2419 Application.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
Building Permit Application (402) 426 -4195 -FAX
www,blairnebraska.org �
RE- 2015 -006 a1 0 /Se of Q°
REMODEL
Residential August 25, 2015
08/1712015
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LOCATIONOFIMPROVEMENT: 2419 Elm Dr, Blair, NE 68008
ARCHITECT: GENERAL Granite &Marble Interiors
CONTRACTOR:
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OWNER: Frank Jason And Jennifer J Fowler 337 N D St
FREMONT, NE 68025
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BLAIR, NE 68008 -0000
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STRUCTURE
NATURE OF WORK Primary
Remodel
PERMIT EXPIRES 08/16/2017
PROJECT NAME
2419EImDr- 150817 - Kitchen Remodel 9130/2015
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK plumbing and electrical
Kitchen remodel, removing wall, intalling new cabinets, p g
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor REScheck /COMcheck SUBMITTED: NA
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 Ve t l' to
ventilating air Office for review.
conditioning and septic syst
3. Separate permits are required for electrical, plumbing, heating,
4. The undersigned owner or agent understands and I c c overed bylthi s perms permi application shael not commenced until a
application dos this building permit. It is further understood that c onstruction
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proponedd he State of Nebraska. It Any omission of or misrepresentation of work in accordance
the codes/ordinances in accordance with of the City of Blair a
fact with or without the intention of the undersigned or any alteration or change from this application without approval oft the
d for the revocation of any permit issued which was based on the approval of this
Building Official, shall constitute sufficient groun
plic tion.
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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 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.
Owner /Occupant *ntraltor
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City of Blair ate
OPPOONhY .a
218 South 16fh Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E-mail clfyofblair @ci.blalr,ne,us
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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 efundable deposit is being collected for any residential remodel,
additb r 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.
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J n act /Owner Contractor /Owner
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City of Blair
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