BP13021
CITY OF BLAIR - APPbl~AI1QN FOR ~~tbl~d ~~MIT
-'" """ Permit # I 3 0'21
Date: ':7- / -{)8 Approximate Completion Date:c5 -1- 0 9'
Site Plan Attached:X 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
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 _
Add!tional Description of project if necessary:
6c? C241 . . :lvh, . .6
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Proiect Information:
Job Address:
~5 {} I/l"7 dMl-A/J ~L ~.
8qoo
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Legal Description (if applicable) Ai J.Jw}iLl:5'" i NW I vJ YLfse; y.., ~. TL- (0 ;3t>j
Owner: UM?1! 3i, :3 ~ddres~~;0t '};,'~j;j FC;~~1:t ~~;:'f,~;C>18'1
'/; /?;/;) ?a4L /:yJ.
Contractor: C 'M ~ Phone #:
Address: uS 0 7111 dtuJ fA! a/ ?a4L ~.
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
1BO~m~0.#;;;l' d,".f ,,,"' 19 7 - CJ 1_ c'?
Signature of o'i;/corftractor Date
ZONING REVIEW:
Zonin Flood Plain Utili ie :
Current Zoning: , li(J1 Conditional Use Permit Required: Yes _ No X-
Date CUP Approved:
State Fire Marshal Required: Yes ~ No _ Variance Required: Yes _ No_
Minimum Setbacks: Front _ Second Front Side Side _ Rear_
Lot Sauare Foota~e:
Length x Width:
Lot Coverage %
Driveways/Sidewalks:
Sidewalk required: Yes_ No_
Sidewalk Waiver: Yes
Date Waiver Approved:
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)_
Type 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 Foota~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
Occupancy 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 _
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, mod~rate hazard _ Storage, low hazard _ Utility, miscellaneous_
Is buildin~ reQuired to be protected bv automatic fire sprinkler svstem?"
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: (percentage) (Dale will review new residential construction) (AI
will review a// second access requests and industrial and commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
RESIDENTIAL - NEW CONSTRUCTION:
Buildin~ Permit Deposit Fee:
Residential additions/remodels/accessory buildings valued under $10,000 $
Fee = $200.00
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater $
Fee - $500.00
All other permits valued under $10,000 No Deposit Fee
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 $88
$
$
$
$
$
$
$
$
X $53
X$26
X$20
Total Valuation
Multiplied by 0.0056 =
Issuance Fee:
20.00
Total Permit Fee = Deposit/Permit Fee/Issuance Fee
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/lnd ustrial/Ed ucational/ Assembly/F actory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Buildin~ Permit Deposit Fee:
Residential additions/remodels/accessory buildings valued under $10,000
Fee = $200.00
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater
Fee - $500.00
All other permits valued under $10,000
$
$
cO
No Deposit Fee
Construction Valuation will be computed by SQ/ft area X $60
Accessory BuiIdill1!s & Interior RemodeIin2: Proiects will be computed by SQ/ft
area X $40
Permit fee is:
Finished sqjft area
Finished sqjft area
1"1'00
X$60
X $40
$
$ Ltf)/J DO 0 00
I
$0 TO $49..........................................................,................................... $0 (plus Permit Issuance Fee)
$50 TO $9,999............................................................................................$50
$10,000 TO $99,999....................................................................................,.......$50 + $6 per additional $1,000
$100,000 TO $249,999......................................................................................... $590 + $4 per additional $1,000
$250,000 TO $499,999......................................................................................$1,190 + $3 per additional $1,000
$500,000 TO $999,999...........:..............,...........................................................$1,940 + $2 per additional $1,000
$1,000,000 AND OVER ......................................................................................$2,940 + $1 per additional $1,000
Permit Fee calculated from chart above
$
130,00
Issuance Fee:
$
20.00 ;::;;
o
[DO
Total Permit Fee = Deposit/Permit Fee/Issuance Fee
$
&00 /)0
Additional Comments:
Approved by;, /~(~ Date:
Contingent On Approval by Fire Marshall ^
Meet IBC, IPC, IMC and NEe Code Requirements )(
Sleeping Rooms below Story and in Basement required to have egress
7/1/?t!5'
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For Office Use Only
Date Permit Paid: ry-li- Of)
Permit Fee: / ()tJ.t:J 0
Deposit Amount <,,~"tl tJ . PO /l ''7)
;:;:t:.i~~gr~efurnto:L'tufdJ ;16th: hbd4t)jJiJC1l4id 650 1A1dMf.M~
, 7) i:.;b
Building Inspection Pouch given: Yes-:k:. No I' M .
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CITY OF BLAIR
Application for Building Permit
PLOT PLAN
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Address ! :5 D 2 -50 I:;' ;&1 \)1?;~~ rYJx Ik: Date "'1") () () g
Legal Description: Lot /0
Block
Addition -:<: {:, LIP} 1/ IC:':VtJ
.
Please show all measurements of existing and contemplated structures,
also show distances between structures, etc., and property lines.
Is this a corner lot?
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Applicant
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
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THANK YOU
KE?EP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds. Prjnting:-Blai.[.___~_E 68008
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PARTIAL FIRST FLOOR PLAN
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D 06'10-08
H 03-25-08
G 02-18-08
C 11-27-01
8 09-07-01
A 04-09-01
ISSUED FOR CONSTRUCTION{PROJ, CGS0706)
UPDATED AND ISSUED FOR DESIGN(PROJ, CGS0706l
ISSUED FOR CLIENT REVIEW (PROJ, CGS0706)
ISSUED FOR REFERENCE
ISSUED FOR REFERENCE ONLY
ISSUED FOR BID CP230
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PROJECT
LACTIC ACID PRODUCTION PLANT
BLAIR, NEBRASKA
THIS DRAWiNG IS THE PROPERTY OF CARGILL
DOW LlC .AND IS SUBJECT TO RETURN
ON DEMAND. NO PART OF THE INFORMATION
CONTAINED WITHIN THIS DRAWING MAY BE
REPRODUCED, STORED IN A RETRIEVAl SYSTEM
OR TRANSMITTED IN ANY FORM, (ELECTRONiC,
MECHANICAl, PHOTOCOPYING OR OTHERWISE),
WITHOUT ~.iRITTEN CONSENT OF:
JAW
JAW
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TITLE
MECHANICAL LAYOUT
PROCESS BUILDING
PARTIAL FIRST FLOOR PLAN
H,P, FLR, EL. 1008'-0"
REV,
NO,
WGI CLIENT
WP'O. .M'P'O
CARGILL DOW LLC
DATE
REVISION
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DIMENSIONS GIVEN ON THIS DRAWING ARE FOR REFERENCE ONLY.
FOR ACTUAL EQUIPMENT LOCATION SEE EQUIPMENT LIST OR
ISOMETRIC FOR PIPED COMPONENiS.
FOR CONTINUATION ABOVE SEE DWG, D- LN35407
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OAK BROOK, ILLINOIS
PROJECT NO,' CGS0706
DRAWN
KEY PLAN
DATE
@cargill Dow LLC
CHECKED
DATE
CLENT APPROVED DATE
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SITE PLAN
PROJECT NUMBER
79562,002
DRAWING NUtA8ER
D-LN35405
REVISION 0
SCAle' y,"'1'-0"
CITY or BL1\IQ
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected at the time of your building
permit application for all commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater. However,
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 either the plumber, owner or general
contractor,
2)No stop box location card submitted, (with new service only)
3) all required inspections have not been obtained,
4) occupancy occurs prior to a final inspection,
5) all permits have not been obtained,
6) the project is completed without a final inspection being done.
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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Contractot
Contractor/Owner
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City of Blair
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218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@cLbiair,ne,us '"''''''''
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PARTIAL FIRST FLOOR MEZZANINE
06-10-08
02-18-08
03-25-08
11~27-01
09-07-01
03-26-08
ISSUED FOR CONSTRUCTION{PROJ. CGS0706)
ISSUED FOR CLIENT REVIEV/(PROJ. CGS010S)
UPDATED AND ISSUED FOR DESIGN(PROJ. CGS0706)
ISSUED FOR REFERENCE
ISSUED FOR REFERENCE ONLY
UPDATED ~ ISSUED FOR DESIGN(PROJ.CGS0706)
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OAK BROOK, [LL I NO I s'
PROJECT NO.: CGSD706
S.F. THIS DRAWING IS THE PROPERTY OF CARGILL PROJECT PR,I,WN DATE
S.F. JAW DOW LLC .AND IS SUBJECT TO RETURN LACTIC ACID PRODUCTION PLANT
S.F. JAW DN DEMAND. t~O PART OF THE INFORMATION BLAIR, NEBRASKA CHECKED DATE
CONTAiNED WITh1N THIS DRAI','ING MAY EE
N.H. RWE REPRODUCED, STORED IN A RETRIEV PL SYSTEM TITLE
N,H, RWE OR TRANSMITTED IN NW FORM, (ELECTRONIC,. MECHANICAL LAYOUT IVGI APPROVED DATE
MECHANICA!-, PHOTOCOPYING OR OTHERWISE), PROCESS BUILDING
S,F JAW WITHOUT WRITTEN CONSENT OFi
WGI CLIENT PARTIAL FIRST FLOOR MEZZ, CLIENT APPROVED DATE
BY APP'D APP'D CARGILL DOW LLC H_P. FLR, EL. 1026'-9"
DATE
REVISION
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DIMENSIONS GIVEN ON THIS DRAWING ARE FOR REFERENCE ONLY,
FOR ACTUAL EQUIPMENT LOCATION SEE EQUIPMENT LIST OR
, ISOMETRIC FOR PIPED COMPONENTS.
~
LN~39
FOR CONTINUATION ABOVE SEE DWG. D- LN35413
FOR CONTINUATION BELOW SEE DWG. D- LN35405
~ Cargill Dow LLC
" Washington
79562,002
DRAWING NUM8ER
D-LN35407
REVISION 0
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