9050 Application.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building P Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
RN- 2014 - 00120 al �/ 0 -) , � , se of Qua`'
www.blairnebraska . org
04/0312014 RES -NEW Residential April 17, 2014
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y� LOCATION OF IMPROVEMENT. 9050 Co Rd P33 Blair NE 68008
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ARCHITECT: GENERAL Timberline Homes Inc
A, OWNER: G and J eling CONTRACTOR: 17504 Storage Rd
6006 n ghoff Rd Ste B OMAHA, NE 68136
O Imo; E 68134 -1951
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NATURE OF WORK PROPOSED USE
New Construction Primary Residence
PROJECT NAME
PERMIT EXPIRES 04/02/2016
905OCo Rd P33- 140403 -New Residential
ESTIMATED COMPLETION DATE 10/31/2014
DESCRIPTION OF WORK
2 story 4 bedroom with 2.5 baths, unfinished basement not a walkout, 3 car garage and 2nd floor deck with patio
underneath.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: Received
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees 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. Any omission of or misrepresentation of
fact with or withou) the intention of the undersigned or any alteration or change from this application without approval of the
Building Officia Ball constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
plication.
Si nature of Applicant ate
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CITY IR 9 NEBRASKA
Phone 492 - 426 -4191
RECEIVED OF:
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ADDRESS
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CITY, STATE, ZIP CODE
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THANKYOU KEEP THIS COPY FOR YOUR RECORDS.
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RECEIVED BY j
Pounds Printing, Blair, NE 68008
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BUILDING PERMIT SUPPORTING DOCUMENTS
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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 2009 International Building
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.
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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.
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Owner /Occupant ontractor
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City of Blair ate
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218 South 16th Street • Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 - 426 -4195 E -mail cityofblalr @cl.biaitne.us
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 efundable deposit is being collected for any new commercial, new
residen ' , and any additions, remodels and accessory building valued $10,000 or
ater 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.
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.
ontractor /Owner Contractor /Owner
City of Blair
Date
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X36 PAftC Conservation
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' CHANGE TYPE: Clarifidation
' s and rise joist junctions
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CHANGE SUIV(MAEtY: Attic access opening �.}
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.. O� �Ite l�c�lldgng have been added to the list of speck locations requiring g •:��
$ea�61Cfg infiltration.
Thefmal En ': '
Pe p
�'e1O revent air �:••
� Therrrta'Etave�Qpe• Thebuild
2009 COl?E: 141102.4.1 Building tration. The
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ing thermal envelope shall be durablY sealed to limit �.
sealing methods between dissimilar m aterials
ollowing hall be caullcede gas
�' `� t t tial expansion
contraction. The barrier mate -
keted,'weatherstripped or otherwise sealed witb an air T
` S bn or solid material:
�V t (let f ,}� ���� rial, suitable fi
ons,
e �-j, CO d,�- �,. All joints, seams and penetrati
P d sk li hts,
doors, an Y g • 7k�.
Site built windows, k
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C 3, Openings between w i n dow and door assemblies and their re" +T '
spective ambs and framing-
�, Utility penetrations. p •
� ed ceilings or chases adjacent to the thermal envelope.
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�Uv1 c� Cb'm AP 5. Drop
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Knee walls. r::.:
p. Walls and ceilings
separating the garage from conditioned spaces, �<
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Behind tubs and showers on exterior wells
s between dwelling units,
J, CoITI]nOn Wall
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Other sources of infiltration
�2eO t Chimneys
Recessed
lights
hts
Attic hatch
jols
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ceiling Rim joist `•'�:
corners junctions
Windows require ;,,
r e D oors sealing {
g' ti Electrical
Outlets m M
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Basement _y_v_,s: r
wind
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Duct
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llf Vt {t' � e k'r�f.� P yar en�P: k =
�`' � � sources of air leakage .
Elmo