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BP12129
~,. S ' City of Blair Building Permit Detail Permit #: 12129 Issued: 6/9/2005 Type: Industrial/Commerical -Additions Completed: 1!16/2006 Valuation: 457000 Location: 245 S. 22nd Street Owner: Crowell Memorial Home (Bill Willard) Permit Fee: 1437.5 Address: 245 S. 22nd Street Issue Fee: 15 Deposit Amt.: 200 Blair, NE 68008 Receipt #: 14604 Phone: 402 426 2177 Section: Township: Range: Subdivision: Lot: Block: 80x20 chapel addition (14' High) a few patient rooms an d one restroom will be removed and replaced with addition-no new restrooms. Contractors W. Boyd Jones Construction Co. General Contractor Permit # Issued Cone!, Inc. dba Contractors Electrical Electrical Subcontractor E2320 10/7/2005 Thermal Services Inc. Heating Subcontractor M1275 7/22/2005 Remarks 6/17/2005 DEM Sent copy of permit. Brandy 11/18/2005 DEM Above ceiling inspections. 12/13/2005 DEM Replace exit signs to meet minimum 6'-8'. 30 days. Outside egress walkways all broken and doesn't meet ADA requirements. "replace" . Inspections Date By 8/26/2005 DEM Footings Pass 10/11/2005 DEM Electrical Rough-ins Pass 10/11/2005 DEM Framing Pass 11/18/2005 DEM Mechanical Rough-ins Pass 11/18/2005 DEM Electrical Rough-ins Pass 11/18/2005 DEM Framing Pass 12/13/2005 DEM Mechanical Final Pass 12/13/2005 DEM Electrical Final Fail 12/13/2005 DEM Final Inspection of Project Fail Partial 1/16/2006 DEM Electrical Final Pass 1/16/2006 DEM Final Inspection of Project Pass `~ BUILDING PERMIT APPLICATION I ~~7 ~ Jurisdiction of City of Blair, Nebraska Permit Fee: 71yS2, ~ 218 South 16th Street Issuance Fee: ~ ~ ~DO ~~ Blair, Nebraska 68008 1 2 ~ 2 9 Receipt #: `j~(~:~~ ~~402) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: ~ ~ ~ ~~ Issue Date: ~ ~~ l Q,~ Type: /1 ~'~ OI I f 1 cJ l'1 JOB ADDRESS LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET 2. p~1Nr ~ lm Or I a MAIL AD~ESS ~ ! ~/, ~ ~ ZI~ 1~ ; I ~~(n HOME PHONE __ Z' WORKICELL PHONE 12~~ Z I 1 CONTRAyC~TOR ,J 3' FJ6ti Gl d{'l+°S MAIL ADDRESS ZIP ~ 0 13 1 y ~ (~ 1~~. S,'t' ~ I HOME PHONE f WORK/CELL PHONE _ °J ~s 4. Class of Work: Q NEW ~ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFINISHED BASEMENT 5. Describe Work: ~0' ~ 1 (j ,, ~~ ~ / y' ~ ~ ~ ~ > ~.,~ ~ ~ _ E ~ ~ ~+~>rn ~ ~ 1 t ~.~.~. r~ ~- l~ cad `v D ~ --' ` -Q.1~ ~f'2 tam S 6. Valuation of Work: $ ' ~~ ~~~-' Total Sq. Footage pnduaing easement ana Garage): ~~ ~p~~ Total Finished Area: Floodway Q Yes O No 7. Floodplain: Fringe O Yes ^ No Dev. Permit - BFE Elev. Cert . 8. Current Zoning: ~I r < <-- 9. State Fire Marshall Required: `,Yes Q No 10. Special Use Permit Required: Q Yes j~No. 11. Variance Required: Q Yes ~No r 12. Minimum Setbacks: Front ~~ Side ~ ~ 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 furtheragree thatconstruction 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 StateofNebraska unde an~{thatthis ermitisvoidifworkisnotcommencedwithin 180 days or is nod orq~~~gd" Gy ithin 2 years of date of issue. Comment: MEET 16C,iRC, IPC, tMC AND-NEC CObE REQUIREMENTS M~r1AlM~1~ ~ ~~ ^ Site Plan Attached Q Complete Plans Attached Approximate Completion Date ~~~~ ~~ ~ ~ Oct ~~ Inspections Required and Fees it' i Sewer _ Septic it i Fo D PRIOR TO TAPING) Fr ng Fin t R9ugf~ Fi Per~laaerlt'Service ? Tempora Service h ni ~ ~ r I(n~.~ 5-~-~' 1/~ ~~ R •In ~~ ~~ 7 WHEN PROPERLY VALIDATED (IN THIS S Water Service Remote Stop Box Card S IS YOUR PERMIT Rev. 8/96 POUNDS PRTG: Blalr, NE ~ ti ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 2 3 2 0 Application Date: ~ ~~ ~ I ~ ~ Permit Fee: $ ",` W `W JOB ADDRESS L. ,r M ~~~ ~~ f LEGAL T TA CHED SHEET 1 • DESCR. O SEEA 2 WNER ^ ~ ~ n ~ MAILADDRESS ~~ ZIP ~ / ~ ~ ~ ~I yvORK/CELLPHONE -{~J W 3 NTRACT,O~ r.~ ~ MAILADDRESS ^O 1 ©PHONE ~ „ `~ ~ r O I ~ RK/C ELLPHONE ! U~.Xp lJ~ J 4. Class of Work: ^ NEW RESIDENTIAL O NEW COMMERCIAL .,REMODELING/ADDI IONS O UPGRADE SERVICE T 5• Describe Work: ~ Gl t' `CQ~I ~Y I ~ ~~~` ~-~~ 6. Current License on File Yes p No O NA Completion Date New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES 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 System ................. $10.00 301-400 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 Amp Fee ............................ $105.00 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 hereby certify that I have read and examined this sq. ft. x .045 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 k ill b li d i h h h ifi d h i wor w e comp e w t w et er spec e ere n or not. The granting of a permit does not presume to give authority i Receptacle/Switch Outlets ~ ~ ~~ to v olate or cancel the provisions of any other state or local Fixtures \O~O x $.75 ` law regulating construction or the performance of Smoke Detectors 'L x $3.00 :.~~ construction. Residential/Commercial Appliance ~ # Fixed Outlets x $3.00 _ ~ Motor(s) x $3.00 ,~ r_ Power Apparatus (220 Volts) SIGNA RE OF CONTRA A ORITED AGENT # Apparatus x $3.00 \,v `"`1 ~ ~ Permit Issuance Fee ............. $15.00 ~ ~` DATE TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~ I~ c.~~ ~ POUNDS PRTG: Bla(r, NE Rev. 11/99 ~! 'rC ,~ ~ MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 ~ 2 ~ 5 Fax (402) 426-4195 M (402) 426-4191 Application Date: ~ ~ d`a' ~5/ Permit Fee: $~~ JOB ADDRESS ~~~ ~` ~d~~~ 1 . OWNER /',IAwW_"~C ~~ MAIL ADDRESS ZIP PHONE 2 CJdN ACTOR ~~ ~ ~~ ~ MAIL ADDR S~ S_ ~ ~ ~P ~ ~E / 0 ` I LICENSE N~/ u J 3• Class of Work: COMMERCIAL O RESIDENTIAL O NEW O ADDITION O A TERATION O REPAIR L EPLACEMENT 4• Describe Work: C ~ ~~' ~~-~ Central A/C y Tons MECHANICAL PERMIT FEES Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit Commercial/Residential (New) .................................................... $25.00 # of Units '°`/C Air-Conditioner Unit -Per Unit Furnace Commercial/Residential (New) ............................ ........................ $10.00 Forced Air Systems/Air Conditioner ~~ ` ~~ ~~~ 31'U Completion Date: Unit Replacement Per Unit Commercial/Residen tial ................... $10.00 Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ..................... $10.00 Comments: Appliance Vent/Fans ...............................$10.00 Boiler $15.00 ..................................................... .. ' Duct System $10.00 ` ~ ` ~~ Gas/Air Outlets .................. x $2.00 NOTICE Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this li ti d k h app ca on an now t e same to be true and correct. All provisions of laws and ordinances governing this type of Modular Home $15 00 work will be complied with whether specified herein or not. ......................................... . The r ti f it d t g an ng o a perm oes no presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of Permit Issuance Fee ............................... $15.00 l~ construction . TOTAL ~ S~ ~ SIGN URE OF CONTRACTOR OR AUTHORIZED AGENT Current License on File Yes O No O NA DATE WHEN PROPERLY VALI[~ATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: j 1 ~ fi ~j- l~5 CA7~~ ~ ~""' - I Approved By: r ... ~ . `~ . „ _ _. a lfn Q.t.l.. !3~ S~~ POUNDS PRTG.~Blair, NE ~ ~ ~i . eA (J, ~ ~J.~ " Rev. 4/9B ^ CITY 0 AIR LOCATION OF INSPECTION: BUILDING INSPECTION REPORT i ^ WASHINGTON COUNTY ^ OTHER aYS s. a~N-~ ~ rc NAME OF OWNER: l~n-N"`' - `1 CONTRACTORS I~' W`~'" ~ ~~ - ~ `~ DATE INSPECTION REQUESTED• ~ ! ~ ~ .TIME INSPECTION REQUESTED• ~ O,` ~ J PERMTI' N0. I v I TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ~ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS D FAILED COMMENTS: ^ UTH,ITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ COMMENTS: PARTIAL ^ ^ ELECTRICAL: ^ ROUGH IN ^• FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT - PASSED FAILED ^ COMMENTS: PARTIAL ^ ^ 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 NOTES/REMARKS• G~~T !!G~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUIL--DING INSPECTION REPORT ^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY ll ^ OTHER -}. LOCATION OF INSPECTIONS ~ ~~~ ~ ~ D~~ NL ~ I NAME OF OWNER: `- ~ V 1..~ `~'~' CONTRACTOR: Y ~ 1 ~^^I~ ~ ~ ` " I ~ ~~ `~' u DATE INSPECTION REQUESTED• ~ U ~ I l TIME INSPECTION REQUESTED: t~ , ~ ~ - PERMIT NO• I d TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL FAILED COMMENTS UTILTfIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS:' ELECTRICAL~ /' ROUGHIN ^ FINAL ^ PERMANENTSERVICE ^ TEMPORARYSERVICE ^ PRECONNECT PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ~ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL :°• ~ PASS FAILED ~ ^ COMMEN'~S: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED TE OF INSPECTION CO ~G ~~ T r FAXED OPPD~BURT REA TO CONNECT SERVICE: _____ _ ___ BUILDING~INSPECTION REPORT ^ oTIIE .WASHING!TON COUNTY ~~i ~ ~Y ~:~ _ CTI'Y OF BLAIR ~ ^ +. ° ,r ~7 ~ ~ ~ V LOCATION OF INSPECTI~IN: ~ '` ~ ~y ~~~ 1 `f • /~~~ CONTRACTOR ~ ~~ NAME OF OWNER ( ~~~"`"'~ ~/' / l/ ~ ~~ TIME INSPECTION REQUESTED• /D ~~~a ~ PERMIT NO• /~~ HATE. INSPECTION REQUESTED' TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUH,DING: ^ FOOTING ^ DECKFOOTING AMING ^ DRYWALL FINAL rt1J L i ~'+'-"-"' ^ COMMENTS: SSED P ED F AP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE A ~ UTH,ITIES: ^ SEWER T ^ PARTIAL COMD~NTS. ELECTRICAL COMMENTS: MECHANICAL: ROUGH IN ^ FINAL- ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PAS Ell rA1LGu PASSED FAII.ED ^ COMMENTS: PLUMBING: ^ GROUNDWORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PA[S~ED F~ ED ^ PRESSURE TES COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONALPANCY GRA~NQTED/~i - OF INSPECTION T G ~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: .• „-_~~ :. CITY OF B LOCATION OF .BUILDING INSPECTION REPORT ^ WASHWGTON CO TY ^ ~~s ~ .aa~~ ~ w i ~ ~.~- NAME OF OWNER• ~_ ~~~ C.GJ~X CONTRALTO v ' ~c.~~ v v ~ • ~-~. - - - DATE INSPECTION REQUESTED• I ~' ~ JD~ TIME INSPECTION REQUESTED• PERMIT NO• ~ / ~` QD m. TYPE OF INSPECTION REQUESTED: ^ C NFEI~LNCE ^-STATUS CHECK BUII.DING: ^ FOOTING ^ DECK FOOTING ^ FRAMING- ^ DRYWALL FINAL ~ PARTIAL PASSED FAILED COMMENTS: UTII.ITIES: ^ ,SEWER TAP ^ SEWER ^ ^ PARTIAL SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED ^ FAILED ^ COMMENTS: ELECTRICAL; ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED ^ F~D ^ PARTIAL COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/G ^ FURNACE ^ RADIANT HEAT FINAL ^ PARTIAL PASS D FAILED ^ COMMENTS: PLUMBING: ^ 'GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ ^ ^ PRESSURE TEST COMMENTS: ^ OCCUPANCY GRANTED CONDITIO/N~A)L OCCUPANCY GRAN`TE~D NOTES/REMARKS• `"~ `~'~ ~~~h ~~~ D /02 /~ j ~ ' INSPECTION MADE: TrME' FAXED OPPD~BURT REA TO CONNECT SERVICE: BY. B~'ILDING INSPECTION REPORT • - ,~ C O'ff' BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION• ~ ~ ~ ~ ' ~ ~ ~ ~ NAME OF OWNER• ~ CONTRACTOR • ~ ~i DATE INSPECTION REQUESTED• ~ ~ J ~ TIME INSPECTION REQUESTED• PERMTI' NO• TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ 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 ^TFMPORARY-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 PASS D FAILED ^ PRESSURE TEST ~ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• // ' a T , FAXED OPPD~BURT REA • TO CONNECT SERVICE:. ON BY L~ITY~FBLAIR LOCATION OF INSPECTION• NAME OF OWNER: c/' ~/~ ~~ DATE INSPECTION REQUESTED• v ~~ TYPE OF INSPECTION REQUESTED: BUILDING- INSPECTION REPORT ^ WASHINGTON COUNTY ^ OTHER ~ i/r' Cl~ ~ -~ / CONTRACTOR: / 1~~~~ ~~1~~(~H~ TIME INSPECTION REQUESTED: ~(/ • . ~A•/yI ~ PERMTI' NO• _~ ^ CONFERENCE ^STATUSCHECK 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 PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: - MECHANICAL• _ ` ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASS FAILED ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED e `~: OF INSPECTION TIME: /~ -, FAXED OPPD~BURT REA TO CONNECT SERVICE: ON B BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER ~C~- ,v~S LOCATION OF INSPECTION• - i NAME OFOWNER• / ~~~~-(/ CONTRACTOR DATE INSPECTION REQUESTED• ~`~ ~l TIME INSPECTION REQUESTED• /~ ~ PERMIT NO• / /'_ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASS FAILED COMMENTS: ~ / ^ UTILTTIES: COMMENTS: ^ ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PARTIAL PASSED ^ FAILED ^ ELECTRICAL: ^ ^ COMMENTS: ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL PASS ~ FAILED ^ 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 DATE OF INSPECTION l / `~ TIMF. ~ ~ ~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY CITY OF BI,t1Il~ ~~~ ,Oro~'Se f a Ja~~ 0 BUILDING PERMIT DEPOSIT AGREEMENT A $200.00 refundable deposit is being collected at the time of your building permit application for all permits $1 Q~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. Contr r/Owner ContractorlOwner City of Blair ~U~ Dat 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net CITY OF BI,~IR 'dr~_ 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 2003 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. have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractop for this project. Owner/Occupant City of Blair ~~~~ ~ ~ 5~ Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cilyofblair@huntel,net °~„~° Ju~~29~ 2005 11~40AM - ~ = ~ Plans Division 6/2!2005 ~ M 05084-05 KEITH HERRMAN THE ARCHITECTURAL OFFICES 5015 UNDERWOOD AVENUE OMAHA NE 68'132 NEBRASKA STATE ~1HE MARSHAL Gode Review ^ District "B" yfBRAS~'i ~ ~ ADDITION ~~~ C ae, CROWELL MEMORIAL HOME CHAPEI. ~ E_CF-~~~~ U 245 SOEITH 22ND STREET N JUN 2x05 GLAIR NE 68008 ~. ~'I~~~(`s~;;;~. _ ~? cam. v 'Review and approval is cohditional upan conformance with comments listed in remarks. Preliminary Plans and ~ Reviewed for compliance ~ Resubmit for Approval` Specifications Reviewed` with State Accessibility Guidelines' Final Plans and Specifications and Approved` ~ Shop Drawings Approved` ~ Materials REViswed' REMARKS: This Code Review does not include a determination for cnmpiiance with the State of Nebraska Accessibility Guidelines. Accessibility compliance must be determined by the local jurisdiction in which the project is located. Review applies to new and remodeled areas only. The new.addition and a portion of the exis#ing building is to be fire sprinkler protected as part of this project. It is not clear which areas are to be sprinkler protected as sheets A0.0 and M1.1 of the drawings show different areas of protection. Please inform this ofFice which areas are to be fire sprinkler protected. ThE sprinkler protected areas are to be separated from the nonsprinkled areas by a one hour fire rated smoke barrier in accordance with 19.1.1.4.5 of the Life Safety Code. Page 1 of 2 1. Egress shall be maintained from the existing building throughout construction. LSC, 4.6.10.1 2. Areas under construction shall be separated from the existing building by one hour fire rated construction. NEPA 241, 8.6.2 3. The construction type cited for the new addition is Type II (000) (Type 2B). This construction type is not permitted for amulti-story building. 18.1.6 ,~. ' Doug Hohbein SIGNED: ~ ^ Plans Dffiision U-' District "A" ~ Distdd "B" Q nDistrict °C' 24S S. 14 246 S, 14 438 West Market 200 South Silber Lincoln, NE 68508-1804 Lfncoln, NE 68508-1804 Albion. NE 6862ai241 North Platte, NE 69101-4200 {402) 471-2027 (402) a71-2590 (402) 395-2164 (308) 535-8181 3FM-7be (Rvv, 2199) cbptea w: Rocipion4 ~~ Ch1ef, DeAuty. OnSCe F7e. DcUa No~0831q P, 5 ~~~~ I ~- O District "C° Y Pdntee 1YAh svy toll on ~ecv«d Da~f Jun~29. 2005 11 :41 AM ~. ' ,, NEBRASKA STATE FlRE MARSHAL Code Review No~0831 P• 6 - ®Plans Division ^ District "8° ^ District "C" UATB Pl/W NUMBER 6/2/2005 M p5494_05 To_ KECTH HERRMAN THE ARCHITt=CTURAL OFFICES CROWELL MEMORIAL HOME CHAPEL 5095 llNDERWOOD AVENUE 245 •SOUTH 22ND STREET OMAHA NE 68132 $lr4lR 68008- 4Q Y w h~R~y~,t ,. _~ ~ ~ ~Reviaw and approval iS coMditional apon conformance with comments listed in remarCcs. © Preliminary Plans and Specifications Reviewed" ® Fina! Plans and Specifications and Approved' ~j Reviewed for compliance with State Accessibility Guidelines` ® Shop Drawings Approved' Resubmit for Approval` (~ Materials Reviewed'' REMARKS: 4. The smoke barrier for this project shall have one hour fire rated walls that extend from floor to roof deck and from outsidE wall to outside wall.' Crass-corridor doors shall have a rabbet, bevel or astragal at the meeting edges of the doors. 18.3.7.8 5. Ducts penetrating a smoke barrier shall have smoke dampers provided when the ducts open into nonsprinkler protected areas. 18.3.7.3, 8.3.5.1 ,~~,,, I{,~ ~ F, NEE,. ~. ~~ ~~ {, ;~ ~ ~£,,~„~ 6. Shop drawings for the fire alarm, fire sprinkler and underground fire service mains shall be submitted for review. Title 153, Ch. 21, 003.01 cc: Blair codes I~IHSS ~ Plans Division ~1 246 S_ 14 Lincoln, NE 68508-1804 (402) 471-2027 SFhI-75a (Rev 2x99) Copies m: R~L FR Chief, DoDutY, Once Fie, ExVa District "A° 246 S. i4 Lincoln, NE 68508-1804 (442) 471-2590 L~ District "S" A38 West Market Albion, Nf= 68620-1241 (402) 395-2164 District "C° 200 South Silber North Platte, NE 69101-4200 (308) 535-8185 PRntod w1U~ acv Inlt on cecrckd oamr Doug Hohbein SIGNED:. .. _ ( ~ . Jun~29. 2005 11:40AM No.0831 P, 1 ~ THE ARCHITECTURAL OFFICES ~J•~' RANOALL J. PALANDRI, AlA BRYAN R, IIMMER. AIA WILLIAM J. STOTT. AIA JOSEPH F. SANIUK. Ain MEMORANDUM YAiE: (5/29/05 PAx ~F: 1-402-471-31 i 8 ATTENTION: Doug Nohi~ein IN REFERENCETO: M 05094-05 COMPANY: N~ State Fire Marshall PAGES: 6 PROJECT NAME: CfOWeli MemOflal Hbmr° $ENDER: Keith Herrman PROJECT NUMHE~: 0343.2 ce: Dale Miller Jim Heine B ~ Jim Holland o Scott Isennock d Jeff Frank Y Kim Kelley FIFFY tHIRTEt;N CORPORATION 5015 l1NDERWOOD AVE OMAHA, NE 66132 tel: 402.551.3400 fax; A02.551.6331 www.thaarchilectU~Glof ttGOS.COm offlce~thearchitecturalof6ces.com Jun•29. 2005 11~40AM No•0831 P• 2 ' ~ THE ARCH~T~CTURAL OFFICES ~~~~ RANDAII J. PAlANDRI. AIA BRYAN R. SIMMER. AIA WILLIAM J. STOTT, AIA JOSEPH F. SANIUK, AIA ARCHITECTS SUPPLEMENTAL INSTRUCTIONS DATE: 06/29/05 CC: Dale Miller ATTENTION: Doug Hohbein Jim HEine COMPANY: Nebraska State Fire Marshall Jim Holland Scott Isennock Jeff Frank Kim Kelley SUPPLEMENTAL fNSTRUCTIONS- Permit # M 08094-05 June, 29 2005 Crowell Memorial Home Chapel Addition 245 South 22~d Street Blair, NE 68008 Description: NEBRASKA STATE FIRE MARSHALL CODE REVIEW: Glorification on the area sprinkled. Area tv be sprinkled is called out on plan 1/A0.]. 1. Egress shall be maintained from the existing building throughout construction. LSC, 4.6.10,1, Contractor is responsible for coordination of construction barricades to assure thQt egress Is not hindered. 2. Areas under construction shall be seperated from the existing building by one hour fire rated construction. NFPA 241, S.b,2 Contractor to provide temporary ]hour rated partitions between existing and new construction. 3. The construction type cited for fhe new addition is Type 2 (000) (Type 2B). This construction type is not permitted for amulti-story building. 18.1.6. New construction is to be Type 2A. Afl new walls, floor and c®iling/roof to be of 1 hour rated Construction. Provid® rated ceiiing/roof assembly Design No. P204 (Fire Resistance Directory). A~oustlcal the ceiling tv be Fire Rated -USG "Eclipse - Climaplus" w/ DXE suspension system and hold down clips. Provide fixture protection w/ acoustical material. See atFdchment from Morrissey Engineering for additional information. FIFTY TNIRT>;EN CORPORATION 5015 UNDERWOOD AVE OMAHA. NE 68132 1e1: 402.551.3400 fcuc: 402.551.8331 www.f hearchliectumlo~(ces.com office®thea rchif ectura Iotilees.cOm Jun•29, 2005 11~40AM No.0831 P. 3 4. The smoke barrier for this project shall have one hour fire rated walls that extend from floor to roof deck and from outside wall to outside wall. Cross-corridor doors shall have a rabbet, bevel or astragal at the meeting edges of the doors. 18,3.7.8 The contractor is to verify that all new and existing walls along the boundary as described on drawing i/q0.1 are 1 hour rated and that astragals are included on ail cross-corridor doors. S. Ducts penetrating a smoke barrier shall have smoke dampers provided when the ducts open into nonsprinkler protected areas. 18,3.7.3, 8,3.5.1. See attachment from Morrissey Engineering far information regarding the smoke dampers and there connection to the existing fire alarr>nl system. 6. Shop drawings for the fire alarm, fire sprinkler and underground fire service mains shall be submitted for review. Title 153, Ch. 21, 003.01. Contractor is responsible for obtaining this Information from the subs, and providing to all necessary departments for review. Aflachmenta: 2 Prepared By; Keith Herrman FIFTY THIRTEEN CORPORATION 5075 UNDERWOOD AVE OMAHA, N~ 68132 tel: 402.551.3400 fax: 402.557.833 ] wwW, thearchlteCturelo(flCes.co m olflCO~f hearahit ect uralq~yGes.com Jun~29~ 2005 11;40AM No~0831 P. 4 ,' mriyem rcv~earl o:2arva C600? L~.:3-0tl.(foo addendum m o r r i s s e y engineering addendum no. date: bid date: protect name: Crowell Memorial Home project no: 05004 This addendum is hereby made a part of the contract documents to the same extent as if it were originally included therein. Contract documents shall be considered modified or revised as hereinafter described. Mechanical prawings 1, Sheet M1.1, Second Floor Plan -Mechanical: a. Revise fire dampers in existing ducts to Combination Fire/Smoke Dampers (4 typical). Revise flag note 9 to read as follows: "Provide Combination Fire/Smoke Damper in existing duct. Field verify exact size.° b. Add fire dampers in new supply and return air duct penetrating exterior wall. Revise flag note 8 to read as follows: "Coordinate duct penetration through exteriorwall with general contractor. Provide fire damper at penetration through exterior wall, See sheet M1.2 for continuation." c. Per revision of ceiling to fire rated, level, lay-in file: Revise duct layout and diffuser locations to accommodate new ceiling and light layout. Provide (4) 413° LD-1 linear diffusers symmetrically located at south exterior, balance to 200 CFM eQch. Provide ceiling radiation dampers to maintain rating of ceiling assembly. Provide 8" round runout with volume damper to each linear diffuser. Provide (4) 24"x24" flat plate ceiling diffusers (Krueger PLQ or equal), locate symmetrically s;long interior, balance to 200 CFM each. Diffuser shall be steel, white, flat plate, 380 diffusion, 0.1" static pressure drop, with Opposed blade damper. Provide ceiling radiation dampers to maintain rating of ceiling assembly. Provide 8" round runout with volume damper to each diffuser. Electrical Drawings 2. Sheet E1.1, Chapel Floor Plan -Lighting. a. Provide 120V connection to newfire/smoke dampers in existing ducts (4 dampers total). Connect to spare breaker in nsw panel "B2", provide breaker lock. b. Provide new smoke detector in existing corridor on each side of fre door for fire/smoke damper control. Connect to shut fire/smoke dampers in event of alarm signal from respective corridor detectors. Connect to ®xisting fire alarm system detection loop. morrl9sey engineering inC m~chanic$I electrical engineers 3317 north 1071h street omahe, ne Q8134 t 402.481.414a t 402.4.91.4146 Aug • 4. 2005~~ 1 : 37PMAM 1V°'No • 1102 ~ `P , 2/3 ~ ~~ ~THE ARC / RApoat~ r. PAIANDRI. wIA HITECT 6RVAN R. Z(MMER, alb URAL OFF W1611aM J. SiOTT, Aia JOSEPH ICES I'. SANIUK, ~i~ ARCHI7i=CTS SUPPLEMENTAL INSTRUCTIONS DATR: 06!29/05 cc: Dale Mill®r Ani:Nrlos; Doug Hohbein Jim Heine Gnur~-nrr: Nebroskc State Fire Marshall Jim Mpnana Scott Isennock Jeff Frank Kirp, Kellev SUPPLEMENTAL i(NSTRiJC110NS- Permit # M 05094.05 June, 29 2005 Crowell Memo~al Home Chapel Addition 245 South 22M+ Street Blair, NE 68008 Deacdptlon: NEBRASKA 5TA'f~ FIRE MARSH/ILL CCpE REYiEW: Clariticdtien on the area sprinkled. Arvq to be sprinkled I; ealied out on pion 1 jA0.1, 1. Egress shall be Ir~aintained from f he existing building throe aanstn,ction. tSC, 4.6.10.1. Conrractor is resporsrible for coordlnatlon of construction barricades fo as:uro that ogres: is not hindorold. 6 ~8 ~~ M ~~C~~~` `'w ~ 2005 A~~'. '~k1~-~RC~1~c~S ~~~ ~ OF~~ s~~c ,~ ~,~.rO~ ti hou ~c~~ ~ ./ 2. Areas under ~onstn-ction shall be separated from the existing building by one flour fire rated constr~cfion, NFPA 241, 8.6.2 Contractor to provide temporary 1 hour rated partitions between existing and new conatrucevn. 3. TIiG Gonstrucfien type cited far the new addition is Type ®(OOOJ (Type 2BJ .This construction type is not permitted for amulti-story building. 18.1.b. New con6frvCtlon iS to be Typo ZA. AA now walii, floor and cellinp/roof fo bo of i hour rated gonsfructton. Previde rated ,ceiling/roof a~ssennbiy Aesign No. PZ04 Cure Reslsfaaco Directory). Acoustical #ae tailing fo be Fire Rated - IfSG "Eclipse - Cllnlraplua" w/ DXL suspension syifem and held down clips. Provide fl~dure proton w/ acousflcol rgvferim. Sae pHaehment from Morrissey ~ngtneering for addlHanat Information. ~u-~252~05 llat~ tax: A82.551.8331 + www.IhAOrchilecl~s¢bhiees,eem ~^," allfeeAlheorchilecl~abNievs.eom + ppng ~#bl~bein Ise ~ ska Stag 1?ire l~Iaxsl<i'dI°a O#'Fice Aug • 4. 2005~~ 1 ~ 37PM'~~ I"Q'No ~ 1102 ~ 'P • 3/3 A. The smoke ~arriar br this project shall have one hour fire rated walls fret eXtend from }loot to roof deck and fPOtYI Outside w011 to outside waN. Cross-corridgr dvats shall have a rabbet, bevel ar nsfragal ai the meeting edges of the days. 18.3.7.8 The contractor (~ to vorlfy that ab new and existing walls along thQ boundary as desaribod on drawing 1/A0.1 are 1 hour rafad and that astragals are lncludpd on all cross-contdor door:, 5. Ducts penetrating a smoke barrier shall have smoke dampers provided when the ducts open into nonsprlnkler protected areas. 18.3.7.3, 8.3.5.]. 5~e attachment from Mvrriasey ingtneering for information regarding the Jnnolcv dampers and there connection to the exfsfing fire alarm syxtam. 6. Shop drawings for the fir+n alarm, fire sp~nkJer and underground fire service mains shad be submitted #or review. Titi®153, Ch. 21, 003.01. Contractor fs responsible for obtaining thl:information from the nubs, and providing to a1l~neceaeary departmwds for review. V ~~~~~5 Datie j Doug ~ohtseiu N ~ ska State Fire Matshal's OtXice ~rtacNment~: Z Pr4ptx~d sr: Keftll Hermon FF1Y THIRTEEN CQRPpRATION ',SGt $ UNDF]~WQQD AVE QMAI~y1, NE 68132 t91; ~i4R.~5i.~tod imc: IQ2.551.9331 wwwd haorch~lwsu~pialiicvs.eom oltice ®1h earc ht1 ec IuraJorNces.cam Jun~29. 2005 10~03AM No~0828 P~ 2/6 ,,,THE ARC HITECT URAL O FFICES ~~~~ RANDALL J. PALANDRI. AIA BRYAN R. IIMMER. AIA WILLIAM J. STOTT, AIA JOSEPH F. SANIUK. AIA ARCHITECTS SUPPLEMENTAL INSTRUCTIONS pATR: 06/29/05 cc: Dale Miller AneNTION: Doug Hohbein Jim Heine COMPAN`f: Nebraska State Fire Marshall Jim Holland Scott Isennock .. Jeff Frank Kim Kellev SUPPLEMEMAL INSTRUCTIONS- Permit # M OS094-OS June, 29 2005 Crowell Memorial Home Chapel Addition 245 South 22^d Street 81air, NE 68008 Description: NEBRASKA STATE FIRE MARSHALL CODE REVIEW: Clarification on the area sprinkled. Area to besprinkled is called out on plan 1/A0.1. 1. Egress shall be maintained from the existing building throughout construction. LSC, 4.6.10.1. Gonlractor is responsible for coordlnaton of construction barricades to assure that egress Is not hindered. 2. Areas under construction shall be separated from the existing building by One hour fire rated construction. NFPA 241, 8.6.2 Contractor to provide temporary 1 hour rated parlitfons between existing and new construction. 3. The construction type cited for the new addition is Type ~ (000) (Type 2B). This construction type is not permitted for amulti-story building. 18.1.6. New construction is to be Type 2A. All new walls, Iloor and celling/roof to be of 1 hour rated construction. Provide rated celling/roof assembly Design No. P204 (Fire Resletance Directory). Acoustical ilia ceiling to be Fire Rated -USG "Eclipse - Cllmaplus" w/ DXL suspension system and hold down clips. Provide tlxture protection w/ acoustical material. See attachment from Morrissey Englneering for additional Information, .AI?P>ZOi/Ei~ tt u _ 2 5 2005 .~.~.. lax; A02,551,8331 ~ / y 7 ~ 1.. Www.Ih~archilecluralaNices.cam ; ' )ToUg ~rihl)eln office®IheorchilecluraloNices.cam Ia1e1~r s1Ea Stag PT`re 1Vlarsl~al's Office Jun~29. 2005 10~04AM No~0828 P~ 3/6 4. The smoke barrier for this project shell have one hour fire rated walls That extend from Hoar to roof deck end from outside wall to outside wall. Cross-corridor doors shall have a rabbet, bevel or astragal at the meeting edges of the doors. 18.3.7.6 The contractf5r Is to verify That all new and existing walls along the boundary as described on drawing 1 JA0,1 are 1 hour rated and that astragals are Included on all cross-corridor doors. 5. Ducts penetrating a smoke barrier shall have smoke dampers provided when the ducts open into nonsprinkler protected areas. 16.3.7.3, 8.3.5.1. See attachment from Morrissey Engineering br informaflon regarding the smoke dampers and there connection to the existing fire alarm system. 6. Shop drawings for the fire alarm, fire sprinkler and underground fire service mains shall be submitted for review. Ti11e 153, Ch. 21, 003.01. Contractor Is responsible for obtaining this Information from the subs, and providing to all necessary departments for review. ~1?~~~D JUG 2 5 20©~ -- Date Doug Hahbein io? G asks State Fire Marshal's Office ANachments: 2 Prepared By: KeNh Hemnan FIFTY THIRTEEN CORPORATION 5015 UNDERWOOD AVE OMAWA. NE 69132 tAl: 402.551.3400 fox: 402.551.9331 www.i hearchif eclurololfices.com olrice®I he archll ec luro)oltlces. c om Jun•29. 2005 10~04AM NEBRASKA STATE FlRE NIAgSHAI. Code Review • ~ ~ Plans Division 6/2/2005 ~ M 05094-05 fCE17H HERf~MAN THE ARCHITECTURAL OFFICES 5015 UNDERWOOD AVENUE OMAHA NE 86132 No•0828 P• 5/6 ^ District "B" ^ , District "C" ~` - '~!r ~ 5 ~ p ADDITION ~• g" ii111' D,~ Ci~IV~~ P "' ' • GRQWELL MEMORIAL HOME CkiAPEL ~ . I,~ , ~ 245 SOUTH 22ND STREET ~ JUId 200 ~ ., ~~ w BLAIR NE 68006 1° Cry ~41~, ~;;~~~'~ ~ ~ r.;.. ,. -~ . ~~ `Aevlew and approval is conditional upon conformance with comments listed in remarks. Preliminary Plans and ~ Reviewed for compliance ~ Resubmit for Approval" Specifications Reviewed` with State Accesslbglty Guidelines' Final Plans and Specifications and Approved' ~ ,Shop Drawings Approved' ~ Materials Reviewed' REMARKS: . This Code Review does not include a determination for compliance with the State of Nebraska Accessibility Guidelines. Accessibility compliance must be determined by the Ioeal jurisdiction in which the projecf is located. Review applies to new and remodeled areas only. The new.addition and a portion of the existing building is to be fire sprinkler protected as part of this project. It is not clear which areas are to be sprinkler protected as sheets A0.0 and M1.1 of the drawings show different areas of protection. Please inform this office which areas are to ba fire sprinkler protected. The sprinkler protected areas are to be separated from the nonsprinkled areas by a one hour fire rated smoke barrier in accordance with 19.1.1.4.5 of the Life Safety Code. Page 1 of 2 1. Egress shall be maintained from the existing building throughout construction. LSC, 4.6,10.1 2. Areas under construction shall be separated from the existing building by one hour fire rated construction. NF('A 241, 8.6.2 ~ ' 3. The construction type cited for the new addition is Type II (OOp) (Type 2B), This construction type is not permitted for amulti-story building. 18.1.6 .~ ~'• ~-~ SIGNED:, ~ 1 Doug Hahbein ^ Plans DNrision I~ District "A" 246 S. 14 248 S- 14 t.incoln, NE 613508-1804 I..incdn, NE 68508.1904 (402) 471-2027 (402) 471-2580 sFrrse IRev, aror) Copies q: Reetplenl Firo oriel, bepury. Odes F7s. Drt~. d^ D'~trid "B° 438 West Market Albion, NE 88820-1241 (402) 3J5-2164 ^ pistrict "C" 200 South Silkier North Platte. NE 69101~d200 (309)535-8191 PAItbO with sw Ydt o" fsevtbd p~ Jun.29. 2005 10~04AM No.os2a P. sus ' NEBRASKA STATE FlRE 1AARSHAL bode Review " ~ ®Plans Division ^ District "B" ^ District "C" 6/2/2005 ~ M 05494-05 KEITH HERRMAN THE ARCHITECTURAL OFFICES 5015 UNDERWOOD AVENUE OMAHA NE 68132- CROWELL MEMORIAL HOME CHAPEL 245'SOUTH ZZND STREET gI.gIR saooe- ~rl~s. preliminary Plans and SpecHications Reviewed' ~j Final Plans and ' Speci~caUons and Approved' ~j Revi with Guic Shop Drawings Approved' 'r~ ~E!"~6A* Materials Reviewed' HEN 4 fl rabbet, bevel or astragal at the meeting edges of the doors. 18.3.7.8 5. Ducts penetrating a smoke barrier shall have smoke dampers provided when the ducts open into nonsprinkler protected areas. 18.3.7.3, 8.3.5.1 ,s~',;a it ~ ~ ~,.Kr ~,, ~,. ~d }~ {. ,~ G t'c~.,,,~ 6. Shop drawings for the fire alarm, fire sprinkler and underground fire service mains shall be submitted for review. Title 153, Ch. 21, 003.01 . cc: Blair codes HHSS ~ . SIGNED: /~ ~.._, Doup Hohbein ~ Puns Division 246 t uncc (~21 s~u•~, cn..,,. ~~ Copies b: Nsr~iont Fug CAist [Npuy, ORlte Ells. Enfs "A° ~ DisUia "s' ~ District "C' PAnbe witA sw b1N on ncvcka Omer NEBRASKA STATE FIRE MARSHAL E-Code Review ^ This review is an emailed version. ,~~ ~~ " • = x Plans Dlvlslon If a signiture is required please contact the office. "fBq^e,~,,. 6/2/2005 M 05094-05 Estimated Start Date: 7/15/2005 KEITH HERRMAN Estimated Completion Date: 11/1/2005 THE ARCHITECTURAL OFFICES CROWELL MEMORIAL HOME CHAPEL 5015 UNDERWOOD AVENUE 245 SOUTH 22ND STREET OMAHA NE 68132 - BLAIR NE 68008 (402)551-3400 Construction Tvoe: 370 SQ FT * Review and approval is conditional upon conformance with comments listed in remarks ^ Preliminary Plans and Specifications Reviewed* ^ Reviewed for compliance with State Accessibility Guildlines* 0 Resubmit for Approval ^ Final Plans and Specifications Approved* REMARKS: ^ Shop Drawings Approved* ^ Materals Reviewed This Code Review does not include a determination for compliance with the State of Nebraska Accessibility Guidelines. Accessibility compliance must be determined by the local jurisdiction in which the project is located. Review applies to new and remodeled areas only. The new addition and a portion of the existing building is to be fire sprinkler protected as part of this project. It is not clear which areas are to be sprinkler protected as sheets A0.0 and M1.1 of the drawings show different areas of protection. Please inform this office which areas are to be fire sprinkler protected. The sprinkler protected areas are to be separated from the nonsprinkled areas by a one hour fire rated smoke barrier in accordance with 19.1.1.4.5 of the Life Safety Code. Page 1 of 2 1. Egress shall be maintained from the existing building throughout construction. LSC, 4.6.10.1 2. Areas under construction shall be separated from the existing building by one hour fire rated construction. NFPA 241, 8.6.2 3. The construction type cited for the new addition is Type II (000) (Type 2B). This construction type is not permitted for amulti-story building. 18.1.6 SIGNED: o Doug Hohbein ^~/ District "A" ^ District " B" ^ District " C" 246 S. 14 438 West Market 200 South Silber Lincoln, NE 68508-1804 Albion, NE 68620-1241 North Platte, NE 69101-4200 (402)471-2590 (402) 395-2164 (308)535-8181 NEBRASKA STATE FIRE MARSHAL E-Code Review 0 Plans Division 6/2/2005 I M 05094-2 KEITH HERRMAN THE ARCHITECTURAL OFFICES 5015 UNDERWOOD AVE. OMAHA NE 68132 This review is an emailed version If a signiture is required please contact the office. Estimated Start Date: Estimated Completion Date: NF8gA9~'* CHAPEL ADDITION AND REMODEL CROWELL MEMORIAL HOME BLAIR NE Construction * Review and approval is conditional upon conformance with comments listed in remarks ^ Preliminary Plans and Specifications Reviewed* ^ Final Plans and Specifications Approved* REMARKS: 05094-05/Page 2 ^ Reviewed for compliance with State Accessibility Guildlines* ^ Shop Drawings Approved* ^~ Resubmit for Approval ^ Materals Reviewed 4. The smoke barrier for this project shall have one hour fire rated walls that extend from floor to roof deck and from outside wall to outside wall. Cross-corridor doors shall have a rabbet, bevel or astragal at the meeting edges of the doors. 18.3.7.8 5. Ducts penetrating a smoke barrier shall have smoke dampers provided when the ducts open into nonsprinkler protected areas. 18.3.7.3, 8.3.5.1 6. Shop drawings for the fire alarm, fire sprinkler and underground fire service mains shall be submitted for review. Title 153, Ch. 21, 003.01 cc: Blair codes HHSS SIGNED: ~ Doug Hohbein ^~/ District "A" ^ District " B" ^ District " C" 246 S. 14 438 West Market 200 South Silber Lincoln, NE 68508-1804 Albion, NE 68620-1241 North Platte, NE 69101-4200 (402)471-2590 (402) 395-2164 (308)535-8181 P~' V,~ 4 ~_ G4~T IFj~~ NFPA' 1 /26/2006 I M 11087-05 Rick Brown Midwest Fire Sprinkler 4910 F Street Suite 400 Omaha, NE 68117- (402) 558-7080 Crowell Memorial Home 245 South 22nd Street Blair 68008- Your items have been reviewed for compliance with the Nebraska State Flre Marshal Act. (Sprinkler Shop Drawing Addition to Fire Sprinkler REMARKS: Drawing is for new chapel addition. 1. Drawing is approved for layout and design. 2. After the system has been installed, the completed Contractor's Material and Test Certificates for Aboveground piping shall be provided to and accepted by the State Fire Marshal to receive final approval. This must be done before the system is put into service. Title 153, Chapter 19; O-I 03-06. Return postage not provided. Plans will be held for 10 days for pickup in the Lincoln Office. Page 1 of 2 PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION. FINAL ONSITE APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE. SIGNED: David Autry Reviewed By: Main Office 246 South 14th Street Lincoln, NE 68508-1804 (402) 471-2027 NEBRASKA STATE FIRE MARSHAL PLANS DIVISION ~~ '~~~~~~~~ ~_ Code Review ` . '~,E-~a Qs'~°' Contact for Inspection: District B 438 W Market Albion NE 68620-1241 (402) 395-2164 ' ~ 1 /26/2006 M 11087-05 Rick Brown Midwest Fire Sprinkler 4910 F Street Suite 400 Omaha, NE 68117- (402) 558-7080 Crowell Memorial Home 245 South 22nd Street Blair 68008- Your items have been reviewed for compliance with the Nebraska State Flre Marshal Act. LSprinkler Shop Drawing Addition to Fire Sprinkler Alt Phone: Email: Occupancy Type: Health Care Construction Type: Estimated Start Date: 12/1/2005 Estimated Completion Date: 1/1/2006 Fire Protection Features: Sprinkler Total © Spinkler Partial^ Range Hood System^ Sprinkler Other: Fire Alarm Manual Sys. ^ Smoke Detection ^ Heat Detection ^ Fire Alarm Other: Page 2 of 2 PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION. L FINAL ONSITE APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE. SIGNED: David Autrv Reviewed By: Main Office 246 South 14th Street Lincoln, NE 68508-1804 (402) 471-2027 Contact for Inspection: District B 438 W Market Albion NE 68620-1241 (402) 395-2164 ~~ ~~ •~~+ ~;~v Iry . ^~ . ~~ ',, .~, i ~~"~• ~; ~ v~ ,i! I ~p:vi~ ~ ~ v