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
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