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BP11579e ~ -~~2 ~ ~ 3~ dos City of Blair Building Permit Detail Permit #: 11579 Issued: 09/13/2004 Completed: 07/08/2005 Location: 193 Grant Street Owner: Olsen Auto Address: 193 Grant Street Type: Industrial/Commerical -Additions Valuation: 15500 Permit Fee: 75 Issue Fee: 15 Deposit Amt. ~= `~ i Blair, NE 68008 Receipt #: 12621 Phone: 426-9552 Section: Township: Range: Subdivision: Lot: Block: 38' x 24' x 10' inside clear height wick building addition for stoarage on a cement foundation. CALLED JERRY @ JORGENSEN AND THE CUST. HAS DECIDED TO TERMINATE PROJECT. WILL REFUND DEPOSIT ONLY. Contractors Jorgensen Contracting, Inc. General Contractor Permit # Issued Remarks Inspections Date By BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska Permit Fee: ~~ ~ ~~ `~ ~ r-It7. oc 218 South 16th Street Issuance Fee: 15~ r a~ Blair, Nebraska 68008 1 1 5 7 9 Receipt#; ~ ~`~~~~02) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: ~ 'ZC~ ~ , 1 Issue Date: ~ I (~ ~ ~~I Type: COY 1-tC~ Gll h t71~1 JOB ADDRESS ~ 3 Cyr ~ ~~-~ LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET 2 ER ~ /~ ,' _ /}}7vJT~'1v ~ ~~i MAI ADD~SS U ~ ZIP HOME PHONE ~ y ~~~ WORK/CELL PHONE ~ C© RACTOR 3. ~r' ~ MAIL ADDRESS ~ n 5 ~ ~ ~ _ •~ ZIP HOME PHONE WORKICELL PHOIVC~-~ -~' 4. Class of Work: O NEW ADDITION Q REMODEL ^ OTHER ^ FINISHED BASEMENT Q UNFINISHED BASEMENT 5. Describe Work: ~ ~ ~ ~~(, ~ (~ ~ h s (` cue G ~'~G-~' -'1 ~ ( ~ ~ wi ~ ice. I~ l d ~~d- ~ ~h ~ ~~mel~ r 6. Valuation of Work: $ ~`J, 5(~~ Total Sq. Footage (IRCluaingBa6ementanaGarage): Total Finished Area: Floodway Q Yes 0 No Dev. Permit 7. FIOOdplaln: Fringe 0 Yes O No BFE Elev. Cert. 8. Current Zoning: L 9. State Fire Marshall Required: ~'es Q No 10. Special Use Permit Required: Q Yes ~1Vo 11. Variance Required: Q Yes ~No 12. Minimum Setbacks: Front ~~ Side ~ Rear 13. Sidewalk Required: ^ Yes ~'rNo Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledgethat 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 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 that this permit is void if work is not commenced within 189.d~or is not completed within years of date of issuer OF Comment:. 1 ~~MNMM. _ ~~11 ~~ ~ ~ ~ ImM ~,~W ~~ V~~i~,~ ~pNTiNGtrN~ ON APPROUA~ 8Y'fH~ DIRE MAR$MAL~,. -. Q Site Plan Attached Q Complete Plans Attached Approximate Completion Date Inspections Required and Fees Utilities Sewer Septic Water Service Remote top Box Card Building / D~ Footing ~~ Drywall ~ ~ (PRIOR TO TAPING) Framing Fi I n I ctrical ~ Rough-in Fixtures Final Permanent Service Temporary Service hanic I Rough-in A\C Final Plumbing Ground Work Rough-in Final WHEN PROPERLY VALUATED (IN THIS SPAfcE~,T~HIS IS YOUR PERMIT Rev. 8/96 POUNDS PRTG.-Blair, NE ~G1/,l.d 38''w~a,~ x may' .~vy~ k io ' i,.~s~ia,~ c,~,F~,P ~,~~c,~,~° ~i~.~ ,~///.~/Jid~ .~~td/T/opt! ~ .E,l~/STir~~S' ,~irtt.~rr~~ Q ~3 ~.~~.~T S'T•f~'~'T ~D.t' ,PmQNFy ®.(SF.J /yl7Q' ~ttTic~iC' S'T~ ~.C~J~e, ~/E. 6 boa fi ~~G ~ ~'3~.5' ,~,lif,QEP, ,,s~~', G Poa~ y~& •- ~'s'~~ r~~S' ~~'.~lyJir f~,~ ~`i/.ro~~rr~? s.~~,8, Srtr~.~.~, ~i~'u~~rro,~J ~.~o G~o.P.S' '~js'S~o ..~° v 8'O ~~p,~t~l S7'" ,~~.~/~c; ,~~. ~ pre ~'° ~/fS T .~,r/,d .E,l~rJ,Jr~®,v ~' P~PoPosF® .~adir~o~ T/J'R1' ~d ~~~ ~ r~ ~3 r .2 y,PoP~Rry ,C iN.E" ~~' ay' f a~ ~ 1 i3z' i ~y~. ~ t P ,~ ~~ ~ ©p EX / s ~ i~/~ `~ d ~~ k 13,--a ~' D O 4' o?D ~ C~ IP/9It/T' s T.~''~~ r" ~°R,EIJ/OUS.( ~/ ,4PP,pmd~D ~BI~I/.( b~.N~of ~t~.d,~' / ; ~ ,; ,: ~ ~~~ wl ck ~~o~~ ~'10~'~ ; ~~,~ ,~X~S T/~r/~ sTn~P13b'~ /, ~~~lr/aN ~ ~ ~P~~ °~0 ull¢,(K ~ODD~2 ~Pri ~w~,c ~ OC'N ri®~ ~o k 4D `Q ~ •6D .= ~, %~ %~ i ;' ~ ,, i ,, ,,. ,- ao ' 5 ~O ~ / ~~/Y/V CITY OF BI,~II~ pr~- o~ise of BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 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, 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. Con~ra~r/Ov~r~ _ J ~ ~~~ Contractor/Owner City of Blair ~ ~~~~~~~ Date /\ _~ 218 South 1 bth Street • Blalr, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cliyofblalr@huntel.net ,;,,~° NEBRASKA STATE FIRE MARSHAL E-Code Review This review is an emailed version. _~' "'9~ X Plans Division If a signiture is required please 4 ' contact the office. "FeAA9K° M 09082-04 Estimated Start Date: 9/1/2004 JERRY JORGENSEN Estimated comp-etion Date: 2/1/loos JORGENSEN CONTRACTING, INC. RODNEY OLSEN STORAGE 530 FRONT ST 193 GRANT ST BLAIR NE 68008 BLAIR NE 68008 (402)426-4440 Construction Type: WOOD/FRAME * Review and approval is conditional upon conformance with comments listed in remarks ^ Preliminary Plans and Specifications Reviewed* ~ Final Plans and Specifications Approved* REMARKS: ^ Reviewed for compliance with State Accessibility Guildlines* ^ Shop Drawings Approved* ^ Resubmit for Approval ^ Materals Reviewed Review applies to new addition only, compliance of existing conditions shall be determined by the onsite deputy. 1. Exit sign and emergency lighting shall be provided. LSC, 42.2.9, 42.2.10 2. Electrical wiring shall be inspected by the City/State Electrical Inspector, SS, 81,24 cc: Blair codes SIGNED: o ^d District "A" 246 S. 14 Lincoln, NE 68508-1804 (402)471-2590 Susen Lindner ^ District " B" ^ District " C" 438 West Market 200 South Silber Albion, NE 68620-1241 North Platte, NE 69101-4200 (402) 395-2164 (308)535-8181