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BP12006City of Blair Building Permit Detail Permit #: 12006 Issued: 3/31/2005 Type: Fences -All types Completed: 3/27/2006 Valuation: 550 Location: 1631 Park Street Owner: James Bolton Permit Fee: 15 Address: 1631 Park Street Issue Fee: Deposit Amt.: Blair, NE 68008 Receipt #: Phone: 402 426 8723 Section: Township: Range: Subdivision: Lot: Block: Replacing existing wooden fence with a new wooden fence on sides of house extending to front 42" high. Fencing in back yard with wood 6' on property line on all 3 sides. Not fenced in the front. Contractors SELF General Contractor Permit # Issued Remarks Inspections Date By 3/27/2006 DEM Final Inspection of Project Pass y ~ ~ BUIL Permit Fee: ~~• ~ (,~ Issuance Fee: Receipt #: Deposit Receipt #. Issue Date: ~r~ / ' ~~~ _DING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 12 0 0 6 (402) 426-4191 • Fax (402) 426-4195 Permit Type: ~'~ ~~ JOB ADDRESS r (~'f ~ y~` ' J~GDC,/s'~rL~ LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER 2. ~~~/ MAIL ADDRESS ~%~U / ! ~I/f/~i~ Zlp HOME PHONE ~7' WORK/CELL PHONE /~3 CONTRACTO 3. MAIL ADDRESS ZIP HOME PHONE WORK/CELL PHONE 4. Class of Work: NEW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work; ~ ~~ ~ ~~J ~ ~ ~0 ~./ OCl~O ~ ~ ~ d ~ ~ol ~ l~I Gr'/l~ LtJ~ llDa ~ rf 6. Valuation o Work: $ ~~ ~~ Total Sq. Footage (InsI~alRg ease Rt ana Garage): Total Finished Area: ~ °-~ Floodway Q Yes 7. Floodplain: Fringe Q Yes Q No Dev. Permit ^ No BFE Elev. Cert. ~-~'~+ 8. Current Zoning: 9. State Fire Marshall Required: ^ Yes ^ No 10. Special Use Permit Required: ^ Yes ^ No 11. Variance Required: ^ Yes ^ No 12. Minimum Setbacks: Front Side Rear 13. Sidewalk Required: ^ 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 acknowledgethat payment of the building permit application fee does not constitute issuance of this building permit. I further agree thatconstruction 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 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 180 days or is not completed within 2 years of date of issue. TORE OFOWNER/CONTRACTOR DATE Comment: ^ Site Plan Attached ,.~ Complete Plans Attac~d Approximate Completion Date ~ ~ c~~P Inspections Required and Fees iii i Sewer Water S Septic Remote B it in Footings Framing EI ri I Rough-in Final Temporary Service Mechanical _ Rough-in Final Plumbing Ground Work Rough-in Stop Box Card Drywall (PRIOR TO TAPING) Final Fixtures Permanent Service A1C Final WHEN PROPERLY VALIDATED (IN THIS Approved By: ~ , , I /„ , THIS IS YOUR PERMIT VI POUNDS PRIG: Blair, NE Rev. 8196 BUILDING INSPECTION REPORT ~TI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF NAME OF OWNER: /G~I'L~D c%' ~Ylir DATE INSPECTION REQUESTED: ~ ~~ ~ ! U ~ _ TIME INSPECTION REQUESTED: /~_ PERMTI' NO: / ~Qd TYPE OF INSPECTION REQUESTED: ^ .CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL INAL ^ PARTIAL PASS FAILED COMMENTS: ~~f'I ~ ^ UTILITIES: ^ SEWER TAP '^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ .WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL : ^ e~~i 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 ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED J FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY CITY pF BLAIR Application for Buildi??g Permit PLAT PLA7~T Address /~~/ ~/J ~ Date ~~~r "~ (/ Legal Description: Lot B1oek _~_ Addition Pleas.e~ show all measurements of existing and contemplated structures, also show distances between structures, etc., and property lines, Is this a corner lot? --~~~ Line Indi~~t e I~rth ~ _..t.;% ~E~~~o~1 Sit s -Center Li ne_of _ _ ~~} ~~ %Street` _ _ App1i cant Date Paid ~~ ~~ Receipt # APPLICATION FENCING CITY RIGHT OF WAY FEE: $10.00 (Refundable if Easement Denied) NAME OF APPLICANT: -~'~~,~„ E ~-, `~.` ~~--\\~ ,-~ MAILING ADDRESS: \ u:c\ ~-~<_. ,-~~ ~i,~..-.~ ~- ~ PHONE NUMBER: C~v =~ ~> ~~~ t~, - ~ ~ i ,~ ~'~ LEGAL DESCRIPTION OF PROPERTY: ~-~~ ~_- `~~ ~~~ STREET(S) BORDERING THE PROPERTY: HEIGHT OF FENCE: ~Z `j Residential ~ Commercial: TYPE OF CONSTRUCTION: Wno,~-_ Zoning: ~ {`~'~ I--f A Signature of Applicant Signature of Applicant Recommended Action by Administrator and Public Works Director: Approve If Denied, Reasons for Action: Deny ~~ f~~~t ~ City Administrator Director of Public Works Action by Mayor: Approve Deny Mayor Action by City Council (if necessary): Approve Deny ~'P~T~ ~~ I~Ft~"~ ~~~~~~°t~ ~I` ~~`~~l~r~~t~~f)S~ ~?~~~ ~C~ (~ ~ 7 ,~ ~t~lfilK~~ irk ~-~~~t~1~1~A1., ~N~X~~~~~~~ f~R R~pt~D_ ~ ~ , t - ~ fl-. ~T FAA ~~~~g ~ ~ _ ", ; ~„~' C~UN'~YG ARK ' ' ' . -- EASEMENT c' ~,~ ~ . ~ ~.. - -- - - This Agreement made this ~_ day of rc ~ 2~QS , by and between the City of Blair, Nebraska, a Municipal Corporation, hereinafter referred to as "Grantor", and ~~,~ met ~)~~ hereinafter referred to an "Grantee", In consideration of One Dollar and other mutual covenants contained herein the Grantor does hereby grant to the Grantee a right of way easement on the following described real estate: ~=~~ - ~~~ _z !~~_~_: ~ u ~. ~'~. ~~ ~ ~, For the sole purpose of the installation of a fence on municipal right of way. In no event shall the location of the fence be closer than three feet from an existing sidewalk or fifteen feet from the curb where there is no existing sidewalk. The exact location of the fence shall be approved by the Director of Public Works and City Administrator. No modifications of-such -fence shall _be made without specific authorization in writing from the Grantor consenting to such modifications: This easement shall continue until such time as the Grantor desires to terminate same. Such termination may be with or without cause and shall be in the sole and absolute discretion of the Grantor. The Grantor shall give notice in writing of such termination not less than fifteen (15) days prior to such .termination which such notice may be given to the Grantee by regular United States mail, postage prepaid. In the event and at such time of the termination of this easement, the Grantee shall remove such fence at his/her own expense. It is specifically understood and agreed that the Grantor shall not be liable to the Grantee for any damages whatsoever upon termination of this easement. The Grantee further hereby agrees to save harmless and indemnify the Grantor from any and all claims, causes of action, damages, injuries, or any other liabilities of any nature or kind whatsoever, which may arise from any reason whatsoever as a result ~~ard ~: ~enera~ ~ _ Numeric~i ~~ ~~~,~~~ ~# ~- of the construction, maintenance, and the placement of such improvements on municipal right of way. Such indemnification and save harmless shall apply not only to the Grantee but shall apply as well to any claims, causes of action, damages, injuries, or any other liabilities of any nature or kind sustained by any third parties, persons, or any other entities which such claims, or causes of action may be brought against the municipality. Such indemnification save harmless shall apply not only to such damages and injuries, but shall specifically include but not be limited to attorney fees and reasonable cost of defense of any such claims. Such indemnification and save harmless shall further specifically include but not be limited to any damages to municipal property including the right of way, grades, drainage structures, ditches, roadways, or any other municipal property as the result of the construction of said fence and the Grantee shall further be liable to the municipality for any attorney fees, expenses or other expenses incurred in recovery of such damages. ~- This easement may not by,assigned by the Grantee and the rights under this easement shall not run with the land but shall .terminate upon conveyance of the property adjacent to such right of way which is owned by the Granter. City of Blair,. Nebraska A Municipal Corporation ~`~ antee ' STATE OF NEBRASKA ) ss vvASniNGTON COuNT'r ) a es Realph, Mayor Before me, the undersigned, a Notary Public in and for said county and states, personally came James Realph, Mayor of the City of Blair, Nebraska, a Municipal Corporation, to me known to be the identical person who signed the above and ~'` . foregoing Easement as Grantor and acknowledged the execution thereof to be his voluntary act and deed. WITNESS my hand. and seal this ~ day of ~'~ I ~JC~~ `~J`~..rtl,L NOTARY - Shaba d Nebuua~l0 ~~ BRENpA R. WHEELER --. My Comm. Fem. June20, 20 NOTARY PUBLIC STATE OF NEBRASKA ) ss WASHINGTON COUNTY ) Before me, the undersigned, a Notary Public in and for said county and states, ~ -- . personally came ~ 5~,~-r~~s ~jd~~ , to me known to be the identical person who signed the above and foregoing Easement as Grantee and acknowledged the execution thereof to be his/her voluntary act and deed. WITNESS my hand and seal this day of ~ Z GBJERA. NOi14aY - Slate of Naba~Ca BRENDA R. WHEE My Camm.6~.Jtme20,20 NOTARY PUBLIC ,~~ 'i ~.V ~~ ~~ .