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1229 Nebraska StFee Paid: $15.00 Date: Owner: Contractor: Name: J "C'- 1 D Gryt 13ec k- Name: Address: � / V �- v� l�� s Address: The above described person is hereby granted a permit to (Move) or (Demolis now located on finally located on (Demolition) is to be done on hours. The route to be taken in the removal thereof is as follows: (Here designate the names and numbers of the streets, alleys, or public grounds to be crossed): The removal thereof shall be under the direction of the Street Commissioner and the Director of Public Works. The building is to be used for purposes. A statement that all taxes and special assessments on the building to be moved or demolished and on the land from which it is to be moved or demolished have been fully paid was received A corporate surety bond or two personal sureties to pay all damages that may be sustained to any property, public or private and including curbs, paving, manholes, public utility lines and pipes, by reason of the moving or demolishing such building was received on 6-5-17 and is attached. PERMIT TO MOVE BUILDING OR DEMOLISH STRUCTURE (P /A .7 building feet long, and feet high, , City of Blair, Nebraska, to be The (Move) or and shall take and is attached. City lerk City . .inistrr (mot,Z 6(,)( 3( DATE 12 -21 -77 . FROM W.L. GROVES CHIEF OF POLICE Blair: Police Department INTER-OFFICE MEMO TO ROBERT SIERT CITY BUILDING INSPECTOR SUBJECT COMPLAINT AGAINST PROPERTY 12291 NEBRASKA STREET AT APPROXIMATELY4:OOPM 12 -19 -77 I RECIEVED A TELEPHONE CALL FROM THE RENTER OF THE ABOVE PROPERTY. SHE STATED THAT SHE WAS LIVING IN THE HOUSE AND SHE BELIEVED THAT IT SHOULD BE CON - DEMED, BECAUSE OF FAULTY WIRING AND OTHER PROBLEMS. SHE ALSO SAID THAT SHE HAS HAD PROBLEMS WITH THE PILOT LIGHT ON THE FURNACE AND THE GAS COMPANY WILL NOT REPAIR. IT. SHE STATED THAT SHE HAS CALLED THE FIRE DEPARTMENT AND THEY SENT A MAN OUT TO INSPECT THE HOUSE. THE FIRE DEPARTMENT TOLD HER THAT THEY WOULD SEND THE OWNER A NOTICE GIVING HIM TEN DAYS TO REPAIR THE WIRING AND OTHER PROBLEMS. I CONTACTED FIRE CHIEF DON KUHR AND HE STATED THAT HE HAD NOT SENT THE NOTICEYET BUT HE WOULD DO SO. I CONTACTED YOU AT APPROXIMATEYY 4130PM AND REQUESTED THAT YOU ACCOMPANY -ME TO THAT RESIDENCE TO SEE WHAT THE PROBLEMS WERE. AS WE APPROACHED THE HOUSE I NOTED THAT THE OUT SIDE WAS IN VERY POOR CONDITION, THE ROOF WAS BAD, THE SIDING AND THE WINDOWS WERE IN NEED OF REPAIR, I ALSO NOTED THAT THE FOUNDATION ON THE SOUTH EAST CORNER OF THE HOUSE WAS BREAKING AWAY. WHEN WE WERE INVITED INTO THE HOUSE I NOTICED THAT THE STEPS WERE MADE OF CEMENT BLOCKS JUST LAYED INTO PLACE. AS WE ENTERED THE HOUSE I NOTICED A FURNACE THAT WAS MOUNTED IN THE WEST WALL OF THE LIVING ROOM. THIS FURNACE APPEARS TO HAVE BEEN INSTALLED WITH OUT LEAVING THE PROPER AIR SPACE AROUND IT. WE WERE SHOWN THE WAY TO THE UPSTAIRS, I NOTED THAT THE STAIRS WERE VERY WEAK AND COULD BE DANGEROUS. WHEN IN THE UP STAIRS I COULD SEE OUT SIDE ALONG THE EAVES AND AROUND THE WINDOWS. WHILE LOOKING OVER THE UP STAIRS I NOTICED THAT SOME OF THE WIRING APPEARED TO BE NEW AND SOME WAS VERY OLD. IN PARTICULAR I NOTICED WHAT'APPEARS TO BE A DROP CORD LEADING FROM A SPLICE IN A WIRE TO THE FURNACE. I ALSO NOTICED THAT IT APPEARS THAT ONE WIRE SUPPLIES ALL THE POWER TO THE UP STAIRS AND OTHER WIRES ARE SPLICED TO IT IN SEVERAL PLACES. AT APPROXIMATELY 10 :30 AM 12 -21 -77 I CONTACTED THE CEN GAS COMPANY OFFICE IN BLAIR AND QUESTIONED THEM ABOUT THE FURNACE. THE MANAGER STATED TO ME THAT HE BELIEVED THAT THE OWNER OF THE HOUSE HAD INSTALLED THE FURNACE. HE SAID THAT HE HAD RECIEVED A CALL FROM THE RENTER OF THE HOUSE DURING THE NIGHT OF 12 -18 -77 STATING THAT THE FURNACE WAS OVER HEATING. HE WAS TOLD THAT THE OWNER WOULD BE PAYING FOR THE SERVICE CALL SO HE CONATED THE OWNER AND ADVISED HIM THAT THE HOUSE COULD BURN DOWN. THE OVER TOLD HIM TO LET IT BURN DOWN. THE GAS COMPANY WILL NOT REPAIR THE FURNACE BECAUSE NO ONE WILL PAY FOR IT. IN MY OPINION THIS HOUSE IS A FIRE HAZZARD AND A HEALTH HAZZARD AND SHOULD NOT BE LIVED IN UNTILL THE WIRING AND OTHER DETAILS ARE IN THE CONDITION REQUIRED BY CITY CODE. WASHINGTON COUNTY TAX RECEIPT TAX YEAR 1996 BLAIR, NEBRASKA BC0- 000 -00 -0019 -00005 DATE OF PAYMENT 0 4 / 24 / 97 RECEIPT NUMBER 6365 ' ENT CODE: fcP TAXING DISTRICT 208 BC LOTS 5 -8 BLK 19 114 PC BECK. DANIEL M.& WF 2030 WILLOW COVE DR #615 ZAPATA. TX 78076 -0000 KAY ERWIN County Treasurer TAX RATE VALUE 2. 199038 17330 TAXES DUE 12/31/96 DELINQUENT 1st HALF 5/01/97 2nd HALF 9/01/97 PAYMENT RECEIVED 1st HALF 2nd HALF FULL DRAINAGE QI. 00 TAX BEFORE CREDITS HOMESTEAD VALUE HO MESTEAD CREDIT LATE FILING FEE INSTALLMENT 381.10 INTEREST ADVERTISING TOTAL COLLECTED METHOD OF PAYMENT: CASH I CHECK i OFFICE COPY TYPE OF TAX REAL TOTAL TAX DUE 381.10 0 0.00 0.00 381.10 0. 00 0, 00 0. 00 381.10 MOM CERTIFICATE OF INSURANCE PRODUCER Greater Nebraska Ins Agcy, Inc 3006 South 87th Street Omaha NE 68124- Philip F. Winkelmann 402 - 393 -2254 INSURED COVERAGES::. : CO LTR A X Henton Trenching, Inc R.R. #2; PO Box 231 Blair NE 68008 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 'EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED GY PAID CLAIMS. GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY CCI 0214286 CLAIMS MADE X OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE UABIUTY A ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE UABIUTY ANY AUTO EXCESS UABIUTY A X UMBRELLA FORM CCI 0214286 OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND EMPLOYERS' UABIUTY TYPE OF INSURANCE THE PROPRIETOR/ PARTNERS /EXECUTIVE OFFICERS ARE: OTHER A Property CCI 0214286 A Equipment CCI 0214286 DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS CERTIFICATE HOLDER POLICY NUMBER CBA 0214286 n INCL CWC 0214286 EXCL R.J. BUILDERS INCORPORATION 407 SOUTH 16 STREET BLAIR NE 68008 RJBUILD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY A General Casualty Co. COMPANY B POUCY EFFECTIVE DATE (MM /DD /YYI POUCY EXPIRATION DATE (MM /DD/YYI 05/02/97 05/02/98 COMPANIES AFFORDING COVERAGE GENERAL AGGREGATE 05/02/97 05/02/98 PRODUCTS - COMP /OPAGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) 05/02/98 05/02/98 DATE (MM /DD/YY) HENTO -1 05/29/97 COMBINED SINGLE LIMIT $1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) UMITS PROPERTY DAMAGE $ OF ANY KIND UPONME COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZE $2,000,000 $2,000,000 $1,000,000 $1,000,000 $ 50,000 $ 5,000 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: - - - EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $1,000,000 05/02/97 05/02/98 AGGREGATE $ 1,000,000 X I STATUTORY LIMITS - - EACH ACCIDENT $100,000 05/02/97 05/02/98 DISEASE - POLICY LIMIT $ 500,000 DISEASE - EACH EMPLOYEE $100,000 05/02/97 05/02/97 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABIUTY ACORD 25-S (3/93) O ACORD CORPORATION 1993 K 4 5 IftRoDucER Creator Nebraalta Inn Agcy, Inc 3006 South 87th Str4Rot Omoha NE 60124- Pbilip F. Wink 492 - - !4,Jr.toti Treuxhilici, Inc B.R, TY2; PO Boy 231 Blak: NE 6800k!t i: x.c_LCi THIS Is TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABO\4 FOR THE POLICY Pk_RiDD INDIcALECL NOTwITHSTANDiNEL ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSFIED OR MAY PERTAIN, THE INSURANce AFFORDED Fo, THE POLICIES DEscRIFLED HEREIN IS 6uBJECT TO ALL THE LEILMS. L'46.1 I ISIONs AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — : --1 -tTouov opEcion 'E EXFENiAYION KE EQv NIuMBET1 ; EINE■Te rmyK (mm.rOONYI OMR motoorro I _ . ___ 7 . (3ENED,A AGoittlA r I 2,000, Q00 05/02/57 03/0g/9S Iftroc • COmP/oP AGG402 00H I PEILSoPLAL 8, ADV , NJORY Ik1/000, r OCCO , RRENCE 000 e 00 1_NYLE DAMAGE (Ael d. fi/ 65 , IN FD E Y P IA' y all, petuonl i 000 1,C,0 71'PE OF INAVAANCE NENEFiAL LoALRLI1 A I GOMMEFACIAL QENISRAL LIABILITY I i cLA;MS MADE 1 1 ) OCCUR CAN h t;EN MAC 1 1 AtITOMODILE UA11111TV A AN 41)7 c O'SNEC) ALA E.S X 5:•-,E00i. El) AI HliEL N_,o1 X w LiY A 0 H7 14 :09 1 7:F [ Fi rAGA E OAP,ADE LiA-MLIEV TL i I klEDLEE tilk_61L/TY X UMBRELLA FORM (:THEE THAN UMEIREIL. A COW ' wouLLNL8 CONiPC_NSATION AND rhApt oyENs• THE PROPRIETOR/ PARTNERS(EY,NoTivE ()Mass A96: 6 T A Comm Application CCI Pz'opcorty CCI I INCL Blair NE 68008 IIII:121REHTER NEU INS 0 CCI 0214286 CC1 0214286 CWC City of Blair, N'braaka Dept og Pneulita 021 286 0214286 0214286 RrgCRIPTI01:ii OPEAATION8(1.,DCATi0NgivErt3C,_Eo,%nc,i0,--iri:MS CERTWV, HOLDER " I A1V •,; C;Vi HENTO-1 06/05197 ' THIS CERTIFICATE Is IsSUEDTAA A MATTER ONLY AND CONFERS NO m1-1113 UPON THE CERTIFICATE HOLDER, This CERTIFICATE D0E6 NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIEti BEIOW. I COMPANIES AFFORDINO COVERAGE A OonoK81 kt:kW:9'k (.010PAN PHIL 1 COMBINED SINGLk 10,4,7 *1,000,006 05/02/97 05/02/98 05/0Z/9 05/02/58 05/02/97 OS/02/98 '6Q;dtLY /Pv fvet, PR(WEAT EPAk...AF TO ONLY . EA Ar, c 10EN I Fe .. , I 01HER 1H AN AO i,'_' OIY..). , 06c,- 4,ccDM 6_ ,, ; c _ — tAr.`_,N occ;,nRcNcE Iv 1,000, 000 i ,-- 0/02/97 I 0/02/98 AurproATE -+ ' c 1 000 i l I , -- 1 s TA1..:1 ow, ,,, 1 P‘CH ACCiDENT 0100i 000 1-- -; 05/02/97 05/02/93 DISEASE FOLIC l' LIP,Ail I ,) 500 j 00q t DISEASE - EACH tMPLOvEE 16 100 000 _ K,D1,12 kli.V or 'ri4 11_10 DESTiFEO r. IlL tArA EX■40AFION ()ATE TLigiE0F.INE46$1.1-INN CoNEPANT,"AALLO*LAvO:i MAAL DAVE WRITTEN NOTICE Yo THE GI7CT rt FLOLoto HAMELL10 ThE BUY r-AJLLLRE TO MAIL elicH NOTICE YAHAW IMPoEt ND ORUOATION OR oARR- OF ON KIND UPON TOE COMPANY. ilt; ANkNiu Ofilp EYL3, r — AW REPRESENTATIVE