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BP7877The City of Blair Building Permit Detail Permit #: 7877 Issued: 07/25/1997 Completed: 08/18/1997 Owner: Mitch Sorensen Address: Rt 1, Box 80 Blair, NE 68008 Type: Pole Barn/AG Barn Valuation: $36,000.00 Permit Fee: $100.00 Issue Fee: Deposit Amt.: Receipt #: Phone: Section: Township: Subdivision: Pole Building Inspections Date By 08/18/1997 KAR Range: Lot: Final Inspection of Project Block: Pass Remarks Contractors Morton Buildings, Inc. General Contractor Permit # Issued Re ~ ~ ~57f / ~ ~ ~. ~ ~ BUILDING PERIVIIT APPLICATION ~ ~~ COQ Jurisdiction of City of Blair, Nebraska Permit Fee: _ 218 South 16th Street Issuance Fee: ~ 5 - ~~~ Blair, Nebraska 68008 7 $ 7 7 Deposit Receipt #: ~~~ (402) 426-4191 ~ Fax (402) 426-4195 Permit Application Date: ~ ~- ~ ~ ° ~ ~ Issue Date: ~ ~~ JOB ADDRESS n ~ f ~U ~ ~~ ~` 1 LEGAL 1 . DESCR. LOT NO. ~ 1 ' SE I `~ 3fp~ BLK. ~ ~ ~~ ~ TRACT ^ SEE ATTACHED SHEET 2.OWNER ~ I ~ ~Q~~ ~~~ V ~/ DqE ~ // ZIP PHONE MAIL ADD RESS CONTRACTOR 3. I'Y16 2~ n ~ l c~ ~-~c. ~~~ o ~ Px,x °i ZIP PHONE Y~l c~r-~n ;~ L ~ /~~ 7r Z - ~~ 4. Class of Work: t'~NEW O ADDITION O REMODEL 5. Describe Work: ~ ~ ~ ~ P~ ~ ~ ~ X ~ Cj~ ~ O Finished Basement O Unfinished Basement f). Total Sq. FOOtag@ (Including Basement and Garage): TOtal FInlShed Area: 7. Valuation of Work: $ 3~ ~a Q . p Floodway f7 Yes f7 No 8. FIOOdplain: Fringe O Yes O No Dev. Permil BFE Elev. Cert. 9. Current Zoning: ~~~~ 10. State Fire Marshall Required: O Yes O No 11. Special Use Permit Required: O Yes O No 12. Variance Required: O Yes O No ©,.~. 13. Minimum Setbacks: Front ~ Side ~~ Rear ~~ 14. Sidewalk Required: O Yes O No Waiver Approved NOTICE 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 a copy of 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 thatthis permit is void if work is not commenced within 180 days or is not completed within 2 years of date of issue. SIGNATURE OF OWNERICONTRACTOR DATE Comment: ~~~~~~~' ~~~' Site Plan Attached O Complete Plans Attached Approximate Completion Date ~ - ~ ~ ~ ~ Inspections Required and Fees Utilities Sewer _ ~71 Septic Remote Stop Box Card Buildina Footings Drywall F i (before finish) Find/ ~~~~~7 ram ng i o~ 1-~t'1- Ci-~~ Vrc_a~~ Electrical S ~~ Rough-inl Fixtures Fina~ Permanent Service Temporary Service Mechanical Rough-in _ Final Plumbin Ground Work Rough-in _ Final WHEN PROPERLY VALIDATED~(IN THIS SPACE) THIS IS~tOUR PERMIT Water Service A\C POUNDS PRTG: Dlair, NE Rev. 8196 ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 permit 017 5 (402) 426-4191 Application Date: ~ ~ ~~~ ? Permit Fee: $ ~~ ~~~ JOB ADDRESS ~~ ~ ~ ~ ~~ LEGAL 1 • DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET 2 OWNER r MAIL ADDRESS ZIP PHONE 3• CONTRAC 0 ~~ ~~`.~ ~ 1 MAILADDRE~~ J ~ ~ r f~~~ ~~~ ~~C~ SE~~/Q 4• Class of Work: O NEW RESIDENTIAL NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5• Describe Work: ~C~IL°. f~~L - ~r~G~fr ~ G~~! 6• Current License on File Yes O No O NA ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service......$10.00 101-200 Amp Fee ............................ $ 18.00 Tem ora Service $10.00 p ry ................ 201-300 Amp Fee ............................ $ 30.00 p ............................ 301-400 Am Fee $ 42.00 $ Fire Alarm S stem 10.00 y """"""""' 401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00 501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 f b IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 /fJ •~ Eachadditional100Amps.......,... $ 13,00 Amp Fee + CircuitTotal NOTICE New Residential: (Finished Area) I hereby certify that I have read and examined this Single/Two Family Dwellings application and know the same to be true and correct. All sq. ft. x .045 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 Receptacle/ witch Outlets ~ 2 • ~~ Fixtures x $.75 - law regulating construction or the performance of construction. Residential/Commercial Appliance # Fixect Outlets x $3.00 Power Apparatus (220 Volts) aratus x $3 00 # A pp . SIGNATURE OF CONTRACTOR OR A THORIZ AGENT Permit Issuance Fee ............. $15.00 / ~ ~~~ DATE TOTAL ~~~-U WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blair, NE // Rev. 12/95 ~ ~ tl I ~ I O~ I l ~ -~~ ~~, C 71 I { i I 1 ~ G ~ 4 ~~, ~ ..0 -~ 1 own Sys ~,_ ~oc~ 1 I I ~ I I+ i I i I~ ~ ~ I ~ I I I ~ I { t ~ I d -(f I ( L I r ~ ~ I ~ p4 I I ~ 4 I i ~ i 9 ` i i J ~ i g ~' d ~ i 1a ~ ~ 3 I i ~ ~ r ~ i i ,. ~ i ti. i i ii I~ t. M ~~~~, . -~ ~~, City of Blair 218 South 1 bth Blair, Nebraska 68008 402-426-4191 Fax - 402-426-4195 ~' promise 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 occur 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 / o~~ Date EOU~LNWSINd OPPORTUNITY Contractor/Owner a 0 -~ °z ~V n~ a 0 z° ~ ~ ~ r z 3 ~' o C x a ~" ~ x' o A "~ ~' "' r• ~ ~ ~ ~ x - ~ a x ~ ~ ° ~ ~ ' ~ ~ ~ ~ o rZ r ~ ~ r m b , , ~ ~ ~ ~ ^ ^ ^ ~ a o ~ ~ ~ ~ z ° ' ^ ^ ^ ~•~ S ^ ° ~ ~ ~~ ~ ~ x ~ o ~ n d y ~ . ~ ~ S D ~ ~ ~ ` ~, y d z o ~ r D ~ r ^ ~ O ^ x b ^ p ~ A o y e o ~ x ~ ~ z ~ ~ x ~ r v~ ~ ,u 7C ^ ~3 ~ z ~ A S n ~ ~ .~ ~~ ^ ^ a ^ Ti ~ ~1 _: d ~~ ~ 0 ~.(` ~ yy~ t^ .. ~ a ~, 0 ^ ~ o d o ~-~ c~ C] r ^ ^ ~ ^ y y ~ O h1 d ~ O '-' o ~ ' z ,~ ~ ~ ~ a ~ ~ ~, b ^ ~ ^ r'~ z ~ ~ ('] Crl H O a b a -- ...~~° ~~ _y 0 z p C d a ~ z ~ o a ^ ~ c~ o~ o _ 0 z 0 z ~ b r p ~ p ~ ~ ~ ~ ~ ~ ~ z ~ ~ ~ ^ ~I1 ~ ~ ~ ~ ° ~ Z `'~~ o '~ c`r ~~ ~ O U~ ~ ~ ~ ' ~ ~~ ~ ^ ~ ~-3 b ~ ._. ~ O o ~ ~ Z ~' ~~' elf ~ ~ ~ ~} "~= 1 Q~1 ~ ~ -` y ~.. , ~ ~~~ ~.:,, ~ ~ ~ a . ~ z ~ o~~ a A z~ "` z n ° , o z ° `:: ~~~ ' ~ ~ z o ~ ~ r. ~~. ~ ~ y z° ,o z ~ rr, p ~ f7 o ' r 1, ~ ~' '~'~° ~ ~ ~ . ~ d ~ °, z H a 0 y~ ..-. .~~ ~~r~- ~, i i w ' o --~ ~ U ~,.+ 1 z c] o ~ ~~ o z !c ~ ~ u ~ ~ _ ` ~ ~ ~.ti. >~ ~q -_ '°~-, S n ~. 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