BP13012
Permit #: 13012 Issued:
Completed:
Location: 1995 Ridgeview Rd
Owner: Edward Jones
Address: 1995 Ridgeview Rd
Ste4
Blair, NE 68008
Phone: 402 345 0800
Section:
Subdivision:
30" by 16' sign on building will be lit.
Township:
Contractors
Superior Lighting Incorporated
Remarks
Inspections Date
9/15/2008
By
DEM
Blair Building Permit Detail
6/20/2008
9/15/2008
Range:
Lot:
Type: Signs
Valuation: 4000
General Contractor
Final Inspection of Project
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
CITY OF BLAIR - MISCELLANEOUS BUILDING PERMIT
Permit # I I;;
Date: {{ -;~7 ii/of; Approximate Completion Date: f3- -:3/ - OlSite Plan Attached:
Estimated Valuation of Project: '-I'tl tV) , & 0
Application for:
Permit Fee $20j/ssuance Fee $20
Fee: $40.00
Sign Erecting, Awnings (Per Sign) Y
Roofing/Siding/Soffit and/or Eave Repair/Gutters
Window/Door Replacement (Size Change Only)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required)
Fences (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (items not covered by one of the above)
Other
Patios/Driveway Permits/Utility Excavation and Curb Grinding Fee $35
Curb Grind
Length
Utility Excavation
Length Un. Ft.; Width
Type: Water ; Sewer ; Other
Un. Ft
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will onlv be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Issuance Fee:
$ 20.00
Total Renewal Remit Fee = Permit Fee/Issuance Fee
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A?ditio,paJ pescription of pr9ject ifnecessal')':':-)u' b/
f7/~iJ()lhlC1Y /J,~ b.1. J-Uf.
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PROJECT INFORMATION:
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Job Address: I / "'--J /er {;I 'fd-t/-t.J!w /:.-.:;1
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Legal Des~riPtion (If applicable) /j,'t !i}.)fJ}dtl 4-)" (~/.11
Owner: (, c;ttJ'::tA('.l;'C_.intL~;).-J Add ress:
JY -A' /.' r/.
Contractor: C.. tJU1...Irl r:><<./ /4/J;t-d//1j) f'..J-j ~'fJ'l-(J/
Address: G><.."J I "'? I \,r~') vIII c.:;;JL/ /--II J y: .
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Phone#:
0"1
7
PC-I
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Phone #: 3'1.5 ~t:.Jb60
Cell #:
O~11f.:VIC:L
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Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic
systems. By my signature below, I acknowledge this building permit application 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 a permit 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 two (2) years of date of issue.
,&;./001 CJ 8
Date / "
For Office Use Only
WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
''J
Date Permit Paid: (-.,,:Jt; 4tJReceipt # o-:J,,;luit;;1 Approved by:,;25 -/~j,{.J.t..O-i!7--,
j2z/fI.'/ J
,. cB--V:?-, c:>/ CL./
40"
I I
16'
40"
GJ
N
~
-It-ltREQUJRES U.L. & MANUF~,CTURER'S LABELS-lt-lt FASTSIGNS
I 138 . 5 I Sign.. Graphi<; ~O/UtIOOs Ma<le Simple
~_fWfat AQOQIlt$.
~T ~ ~ ~ ~_ ACCOUNT:
~ U C?.J EDWARD .JONES
L1-3R 18" ILL. CHNL. LTRS. ON A RACEWAY
- QTY. 1
- FACE TO BE #7328 WHITE
- TRIM CAP TO MATCH PMS 5535 DK GREEN
- RETURNS TO MATCH PMS 5535 DK GREEN
- NEON TO BE #6500 WHITE
- 8"x8" RACEWA Y COLOR fO MA fCH SW 6112
- ALL ELECTRICAL COMPONENTS ARE UL LISTED.
60ma TRANSFORMERS ARE UL #2161 GROUI\jD
FAULT COMPLIANT. RACEWAY EQUIPPED WITH
EXTERNAL SERVICE SWITCH.
-INSfALL AS SHOWN CENfERED IN SIGN BAND
1 '7.31 s~:ff;,.
Q-3
[16" coPy widthl
15"
I I
l
DOOR GRAPHICS
(PROVIDED BY FASTSIGNS)
APPLIED TO FIRST SURFACE
Q-3
-QTY1
-SCREEN PRINTED 1'-3" X 1'-3"
VINYL GRAPHIC
Name Jf V-1
FmSlltlliCW AdlvfuiOiJr -QTY 1
iOOO.iOOO.oOOiO -BODONI BOOK TYPESTYLE
.Jl ..]. -TEXT HEIGHT 1 5/16"
W'WW.elUfwaJrlUl]iOiltlle!l.oom
-COpy PREMIUM WHITE VINYL
,----. --Please'Sign&returndraWin'9iS11aiUtiOrdapprovaii'ormto"FAifliGNil*DRAWING IS NOT TO SCALE BUT IS PROPORTIONATE TO ACTUAL BUILDING*
1 · t Signature below indicates approval of BOTH design & placement of sign/s I
1 I' X DATE I FIELD VERIFY ALL MEASUREMENTS BEFORE BEGINNING ANY WORK.
1----- --------------------__________J INSTALLER TO VERIFY MOUNTING SURFACE PRIOR TO INSTALLATION.
V-1
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FILE:
~ 68f'3-IRfn -
FINANCIAL ADVISOR:
Donald Sorensen
ADDRESS:
1995 Ridgeview Road
Suite 4
Blair, NE
ORIGINAL DRAV~NG DATE: 6/12/08
DRAWiNG NUMBER: I SCALE:
1of2 Nrs
REV #1 BY: I REV. DATE
REVISION NOTES:
REV. #2 BY: I REV DATE
REVISION NOTES:
REV #3 BY: I REV, DAlE
REVISION NOTES:
NOTES:
DRAWN BY. B. Busse
REVlSEOB't
THIS DRAWING IS THE
PROPERTY OF FASTSIGNS
INTERNATIONAL, INC.
THE BORROWER AGREES, IT
SHAll NOT BE REPRODUCED,
COPIED OR DISPOSED OF,
DIRECTLY OR INDIRECTLY, NOR
USED FOR ANY PURPOSE
WITHOUT PERMISSION.
BUILDING INSPECTION REPORT
/
(2f CITY OF BLAIR 0 WASHINGTON COUNTY 0 OTl:ffiR
""0' --; / J ' /
/Ic;.. '_~f c- ..,t,-"".1 /\...- r / / ' /_. L____ /
LOCATION OF INSPECTION' /' / --...J n I/J6;;)L v/ t-G /....(-.; /
....-
NAME OF OWNER' /!-"-/)/;,:)/) A:..'.!J c--:;;;>J E~ (:::) CONTRACTOR'
-. /,/ /
DATE INSPECTION REQUESTED' ;; /A;'1;<::;'c.:} TIME INSPECTION REQUESTED'
I' '
5-(..,- / TIE <]l
./! /V\
/ 2.r~/ '/
PERMIT NO' / '-_ _:X.j ,'7)
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE o STATUS CHECK
=~I;;;;~~~;;Z-D;~-'~-Fbfu,
UTILITIES: 0 SEWER TAP D SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o D
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED
o
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0'
COMMENTS:
~""""'~~~-'Zn:.w:sr-~"'~~-=-~~_~~lt~~~=~~~"'W"~."."",.."""...=~~~~
COMMENTS:
o GROUNDWORK 0 ROUGH"IN D FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
PLUMBING:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCuPANCY GRANTED
NOTES/REMARKS'
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