BP12974
CITY OF BLAIR - MISCELLANEOUS BUilDING PERMIT
- Permit # Ie? ?71f
Date: 5-~ 1.{)8 Approximate Completion Date: 0""'3 { -DB Site Plan Attached: ~
Estimated Valuation of Project:
Aoolication for:
Permit Fee $20jlssuance Fee $20
Fee: $40.00
Sign Erecting, Awnings (Per Sign)
Roofing/Siding/Soffit and/or Eave Repair/Gutters
Window/Door Replacement (Size Change Only)
Egress Window (floor plan drawing required)
Swimming Pools with Fence (plot plan required)
Fences (plot plan required)
Decks/Handicap Ramps (plot plan required)
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required)
Gazebos (plot plan required)
Miscellaneous Building Permits (iteuot covered by one of the above)
Other ,bf0itu4?(f tJo.
Patios/Driveway Permits/Utility Excavation and Curb Grinding
Curb Grind
Length
Utility Excavation
Length
Type: Water
)(
Fee $35
Un. Ft.; Width
; Sewer
Un. Ft
; Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Un. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will onlv be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior Iife-
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original permit fee of $0-$50,000 $100.00 $
Original permit fee of $50,000 - $100,000 $150.00 $
Original permit fee of $100,000 - $500,000 $250.00 $
Original permit fee of $500,000 or more $400.00 $
Total Renewal Remit Fee = Permit Fee/Issuance Fee
c:;/~ClcJO
I
$ 20.00
$ LftJ,OO
rcJ tf~ uU/~?
Issuance Fee:
PROJECT INFORMATION: B '10 6 4- 0 0'15
Job Address: L 93<1 ldtManf ;/dI~ ~i1c1, ,JIjp,!-(j.,~
Legal Description (if applicable) B {!. t/bctd(Pt1f jlalI~ ;]}: /\1 u,6 J() f / ?~ I //4 f. 53 At!-
\) l /p. / - J I/J UaI/ &.44 /::..e,.
Owner: cjl/~rJ4 kML;. Address: ~ Phone#: 'IcJ'p-;J 78~1
Contractor: _ /I tl7JiIIClte/77 &!~ ...f-../J1 (].. 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.
5 c: "
5,- 7- ~3
Date
For Office Use Only WHEN PROPERLY VALIDATED (BELOW) THIS IS YOUR PERMIT
Date PermIt PaId: 5: 7-08 Recelpt# ;!C?3<1.,jpprovedbY: ~~
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@Copyright 2007 - Thiele Geotech~ Inc. IWIIIII
Unauthorized copying, reproduction, or reuse is prohibited.
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STI'E PLAN
HOM'ETOWN CENTER
ffiGHWAY 30 & PLEASANT VALLEY BLVD
DATE: JOB NO:
12/10/07 07101.02
SHEET:
.
..
13478 CHANDLER ROAD
OllifAHA, NEBRASIQI. 68138
. 402/556-2171
www.thie/egeotech.com
R1
BLAIR, NEBRASKA
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GEOTECHNICAL · MATERIAL . ENVIROMENTAL . ENGINFFr;lf1\I0-
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_~y O'BLAIR
BUILDING INSPECTION REPORT
INSPECTOR'
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DATE OF INSPECTION MADE:
/
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TIME'
(~J{[/;',.:'I{(~:)
LOCATION OF
D WASHINGTON COUNTY
-:"
NAME OF
PERMIT
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL .~:.FINAL D PARTIAL
,- .; .~
, I'
'STATUSCHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D RE~OTE D WATER SERVICE
D PARTIAL
PASSED FAILEQ.
D ~.,..r'
,0'"
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITioNAL OCCUPANCY GRANTED
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
May 1,2009
Jay Gerke
Shay Center Inc.
P.O. Box 691
Blair NE 68008
RE: Building Permit
Dear Mr. Gerke:
On May 7,2008 you took out a building permit for the construction of a retaining wall at 1939
Pleasant Valley Blvd.
City Building Permit procedures outline, that if there is no construction on a permit for 180 days
the permit shall become void.
Since it has been well over 180 days since there has been any construction activity, please furnish
me, by May 8,2009, with a status of the project and an explanation of why we should not terminate
the permit.
We have had numerous complaints on the condition of the site. Ranging from safety, dust, erosion,
weeds and etc. Please include how you intend to resolve these issues.
Thank you in advance for your cooperation.
Sincerely,
Rodney A. Storm
City Administrator
CC: Geoff Hall, City Attorney
James Realph, Mayor