ~Z~Side _~ Rey
16. Sidewalk Required: Yes^ No ^ Waiver Approved
PPR ED FO SS CE BY
APPLIC TION CEPTED BY PLANS CHECKED 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
agreelhatconstructioflhisaredtcationformsgnedlbylheBuidingl sp ctorande mped
have received a copy PP
'APPROVED'.
I hereby agreeto perform the proposed work in accordance with the specifications setfort
above and in accordance wilh the codeslordinances 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,
is not completed within 2 years of the date of issuance, or if work is abandoned for six (6)
months or longer, whichever is earliest.
DATE
SI ATURE OF OWNERICONTRAC i OR AUTHORIZED AGENT
Site Plan Attached ^ Complete Plans Attacnea t,lq
Approximate Completion Date ~'~'
Inspections Required and Fees
Utilities
Sewer Tap '~-~" l~'~ Water Tap
~~-z.~,~~- Water Service ~-~`~`'~~`
Sewer
Septic Remote
Building
i
Footings ~0`2~~`~~ Drywall
(before finish)
(`3'~~O Final 3~L~'~1~ ~,~_
Framing
Electrical
~, ~,~1.5 ~' ~`~~ ~ Permanent Service ~l ~°~~ P~
Rough-in
Final ~ LlL ~ Temporary Service ~-
e~hanical ''"'
g
Final plumbing _
~v~<--- %4~"5-~-5 GroundWork~
U~ DATE Rough-in
S ATURE OF NER (IF OWNER BUILDF) ~f-
tti Iv P OP RLY VALIDATED (IN THIS SPACE) THIS
Comment:
vt~~ - -~
No ^ Dev. Permit
.~ RFF
Change of Use To:
-~~~~~f
~~ ~U. ~ c~
ATION
Elev. Cerl.
r,/
wu LJ
Final ~'~~~-
YOUR PERMIT
Approved By: ~~/
POUNDS PRTG: Blelr, NE
ICATION
ERMIT APPL
BuILDIN~ P, n of City of Blair, Nebraska
Jurisdicfio ~ g
218 $O ebraska 68008 Permit
Blafr, N S ~~
(402) 426-4191
Permit Fee: $
-Z~-~~.~
C~' ~ Issue Date:
application Date: ~~~ Z9
0 , I ~~'~"~ C~~ . ^ SEE ATTACHEDSHEET
JOB ADDRESS N TRACT PHONE
BLK. ZIP
LEGAL LOT NO.
MAILADDRESS UCENSEI
1 • DESCR. ~1,~ PHONE ~~~~
2. OWNER -~~ 1^ ~~ i ~ ~ Z
J 1 ` ~ MAILADD~ ~~ ] ~GLIRf" 4"
CONTRALTO i /
^ REPAIR ^ MOVE
4. USE OF BUILDING
ALTERATION
^ ADDITION ^
5. Class of Work: ~ NEW ~ ~ `~~~2_.~
~ti~~ w ,
6. Describe Work:
7, Sq, Footage Of Structure (Indudi"96asemenia"d Garage). Change Of Use TO:
g, Change of Use From:
g, Valuation of Work: $ ^ No ^
Floodway Yes ND ^
10. Floodplain: F,;R9a Yes^
11. Current Zoning:
12, State Fire Marshall Required: Yes ^
13. Special Use Permit Required: Yes ^
aired: Yes^ No^
14. Variance Req
Side _
15. Minimum Setbacks: Front^ ~ Waive
16. Sidewalk Required: Yes
^ REMOVE
Elev. Cert.
Dev. Permit
RFE Complete Plans Attached ^
No^
No ^
Rear _
:r Approved -
PLANS CHECKED BY APPROVED FOR ISSUANCE BY
APPLICATION A~CEpTED BY
Site Plan Attached ^
Approximate Completion Date aired and Fees
Inspections Req
0~ Utilities
Water Tap
Sewer Tap 7 ~ ~ U.
~ ~ Water Service
Sewer
Remote
Septic
Building
Dryvuall
Footings (before finish)
Final
Framing
Electrical
Permanent Service -~
Rough-in Temporary Service
Final
~ApPROVED . osedworkinaccor a of Blair and the State o
I hereby agreeto perform the prop Mechanical
above an in acco a ce wit the codeslordinances of the Ciry
t1 Perini is void if work is not commence wone fo~sia (6) A\C
sk .under to of the ale of issuance, or if work is a Rough-in
s not co leted 'th'
on longer ichev _ TE Final plumbing
SIG U E OF OWNERICONTRACTOR OR AUTHORIZED AGENT Ground Work Final
Rough-in
DATE THIS IS YOUR PERMIT
SIGNATURE OF OWNER (IF OWNER BUILDER) IN THIS SPACE)
WHEN PROPERLY VALIDATED (~...,,,,,,prf 13v: n ~ ,.
NOTICE
ment of the
Separate p rmits are required for el sctnaturelbelow9l acknowledgeilihat P ermt! (further
tinning, and septic systems. BY my g lication shall not be commenced until I
building permit application fee does not constitute issuance of this building p
agree that construction covered by this permit app
have received a copy of this applicationform signed by the Building Inspector and stampe
d ncewiththespecificalionssetfortlf
POUNDS PRT6: Blelr, NE
,cAT-o~
IV~e~ AP P L a
®INGj ~~~ Nebrask
` ~~1~ Jurisdiction of City of Blair, ~ ~
218 South 16th Street permit
Blair, Nebraska 68008
(402) 426'41191
L ~ 91~ Permit Fee: $ ~O~
~~ ~~ ~~ Issue Date:
application Date: ~ o
SEEATiACHEDSHEET
// /~~ /~ ~ TRACT '•^ PHONE
JOB ADDRESS `/
LOT N0. AIL ADDRESS /
1 • DESCR. PHONE., ,^
pWNE MAIL ADDRESS ~ ~ ~ ~ G'?~
2. ` ~
3 CONT CTO G MOVE ^REMOVE
REPAIR
4 USE OF BUILDING ~ ALTERATION
~ ADDITION
5. Class of Work: ^ NEW
6. Describe Work:
Footage of Structure (ln~luaing BBSement ana GBrBgB): Change of Use To:
7. sq•
g, Change of Use From: Elev. cer~•
g, Valuation of Work: $ Dev. Permit
No ^ BFE Complete Plans Attached
Floodway Yes^ No ^
Fringe Site Plan Attached ^
10. Floodplain: Yes^ roximate Completion Date
App Inspections Required and Fees
11. Current Zoning: No^ Uttl-ttes
wired: Yes ^ Water Tap
12. State Fire Marshall Req No ^ Sewer Tap Water Service ~
3, g ecial Use Permit Required: Yes ^
1 p No^ Sewer Remote
wired: Yes Rear Septic
14, Variance Req Side ~ Building
15. Minimum Setbacks: Front ~ Waiver Approved ~ prywall
uired:Yes^ N~^ FOOtIngS (betoretinish)
APPROVED FOR ISSUANCE BY
16. Sidewalk Req Final
PLICATION ACCEPTED BY PLANS CHECKED BY Framing
NOTICE ventilating and air condi• Electrical
lumbing, healing, a that payment of the
Separate permits are required for el s~t~a ure below, I acknowledg ermit. I further permanent Service ~
tinning, and septic systems. BY my g Rough-in Temporary Sevcice
lication fee does not constitute issuance of this bull ing
building permit app , this ermit application shall no Ins ecto and stamped
IicatlonformsignedbytheBuilding P Final
agree thatconstructl ofthisapp by p ecificationssetforlh
havereceivedacopy ~.U Mechanical ~C
a reetop ro osedworkinaccordancewilht es
•AppROVED'. erformthep p of Blair and the State of
Thereby 9, A\C
above and In accordance with the codeslordins uancef the Ity
land that this permit is void if work is oo1f Work s abandoned fo~s x (6) Rough-in
Nebraska. Ileied within 2 years of the date of plumbing
is not comp t Final
the nger, whic ver is ea DATE
UTHORIZED GENT Ground Work Final
S' NATURE OF OWNERICONTRAC70 R Rough-in
DATE E) T YOUR PERMIT
WHEN PROPERLY VALIDATED (IN THIS
SIGNATURE OF OWNER QF OWNER BUILDER) Approved By:
Comment:
ppUNDS PRTG: Blelr, NE
. ppLlcATI®N
NG PERMIT A ebraska
BUIL'DI of Blatr, N
Jurisdiction of Clty
218 South 16th Street permit
Blair, Nebraska 68008
(402) 426-4191 i 2 ~~~
c ~ Permit Fee: $
9 ~ C1' ~ ~ ~
U ,~~_C'(~ Issue Date:
application Date:
LEGAL LOT NO.
1 • DESCR. I ~NIAIL ADDRESS
2. OWNER (J ~ ~~~1~ UC~~1 "~ / ~ ~~IL DDR r~S (9 ~ Z
CONTRACTOR ~. Lam? '~(~ ~-{ 1 (~ " `d ~ ~~lX -
3. ~i C F--
4. USE OF BUILDING
^ADDITION ^ALTERATION
5, Class of Work: NEW
6. Describe Work: t--4ESl e~~- ~ ~-e ~~U C
'], Sq. FOOtag@ Of StrUCture (Including Basement and Garage)
$, Change of Use From:
g, Valuation of Work: $
Yes^ No ^
Floodway No ^
10. Floodplain: Fringe Yes^
ZIP
^ SEE ATTACHED SHEET
PHONE
PHONE n ~ ` Cf
,~~~ (/^ /
^-R ^ MOVE
Change of Use To:
^ REMOVE
Elev. Cert.
Dev. Permit
°°° Ito Plans Attached ^
11. Current Zoning: No^
12. State Fire Marshall Required: Yes ^ No ^
13. Special Use Permit Required: Yes ^
aired: Yes No ^
14. Variance Req ~ Rear
-Side
15. Minimum Setbacks: Front No^ Waiver Approved -
16. Sidewalk Required: Yes^
PLANS CHECKED BY APPROVED FOR ISSUANCE BY
APPLICATION ACC PTED BY
-~-~ U~-
Comps
Site Plan Attached ^
Approximate Completion Date aired and Fees
Inspections Req
Utilities
Water Tap
Sewer Tap
Water Service
Sewer
Remote
Septic
Building
prywall
FOOtIngS (before finish)
Final
Framing
NOTICE Electrical
ment of the
Separate permits are required for elsctnaturelbelow9l ackniowledgeilthat p e fma1 I further _ perrnanent SerVICe
iioning, and septic systems. BY my g lication shall not be commenced until I Rough-in ~ U~
building permitapplicationfeedoesnotconstituteissuanceofthisbuil Irlgp U ~ Temporary Service ~
agree that construction covered by this permit app Final ~ ~
have received a copy of this applicalionform signed bythe Building Inspector and stamps
`APPROVED . of Blair and the State of
I hereby agreeto performthWith the codeslordinan es of the iCitymenced within 1t)Otdays, Mechanical
above andin accordance A\C
Nebraska. I understand that this permit is void if work is no co Rough-in
is not completed within 2 Yea is ea I estte of issuance, or if work is abandoned for six (6)
months or longer, whichever T DATE Final plumbing
S ~U OF OWNttt
IGNATURE OF OWNER
Comment:
POUNDS PRTO: BIaV, NE
iNTRACTOR OR AUTHORIZED AGEN ~ ~y Ground Work
~,(~ i ~ Final
"° ~~ _"~ DATE Rough-in
OWNER BUILDER) THIS IS UR PERMIT
EN PROPERLY VALIDATED (IN THIS SPACE) 9
WH Approved By: ~~
~' ~~ _
:o ~ z
~: ~
a.
,:
W
~ ', a 3 ~ ~
N W ~ ~ ~ _ N
t C - W ~ w :a ti x a-~ c~ x
`
O ~ ~
~
~
w
z °~
a
^
3 ~ > ~'
U ''
~ ~
W
~
~ a- ~
~
O
~
~ z
°
~
~ .~ N ~ w
^ w ~
^ ^ ^ a
t
^
r
k
V ~ p
W O E
~ ^
f.7 ~
~ ~ O
H 3 ° ~ ~ a ~ ~~' ~ 5 ~ W
A ^ ~ ~ ~ F ^ O 0 ^ ~ ^ ~ R
Fi
~ ~
•~ w
~
~
°
~
~
~
w
r0.n
C7
°'
F
C
~
~
,~
U
~.
x
3 ~
i7 ~ O 6
ss
~' O z
O ~ w y ~ ~
~ O ~ ~ ~ ~ j ar O F
~ ~ W w a O a ~ U a w U ~ 5 O O
~ ej a
o ;o:;
z z;
^ Cl::
.'
~.: Q=.
U ~-
'~ ~ .''~
~ ~ ,''
'~
1 0 -:y
o ~ .- ,
'w{
O_
;'~.i;:
~~
U~-'
~ °~'
ZO ~G
F~i1?
w N~;
bcv::
h w .r1F
~"
Op - ar
O W 'Q
~ U S
. -,~~-:d
} T " ~~- '.41 -.,}4': ~y, ~. S'.~Y - mil' ~"F ~-~ F .. ~ ~ 2 .l _ _-'
t .. ~ _ - ~ D
T~ Q
- ~ -.. \ -__ _-_. _ \~ ~ ~ L
O ~ ~ ~ z
a ~ ~ '~v. ~ n 1 ~
~ ^
1~ o °z ~
F-1 f~ v E" p U'`- "CJ ~ ^ ~
z
v. ^~ `M ^ ^ o ~ ° ~ ~.
W ~ ~ ~ ~ _ ~ Q
o ~ A
Zi 3 0~` ~ ~ a ~ ~ v v ~ ~
A ^ ~ udi w y ~" 3, ~ ~ ~ ~z0.
-' w ~ °O"? ~°i, c5 ttF~~ w e ~' ~ c~a ~ i~ z o ~ ~ ~ o
M w z O "~ n, "' c7 ~ [~*r ~ O ~ U ~rL j Z' O F ~ O O W
~F~"II O O p vy' y~ p ^Z' O ~ {3~] F O 7," O pp~~~~aa K -~ ~ W w
V SRI] q W~ .Qj ~ ~ VJ C~ W C 4 ~ w' ~ ~ a F H Q
~ o `i
~. ~
` ^:
-~
,: ~ -_
V .
p"
ui '
z .~_ °
O w .
w '~
4 U
.. ~ EMIT APPLICATION
~VILDIN~ P of Cit of Blair, Nebraska
Jurfsdlctfon Y
218 South 16th Street ~ ~ ~~
Blair, Nebraska 68008 permit
(402) 426-4191 ~f
,D ~
_ ~ ~, ~ -~~~ Permi Fee: $
Issue Date:
Application Date: ~ ~' ~ -~ ~
J08ADDHtSS /~ 6
LEGAL. LOT NO.
1 ' DESCR.
2. OWNER
3. CONTRALTO
USE OF BUILDING
4.
5. Class of Work:
6. Describe Work:
Footings Drywall
(before finish)
Final
Framing
n oc~An\/F
MUVt u ~ ~-•-•
ALTERATION ^ REPAIR
n ADDITION ^
~ n_ G..+...... ..-t ea., ,..+, ,rn n-,.1„Ann RasalnBRl and Garage):
. vy, , ..,,..,y., v~ .,.. ,.....-. _ ~...- --- -
n nL_...... ..t 11._ t•---.«•
~ e ..L.. L,( u~ ^ SEE ATTACHED SHEET
PHUnt
LICENSE
Change of Use To:
p, vnauyv yr v.~c 1 Ivui.
g, Valuation of Work: $
i(1_ Flnndolafn' Floodway Yes^
~ a ~ .~
BLK.
MAIL ADDRESS
~ MAIL ADDFjES:
No ^ Dev. Permit
.,_ n BFE
rringa ~cau -
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
APPROVED FOR ISSUANCE BY
APPLICATION ACCEPTED BY PLANS CHECKED BY
Elev. Cert.
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees ~
Utilities
Sewer Tap ~5' ~ ~ Water Tap
~ ~p ,o D Water SerVice~ ~O `O ~
Sewer ,~ ~
Septic Remote ~
J
Building ~~
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 tee does not constitute i I cat on sha Ilnot be commeniced uni'I I
agree chat construction covered by this permit app'
have received acopyoflhisapplicationformsignedbytheBuildinglnspectorandstamped
'APPROVED' .
Iherebyagree iopedormtheproposedworkinaccordancewiththespecificationssetfort
1 d' antes of the City of Blair and the State of
Electrical
Rough-in Permanent Service
Final Temporary Service __-
above and in accordance with the codes or In Mechanical
Nebraska. I u riderstand that this permit is void if work is not commenced within 1 SO days,
is not comple within 2 years of th a of issuance, or if work is ab doned for six (fi) Rough-In A\C
months or I r w 'chever i ea ~~ 3d ~! S
DATE Final plumbing
IGNATURE F OWNER-CO RACTOR OR HORIZED AGENT / ~' ~ O
Ground Work Final
DATE Rough-in
SIGNATURE OF OWNER (IF OWNER BUILDER)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
_ Approved By: ~ ~ , ~~ ~,
POUNDS PRTG: B1 et, NE
u~~~ ~~~ ~°~~
_~
_ __ /_s _ r
IH
~~ F ~
}
I w ,~ ~
~
Z ~ ~ ~ z
~ a
E
^
U ~
a ~
~
0
o~
~
-
N
w
O
v
~ yF
A ~'
~
J
~~
~ ~
~
~
h+l
: W O
l' O< O (~
O Wa
p ~
W
~i
,
~y~ ~~ ~
~~~
W
°d
F N ~ ~ ~
G
~' a ~ 5
3 ~
~
^
^ ^
~
~ ~
x
a' -W- W Ci ~ ~ : ~
F o o a o o ^ ^
~uv~ U y `[~ z
d µ~j ~ F-_•
~ ~ W
h V ~ ~ N
O o o ^ ^ F ^ o ~
, z +q
4 C
F J ~ W
2 y
~ Fi
~ p ~k 6
~d r~ ~ ~ FO U ~ ~ C ~ C
7
' ~ ~ ~. ~ [~ O
~ ~ W ~ W ~
^
~ U
` ^
a
^
~ FO
~ ^. ~ ^. ^ w c
„ z
a
~~
U ^ ''n1 ~
V 1
O Q
O
H 3 zo.
A ^
~ ~ o ~
//~~ W o
p ~`~ a
~~.,.z
-~
5 ~
~ ~
x
o z
~ a
A ,~
~ N
1
~ ~
a ~ ° s
o ~ ^
0 0 ~o ~ ^
~
x
W \\\ ~ F ~
_1 6
C
F D D 0^ ^
s ';
~,
z
E~^. ~
ti
^
W
~
3 5 a
^ ^ ~ ^-
"
a O
~
~ -
W
~ ~'
~'
~
~ F
~
~ a 7
o ~ v ~ ~
\ O
3
3 ~ ~
"^ ~'
F o
~ e
W ~ O ~ a ~. OK
~ w O
~ a U a-
~ .w ~ a ^ ^ ~ ^
^ m a
~- - a
~ ~ ~ ~ `~ ~
x ~ o z ~ ~ ~~~~3 ~~o~ ~
zo ~~ ~ ~- ~ ~ ~ o ~~~~ ~~
a ~' 3 ~ 5 ~ y ~ ~~
w ~ U ^ ~ o ~~g ~ ~ ^
FO A y W- ~ F ~ OOry} a¢.
C7 ` F ^ ^ ~ ^ ^ ^ ~lL
o = ~ ~ y z ~'
y
H 3 0 ~ ~ w ~ ~ ~ v ~
A ^ ~i~ u~ ~°' o h 3 ~ ~ a ~. I
F~'I f: Ot ~ ~ rail ~ Lrr Z FQ L*,7 W O ~. C7 ~ ~ = Z ~ N ~~
A O O E" ft31 ~ E' O O '~~" U O~~
~+ o ~ a °' °' ~ ^ ~' O :~ w a W ate' ,°~
m
z z
U
5
~ ~' _
W
U V
o
O
O
y
j ~ O
w
~ O ~
7 ^ U
^ ..[
^~
y
~. W
U
I
O
o
. ~ s
ti a
~ o -
O ~
.~
G .. : U .. .
O.
l
.] -
Qi
U
0
~-
~n
F
U'
~.
~~
{?f'
~:~
c,~{ '
:-
i!
if
9'_?
a
z z'-
^ o
o .o
I ~ U
5
~~~
;~
U
I O C
~ <
L
~ 1
~ E
o E
[`6-~; Li
v] Pte. .~
' O L
WO ~ C
~ E
o -;,
^ ^ ^ D a
m
D ~ ` ~ o ~ ~ p ~ ~ ~~
V z ~ m ° ~ d d
b.
~ c ~ 'b
~~ ~ ~ z ~ ~
o ~ ~ ~ ~
~~ F ~ _ ~ ~ ~ ~a ~ z
m Q1 ~ ~ hn ~ ~ ~ -
~ o ~ d `\
~^ ~ ~ ~c _
n ~ ~ o ~ ~ ~ ~
~ ~ n ~ ~ ..
~o ~ ~ ~
~ ~
~_µ~;;
~~i l~ ~i~