BP13226
Blair Building Permit Detail
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Permit #: 13226 Issued: 6/3/2009
Completed: 7/24/2009
Location: 1965 Grant St
Owner: Vicky Herman (Holding a 50.00 deposit)
Address: 1965 Grant St
Type: Decks - ;lllplJE
Valuation: 3000
AUGO 4
Blair, NE 68008
Phone: 402 426 3571
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
70
25
50
24735
Section:
Subdivision:
Township:
Range:
Lot: 5
Block: 62
Extending existing front porch. It already comes out from the house 6'. Lengthening it to 20' HOLDING A 50.00
DEPOSIT
Contractors
SELF
General Contractor
Permit #
Issued
Remarks
6/4/2009
BMP
Holding a 50.00 deposit until 09-04-2009
Inspections Date
6/5/2009
7/24/2009
By
KAR
HOW
Deck Footings
Final Inspection of Project
Pass
Pass
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Date: 19 --3 - 0 '1
Site Plan Attached: )t,
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT ,
Permit # 13?::? t/;
Approximate Completion Date: 8 ./31--() (.1
REScheck Attached:
Complete Plans Attached
Application for: Residential Commercialjlndustrial_
New Construction Manufactured Home Modular
Move-on: Home _ Accessory Building Other
Remodel Addition
Accessory Building: Garage _ Pole Barn_ Other
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 _
Job Address: I qft;5 Gr/lc<-rtf <5'/, 8900 f3 7t;~tJ
Legal Description (if applicable) c:E C ~'t-.5 6/ ~ 6;;; I / ~- pC! /;7
Owner: 0dtJ IJtUJ1t:tn Address: /rt:.s 64641I-J/I-Phone#: -ZldiP :357/
(/Q c / j /
Contractor: C'-'\./p Phone #:
Address:
Cell #:
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.
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Signature of Owner/Contractor Date
ZONING REVIEW:
Zonin Flood Plain Utilities:
Current Zoning: \'1\ Conditional Use Permit Required: Yes _ NO\:
Date cuvpproved: i. ;"
State Fire Marshal Required: Yes _ No Variance Required: Yes _ No ~
Minimum Setbacks: Front ~ Second Front Side '7 Side -::L Rear / <
Lot Sauare FootaJ:!e:
Length x Width:
Lot Coverage %
Driveways/Sidewalks:
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
Sauare FootaJ:!e:
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
c/5 Porch: Front /;;J-D
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 buildl
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 /V/lt- No
(Dale will review new residential construction. AI will review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
!\I A-
Permit Fee Calculation:
Building Permit Deposit Fee:
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater $
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 sqfft area
(not including finished basement area)
Finished basement sqfft area
Unfinished basement sqfft area
Garage sqfft 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 ndustrialjEd ucationalj Assem bly/Factory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except for the following:
Accessory Buildings & Interior Remodeling Proiects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sign ErectimV Awnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation:
Finished sqjft area - 1JiM / dO,
X$ ~5
o
$ 6: 000 ' CI
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
70,00
$
Issuance Fee:
$ 25.00;;. c; 5 ,00
$ 1'/5 (J()
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Additional Comments:
Approved by: 1/11) Q::Lf ~
Date:
6(:;(01
Contingent On Approval by Fire Marshall
Meet IBC, IPC, IMC and NEC Code Requirements
Sleeping Rooms below Story and in Basement required to have egress
L-
V--.
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ 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, Blair, NE 68008
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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,
ition or accessory building valued under $10,000.
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.
6) Storm Water Management Plan inspection not obtained. (If Required)
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.
& lJi\Y ~ {Nlv
ontractor/Owner
Contractor/Owner
City of Blair
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BUILDING INSPECTION REPORT
o CITY OF BLAIR
NAME OF OWNER'
o WASHINGTON COUNTY
CONTRACTOR'
-,
DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED'
PERMIT
TYPE OF
BUILDING: 0 FOOTING
o CONFERENCE
DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
~~ED
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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DATE OF INSPECTION MADE: ()~ - CY-5:;;--a{!;()Cj' TIMF' J ()~ c)C)
INSPECTO .
FAXED OPPD\BURTREA