BP9423~~ ~ I~ i
Permit #: 9423 Issued: 11/14/2002
Completed: 07/31 /2003
Location: 650 Industrial Road
Owner: PGLA
Address: 650 Industrial Road
Blair, NE 68008
Phone: 402 533 1756
Section: Township: Range:
Subdivision: Lot:
5' x 10' vestibule entrance to control room on second floor of PGLA plant
Contractors
Cargill
General Contractor
Remarks
Permit Fee: 270
Issue Fee: 15
Deposit Amt.: 200
Receipt #: 7955
Block:
Permit # Issued
Inspections Date By
11!21/2002 DEM Conference Pass
07/2212003 DEM Final Inspection of Project Fail
07/31/2003 DEM Final Inspection of Project Pass
City of Blair Building Permit Detail
Type: Industrial/Commerical -Additions
Valuation: 11088
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~~~ BUILDING PERMIT APPLICATION
~ ~F• ~ moo"'' Jurisdiction of City of Blair, Nebraska
Permit Fee: Z 218 South 16th Street
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Issuance Fee: l Blair, Nebraska 68008 9 4 2 3
Receipt #: ,~ ~ (402) 426-4191 • Fax (402) 426-4195 Permit
Deposit Receipt #: ~ g ~~ ,~rb ~
Issue Date: ~ ~'"~ "~~ Type:
JOB ADDRESS
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LEGAL
1 . DESCR.
^ SEE ATTACHED SHEET
NER
2, , MAILADDRESS p ZIP
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WORKICELL PHONE ~~.-("~SL
CONTRAC R
3, MAIL ADDRESS ZIP HOME PHONE
WORK(CELL PHONE
4. Class of Work: Q NEW ASEMENT
ADDITION Q REMODEL Q OTHER O FINISHED BASEMENT O UNFINISHED B
5. Describe Work: ~' ~( CSI v~~'~sh-~~J~,l.. (~1~(;C~I~,Q.... `~ ~~1'l~'l~~ R
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6. Valuation of Work: $ ~ ~ ~~ -- Total Sq. FOOtage pncluding Basement and Garage): ~~
Total Finished Area:
Floodway ^ Yes
7. Floodplaln: Fringe ^ Yes ^ No Dev. Permit
^ N BFE
Elev. CeR.
8. Current Zoning; /
9. State Fire Marshall Required~es
10. Special Use Permit Required: O Yes
to
~No
11. Variance Required: 0 Yes No
12. Minimum Setbacks: Front ~ Side .~ Rear
13. Sidewalk Required: Q Yes ~ 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 by the Building
Inspector.
I hereby agreeto 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.
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SIG ATURE OF OWNERICONTRAC70R DATE
Comment:
MEET IBC, IRC~IPC; IMC AND NEC CQDE REQUIREMENTS
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Q Site Plan Attached D Complete Plans Attached
Approximate Completion Date ~ ~ - I S • u ~-
Inspections Required and Fees
Utilities
Sewer Water Service
Septic Remote
Building
Footings
Framing
Stop Box Card
Drywall
(PRIOR TO TAPING)
Final
Electrical
Rough-i Fixtures
Final
Temporary Service
M hani
Roug ,n _
Fina
Plumbing
Ground Wor
Rough-i Final
WHEN PROPERLY VALLDATECNtN THIS SP
Permanent Service
A\C
PERMIT
Rev. BI96
POUNDS PRTG: Blair, NE
BUILDING INSPECTION REPORT
V~
CTI'Y OF BLAIR ^
SHINGTON COUNTY ^ OTHER
v
LOCATION OF INSPECTION: ~~
~ ~`
" ` ~~
NAME OF OWNER:
'
CONTRACTOR:
DATE INSPECTION REQUESTED: ~~ ~ TIME INSPECTION RE
UESTED
~ ~
Q
:
PERMIT N0:
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CFIECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASSED
^ FA,I~LE/D~
I~
COMMENTS: ,
~/
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED - FAILED
^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY RANTED
NOTES/REMARKS:
FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY
BUILDING INSPECTION REPORT
K~
CITY OF BLAIR ^ W HINGTON COUNTY ^ OTHER
LOCATION OF INSPEC,'I'I(1A1: ~~`"r ~~I~L
NAME OF OWNER: ~~ ~ ~ e / CONTRACTOR:
DATE INSPECTION REQUESTED: // ~ ~ Q IME INSPECTION REQUESTED:
~_ G~ O
PERMIT N0:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
^ OCCUPANCY GRANTED ^ CONDITION L OCC CY,GRANTED
NOTES/REMARKS:
DATE OF INSPECTION MADE:
FAXED OPPD~BURT REA
TO CONNECT SERVICE: ON
G
TIME: ~~ irG~
BY
z
v CITY OF BLAIR
Bi~ILDING INSPEC~ION~i;EPOR~
^ W-A7SHINGTON COU,N~TY(j ^ OTHER
LOCATION OF INSPECTION: ~ ~ r ~ ~ ~""~.0
NAMl OF OWNER: .CONTRACTOR:
DATE INSPECTION REQUESTED: v ~ TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED;
BUILDING: ^ FOOTING ^ DECK FOOTING
~' uv
^ CONFERENCE ^ STATUS CHECK
^ DRYWALL ^ FINAL ^ PARTIAL PASS FAILED
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^
COMMENTS:
ELECTRICAL: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS FAILED
^ PARTIAL ~ ^
COMMENTS:
MECHANICAL:. ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAiI:ED
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
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~~o~~se of °-ud\~
BUILDING PERMIT DEPOSIT AGREEMENT
A $200.00 refundable deposit is being collected at the time of your building permit
application for all permits $10,000and above. However, the City reserves the right
to not refund this deposit if any of the following conditions occur during the
construction period: 1) theft of water service by either the plumber, owner or general
contractor, 2) all required inspections have not been obtained (this includes drywall
prior to taping), 3) occupancy occurs prior to a final inspection, 4) all permits have
not been obtained, and 5) the project is completed without a final inspection being
done. 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 SHALL be forfeited or discounted
upon the discretion of the City of Blair, Building and Inspections Department.
~~.~-
Contractor/Owner - Contractor/Owner
City of Blair
~l ~ ~ ~-
Date
/_\
_~
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cilyofblair@huntel,net oP ,,,
CITY OF BI,~II~
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'~r~
o~~se of
BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing with particular code
requirements and/or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2000 International Building
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.
Owner/Occupant
City of Blair
~~~~
L~ _
Contractor
~~ ~ ~ z
Date
~_
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net