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BP13461Permit M 13461 Issued: 6/10/2010 Completed: 7112/2010 Location: 11178 Bridgeview Dr Owner: Jeff & Janine Novotny Address: 11178 Bridgeview Dr Blair, NE 68008 Phone: 402 -720 6684 Section: Township: Subdivision: 10' deck extension onto existing deck. Contractors SELF Range: Lot: 31 General Contractor Remarks 6/17/2010 BMP Blair Building Permit Detail Type: Decks - All types Valuation: 3750 Holding 50.00 deposit until 9/17/2010 Permit Fee: 83 Issue Fee: 25 Deposit Amt.: 50 Receipt M 26888 Block: Permit # Issued Inspections Date By 7/9/2010 HOW Footings Pass 7/12/2010 HOW Final Inspection of Project Pass x CITY OF BLAIR — APPLICATION FOR BUILDING PERMIT �P. Permit # Date: Approximate Completion Date: fr / 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 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 _ If yes, responsible entity: Agreement needed: Public Sewer: Yes No _ If yes, responsible entity: County Road Permit Required: Yes No _ _ Private Well Blair OPPD Line Kennard Date Agreement Received: Septic Drawing Provided: Blair Kennard Submitted: Yes No Additional Description of project if necessary: Contractor: Address: Phone #: 7 Cell #: Email Address for Contractor: Separate permits are required for electrical, plumbing, heating, 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 80 days or is of completed within two (2) years of date of issue. Signitu)e off Owner /Contractor Date 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: ZoninVFlood Plain /Utilities: Current Zoning: 1 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 Square Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: Sidewalk required: Yes No Sidewalk Waiver: Yes No Date Waiver Approved: Preexisting Garage requires driv wa�tbe less than 3' from property line: Yes Approved by: Flood Plain: Yes No If yes, specify special requi BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four >Four Type of Residential Structure: Ranch Two Story Split Entry Raised Ranch Rooms Bedrooms Bathrooms Fireplaces Gas Electric Egress in Basement: Required: Yes No Provided on Plans: Yes Sleeping Rooms Living Area Other Egress Square Footage Main Level: Second Level: Basement: (Unfinished) Garage: Detached Garage: Addition: Porch: Front Rear Deck that affect setbacks: Rear Occupancv Classification: Remodel: Side Front Side Assembly, theater, without stage Assembly, restaurants, bars, banquet halls Assembly, arenas Ils, libraries, museums Factory and industrial, moderate hazard High Hazard, explosives Assembly, theaters, with stage _ Assembly, nightclubs Assembly, churches Assembly, general, community ha Business Educational Factory and industrial, low hazard High Rise ( >75 ft) Other No Third Level (Finished) 2 bay 3 bay 4 bay 5+ bay Pole Barn: (section continued on next page) High Hazard HPM Institutional, supervised environment Institutional, incapacitated Institutional, restrained Institutional, day care facilities Mercantile Residential, hotels Residential, multiple family Residential, one- and two - family Residential, care /assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building reauired to be protected by automatic fire sprinkler 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. At will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: 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 sq/ft area X $92 (not including finished basement area) Finished basement sq/ft area X $56 Unfinished basement sq/ft area X $29 Garage sq/ft area X$25 Total Valuation: Total Valuation Multiplied by 0.006 = Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ Business / Industrial / Educational / Assembly /Factory /Storage /Utility *Porches with roofs /screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the following: Accessory Buildings & Interior Remodeling Projects sq/ft area X $43 Pole barns with no hard surface floor sq/ft area X $25 Sign Erecting /Awnings and Decks /Handicap Ramps sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation dd Finished sq/ft area E R X $ $ l 06 Construction valuation is .......... .........................Permit fee is: $0 TO $ 50 .............................. .............................$0 $51 TO $ 500 ......................... ............................... $25 $501 TO $2, 000 ......................... ............................... $25 + $3 per additional $100 $2,001 TO $25, 000 ......................... ............................... $70 +$13 per additional $1,000 $25,001 TO $50, 000 ........................... ...........................$370 +$10 per additional $1,000 $50,001 TO $ 100, 000 ........................... ...........................$620 + $7 per additional $1,000 $100,001 TO $ 500, 000 ........................... ...........................$970 + $5 per additional $1,000 $500,001 TO$1, 000, 000 ................... ............................... $2,970 + $4 per additional $1,000 $1,000,001 AND OVER ................... ............................... $4,970 + $3 per additional $1,000 Permit Fee calculated from chart above $ 9 00 Issuance Fee: $ 25.00 -::: f e'er Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ 0 Additional Comments: Approved by: fl Date: Contingent On Approval by Fire Marshall Meet IBC, [PC, 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 , NEBRASKA Phone 402 - 426 -4191 THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 NI VI111. 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. $50.00 re undable 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. 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. 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. v C 4 r for /Owner Date I--- c✓ - -J Contractor /Owner City of Blair rel n X reTs - m6w I DECK PERMIT SUPPORTING DOCUMENTS This supporting document includes information dealing with particular code requirements and /or deck permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to know the 2006 International Building Code requirements that apply to your project. Please understand this document is only designed and distributed to aid you in your deck 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. wn, cupant City of Blair Contractor ate A 218 South 16th Street - Blair, Nebraska 68008 a 402 - 426 -4191 e Fax 402 - 426 -4195 - E -mail cityofblair @ci.blair,ne,us l BUILDING � `�� 6� � � g PLANNING ( PUBLIC WORKS Z1 3 ® _ R FIRE DEPT r c i �r e i q r d Z �, N { �� , � p H j e i a A p 4 v, a ; u I ` e i e_ i l j i i, —1 v 4 r Zs Jr i - - -- Nunn LL LLI — r W P-+ IMMOWWN1" t 0C fI N P,,, P o SCALE— 1 "= 60' NOrA VA o()ljNr.)1V, THIS IMPROVEMENT LOCATION REPORT IS REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME,UF 111E IMPROVEMENT LOCATION SURVEY, THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION SHOWN ON THIS REPORT SHOULD IJOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OTHER IMPROVEMENTS, EXISTING BOUNDARY, OR NEW BOUNDARIES. THE MEASUREMENTS SHOWN ON THIS REPORT ARE BASED ON PLAT OR DEED INFORMATION AND VERIFIED AS SHOWN AND THAT THE IMPROVEMENT LOCATION REPORT REPRESETRS ONLY VISIBLE BUILDING IMPROVEMENTS, ' 110.00' P / Q I BUtL 30 / OING LOCATION N �' 2 �J� � ��,�' 2a• 44•t � d � 137 +� — `�� •-- _�A� --... Te' I `. MINIMUM SC7 p r- � _ tao P) �� p 1 '�►Y Y LL T LOC DESC K A AMRON TO BLAIR, WMIIINGTON COUNTY, NEBRAS1% lag id - Surveying .P.O 80X 1 OAKLAND, NEBRASKA 68045 (402) 685 -6944 2017 DAKOTA AVE. ` S0, SIOUX CITY, NE. •68776 CE RTWI CA TION I HERESY CER7IFY THAT THIS SURVEYING DOCUMENT WAS PREPARED RY ME OR UNDER MY DIRECT PERSONAL SUPERVISION AND 7_11A7 / AM A DULY REGI57CRE9 LAND SURVEYbR UNDER 77YE LAWS OF S7A7E.' OF NEORASKA, 5 -7 -2003 DATE OF SIGNATURE FRED d9. � F 1 ? 41 V 1 (Z11V1?l.S, 525 NOT VALID UNLESS EMBOSSED WITH RAISED SEAL DATE: _ 5=2 -2003 DRAWN QY: _NNS_____ CHECKED 6Y: FME_,_ PROJECT I: _2Q03Q3a_ < -- 0 2118107 y 2. Indicate in the check box which detail from page 3 will be used. Size and Amount of Lags I (example: Two 3/n 4112 "lags @ 16" 0. C.) Type of decking 1x4or2x6- Existing bldg. 36" high guard be installed under decks and porches provided the with balusters location of the deck allows the emergency escape spaced so that a window to be fully opened and provides a path not 4 Inch diameter less than 36" in height to a yard or court. 6'8" required sphere cannot Approved pass through flashing required M Beam splices to occur over posts with 1 1 /2" bearing • • Attach decking with non corrosive fasteners B 2x 6 oasts spaced " apart (example: 2 x 10 "spaced 24" apart) (_) x beam ,� (example: (2) 2 x 10 -see MOB) 2x_J1 rim joist (example: 2x 10 - see Alternate B1 & 132) b x posts spaced apart (example: 4 x 4 posts spaced 8' apart) Span (example: 13'- 4 ") Type of siding (existing) Detail C (see page 3) : Note: Emergency escape windows are allowed to be installed under decks and porches provided the location of the deck allows the emergency escape t window to be fully opened and provides a path not less than 36" in height to a yard or court. 6'8" required for walk out basements or patios. CO I •. Note: A plot plan (plan view) showing the dimensions of your project or additions and its relationships to existing buildings or structures on the property must be included. In addition to project dimensions, your plot plan must also show other details such as post locations and spacing, joist and beam spans, and any other pertinent inform ation not shown on the section drawing. Directions of 1. Fill in the blanks on pages 2 and 3 with dimensions ,J 1 / 7.9 and materials which will be used to build the structure. Please print legibly. ' Promise u aee CITY OF BLAIR - APPLICATION FOR BOIL ®ING PERMIT // qq Permit # % 34&1 Date: l� f d `° Approximate Completion Date: 9' �® Site Plan Attached: ✓� REScheck Attached: Complete Plans'Attached _Application for: _-Residential Residential Co_mercial /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) r� Satellite Dishes /Radio Antenna /Cell Towers (plot pion required) Other Utilities: Public Water: Yes No Private Well C� If yes, responsible entity: Blair OPPD Line Agreernent needed: Date Agreement Received: Kennard 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; A� ` 21 '" Z 6&C Project Information: Job Address: / /179 egal Description (If applicable) ra4k, ' 1 9 46 Owner �i, Address: ///7,9 ��y� l �• Phone #: qa2 ( 1 d s L Contractor: Address: Phone #: Z • Cell #• Email Address for Contractor: � - /'V E ul8006$ Separate permits are required for electrical, plumbing, heating, 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 80 days or is of completed within two (2) years of date of issue. ,., /v .`ran` • � _,� �/ � O G� Sign toe f Owner /Contractor Date 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 BUILDING INSPECTION REPORT CITY OF BLAIR WASHINGTON COUNTY ❑ OTHE LOCATION OF INSPECTION NAME OF OWNER CONTRACTOR DATE INSPECTION REQUESTED ---------- 1,oZ • IME INSPECTION REQUESTED: PERMIT NO - bO TYPE OF INSPECTION REQUESTED: [:1 CONFERENCE ❑ STATUS CHECK BUILDING- >( FOOTING F DECK FOOTING ❑ FRAMING ❑ DRYWALL - -,E]" I FINAL ❑ PARTIAL PASSED c >< COMMENTS: e a CG 10—L, F>c f c FAILED El UTILITIES: ❑ SEWER TAP ❑ SEWER [:1 SEPTIC F WATER TAP ❑ REMOTE ❑ WATERSERVICE PASSED FAILED ❑ PARTIAL COMMENTS: ELECTRICAL: F ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH-IN F A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL F PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: F GROUNDWORK ❑ ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS li4#re INSPECTOR- a z DATE OF INSPECTION MADE: ® `w 1 .1-" la 1 . r Q FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY