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BP12499Blair Building Permit Detai _ t Y . Permit #: 12499 Issued: 6/20/2006 Type: Industrial/Commercial - New Const. Completed: 4/30/2007 Valuation: 52500 Location: 275 E. Grant St. Owner: US Cellular Permit Fee: 259 Address: 10343 Military Rd. Issue Fee: 15 Deposit Amt.: 200 Omaha, NE 68134 Receipt #: 16994 Phone: 402 515 4698 Section: Township: Range: Subdivision: Lot: 267 S7 -T18- Block: 300' existing tower, antennas for US Cellular will be 240' up on existing tower. 12x20x10H shelter will have 200 amp service plus mechanical. Will be adding a chain link fence 6' to close in shelter with barb wire on top. Contractors U.S. Cellular Downs Electric, Inc. Remarks General Contractor Electrical Subcontractor Permit # Issued E2517 8/1/2006 6/28/2006 BMS Brenda Sent permit out when I was gone. Inspections Date By 8/2/2006 DEM Footings Pass 8/29/2006 DEM Electrical Permanent Service Pass 4/30/2007 DEM Final Inspection of Project Pass 4/30/2007 DEM Electrical Final Pass Itb&luVii. Sex 94VJ(16L Z A '115 l i % •� eat Jurisdiction of City of Blair, Nebraska Permit Fee: 7 u 218 South 16th Street Issuance Fee: / �C�� 0 Blair, Nebraska 68008 Receipt #: ��% 0,0(402) 426-4191 ® Fax (402) 426-4195 D't R i t 14 �t 12499 Permit eposl ecelp Issue Date: /ri " �l �<' Type: �-7 i� L �t /-P// - ;�& *,, JOB ADDRESS (y L111 ESCR. r i I r � r �' r�� V �i (, C��/ }'� 0�� ��7 J 1® SEE ATTACHED SHEET (4-ed OWNER % _I,,W �.HOMEPHONE HONE2. CL WORK/CELL P CONTRACTOR MAIL ADDRESS ZIP HOME PHONE 3. A4 d'le�144-3 WORKICELL PHONE 4. Class of Work: ,RNEW ® ADDITION ® REMODEL ® OTHER Q FINISHED BASEMENT Q UNFINISHED BASEMENT 5. Describe Work: �j ` � �; C2 J1 zd / Stop Box Card aRldIn 6. Valuation of Work: $ 5,00. � � Total Sq. Footage (Including easement and Garage): Ta In otishd Ar eea:�/ C Floodway ® Yes ® No 7. Floodplain: Fringe Q Yes ® No Dev. Permit BFE Elev. Cert. 8. Current Zoning: 9. State Fire Marshall Required: ® Yes ® No 10. Special Use Permit Required: `Yes ® No Are o4f Inspections 6113160 11. Variance Required: ® Yes (7lo 12. Minimum Setbacks: Front Side �r Rear 13. Sidewalk Required: ® Yes ® No ������,,�� Waiver Approved e�_/o�t— NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of this application form signed by the Building Inspector. I hereby 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 thatthis permit is void if work is not commenced within 180 days or is not completed within 2 years of date of issue. SIGNATURE OF OWNERICONTRACTOR ATE Comment: ® Site Plan AttachedC)Complete _ Plans Attached Approximate Completion Date ,JM.- 7 Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card aRldIn Footings Drywall (PRIOR TO TAPING) Framing Fi Electrical Rough -in Fixtures Final Permanent Service Temporary Service Mechanical Rough -in Final Plumbing Ground Work Rough -in WHEN PROPERLY 1pprovTdjBy: A\C , Final N THIS SP 001111 111111 POUNDS PRTGAlair, NE Rev. 6/96 J NOUN/* 1, r IJUILDING INSPECTION REPORT CITY OF ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION NAME OF OWNER ¢ ' �. ttl a f A ( aCONTRACTORS -E,zJ Wt` l_�0,(/ '' ,f DATE INSPECTION REQUESTED y TIME INSPECTION REQUESTED�� PERMIT NO_ TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: z FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSE FAILED COMMENTS: UTILITIES: ❑ SEWER TAP [I ;SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F] 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 TIM • O'' �V FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY Z--..,,CITYOFP LOCATION Oi . ECI .,.b U ILDii.,— ❑ WASHINGTON COUNTY ❑ OTHER- ---/ /, ", NAME OF OWNER- �' �� CONTRACTOR - DATE INSPECTION REQUESTED- '= f TIME INSPECTION REQUESTED TYPE OF INSPECTION REQUESTED: Ia ^ 4 5 PERMIT NO• _a' ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING IRIRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSAD FAILED Zr F-1 COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL El COMMENTS: ELECTRICAL:' ❑ 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 FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FA4LRD ❑ PRESSURE TEST El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONA OCCU GRANTED NOTES/REMARKS TE OF INSPECTION FAXED OPPD\BURT REA TO CONNECT SERVICE: TW- `0 _.t/ FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY INSPECTION REPORT `CITY 7F BLAIR " ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION: , ,r NAME OF OWNER f ' `"" CONTRACTOR DATE INSPECTION F r r REQUESTED: dr ' ' ''' TIME INSPECTION REQUESTED- �' "`p Q PERMIT N0: r TYPE OF INSPECTION REQUESTED ❑CONFERENCE � _ _ _ _ ❑STATUS CHECK BUILDING: ❑ _ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑}FINAL ❑ PARTIAL v' YPASS D FAILED ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑�SEPTIC� ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED F1 PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN�FINAL �❑ PERMANENT SERVICE F1 TEMPORARY SERVICE ❑ PRECONNECT FAILED ❑ PARTIAL PAS D 17f YJ ❑ COMMENTS: MECHANICAL:❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANTHEAT� ❑ FINALv ❑ PARTIAL '~LLQ ,._ PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ uROUGH-IN ❑ FINAL El WATER METER INSTALLED ❑ PARTIAL ilvwGv PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED TW- `0 _.t/ FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ase 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. 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 4-o�netra-ctor A�WVe77111 (-, � (!A—Da 218 South 16th Street • Blair, Nebraska 8008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net EA 08/29/2006 08/29/2006 7"OZILDING INSPECTION CITY °0 A."' ❑ WASHINGTON COUNTY ❑OTHER LOCATION OF INSPECTION L�LI162,p NAME OF OWNER (12 CONTRACTOR- DATE ONTRACTOR DATE INSPECTION REQUESTED r v TIME INSPECTION REQUESTED PERMIT NO• TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ 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 RMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL �'�� � —001 ❑ COMMENTS: COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTESIREMARKS: DATE OF INSPECTION 13,6_. D PIPURT RY-A, c� ��j TO CONNECT SERVICE: ON �Y � I TAffi,j , :s �J .► � � 11.1,-,,�,, . �. ''r f %-4/30r2007 AMR fjL -1 f�z `3 /2007 Ai .�y:;;, a ? !�'u-1 04/3/`': &Mw 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. 6062ngtraci-or-lowner Contractor/Owner t#docq( - SS -Z/ Date City of Blair 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net ECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 2517 (402) 426-4191 Permit E Application Date: 00— + ()u '33, Permit Fee: $ JOB ADDRESS LEGAL 1 DESCR. ® SEE ATTACHED SHEET 2. OWNER A14ADjJf1ESS ZIP�b% HOME PHONE GG�� ;FW/ - WORKICELL PHONE -� 9 CONTRACT R MAILADDRESS PHONE ,`3, HOME PHONE fi e& WORKICELLPHONE ! 4• Class of Work: p NEW RESIDENTIAL W COMMERCIAL ® REMODELING/ADDITIONS D UPGRADE SERVICE 5• Describe Work: 00 0-M V'�'ey < 6. Current License on File es p No p 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 Amp Fee....... $ 55.00 ..................... 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 1 st 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 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 work will be complied with whether specified herein or not. Receptacle/Switch Outlets The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Fixtures -x $.75 law regulating construction or the performance of construction. Smoke Detectors x $3.00 Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 Permit Issuance Fee ............. $15.00 161 G DATE TOTAL Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: POUNDS PRTG: Blair, NE Rev. 11/99 9 -2? -04;! :38FM;Des Moines 1047 t4.2"' Avenue Eilkhorn, NE 68022 402-289-1888 Fax -333-8577 ;515 457 3940 Al 2/ i9 300 ft Andrew M46 Tower Structural Analysis Prepared for: Nextel Partners 6750 Westown Pkwy. Suite 115 West Des Moines, IA 50266 Site: Blair Blair, NE E323110sep,r"oj i o 0 0 pioesd�� Hf W� O�Q'���� isa June 12, 2001 9-2 -P 4; 12: 3ePAA; Des Maines Structure loading: ;515 457 3940 # 4/ 19 Per the loading sheet supplied, the analysis was performed using the following loading: (Proposed loading in bold) Elev. (ft) Q ty. Antennas and Mounts Coax Owner 300.0 4 DB567KR Mounted On (3) Antenna Mount, T- (4)1 5/8" Uplift Uplift Design Arm, 6 (kip) (kip) 220.0 3 BCD -80010 Mounted On (3) STANDOFF (:3)15/810 Nextel Results of Analysis: Refer to the attached Computer Summary sheets for detailed analysis results. Structure: The existing tower is structurally capable of supporting the existing and proposed antennas. The maximum structure usage is: 77.0%. Foundation: Anchor Design Analysis % Of Radius Uplift Uplift Design (Ft) (kip) (kip) 169.0 ft 18.70 14.16 75.7 240.0 ft 1 33.30 1 28.01 84.1 The structure base reactions resulting from this analysis do not exceed the ones shown on the original structure drawings. Review and Recommendations: Based on the analysis results, the existing structure meets the requirements per the EIA/TIA-222-F standards for a basic wind speed of 80 mph with 1/2" radial ice. • Page 3 a' -27-q4; 12. 3a PM;Des Moines �pp N M c a_ tiS m —7 N ;515 457 3540 vs x w Z r W W O N� N p fD0 wp Ill Ln ti ID e -c- 4 R y m w N m .a m UW b UW i OI .A W, to c � N x N !Q Q U N [ z x N » M C S U N U V U U f.92U' m zzGt7 z,-yxz m ca o m 2 m x�awm u�mm � mvv.rvaa Q" ( C paC aeX �C�x I � W%M MM�?PO'1M v a n. a s a. a. V (13 W W W W W W xu�i��l �t4o ug CL N�cvvba m aC oCL ww� Q I� .0 '`rsOOq OOO vi W! 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