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BP9883
~ ~Z~~1 Io3 ~~35~~ City of Blair Building Permit Detail Permit #: 9883 Issued: 5/23/2003 Completed: 12/16/2003 Location: 1245 Voss Drive Owner: Kevin & Deette Pendland Address: 111 East Martin Modale, IA 51556 Type: Residential -New Construction Valuation: 235000 Permit Fee: 962.5 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 9190 Phone: 712 645 2503 Section: Township: Range: Subdivision: DEERFIELD Lot: 60 Block: 2 story house, 4 bedrooms, basement unfinished. Will have 1 egress window - 3 car attached garage in front - 3 bathroom - 1 RI in basement; no decks no porches -Lot 80 x 125 Contractors Lifestyle Homes Co. General Contractor Permit # Issued Canon Electric Electrical Subcontractor E1865 9/29/2003 Henton Trenching, Inc. Plumbing Subcontractor P0957 8/1/2003 Northern Contractors, Inc. Plumbing Subcontractor P0964 8/4/2003 Standard Htg & A/C Inc Heating Subcontractor M0982 8/22/2003 Remarks Inspections Date By 6/24/2003 DEM Footings Pass 7/1!2003 DEM Electrical Temporary Service Pass 8/5/2003 DEM Plumbing Groundwork Pass 8/11/2003 DEM Sewer Lines Pass 8/11/2003 DEM Water Service Pass 10/7/2003 DEM Framing Fail 10/7/2003 DEM Plumbing Pressure Test Pass 10/8/2003 DEM Electrical Rough-ins Pass 10/8/2003 DEM Framing Fail 10/8/2003 DEM Mechanical Rough-ins Pass 10/8/2003 DEM Plumbing Rough-ins Pass 10/10/2003 DEM Framing Pass 10/20/2003 DEM Drywall Pass 10/23/2003 DEM Electrical Permanent Service Pass 12/16/2003 DEM Plumbing Final Pass 12/16/2003 DEM Final Inspection of Project Pass 12/16/2003 DEM Electrical Final Pass 12/16/2003 DEM Mechanical Final Pass BUILDING PERMIT APPLICATION ~~~~~ Jurisdiction of City of Blair, Nebraska Permit Fee: ~ ~~~, jb 218 South 16th Street 0 9 8 8 3 Issuance Fee: ~ ~ ~ dC~ (. ~~~ ~ y o Blair, Nebraska 68008 Receipt #: ~~ 9G> ~ t ~(1 ~ 402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: ~~~ ~ p Issue Date: ~~ ~~ Type: ~~~~ ~'~-S~ ~-~ tt1~ JOB ADDRESS I ~ ~ `I ~~ ~ ~~ 1 . DESCR. r-1.JT ~ O ICJ e~~ ~, UG/` ^ SEE ATTACHED SHEEr E ~ 2.~~ In ~- ~~~ ~~~ ~? MAIL ~ DDRESS ZIP yyORK/CEDLL PHONE CONTRACTOR %3 ~ ~ ~ MAIL ADDRESS L,. ZIP ~~~~~ HOME PHONE (~aj~/~[U~, WOR PHONE -- , ~ ~_ ~ I ~ ~~ I 4. Class of Work: NEW Q ADDITION Q REMODEL Q OTHER Q FINISHED BASEMENT NFINISHED BASEMENT 5. Describe Work: ~- 4-.I Y~YYI S .~ +y~Q L U1~1~ ~S VJl ( ~ '('~--~ ~n,J ~ l~ ~h ~sl~ cl ~ c~ ~ ~ 11.~ ~ CC~Y ~'i~ ~ - 6. Valuation of Work: $ ~'~~ t~~ Total Sq. Footage pndading easement and Garage) : ~ (p ~ Total Finished Area: ~''I. Floodway ^ Yes ^ No 7. FIOOdplain: Fringe ^ Yes ^ No Dev. Permit BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: Q Yes 10. Special Use Permit Required: O Yes No ~No 11. Variance Required: Q Yes ,~No 12. Minimum Setbacks: Front ~ Side 7 Rear 13. Sidewalk Required: Yes Q 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 bythis 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 days~~ ~eted iA2 /~Af date of issue. OF OWNERICONTRACTOR Comment: MEETIBG;IRCiMG~I~~GCODEROBUIItEME1~TS~ = SLEEPING ROOMS BELOW THE FO U RTH STOI~f AND IN -BASEMENTS ARE R"T~;~~REDTq HAIfBAN EGRESS WINDOW. Q Site Plan Attached D om lete Plans Attached Approximate Completion Date ~~~' - ~~ Inspections Required and Fees Utilitie S r Wate ice Septic Re e St xCard /Z29 d B it in ~ Footjag~ 6 RIOR TO TAPING) F Ing Electrical ~(~~~ (.,rCl`'~`l- R~~~~ -I/n F'I~i uFes~ ~" Pe~trrL~fService T~1pe ervice R M han' I ~ ~ ~ ~- -in GJ `" PI m in ~L f' `(~ Pl ~l, `~ Gro ork Roygh-i ~ WHEN PROPERLY VALIDATED (IN THIS SPACE)~iIYOb}R PERMIT c Rev. 8/96 POUNDS PRTG: Blair, NE _ ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~ ~ Z~'~~ Permit E 18 6 5 Permit Fee: $ ~~ S ' ~~ JOB ADDRESS ` ~~ ~ ~~ ~ ~ ~`• 1 1 LEGAL DESCR. p SEE ATTACHED SHEET OWNER MAIL ADDRESS ZIP HOME PHONE ~ ~ K 2 ~ C Y 1 ' WORK/CELL PHONE CONTRACTOR MAIL ADDRESS PHONE HOME PHONE 3' ~ (~ (~ (, - I ~, 23~ ~ ~ ~ ~ ~ WORKICELL PHONE ~,~ L 4. Class of Work: EW RESIDENTIAL O NEW COMMERCIAL O REMODELINGIADDITIONS D UPGRADE SERVICE 5. Describe Work: r~~ZG~j'~ LBI..~. L~/12. /Z.ct} I \ 6. Current License on File es O No p NA Completion Date 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 Temporary Service ................ $10.00 201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00 y ................. 301-400 Amp Fee ............................ $ 42.00 Signs ..................................... $15.00 401-500 Am Fee $ 55.00 p ............................ 501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 801-900 Am Fee $105.00 p ............................ Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps .........., $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Area) NOTICE Single/Two Family Dwellings I hereby certify that I have read and examined this 7r' sq. ft. x .045 ~ ZO application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $.75 law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 ,( Power Apparatus (220 Volts) SIGNATU OF ONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 Permit Issuance Fee ............. $15.00 !`~~, f5' ~ y' . DATE TOTAL ~ ,~ ~~ 33 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~~ ~,,, ,.,~~ ooT,. o,_...,~ o......,,,~ PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 ~ /v3 Application Date: P 0964 Permit Fee: $ JOB ADDRESS j~ ~~ 055 /,~,' /~ / ~ MAIL ADDRESS ZIP 1. OWNER Kevrn ~~e~ an PHONE 2 CONTR TOR MAIL ADDRESS PHONE J~or ern ~'b . C~n~ac~Cxs ~51~~ I~~e,Sf mania ~8'~~ LICENSE NO. ~1L3-yi9 3. Class of Work: O COMMERCIAL C~iESIDENTIAL ~IEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~-~~ (,~ S ~ l~~(.~/YI /J. ~ n O Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. Kitchen $8.00 x -1 g ~ 00 ~ ~2 C~C7 Bath .................................... ... $8.00 x Rough-In Bath .................... ... $4.00 x Slop Sink/Laundry Tray ...... ... $5.00 x ~ /D ~ y~ Water Heater ...................... ... $3.00 x -~-- ~ ~ ~ ~ Outside Water Faucet ........ ... $3.00 x ~ ~ 9. ~ ~~ Drinking Fountain ............... ... $3.00 x Water Service ........................$10.00 NOTICE Sewer ................................. ... $10.00 I hereby certify that I have read and examined this Groundwork ........................ ...$10.00 ~_ /U•6y application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals ....... ... $10.00 work will be complied with whether specified herein or not. Lawn Sprinkler System ...... ... $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Sprinkler System ................ ... $30.00 law regulating construction or the performance of (Commercial) construction. Gas/Water Piping System (Commercial) ........................ ....$30.00 ~ ~b ~~. ~--~ C~_ ~~~~~~.~ Permit Issuance Fee .......... ... $15.00 S ~ SIGNATURE OF CONTRACTOR OR AUTHORIZED AeENT TOTAL U 7~ ~-1 DATE Current License on File [Yes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: I ~. ~ (,~- Application Date: PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 0 9 5 7 (402) 426-4191 ~ I i 1(:13 Permit Fee: $ ~r~~ JOB ADDRESS ` ` I' 1o~Y 1. ~ MAIL ADDRESS ZIP 0 NER ~1t1 Q ~ I I ~- G.~ (~ ~~ PHONE - ate'' 2 CONT ACTOR MAID ADDRESS PHONE LICENSE NO. 3. Class of Work: O COMMERCIAL RESIDENTIAL ~EW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4. Describe Work: ~r~a c ~`w~c~, ~~y ~ 1~..esU ~ Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. Kitchen .................................. $8.00 x Bath ....................................... $8.00 x Rough-In Bath ....................... $4.00 x Slop Sink/Laundry Tray ......... $5.00 x Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x Drinking Fountain .................. $3.00 x Water Service ........................ $10.00 ~ tU•~ Sewer .................................... 10.00 $ ~ ~~•~ NOTICE I hereby certify that I have read and examined this Groundwork ........................... $10.00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. Lawn Sprinkler System ......... $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherstate or local Sprinkler System ................... $30.00 law regulating construction or the performance of (Commercial) construction. Gas/Water Piping System (Commercial) ............................ $30.00 Permit Issuance Fee ............. $15.00 ~Sv~ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT TOTAL ~ `S• O~ DATE Current License on File QaFes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~ ~Z1 C~l~~ POUNDS PRTG: Blair, NE Rev. 4/98 ~" MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 M O 9 $ 2 Fax (402) 426-4195 (402) 426-4191 Application Date: ~ ` 410 ~O / Permit Fee: $ / ® ~~~ JOB ADDRESS I 1 OWNE _ _ IL ADD SS a ~ ~ ~ ,~A~ Zle„ ~~~~ ,r' -/~ PHONE tel. • I 2 ON RACTO ' MAIL AD~RE S ~~ ®~Y ,!;HONE ~ ~~ ~ ~ ~ LI~ SE No. ` l 3. Class of Work: O COMMERCIAL ESIDENTIAL NEW O ADDITION O ALTERATION O REPAIR O EPLACEMENT R 4. Describe Work: ~ ~~ Central A/C ~ Tons MECHANICAL PERMIT FEES Furnace ~ ~ ~~~ BTU/H Forced Air/Heat Pump Systems -Per Unit ~S°yJ Commercial/Residential (New) .................................. ................ $25.00 # of Units A/C Air-Conditioner Unit -Per Unit ~ ~' U ~ Furnace Commercial/Residential (New) .................................. .................. $10.00 Forced Air Systems/Air Conditioner i s ,. 3 I r~~ Unit Replacement Per Unit Commercial/Residential . .................. $10.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ... .................. $10.00 Comments: . ~~ Appliance Vent/Fans ................ ........... $10.00 • Boiler ....................................................... $15.00 ~ ~' O J Duct S stem $10.00 y ........................................... ~ Gas/Air Outlets .................. x $2.00 NOTICE Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of ' Modular Home ............................... ......... $15.00 work will be compli h whether specified herein or not. . T he granting of ermit es not presume to give authority to violate or c~ cel the pr vis ns of any other state or local law regulati ,g const cti or the performance of Permit Issuance Fee ............................... $15.00 1~', (`~ (~ i ' construct on r '~ ©' ~ TOTAL r I SIGNA ~ ~ ONTRACTOR OR AUTHC9IZED AGENT I Current License on File Yes O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG.~Blair, NE // Rev. 4/98 4 ~_ ~_~ _° BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHINGTON COUNTYI ^ OTHER LOCATION OF INSPECTION: J Ni1ME OF OWNER: ~~'~' `-~ CONTRACTOR: ~ ~""" ~ ~ IO U,ATE INSPECTION REQUESTED: ~ ~ ~ ~ "' THVIE INSPECTION REQUESTED: ~ ~ 1 ~ ~ a ~ PERMIT N0: ~ V TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^, FOOTING ^ DECK FOOTING ^ FRAMING ; ^ DRYWALL FINAL ^ PARTIAL PASS FAILED COMMENTS ,°: ~ ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: .. r - ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT ^ PARTIAL CON~MENTS:___ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT FINAL ^ PARTIAL COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL COMMENTS: ~- PASS FAILED PASS FAILED PASS FAILED ^ 1 ^ OCCUPANCY GRANTED NOTES/REMARKS: CONDITIONAL OCCUPANCY GRANTED INSPECTO DATE OF INSPECTION MADE: ` TIME: ~° FA~j,ED OPPD~BURT REA TO CONNECT SERVICE: ON BY ~/ BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~ ~ J ~ ~~ NAME OF OWNER: ~~~`~ CONTRACTOR: ~ ~ d ~ ~~ m ~J ~ F DATE INSPECTION REQUESTED: ~ U TIME INSPECTION REQUESTED: ` ~ ~ ~"1 PERMIT N0: ~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING F G ^ RYWALL ^ FINAL ^ PART PASSED FAILE / ~ (/ ~ S ~1 COMMENTS: ~Q' ~ ^ UTILTPIES: ^ SEWER TAP ^ SEWER ^ SEPTIC WA R TAP ^ REMOTE ^ WATER P SSED FAILED ^ PARTIAL ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPO F~0 CT ASSED FAILED. ^ PARTIAL COMMENTS: ~ ^ " MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ AL ^ PARTIAL PASSED 'FAILED- ^ ^ COMMENTS:- _ PLUMBING: ^ GROUNDWORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PAS FAILED COMMENTS:;, ~_.. Ate. ~ ^ . ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER ''' Ia~S ~o~J I~• LOCATION OF INSPECTION: NAME OF OWNER: ~ CONTRACTOR: ~'~ ^°'~~ ° ~~~ ~ ~~~ y ~ DATE INSPECTION REQUESTED: ~ ~ I TIME INSPECTION REQUESTED: ' ~ "' PERMIT N0: ~~ ' sTYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAIL COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ~ ^ PARTIAL ^ ^ COMMENTS: ~ ELECTRICAL: ~ ROUGH IN " u PARTIAL COMMENTS: ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS FAILEp ^ ~ MECHANICAL~ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASS FAILED COMMENTS: ^ PLUMBING: ^ GROUNDWORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PAS D FAILED COMMENTS: ^ OCCUPANCY GRAN N /REMARKS; ^ C, i~ ONAL OCCUP CY G ANTE -j ~d~ L~ ~ ~~`- ~ ~ //~~"'°~-~ ~i~ " G<-C~ / FAXED OPPD~BURTREA TO CONNECT SERVICE: ON BY' c - -- -r-_ ,~~ _ BUILDING INSPECTION REPORT ._ T CITY OF BLAIR ^ WASHINGTO COUNTY ^ OTHER LOCATION OF INSPECTION:. L) ~~~ ~,~~ ~NAM~OFOWNER: ~K/' I~ V`~ 1 CONTRACTOR: ` ~~~~ ~~ DATE INSPECTION REQUESTED: V D TIME INSPECTION REQUESTED: ~ O ~ U~ PERMIT N0: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK'- BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS FAILED COMMENTS: i~.CJ"~~ t ~ ^ UTILITIES: ^ SEWER TAP ~ ^ SEWER ^ SEPTIC WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL COMMENTS: ^ ^ ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNEGT '.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 GRANTED NOTES/REMARKS: INSPEC ATE OF INSPECTION MADE: "TIME: ~ ~~ FAXED OPPDIBURT REA TO CONNECT SERVICE:. ON BY o BUILDING INSPECTION REPORT CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION, OF INSPECTION: ~ ~ ~ ~ V ~J 10-~1~ NAMI~ OF OWNER: ~ CONTRACTOR: / ^~ f 1 ,,j DATE INSPECTION REQUESTED: ! ~ °~~ TIME JSPECTION REQUESTED: 1 V` , ~U_~ PERMIT N0: 1 ~~ TYPE OF INSPECTION, REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILbING: ^ 'FO TING ^ DECK FOOTING ^ .FRAMING DRYWALL ^ FINAL ^ PARTIAL PASSE AILED ~ COMMENTS: ' ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED ; FAILED ^ PARTIAL COMMENTS: ^ ^ ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNEGT 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 GRANTED NOTES/REMARKS: FAXED OPPD~BURT REA TE OF INSPECTION MADE: TO CONNECT SERVICE: ON BY _T - a o BUILDING INSPECTION REPORT .~,_,. ' ~~ ~ ~~ ~ ^ CTI Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER ~ /~ n ~~ O S~ ~ ~ Ul ~[ , LOCATION OF INSPECTION: NAME OF OWNER: ti `~° `~~ ?lam- ~(~'(\,~- ~ CONTRACTOR: ~~r 1 "~ f DATE INSPECTION REQUESTED: ~ ~~ TIME INSPECTION REQUESTED: ~~`A~~ 1N~ PERM IT NO: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ''FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL : ` PASSE FAILED ` f ~ COMMENTS: J ^ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED- FAII:ED ^ 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 GRANTED NOTES/REMARKS: !J/~ E OF INSPECTION MADE: ~ o`T ©~ .TIME: ~a ~( ~~ FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY „~ _,.; ~ BUILDING INSPECTION REPORT ^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY 1^~OTHER LOCATION OF INSPECTION: ~ ~ ~~ 1/~~ J'~ L~J I~,~~ I~ ~ NAME OF OWNER:' 1~ I ~~~ `~~ CONTRACTOR: ~-- ~ ~C 5 ~t.~ I -~ f -~~ ~-y-~ ~ 5 ~ ~ • JJ 11~: DATE INSPECTION REQUESTED: ~ /b~ TIME INSPECTION REQUESTED: I ~` ~~ PERMIT NO: ~ ~~~" TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK: BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED. FAILED ^ ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^-SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL ^PERMANENT SERVICE TEMPORARY SERVICE PRECONNECT PASSE FAILED ^ PARTIAL COMMENTS ~~~ ©~ ~ ^ : MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL 'PASSED- FAILED ^ ^ COMMENTS: PLUMBING: i^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ~ ~ t' ^ ^ COMMENTS: ^ .OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: ..,4 //!~ - FAXED OPP URT REA /~'+~ __- ---_ _~~~o~: . TO CONNECT SERVICE:- ON ~_~ o ~ BUILDING INSPECTION REPORT ^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF $PECT ON: ~ ~~~ " l.l~-S ~ - Pen Ic~,~~ { p ~,~ NAIvIE OF OWNER: ~ . ~ CONTRACTOR: l ~ ~~ /~ ~Y~ DATE INSPECTION REQUESTED: ~ l ~ ~ ~ TIME INSPECTION REQUESTED: t PERMIT NO: TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED . ~ ^ ^ COMMENTS: UTILITIES: ^ SEWER TAP EWER ^ SEPTIC ^ WATER TAP ^ REMOTE WATER SERVICE PASSE FAILED ^ PARTIAL ~ ^ COMMENTS: - - ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED PARTIAL ^ - ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANTHEAT ^ FINAL ^ PARTIAL PASSED FAILED- , - ^ ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^: COMMENTS: - ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED ,NOTES/REMARKS: ~. TIIvIE FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHIIVGTON COUNTY ^ OTHER LOCATION OFINSPECTION: ~ d 7 7 ~~ (T ~ ~ Id 4 . NAME OF OWNER: r' "'v"" ~ ` Q '"'~`~^4' CONTRACTOR: ~~ r ~ ~ '"' 9 DATE INSPECTION REQUESTED: ~ TIME INSPECTION REQUESTED: _ ~ ~ ~ ®IR ~ PERMIT N0: ~GD-~Ojo7 TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK. BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ UTILTPIES: ^ 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 PASSE FAILED COMMENTS: ~ ~ _ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NQTES/REMARKS: INSPECTO ` TE OF INSPECTION MADE: ~ Tom: FAXED OPPD~BURT REA TO CONNECT SERVICE: ON By Subterranean Termite Treatment Builder's Certification and Guarantee This form is completed by fhe builder. This form is submitted for proposed (new) construction cases when treatment for prevention of subterranean termite infestation is specified by the builder or architect, or required by the lender, FHA or VA. Treatment for the purposes of this form means application of soil termiticide, and/or wood treatment, and/or installation of bait systems. Any treatment must be done in accordance with applicable federal and state requirements. This form is to be completed and issued by the builder to the buyer. It is not to be considered as a waiver of, or in place of, any legal rights or remedies that the buyer may have against the builder. FHA/VA Case No.: 1245 Voss Drive, Omaha, Nebraska The undersigned builder hereby certifies that a stale licensed or otherwise authorized pest control company (where required by state law) was contracted to treat the property al the location referenced above for subterranean termites. The builder further certifies that the contract with the pest control company required the treatment materials and methods used to be in conformance with all applicable state and federal requirements. All work required by the contract has been completed. Where not prohibited by applicable stale requirements, the buyer, for an additional fee payable to the pest control company, may extend the protection against subterranean termites. Contact the pest control company listed on the attachment for further information. The builder hereby guarantees that, if subterranean termite infestation should occur within one year frorm the date of final closing, the builder will ensure that a licensed or otherwise state authorized pest control company (where required by slate law) or ocher qualified licensed pest control company will further treat as necessary in the infested area to control infestations in the structure. This further treatment will be without cost to the buyer. If permitted by stale laev, tl~e buyer may contract directly, al the buyer's expense, with a pest control company io inspect the property on a periodic basis and/or use EPA registered products to control the infestation. The builder will not be responsible for guaranteeing such additional treatment. The builder further agrees to repair all damage by subterranean termites within the one year builder's warranty period. This guarantee does not apply to additions or alterations that are made by the buyer which affect the original structure or treatment. Examples include, but are not limited to, landscape and mulch alterations which disturb the treated area and create new subterranean termite hazards, or interfere wish the control measures. If within the guarantee period the builder questions the validity of a claim by the buyer, the claim will be Investigated by an unbiased expert mutually agreeable to the buyer and builder. The report of the expert will be accepted as the basis for disposition of the case. The non- prevailing party will pay the cost of any inspections made to investigate the claim. For further information contact your state structural pest control regulatory agency. Type of Treatment: ^ Bait System ^ Wood [~ Soil (NPCA-99b required) Note: Appropriate treatment record must be attached and listed (402) 894-0780 Attachments: t esty e owes Builder's Company Name: r-, O Phone No.: ( ) Authorized Signatu Date: +~~ - / ~ Q~_ Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (IU u s c, toot, ioio, ioi2, si u s.c. s~zs, seo21 COnSUlller MalntellanCe ACIVISOCy regarding Integrated Pest Management for Prevention of Wood Destroying Insects Information regarding prevention of wood destroying insect infestation is helpful to any property owner interested in protecting the structure from infestation. Any structure can be attacked by wood destroying insects. Periodic maintenance should include measures to minimize possibilities of infestation in and around a structure. Factors which may lead to infestation from wood destroying insects include foam insulation at foundation, earth-wood contact, faulty grade, firewood against structure, insufficient ventilation, moisture, wood debris in crawl space, wood mulch, tree branches touching structures, landscape timbers, and wood rot. Should these or other such conditions exist, corrective measures should he taken by the owner in order to reduce the chances of infeslatinns by wrnd destroying inseras, and the need for treatment. An original and one copy of this guarantee are to be prepared by the builder and sent to the lender. l he lender provides one copy to the buyer at closing and includes a copy in the VA loan package or HUD insurance case binder. The builder sends one copy to the licensed pest control company which performed the treatment. Attached is a copy of the state authorized pest control company's service record. THIS FORM MAY NOT BE ALTERED. Form NPCA-99a Forms VA-26-8375 and HUD-92052 are obsolete alley 5/31/97. f 199) t_OCatlOn Of StrUClUre(S) (Street Address, or Legal Description, Cdy, State and Zip): __ lot 60, Deerfield New Construction Subterranean Termite Soil Treatment Record This form is completed by the licensed Pest Control Company. This report is submitted for informational purposes to the builder on proposed (new) construction cases when soil treatment for prevention of subterranean termite infestation is specified by the builder, architect, or required by the lender, architect, FHA, or VA. All contracts for services are between the Pest Control Operator and builder, unless stated otherwise. Section 1: General Information (Treating Company Information) Company Name: ~I-Jtate-Pes~-C6ntt' Company Address: - 2404 F?ontenelle Blvd. City: Omaha State: Nebr. Zip: 68104 Company Business License No.: N_F.5968 17 _ Company Phone No.: ~ ) ~402~ 331-5966 FHA/VA Case No. (if any): Section 2: Builder Information Company Name: Lifestyle Homes Phone No.: ( ) (~ Section 3: Property Information 1245 Voss Drive; Ontal7a, Nebraska t_ocation of Structure(s) Treated (~3lreet Address, or Lega! Description, City, State and Zip): lot 60, Deerfield 'Type of Construction: ^ Slab CjrBasement ^ Crawl ^ Other (More than one box maybe checked) 42" dirt Outside: 12" Approximate Depth of Footing: Type of Fill: Inside: Section 4: Treatment Information Date(s) of Treatment(s): Brand Name of Product(s) Used: Demon TC Approximate Final Mix Solution %: Approximate Size of Treatment Area: Sq. ff.: 1404 7/ 10/03 0.25% EPA Registration No.: 10182-107 Linear ff.: x(14 Linear ff. of Masonry Voids: Approximate Total Gallons of Solution Applied: 147 Was treatment completed on exterior? ^~S ^ NO Service Agreement Available: ^~ES ^ NO Note: Some state laws require service agreements to be issued. This form does not preempt state law. Attachments (List): Comments: Name of Applicator(s): hn L Gi_~r /All-State Peet Control Certification No. irFaeourNeoevsrnreww~: NFR 00~R4( The applicator has used a product in acu,rdancu wi{h thu product tabu! and slafu ruyuirunrunls. All IreaUnunl n+aluncds ;.rncl n+ulhucls usu+l cumply with stc+lu and lederal regulations. ~' _ Authorized Signature: f ~ ~.i . ~ j ~ ~~ Date: 7/3 I /03 Waning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (ia u.s.c. toot, io+o, rorz; 3t u.s.c. 372x, 3eo2! Fonn NPCA-99b THIS FORM MAY NOT BE ALTERED. Forms VA-26-8375 and HUD-92052 are obsolete (2/y~I 06/06/2003 10:02 FAX 894 9553 LIFESTYLE HOMES ~A)C COVER SHEET r ,&.~- To: ~ ~ ~ FAX ~~. ~ ~ SUBJECT: ~ DATE: ~~J' a Pp-GES:. __ ,INCLUDING THIS COVER COMMENTS: ~ ~~~ SHEET v ~~t~v ~~ . ~1001 From the people at: Lifestyle ~~Corrtes, Cu Construction: (402) 894-0780) Sales: (402) G97-4057 Fax: (402) 8949553 ~~,~ ~lD~ ~ ~° _ 06/06/2003 10:02 FAX 894 9553 LIFESTYLE HOMES JUN-~'S-03 10:~'~ AM ~I 17 CHURiGFiILL 402 334 105~a I William D. ~hurc~iill P.E. Structural Engineer • }3uilding Desig-i • R~~identia! ~'AX TRArtS~~TTA~, FORM COMPANY: FAX NO: ~ ~ y qS'3 ~~ FROM; Bill Churchill PHQNi/ NO' 334-1065 HATE: ~/sy~~ :~ C~ 002 P.07, • InspeckiQn Commercial t TransmiCtal Inc{udes a total of 2 sheets, including this Cover, Jzt:- ~v , ~f - C,. ~ // /~"£:' ~~7z ~J~sLf TA H~ vC 7'~~ ~r7d r~s- ~~J" ~/XCJ~ d~~K ~~nk=i]/cl~: TLS fY~u-vr/J6 .~ ~ r~~/rCr/7/ d/A'!.~/'/l~tL GI.~' ~1r [ r ..ride' ®r' Ot, G ~ ~// lGlurr~, l~ , ~l7Fu/'~' ~Tt~sc /Yc~~! ,TI.L /3~~ /¢ / Sa •r r3i i ~~ ,77/', ~J~s / x2517 I-lic:kory FGoad Off-ce: (402) 334-1QG5 Omaha, Net~ras~a 68144 D. Pager: (4Q2) z99-6740 06/06/2003 10:02 FAX 894 9553 LIFESTYLE HOMES 1~j003 .J'UN-35-sd~ lE~S2S AM W D GNURCHILL 4~2 334 Sf~765 P. 02 William D. Church!!!, P,~. aoa._..,.~~'t~ '~Jc+yES „~-O~P~°~y ' Structural Engineer s~~c~rNO, ~ oF~.-~ ! -•- 12517 Hickory Road OMAHA, NEBRASKA 68144 CAI,C414A7CDpV~~_,.•,~..~ DATE.-.~~ ~~~-_-. 402) 334-1065 (Office) Fax (402) 334.6924 • (402) 299-b740 (Digital Pager) CHECKED sY ,~,.,.~,.~_ oATE .~~-- I - sc~u•r ~~ --- ~ - r ~ yEADER ' (2) 4 POUND G~PACI 5TRM6. ~ ~ F/. H END, - CONT1N OU5 DOWN oPPO ~; E ~nc~ 5T r ~E p. r ~. eEtow N2: ~ .•`. , WN.L 5HEATHING, ONE 51DB (k) 2x4 MINIMUM t^J O ~,a,~J~ ,~.cf _` ~d~''' {.7'' ~' Cry. >Ic PL.Yr./~ov ~ r~ c k ~ ALL EDGES NAILl;O vVITH 6d NAILS AT 9' O/C TO EtiGW 571JD '1~1RDUGHOUT PORTAL ~ (2) 400 POUND ~ ~ U C,~noq/.~ ~ ~ ,,; ,. , .,,, ,; , - • ~e'.~t v ,Z , ,a~ ..............T.....; ~; E 10; ~ .............. . ~ ~ r ' ... I j J...; ~ ~~ .,. ,; . ~ ~ ~ ..., ~ ~..~ .. ~ r ~ ~ ~ ~ ~ ~ `" ~ •• NAIL ENnRE ~ '' 'r COItNER7ANEAT ". ", ~~.~ ~ .~. ~~~ ~! ~ ~~ ~ ~~~ ~' O/G BOiFI WAYS . . i . , .. ........i. ~ „~ , , .;. . r ~ ~ , ~ ~ ' ' ~ ~ 4 .v 1 , ~ , G~,PACITT ANCHOK5, ~ •=~ ~ EACH END ~ '~*~ _-' ' CpRNE•R6HF~THINO (51NGLE PIECE) DETNL .. pp4AIL h5 6HOYJN pC1U-VA4ENY SHEARWN.L 6EGMENT L,ENOTIi EDGI~ NnIL SPACING EQUIVAL~Nr SWEARWALL ' 4"-6' 4' d' 3..3 3 ~ ~2~~ . a, ~ CH~IRCH1~l. .... ~_5r; ~, NOTt;: DOU6Lp EQUAL WALL LENG'll-{ POC ~r1EnT111NG BOTH SICpS • ~ ~ ~ ~ ' r r.' t ~ ~ ~ .~.. .... /, ~y ... ~y ~~ ... ~ i ~7 ~ ' ~r ,.r ' ~Ff!~i~1G~~~r!'1~ nI H.~Q .sva' . ' . ~ I I I I i ~, ~ ~ I ~ - 1~-~N1~3 11 ~ 14 N P liUDUE LRFJD IJEV. 4U~ 3'~U `_i~14 Fem. ~I1/L)1 LAND SURVE1fOR'S CERTIFICATE I hereby certify that this plat, map, survey or report was Mode 6y me or under my direct supervision and thpt I oM a duly Registered Lond Surveyor under the Ivws of the State of Nebraska. LEGAL DESCRIPTION: Lot ~O pEERFIELD, a subdivision os surveyed, ~, plolled ~a~nd recorded in Washington County, Nobrasko ~~~•/r/~~ ~\ ~ti y~Ja• \.d~?~ 78 > \~' ^~~' ~~.ti~. 8s •~ ` >~. 9 ~~ 0 • _? '~ ~ ,~ \ ~~~_ 60 BRA ~. I G~. , ~° ~Zg,~ ~y~ gig ~ :208.21.4 ~~.21B CI;NT);I2I,1'NE Ci7RVF: nerve ,~ ,, ~, ~O I !36 g0~ > !J ~~ • 9 h ~ ~O 39 ~s >,~, 100 50 O 100 CURVE C6 R DI US • ARC LENGTH CHORp LEN G pRD 1BEARl NG DELTA ANGLE TANGENT C9 300. ao 500.00' Sat. 9e' 9 25' 289. 79' g7 fa• SSa• al • 26' N ' ' • 57' 40. 24' 165. ] 9' CI 0 500. 00' . 99. 59' . S9. 43• ri31 3a 25 E Nat' 42' 1 6' E 11'08'39' 11' 24' 44' 48.76' 49 96' C11 300.00' 101.97' -01. 48' S51'19'38'E 19'28'31' . 91 46' Cl 2 300. 00' 4 Z2' 42, 1 8' S57' 02' 00' E 08' 03' 47' . 2l 1 4' Cf ] 300. 00' d4, 92• B4. 64' S4S• 06' 28' W 1 6' 1 3' 1 0' . 42 75' CI 7 00. 00' 20Z. Sl' 201. 11' N41 ' 23' S5' V 23' l2' 23' . 1 02 66' Cl O 300. 00' b0, >2' 60. 62' S47' 12' 11'E 11 35' SO' . 30 47' C19 _ _ 300;OOj_ 30 a. 66' 291. 74• Sl2'!8 42'E 58' •Of3' . 166.93' Pvst- Fax Ns a 7671 Oa1~,$ / aZ p#agaa-J To 7 From Co10ap1. pa, Phone u Phone # Fax# ~'/L .. ~S3 Fax#~ O ~J~~ tre of Land Surveyor APRIL 22, 1997 ~~ BS ~ S~ ~~ BO SO j5. ~j' ~ V s/ ~~~ ~% ~ rB~4'io- t p1 O'L ~~ ~~N/~y~. 100. ~o`J-1~ _ NOTES 1. ALL DISTANCES ARE SHOWN IN OECIUAL FEET. 2. ALL DISTANCES St10WN ALONC CURVES ARE ARC DISTANCES NOY CHORD DISTANCES. 3. ALL ANGLES ARE 90' VNLE55 OTHERWISE NOTED. 4. ALL LOT LINES ON CURVED STREETS ARE RADIAL UNLESS OrHERW15E NOTED: N.R. 5. DISTANCES AND nNCLE5 SHOWN IN PARENTHESES REFER TO EPSEMENTS, 8, ALL CUL-OE-SAC RADII ARE 62.50 rEET UNLESS NOTED OTHERWISE. 7. ALL CUL-DE-SAC TIiROAT RADII ARE 25 FEET UNLESS NOTED OTHERWISE. B. LOTS 1 AND 2 WILL HAVE NO gIRECr ACCESS TO HIGHWgY 75. 9• •- DENOTES PARTY WALL PROPERTY SINES ON L075 S - 22 ~~``,~~`,,,L A ND',',.S,~~II Q-: G ROBERT U. ~°:~ - :", : PROETT ~ . o:: ,- i LS-379 i ~ '- rr ~ ~• `~ _ '' z Reg. No. le 96054\96__.541,1 _Ori Job Number 96b54-2366 ~.~` _ _ „~_,~_:..__~_._v___.~___..I ~. associates , i n c _ ~ anfllnaars T.. eurvayora plnnnars -~ 14710 west dodpa road, aulta lop Ph 4p2.496-2498 ~r- omehn, nobrnalks 98154.2029 iax 4[12.499.2730 .y' ~ ~ ~`~ a'o r •oe ~r9 ~h , . ~a ~~~ )6. , n' o S ~~ ~ ~~ ~ . ~~ 3 tea' +/'~ .3 DOTAL P. 81 BUII_,DING PERMIT REVIEW OWNER: Kevin & Deette Pindland BUILDER: Lifestyle Homes PERMIT N0.9883 CLASS OF WORK: NEW RESIDENTIAL: X ADDITION: NEW COMMERCIAL: GARAGE: REMODEL: TOTAL SQUARE FOOTAGE: MAIN: 11323 sq. ft. SECOND FLOOR: 1351 sq. ft. BASEMENT: 1188 sq. ft. GARAGE: 690 sq. ft. TOTAL FINISHED AREA: 2674 sq. ft. NUMBER OF BEDROOMS: 4 EMERGENCY EGRESS: Egress windows required in all sleeping rooms and basement. DECK: None PLUMBING FIXTURES: HEATING FIXTURES: KITCHEN: yes BATH: 21/2 ROUGH-IN BATH: 1(Basement) UTILITY: gas, electric, water & sewer WATER HEATER: gas OUTSIDE FAUCET: 2 FURNACE: gas A/C: yes SITE REVIEW: D. Miller CURRENT ZONING: RM 1. LOCATION ON LOT (SETBACKS) A. FRONT YARD REQUIRED: 25' SHOWN: 25' B. REAR YARD REQUIRED: 25' SHOWN: 54' C. SIDE YARD REQUIRED: T SHOWN: 8' 8" 2. LOT AREA REQUIRED: 6,000 sq. ft. ACTUAL: 12,160 sq. ft. 3. LOT COVERAGE ALLOWED: 40% ACTUAL: 16% Plans, Rewiew~d,;.pale Miller Date: June 9, 2003 _~ crr~ o~ ~L~R ,~~ ,o~o~'Se f a J~~~ 0 BUILDING PERMIT DEPOSIT AGREEMENT A ~2~ refundable deposit is being collected at the time of your building permit application for all permits $10,0000 and 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 SIiALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Q~ . ContractorlOwner Contractor/Owner City of Blair ~~ ~~ Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cilyofblair@huntel.net ~--- ~_ 9 - ~,~ ~Oro~/S Q J~~~ e of CITY OF B1,l~IR 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 ontractor ~ ~3 Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net