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BP1337645 61 � g _ // _ Blair Building Permit Detail Permit #: 13376 Issued: 1/21/2010 Completed: 319/2010 Location: 2334 Meadow Dr Owner: Dudley (Holding 50.00 deposit Address: 2334 Meadow Dr Blair, NE 68008 Phone: 402 426 1885 Section: Township: Range: Subdivision: Lot: 16x4 Handicap ramp. Holding 50.00 deposit Contractors Dan's Handyman Remarks 1/21/2010 BMP Type: Handicap Ramp Valuation: 1600 General Contractor Holding a 50.00 deposit until 4/21/2010 Permit Fee: 58 Issue Fee: 25 Deposit Amt.: 50 Receipt #: 25999 Block: Permit # Issued Inspections Date By 3/9/2010 HOW Final Inspection of Project Pass ~ /101 di;t trtJ. CJ 0 oUjoo s.J ~ ,'- CITY OF BLA~ - APPLICATION FOR BUILDING PERMIT Permit# 131ft; Date: "I'" O? / -dolO Approximate Completion Date: /.-.3 /.~ ;;2{) I () Site Plan Attached: X REScheck Attached: Complete Plans Attached Aoolication for: Residential Commercial/Industrial _ 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 _ Additional Description of project if necessary: \ ) Lp { )( L/ I II/M1d t!ap ;;::~ Proiect Information: Job Address: ~3gt/ IlldCldaW ~, tJ'1t?tJ_&J57/.p Legal Description (if applicable) ${! c:S1a/l./.Jjy/,A 2:}f-i /m./dd.t?w c..:?-?i.?/ /idddi;'N i1I 'Il j) -/ ~ //:] owner:r:iJeh Mv ! tt.J1alv/ UAdd~b233Lf 11lJtl~a) b. Phon;;: '-I1tf- /885 Contractor: '- ~ artUJ /Ial!?'tm CUJ Phone #: Address: / I ;2 ~ N. ,;18 f/l A t/Jl Cell #: 533 - J( 937 Email Address for Contractor: 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 o d:~' ""ot "mPla, wlthl" t~ (2),.,,, of d"'a of I,,"". ({) I 'P-- ~- / - 21 - /0 19nature of Owner/Contractor ate For Building Permits other than One & Two Family Residential Structures: I hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for Review. Signature of Owner/Contractor Date ZONING REVIEW: ~ {' Zoning/Flood Plain/Utilities: 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 Rear_ Lot Sauare Footage: 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) _ Tyee 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: 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 Occueancv 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 building reauired to be protected by automatic fire sorinkler system?" 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: Buildim! 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 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: B usi ness/I ndustrialjEd ucationalj Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sqjft area X $63 Except for the following: Accessory Buildim!s & Interior Remodeling Proiects: sqjft area X $43 Pole barns with no hard surface floor: sqjft area X $25 Sign Erecting/Awnings and Decks/Handicap Ramos: sqjft area X $25 (Minimum valuation of $2000) Construction valuation computation: I" II Finished sqjft area U/ '1' X $ c15 $ It; of), (J{) Construction valuation is ...................................Permit fee is: $0 TO $50.................. ........... ........ ............ ..........$0 $51 TO $500........................................................ $25 $501 TO $2,000........................................................ $25 $2,001 TO $25,000........................................................ $70 $25,001 TO $50,000..................................... ............... ..$370 $50,001 TO $100,000......................................................$620 $100,001 TO $500,000............. ..... ............. ........ ............. ..$970 $500,001 TO$1,OOO,OOO..........,......,..,.,..."......,..,.,......",. $2,970 $1,000,001 AND OVER.............................................,.... $4,970 Issuance Fee: + $3 per additional $100 +$13 per additional $1,000 +$10 per additional $1,000 + $7 per additional $1,000 + $5 per additional $1,000 + $4 per additional $1,000 + $3 per additional $1,000 $ 56.00 $ 25.00 :; 83,t1c/ 3 $ /38,tJO Permit Fee calculated from chart above Total Permit Fee = Deposit + Permit Fee + Issuance Fee Additional Comments: Approved by: .xi 1/".110/ Date: J - 1- I _. f lJ 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 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 Address CITY OF BLAIR Application for Building Permit PLOT PLAN :L'!I3 t/ P'f?,Jj!/;;~I&;qi~ l:~'il': Date Legal Description: Lot Block /-21-/0 Addition Please show all measurements of existing and contemplated structures, also show distances between structures, etc., and property lines. Is this a corner lot? ~O k \ " aJ q .r-{ l...":l :>0 .!-J H aJ PI o H P-l ... " ~ () ~. _ _C~n:te~ 1.ig,e_of .2_ _, ... 1 + ~ Applicant Line ~ 'i4 , H J Q , I 1ndiQate~orth Street �ao _ ❑ _ GTTY OF BLAIR LOCATION OF INSPECTION i 1 ❑ WASHINGTON COUNTY ❑ '� e ✓ __ ._ ai NAME OF OWNER CONTRACTO _. DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED ' ; PERMIT NO " TYPE OF INSPECTION REQUESTED: El CONFERENC ❑STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIALSSSED � s COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ 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 ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS P 9 4" "�`��.€52�.� - '� s'�Y, .' �i� , c��,✓`� -c� - . r� INSPECTO , ' it DATE OF INSPECTION MADE: T iMR r FAXED OPPD \BURT REA TO CONNECT SERVICE: ON BY