BP8240Permit Fee:
Issuance Fee: -
Deposit Receipt #:
BUIL®IIVG PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 8 2 4 0
(402) 428-4191 • Fax (402) 426-4195 Permit
Application Date: ~~ 1 ~ g Issue Date:
JOB ADDRESS ~ l0~'~ ~0~`~
LEGAL
1. DESCR. LOT NO. BLK. TRACT
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TTACHED S
HEFT
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2.oWNER aVl ~ ~ I h ' M`lL}1D~33 n'
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~Z~ `t LC7 HOZ.I~
CONTRACTOR
3. IL
ADDRESS
MA ZIP PHONE
4. Class of Work: O NEW O ADDITION ~ REMODEL
5. Describe Work: - h r, ~~ ~ ~~. O Finished Basement O Unfinished Basement
6. TOtal Sq. FOOtage (Including Basement and Garage): TOtal FInlShed Area:
7. Valuation of Work: $
Floodway O Yes
8. Floodplain: Fringe O Yes O No
O No Dev. Permit
BFE
Elev. Cen.
9. Current Zoning:
10. State Fire Marshall Required: O Yes
11. Special Use Permit Required: O Yes
12. Variance Required: O Yes O No
O No
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 copyof this application form signed bythe Building
Inspector.
hereby agree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codes/ordinances of the Ciry of Blair and the
State of Nebraska. I understand that this permit is void if work is not commenced within
180 dayspr is not completed within 2 years of date of issue.
SIGNATIUR~E OF OWNER/CONTRACTOR DATE
Comment:
O Site Plan Attached O Complete Plans Attached
Approximate Completion Date
Inspections Required and Fees
Utilities
Sewer_
it Septic _
Water Service
Remote
Stop Box Card
Buildin
Footings Drywall -
(beforefinish)
Framing Final -
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final -
Plumbin _
Ground Work
Rough-in _
A\C
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By: /~ ,~ A --
Fixtures
Permanent Service
POUNDS PRTG: Blair, NE ~ Rev. 8196
August 4, 1998
David Bohling
1465 Front Street
Blair, NE 68008
Re: Temporary Sign
Your application for a temporary sign has been approved subject to
the following:
1). The sign must comply with Resolution 1997-37
2). You must plant a stake at the location of the proposed site and
contact Warren Whitaker, Public Works Director, at 426-4191.
Warren will then inspect the area to ensure public safety and
contact you to initiate with the construction of your sign.
3). Before construction, you must notify Diggers Hotline at 800-
331-5666 to locate all utilities.
If you have any questions feel free to contact me.
Sincerely,
Rodney A. Storm
City Administrator
CC: Warren Whitaker
CITY OF BLAIR
Application for Building Permit
PLOT PLAN
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Address ~ Date ~' ~ •- ~,~
Legal Description: Lot Block Addition
Please-show all measurements of existing and contemplated structures,
also show distances between structures, etc,, and property lines,
Is this a corner lot?
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Indicate North
Pro ert Lane '
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_ _Center Line_of _ _ _ ~ Street_ _
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Applicant ~ cJ i ~6 ~~~~~~~
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