BP13101
Permit #: 13101 Issued:
Completed:
Location: 873 N 15th St
Owner: Leanna Metz
Address: 873 N 15th St
Blair, NE 68008
Phone: 402 426 5742
Section:
Subdivision:
Township:
Blair Building Permit Detail
10/10/2008
11/14/2008
Type: Accessory Building
Valuation: 17028
265
25
500
23265
22x18 Garden shed. Will not have electric. Cement floor. Roof pitch 4-12. Heighth of walls 8' Floating slab.
Contractors
McCaig Construction Inc.
Remarks
Inspections Date
1 0/29/2008
11/14/2008
By
PHIL
OEM
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Range:
Lot:
Block:
General Contractor
Permit #
Footings
Final Inspection of Project
Pass
Pass
Issued
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit# /310 I
Approximate Completion Date: / /- 1[;-.)"1
Date:
Site Plan Attached:
REScheck Attached:
Complete Plans Attached
Application for: Residential Commercial/Industrial _
New Construction Manufactured Home Modular
Move-on: Home _ Accessory Building Other
Remodel Addition / (J \\\, () -\
Accessory Building: Garage _ Pole Barn_ Other 0c:AJI....A.A- )~
Floor Type: Dirt _ Concrete _ Electricity: Yes _ No
Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) _
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) _
Other
Utilities: Public Water: Yes No Private Well
If yes, responsible entity: Blair OPPD Line Kennard
Agreement needed: _ Date Agreement Received: _
Public Sewer: Yes_ No Septic Drawing Provided: _
If yes, responsible entity: Blair _ Kennard
County Road Permit Required: Yes_ No _ Submitted: Yes _ No_
Addit{onal Description of project if necessary: d
W~ .z1"trl J2<J.AJ~:' ~.Jt:L<A;'.' ~
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Proiect Information:
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Phone#: l+ 2./t;
89005-8 '10 I
Job Address:
Legal Description (if applicable)
Owner: (YJJ C01/YI c'0
Address:
Contractor:
Y}1(J (! (J /q)
{j
/() 7 () (Ja11~
Phone #: 4--
Address:
Cell #: .5'33
V8C)()8
Separate permits are required for electrical, p umbing, 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.
~\ /{I//oht1
Date I I
ZONING REVIEW:
Zonin Flood Plain
Current Zoning:
Conditional Use Permit Required: Yes _ NO\-
Date CUP Approved:
State Fire Marshal Required: Yes _ No ~ Variance Required: Yes _ No--;-
Minimum Setbacks: Front _ Second Front Side Side ~ar~
Lot Square Foota~e: ~(){~ 16}~ ~
Length x Width: Lot Coverage %rer- -
Driveways/Sidewalks: N, J
Sidewalk required: Yes_ No _ Sidewalk Waiver: Yes
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
No
Flood Plain: Yes No
If yes, specify special requirements:
BUILDING INSPECTOR REVIEW:
Number of Stories
One Two
Three
Four
>Four
High Rise (>75 ft)_
Type of Residential Structure:
Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other
Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric _
Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes No
Sleeping Rooms Living Area Other Egress
Square Foota~e:
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front
Deck that affect setbacks:
Second Level: Third Level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Rear
Rear
Occupancy Classification:
Assembly, theaters, with stage Assembly, theater, without stage_
Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls _
Assembly, churches _ Assembly, arenas _
Assembly, general, community halls, libraries, museums _
Business Educational Factory and industrial, moderate hazard _
Factory and industrial, low hazard _ High Hazard, explosives _
(section continued on next page)
High Hazard HPM
Institutional, incapacitated _
Institutional, day care facilities_
Residential, multiple family _
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous _
Institutional, supervised environment _
Institutional, restrained _
Mercantile Residential, hotels _
Residential, one- and two-family
Is buildin~ required to be protected bv automatic fire sprinkler svstem?"
No
Only partially in some areas or rooms Please Specify
Yes _ If yes, the standard to which the sprinkler system will be designed:
NFPA 13 NFPS 13R NFPA 13D
Driveway Grade: 20% grade or less? Yes _ No_
(Dale will review new residential construction. AI will review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
Buildin~ Permit Deposit Fee:
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater $ ,56()' ()o
Fee - $500.00
Residential additions/remodels/accessory buildings valued under $10,000 $
Fee = $200.00
All other permits Fee = $50.00 $
RESIDENTIAL - NEW CONSTRUCTION:
Permit fee is:
Finished sqjft area
(not including finished basement area)
Finished basement sqjft area
Unfinished basement sqjft area
Garage sqjft area
Total Valuation:
X $92
$
$
$
$
$
$
$
$
X $56
X$29
X$25
Total Valuation
Multiplied by 0.006 =
Issuance Fee:
25.00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/I nd ustria I/Ed ucationa 1/ Assembly/F actory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except for the following:
Accessory Buildin~s & Interior Remodeling Proiects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sign ErectimUAwnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation: .
Finished sqjft area __-5961
X$ '+3
$
Construction valuation is ...................................Permit fee is:
$0 TO $50.......................................................... $0
$51 TO $500........................................................$25
$501 TO $2,000........................................................$25 + $3
$2,001 TO $25,000........................................................$70 + $13
$25,001 TO $50,000..................................................... $370 + $10
$50,001 TO $100,000..................................................... $620 + $7
$100,001 TO $500,000..................................................... $970 + $5
$500,001 TO$1,OOO,OOO ..................................................$2,970 + $4
$1,000,001 AND OVER ..................................................$4,970 + $3
Permit Fee calculated from chart above
per additional $100
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
t;O
$
Issuance Fee:
$
25.00 --
00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
$ TCJ tJ. oD
Additional Comments:
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Vt); /AkcS ~A J . c.~41 C){i
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Approved by:_7)#~
Date:
/0/;3/08
, r
Contingent On Approval by Fire Marshall 4
Meet IBC, IPC, IMC and NEC Code Requirements .
Sleeping Rooms below Story and in Basement required to have egress
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit
Receipt #
Deposit Paid by for return to:
'-fill (! (JatctJ C~{<f/v!jJdfnv /0
(j '-;:>
DaM
Building Inspection Pouch given: Yes -bL No
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, -B~aic NE 68008
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CITY or BL1\IQ
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 2006 International Buildina
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
C---'i ~
. ~(I .e
Contractor
City of Blair
/0 j (j 10 jIb-
Date I /
218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-maii cityofblair@cLbiair.ne,us
EQUALIlOUSING
OPPORTUNITY
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'1 Promise
BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory building valued $10,000 or
greater at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
addition or accessory building valued under $10,000.
A $50.00 refundable deposit is being collected for all misc. permits.
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 the plumber, owner or general contractor.
2) All permits have not been obtained.
3) All required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
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.
Contractor/Owner
\.
City of Blair
Date
BUILDING INSPECTION REPORT
. CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION:
h,. i
DATE INSPECTION REQUESTED' i " .
.', "
NAME OF
CONTRACTOR'
TIME INSPECTION REQUESTED'
1{/' r! . ni ' PERMIT
\;
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING:U'<FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
COMMENTS:
UTILITIES: 0 SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
D STATUS CHECK
PK F~ED
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGHIN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL: D ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL
D PRESSURE TEST
WATERMETERINSTALLED D PARTIAL
PASSED FAILED
D 0
COMMENTS:
D OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
DATE OF INSPECTION MADE: IO/~~"
TIMF' ~,' / f () j1I(
I
INSPECTO
FAXED OPPD\BURT REA
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~CITY OF BLAIR
o OTHER
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NAMEOFOWNER~j1a1'iJ),1a jY/1Jf-z., CONTRACTOR', --1r11!eu,Ct) (/fl1,SfJt.4e;1::trn
,
DATE INSPECTION REQUESTED' 11- { '-f - 08 TIME INSPECTION REQUESTED.! 0 . '() () ,A, N , PERMIT NO' 13 { 0 J
o WASHINGTON COUNTY
LOCATION OF INSPECTION'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE o STATUS CHECK
n=.==~~~----~-~.,,,,-,,,.,,~.Jl"'7W-~~==-.~~~~~__ ;':"-'W~~~="""""'r.
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL /~I~ J'IIl'fAL Q. PARTJAL
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PjrFtjED
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
~--=~u:t="~-""""~"~~
COMMENTS:
PA$SED FAILED
Q 0
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
FAiLED
o
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
tJ qCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY
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