BP13253
,\
Date:
1-/-()Cj
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit # I
q -Be) -0 1_
Y
Site Plan Attached:
Approximate Completion Date:
~EScheck Attached: Complete Plans Attached
Application for: Residential CommercialjlndustrialL
New Construction Manufactured Home Modular
Move-on: Home _ Accessory Building Other
Remodel X Addition
Accessory Building: Garage _ Pole Barn_ Other
Floor Type: Dirt _ Concrete _ Electricity: Yes _ No
Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) _
Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) _
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 _
Proiect Information:
Job Address:
dl_3 f3
&10031630
Legal Description (if applicable) 7l 71,IW7, l'iBj ZLfBJ Ii> t44 Pi cr6
A / V. '//I! " /;/-/8 -II It;./uu; 1ft; ?(/ /8'
Owner: / vt? i.AlWY Address: c2~? tfJ 0, ..
Contractor: Ya6 w /fdJ {!tJ7JeS Iv1/J (!ii.d~0
Address: 8'7;;< () ~y. 1/ Lj HI /3 i-
S ,c5fq d~f~' f-.tc:v, , JIb' eh' t' Wt'l t!31 ;2d I? d't" d t' t B '
eparate permits are reqUire or e ec rIca, p um mg, ear mg, ven I a mg an air con I lonmg, an sep IC sys ems, y my signature
below, , 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' have received a copy of a permit signed by the Building
Mlnspector, 'hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the
/ odes/ordinances of the City of Blair and the State of Nebraska, 'understand that this permit is void if work is not commenced within
, 1 0 days or is not completed within two (2) years of date of issue,
f
Signature of Owner/Contractor Date
11 Ac Cj
'12ft:;
Cell #:
For BUilding Permits other than One & Two Family Residential Structures:
~~~:;:~ '~OWI'i\' 00' "'00 th" I h.w/wlll "bmll . '" of ,I." 10' tItl, ,roJ'~ to th, N,b,,," Stoto "" M.~h.I', Off'" fo<
~Signature of wner/Contractor Date
ZONING REVIEW:
Zonin Flood Plain : H-- \
Current Zoning: t J Conditional Use Permit Required: Yes _ No~
Date C)<APproved: E-
State Fire Marshal Required: Yes _ No Variance Required: Yes _ No I .
Minimum Setbacks: Front _ seconNlnt~ Side Side Rear_
Lot Sauare Footage: \
Length x Width: Lot Coverage % I\J )
Driveways/Sidewalks:
Sidewalk required: Yes_ No_
Sidewalk Waiver: Yes
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
Flood Plain: Yes No ,V Iff
If yes, specify special requirements:
No
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 Footage:
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: (053 I ;'V1 RCl v PI-
Side
Front Side
Rear
Rear
Occupancv Classification:
Assembly, theaters, with stage Assembly, theater, without stage _
Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls _
Assembly, churches _ Assembly, arenas _
Assembly, ge.neral, community halls, libraries, museums _
Business'.$- Educational_ Factory and industrial, moderate hazard _
Factory and industrial, low hazard _ High Hazard, explosives _
(section continued on next page)
High Hazard HPM
Institutional, incapacitated _
Institutional, day care facilities _
Residential, multiple family _
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous _
Institutional, supervised environment _
Institutional, restrained _
Mercantile Residential, hotels _
Residential, one- and two-family
Is building reauired to be protected by 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
/IJ I It-
Driveway Grade: 20% grade or less? Yes _ No _ /(JI!+
(Dale will review new residential construction. AI will review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
Building Permit Deposit Fee:
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater
Fee - $500.00
Residential additions/remodels/accessory buildings valued under $10,000
Fee = $200.00
All other permits Fee = $50.00
SDD
$
$
$
RESIDENTIAL - NEW CONSTRUCTION:
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 $92
X $56
X$29
X$25
$
$
$
$
$
$
$
$
Total Valuation
Multiplied by 0.006 =
Issuance Fee:
25.00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/I nd ustrialjEd ucationalj Assem bly/F actory/Storage/Uti lity
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sqjft area X $63
Except for the following:
Accessory Buildings & Interior Remodeling Proiects: sqjft area X $43
Pole barns with no hard surface floor: sqjft area X $25
Sign ErectingjAwnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation:
Finished sqjft area
&53
X$ &3
$ 4~/3'l
Construction valuation is ...................................Permit fee is:
$0 TO $50...........................................................$0
$51 TO $500........................................................ $25
$501 TO $2,000........................................................ $25
$2,001 TO $25,000........................................................ $70
$25,001 TO $50,000......................................................$370
$50,001 TO $100,000......................................................$620
$100,001 TO $500,000......................................................$970
$500,001 TO$1,OOO,OOO...... ...................... ....... ............... $2,970
$1,000,001 AN DOVER .................................................. $4,970
Permit Fee calculated from chart above
+ $3 per additional $100
+$13 per additional $1,000
+$10 per additional $1,000
+ $7 per additional $1,000
+ $5 per additional $1,000
+ $4 per additional $1,000
+ $3 per additional $1,000
$ 5:jj, ()O
$ 25.00 :::;
$ jO!5b, 0
Issuance Fee:
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Additional Comments:
W (VLR~
Date:
'7/1/09
, ,.
Approved by:
Contingent On Approval by Fire Marshall
Meet (BC, IPC, (MC and NEC Code Requirements ~~
Sleeping Rooms below Story and in Basement required to have egress
For Office Use Only
Date Permit Paid: 8 -5- v9 ..
Permit Fee: '::S'1 &. v ()
Deposit Amount /5 tJ() ()e)
Receipt # bl.:S I) 7 OJ V J ., .1 1.
Deposit Paid by for return to: / C'dJJtJ,u &w
Building Inspection Pouch given: Yes V No
~
./2]:: CITY OF BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
LOCATION OF ~U.~I;----"-
NAME OF OWNE' /' Ii
l ,/' ',,)) J", '.
TIME INSPECTION REQUESTED' l / 0 r::. '(Jo.l;
..-/
DATE INSPECTION REQUESTED' f
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING .~:'FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
~D F~ED
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
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 WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
S r:o(e ~t
F~f..WI)IV\~~ ~~!b- - }.J ~ ~. 6 ,.;;..y ,
A)WUtAJ-j -. C().t {: '''''1)..$ "
/vlJ4o e "
CQV\-1 fJ,/:a.v{IJ~ Wl-t...\r Cd-L-
h'(, !SLeet - 5t~c:. "'Z:Ji)f
(((.rei tt -if>> CC/" ~Crt~ ~
INSPECTOR'
~~
DATE OF INSPEcTION MADE: 1 ve'J -0 ?
TIMF' J () : 't-r
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
.----.
-:f;...
c:r-
""
O.
gP:
rI:
~~
~
V
"3\.
~
~
~
-
"ITI-l STREET
,
C-
\1',
00
01 17: I I
/''9~ '9
k ~.&..
:%Q>~Q>
~ ~
o
-^
'--,/
o
@)
15 STAL.L.S AT " O. . 135' O'
o
.('-'t- 25'-0'
1,'-2";t
'--,/
I
~
I
-^
'--,/
-^
'--,/
17'
'13\
~
/'
~
\.Q.,
@
o
q
00
If
~ 0 0 -L
J
o
o
@)
o
o
"
~
q
o
o
@)
o
o
101'-,.
~~l
o~
O~,!
00
6.~ 6.
o
o
])
"
....0
-< .
"q
"'-0. @)
~ 0
0
r.
V
(\jJ'
\Q,
~ '9 '9
~
o
q
~
'0
~"
;::ft
~ -
]1'..',/ IB'-BA" 1"-0'
...............
.......-/@ ~
00
;;
;;
Vo
-
, I
I I
I
I I
, I
I I
fi~
~
b~'9
r
@)
'" 0 0 0
0
.
'1 0 0 0
0 ~ ~'9
~
~
o
o
-
------------- EXISTING RE TAIL _____________
-
-
C/) > ~ Exterior Renovations to: L )> ~~ I
" ~ > -0- ..,
r- """0 :: 5". \l _::l n
"""0 o' No Frills Supermarket .I~ 0- :r.
Q Q - '::: ::l ro CD lu
-< ..... 3 <> ' - ::::J :::::!:.
---' ^':, "- -'0 n
o -. ' 9- '" ::l .... C
C ::::l 0 0 238 South 8th Street ,~ <0'"
.....(0 " \l k iP
1..-. , Blair, Nebraska 68008-2410
Phil Green (Blair, NE)
From:
Sent:
To:
Cc:
Subject:
Alex E. Toye [atoye@ataarch.com]
Tuesday, September 22, 2009 6:08 PM
Phil Green (Blair, NE)
Brandy Petersen; Brenda Wheeler; 'Kimara Clark'; rjuro@nofrillssupermarkets.com
RE: No Frills - Blair Parking
Phil,
I will add these to our drawing, so the Owner can work with the asphalt and striping crews to incorporate into their scope
of work. I would assume we keep this under the same permit and move forward with project. I will keep you abreast of
any changes. We will get the parking lot lighting work started ASAP.
Thanks for the approval.
Alex E. T oye, AlA
ATA Architects, LLC
323 East 14th Ave.
North Kansas City, MO 64116
816-221-8994
816-221-8996 (fax)
816-507-8990 (cell)
atoye@ataarch.com
From: Phil Green (Blair, NE) [mailto:PCGreen@ci.blair.ne.us]
Sent: Tuesday, September 22/20093:51 PM
To: Alex E. Toye
Cc: Brandy Petersen; Brenda Wheeler
Subject: RE: No Frills - Blair Parking
Alex,
I've reviewed the No Frills parking lot layout dated 9/19/09 and I only have two additional requirements, which
have also been required at other A TM locations in mixed use parking lots.
1. Directional arrows on the pavement at the entrance and exit of the A TM drive.
2. Two (2) "Do Not Enter" signs located on posts on each side of the ATM drive exit facing the parking
area.
I'm okay with adding these improvements to the current remodeling permit, if that is what you would like to do.
If you would like to keep these improvements separate, someone will need to apply for a new miscellaneous
permit.
Phil
Phil Green
Assistant City Administrator
City of Blair
218 South 16th Street
Blair, NE 68008
Phone: (402) 426-6691
Fax: (402) 426-4195
PCGreen@ci.blair.ne.us
1
From: Alex E. Toye [mailto:atoye@ataarch.com]
Sent: Friday, September 18/ 2009 8:04 PM
To: Phil Green (Blair, NE)
Cc: 'Kimara Clark'; rjuro@nofrillssupermarkets.com
Subject: FW: No Frills - Blair Parking
Phil,
Please find attached our proposed parking lot re-striping and minor site modifications, base don the site survey performed
by BESCO.
It this layout is acceptable, please advise or respond to this e-mail. We are trying to get the electrical for the parking lot
lighting done ASAP and re-striping completed by November 01.
Contact my office if you have any questions...
Alex E. T oye, AlA
A TA Architects, LLC
323 East 14th Ave.
North Kansas City, MO 64116
816-221-8994
816-221-8996 (fax)
816-507-8990 (cell)
atoye@ataarch.com
From: Jason Toye [mailto:jtoye@ataarch.com]
Sent: Friday, September 18/ 2009 1:59 PM
To: 'Alex E. Toye'
Subject: No Frills - Blair Parking
Attached is the updated parking plan.
Jason A. Toye
ATA LLC
323 East 14th Avenue
North Kansas City, MO 64116
P 81 6.221.8994
F 816.221.8996
itove@ataarch.com
2
'9f-wJ
BUILDING INSPECTION REPORT
CITY OF BLAIR
o WASHINGTON COUNTY
LOCATION OF
NAME OF
DATE INSPECTION REQUESTED- ./ / ,>:~>()<) I~. TIME INSPECTION REQUESTED- .,/l:? 'l:?l~:) /~? /1;',
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATUS CHECK
BUmllNG, D FOlYl1NG D <DECKFOOTIN~_ ~ ~:.~~..~.,P..R...,.Y, ~AL"~.,!,..~.tAL~.,<."",\.-..",, n.tt,. ~ 2S D F~, ED
COMMENTS: jJ e V Sio.e..~ f f2-d ,rt .s a t-I-t"t ? /:'/ ,CF b(:,,';;;ji l.> . 'c.)A' 1)'5 ,~)
~,." .' .-'~ ~~"""""'~=~~-~~ . = ~'=
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 kEMOTE 0 WATER SERVICE PASSED FAILED
o PARTIAL 0 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS-
INSPECTOR-
/<l11J~
DATE OF INSPECTION MADE: t {' - ;)..-0 - 0 q
TIME- I bA~
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY