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BP13315CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT ^ gPromiseQ Permit # % 3i' Date: Approximate Completion Date: gT' Site Plan Attached: 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 Sign Erecting, Awnings i--� Decks/Handicap Ramps (plot plan required) Satellite Dishes/Radio Antenna/Cell Towers (plot pian 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 Additional Description of project if necessary: i r7 5 5,6 ZI Project Information: Job Address: O41 tt� el00u707 Legal Description (if applicable) Lot Lqa efc\ P� IXC Flep� D�+ Ore. Owner: Address: Phone#: Contractor: �` "� � ��"°� �� Ly. Phone #: �� ®x°077 Address: v ` 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 (Y�)ignature days or is not completed within two (2) years of date of issue. of Owner/Contractor Date For Building Permits other than One & Two Family Residential Structures: I hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for Review. Signature of Owner/Contractor Date lye e - G Z009 0,11 0 CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT 'Prmmlaa^ Permit # Date: / Approximate Completion Date: Site Plan Attached: �/ REScheck Attached: Complete Plans Attached t� Application for: Residential Commercial industrial fes'' 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 Sign Erecting, Awnings t% Decks/Handicap Ramps (plot plan required) Satellite Dishes/Radio Antenna/Cell Towers (plot pian 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 Additional Description of project if necessary; Project Information: Job Address: aO41 lictivS n1pin��"_l40'070 t7 Legal Description (if applicable) rfi �� Ci e {ECIC Egad sk+ me Owner:f7 Address: Phone#: Contractor: _ " `�'on U.,9"Phone #: 2W - &.0'7X Address: Cell #1 Ale Separate permits are required for electr cal, 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 nances of the City of Blair and the State of Nebraska, I understand that this permit Is void If work Is not commenced within ays r is not c pleted withl wo ) y ars of date of issue. Y� ature of 0w r ontractor Date For Building Permits other than One & Two Family Residential Structures - 1 hereby acknowledge and agree that I have/will submit a set of pians for this project to the Nebraska State Fire Marshal's Office for Review, Signature of Owner/Contractor Date High Hazard HPM Institutional, incapacitated Institutional, day care facilities Residential, multiple family Residential, care/assisted living facilities Institutional, supervised environment Institutional, restrained Mercantile Residential, hotels Residential, one- and two-family Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building required to be protected by automatic fire sprinkler system?" 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: 20% grade or less? Yes No (Dale will review new residential construction. Al 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 $ RESIDENTIAL - NEW CONSTRUCTION: Permit fee is: Finished sq/ft area X$92 (not including finished basement area) Finished basement sq/ft area X $56 Unfinished basement sq/ft area X $29 Garage sq/ft area X$25 Total Valuation: 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: Bus! ness/I ndustrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the following: Accessory Buildings & Interior Remodeling Projects: sq/ft area X $43 Pole barns with no hard surface floor: sq/ft area X $25 Sign Erecting/Awnings and Decks/Handicap Ramps: sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation: Finished sq/ft area /7-5- _X$ $ 3 75 , 1 Construction valuation is ...................................Permit fee is: $0 TO$50...........................................................$0 $51 TO $500 ........................................................ $25 $501 TO $2,000........................................................$25 + $3 per additional $100 $2,001 TO $25,000........................................................$70 + $13 per additional $1,000 $25,001 TO $50,000......................................................$370 + $10 per additional $1,000 $50,001 TO $100,000......................................................$620 + $7 per additional $1,000 $100,001 TO $500,000......................................................$970 + $5 per additional $1,000 $500,001 T0$1,000,000.................................................. $2,970 + $4 per additional $1,000 $1,000,001 AND OVER..................................................$4,970 + $3 per additional $1,000 Permit Fee calculated from chart above $ % , U0 Issuance Fee: $ 25.00 / ` ' 00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ Additional Comments: Approved by: Date: Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes No 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 refundable deposit is being collected for any residential remodel, addition or accessory building valued under $10,000. A $50,00 refundable deposit is being collected for all misc. permits. The City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) Theft of water service by the plumber, owner or general contractor. 2) All permits have not been obtained. 3) All required inspections have not been obtained. 4) Occupancy occurs prior to a final inspection. 5) The project is completed without a final inspection being done. 6) Storm Water Management Plan inspection not obtained. (If Required) If any or all of these situations occur during construction, you may forfeit your deposit, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. 4ontra ctor ner \� . »--/- e)o &'\/ e Contractor/Owner City of Blair CITY OF BLAIR, NEBRASKA Phone 402-426-4191 THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 - a : Omaha Leon Sign Co., Inc. aOZEMU a p� 9� K 1i2ir1754s5'rrt{frck-knzt3i0er:4¢2sai�s*,a2.xaa7i,s4�<$,a � � 'mo a y paax,ya a'n �*��x.taa�x�au;,xr�ca stela aM ya7µw itra* a � � did �q , � w5 avrw:ali.�jaca:r.. �rnnym+¢raaxr axax<.era*un..sy�axsru?w,a+�x,tnraaa. I �o G W � w �Ar- IMP m m j� ayden lace Eg- �1go ' � � I V-10' III W-4 w M ea v m -""M co m�0 m ass C i €if9 a hv Cr�n� OZi w 0 mr, 0> c C z Cs� LU 9 v m sn co c s D m ass o a hv Cr�n� 0 mr, 0> c Cs� LU 0 0M -i z� rir �n h'1 V1111+ - 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 refundable deposit is being collected for any residential remodel, addition or 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. 90ntractor/O - wner Contractor/Owner City of Blair ZONING REVIEW: Zoning/Flood Plain/Utilities: Current Zoning: Conditional Use Permit Required: Yes No Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front Second Front Side Side Rear Lot Square Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: Sidewalk required: Yes No Sidewalk Waiver: Yes No Date Waiver Approved: Preexisting Garage requires driveway to be less than 3' from property line: Yes Approved by: 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 Egress in Basement: Required: Yes No Sleeping Rooms Living Area, Fireplaces Gas Electric Provided on Plans: Yes No _ Other Egress Square Footage: Main Level: Second Level: Third Level Basement: (Unfinished) (Finished) Garage: 2 bay 3 bay 4 bay_ Detached Garage: Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Front Occuoancv Classification: 5+ bay Side 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 (section continued on next page) Brandy Petersen From: Phil Green (Blair, NE) Sent: Thursday, September 17, 2009 5:15 PM To: 'Andye Nelson' Cc: Brenda Wheeler; Brandy Petersen; 'Mary Berg'; 'Kirk Hanson (DKC Development)' Subject: RE: Shoppes at Hayden Place Andye, I°vc reviewed the revised drawings you submitted regarding the Hayden Place center identification sign and ordinance. zoning ng everything looks okay according to our Z-1 Z-1 Z-1 * f-lei(du is the rnaxii-nuni 25" * Face slzc is Under the maximum 3 )00 S1{ (actual final size is 297 SF) The sign will he approved for the final design, although only phase I (with the white bulbs on top) will be constructed at this time. Price for this permit will reflect the size for phase I only. A new permit with additional lees will be re(puired for phase 2. Final location is yet to be determined. It must be located on private property (off of the ROW), and out of the sioht triangle a triangle measured along the curb [not property line] of Holly Street 45' and Hwy 30 75' and then connected). (__)nIy a small corner of Lot 2 is affected. NOTE: Based upon the requirement that a center idemil ication sign be located no closer than 150' to any other sign, if the center identification sign is located on Lot 1, no other ground sign will be allowed. If the sign goes on Lot 10 (north of Holly Street) another ground SiUn Could be located on the north end of that lot. L, Whenever you desire you can apply for a sign permit by contacting; Brandy Petersen at city hall via e-mail C, or callino at 402-426-4191. Our Building Inspector will need to inspect the engineers design and rebar for the siorn footings before the footings are PoUN11 Also, everyone should luiow that once this sign receives its final inspection, all temporary banner signs must be removed immediately. Phil Phil Green Assistant City Administrator City ofl3lair 218 South 16th Street lllah% Nl_? 68009 Phone-, (402) 4,26-6691 Fax: 0402) 426-4195 1) reePqll hlllffl"ue.us From: Andye Nelson [mailto:AndyeN@omahaneon.com] Sent: Friday, September 11, 2009 9:38 AM To: Phil Green (Blair, NE) Cc: Brenda Wheeler Subject: Shoppes at Hayden Place M I have adjusted this sign according to our conversation earlier this week. I will call you as I still have a few questions. Thank you. Andye Nelson Account Executi've Onmha Neon Yiym Company .1120 JV 18th .Yt� Oinaba Afe 68102 Office 4024341-6077 Cell 402-714-3.3,79 Ea ti 402--341-76 54 From: Andye Nelson Sent: Wednesday, September 09, 2009 1:23 PM To: 'Kirk Hanson' Subject: FW: Shoppes at Hayden Place Thank you. Andye Nelson A cco un L Executive Oinaha Neon SYgn Company -1120 N 18th Omaha Ne 68102 Office 402-341-6077 Cell 402-714-33. 7 9 Fax 402-341-7654 From: Sean Cornett Sent: Wednesday, September 09, 2009 1:10 PM To: Andye Nelson Subject: Shoppes at Hayden Place Brenda Wheeler From: Phil Green (Blair, NE) Sent: Thursday, September 17, 2009 5:15 PM To: 'Andye Nelson' Cc: Brenda Wheeler; Brandy Petersen; 'Mary Berg'; 'Kirk Hanson (DKC Development)' Subject: RE: Shoppes at Hayden Place Andye, I've reviewed the revised drawings you submitted regarding the Hayden dace center identification sign and everything looks okay according to our zoning ordinance. Height is the maximum 25' Face size is under the maximum 300 SF (actual final size is 297 SF) The sign will be approved for the final design, although only phase 1 (with the white bulbs on top) will be constructed at this time. Price for this permit will reflect the size for phase 1 only. A new permit with additional fees will be required for phase 2. Final location is yet to be determined. It must be located on private property (off of the ROW), and out of the sight triangle (a triangle measured along the curb [not property line] of Holly Street 45' and Hwy 30 75' and then connected). Only a small corner of Lot 2 is affected. NOTE: used upon the requirement that a center identification sign be located no closer than 150' to any other sign, if the center identification sign is located on Lot 2, no other ground sign will be allowed. If the sign goes on Lot 10 (north of Holly Street) another ground sign could be located on the north end of that lot. Whenever you desire you can apply for a sign permit by contacting Brandy Petersen at city hall via e-mail (bpetersen(c�ci.blair.ne.us) or calling at 402-426-4191. Our Building Inspector will need to inspect the engineers design and rebar for the sign footings before the footings are poured. Also, everyone should know that once this sign receives its final inspection, all temporary banner signs must be removed irnmediately. Phil Phil Green Assistant City Administrator City of Blair 218 South 16th Street Blair, NE 68008 Phone: (402) 426-6691 Fax: (402) 4264195 PCGreenL)t,,ci.blair.ne.us From: Andye Nelson [mailto:AndyeN@omahaneon.com] Sent: Friday, September 11, 2009 9:38 AM To: Phil Green (Blair, NE) Cc: Brenda Wheeler Subject: Shoppes at Hayden Place I41 i I ci tal,9�- tiz . too)o l!'6"7SILL C?Q 9'ZL1 S' N M r% yb 944 cwe as ` 0 �' '�• ��i i0wan tin ! n AA. � NO2.240 "Wcy ComrC►'! '� - 83.24 / 0W N {�!� NO2°25 53 W 147,99' 'o Z m vi u 11 rHP 04 _ Lo Pc ON � ON 31.00,LZA'ON VIHJiH c t� w w m C � V— LL L a h„ N � CV tO uj CO w - z 0 Z z C, b UJ m �°1 0 U) 1 \� r� OL 0Q)o z�ca X - AL ff �lfflmtffll "'m MECHANICAL: ❑ ROUGH—IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: PLUMBING: ❑ COMMENTS: F1 FORK ❑ ROUGH—IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL E TEST PASSED FAILED ❑ ❑ PASSED FAILED ❑ ❑ ❑ OCCUPANCY GRANTED ❑��`'CONDITIONAL OCCUPANCY UANTED e a NOTES/REMARKS- ,J � � t v DATE OF INSPECTION MADE: TIMR FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION.�� NAME OF OWNER °\ Ci' (� ! :;, �� .. '� 1 t__.:.v.: CONTRACTORS- a r �ti�� 0d" DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED- PERMIT NO•= =� TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED a' COMMENTS. ;` h .,v _ t UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH—IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: PLUMBING: ❑ COMMENTS: F1 FORK ❑ ROUGH—IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL E TEST PASSED FAILED ❑ ❑ PASSED FAILED ❑ ❑ ❑ OCCUPANCY GRANTED ❑��`'CONDITIONAL OCCUPANCY UANTED e a NOTES/REMARKS- ,J � � t v DATE OF INSPECTION MADE: TIMR FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY CITY OF BLAIR ❑ WASHINGTON COUNTY LOCATION OF INSPECTION- NAME NSPECTION NAME OF OWNER: a r— r i,f- t `��' DATE INSPECTION REQUESTED . E� TIME INSPECTION REQUESTED -i><) PERMIT NO - r �❑ TYPE OF INSPECTION REQUESTED: CONFERENCE ❑ STATUS CHECK BUILDING: ❑-'FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINA PARTIAL PASSED FAILED COMMENTS I�,4, of ; l € yy R fT/�� T1 (f /ll' El UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑' PARTIALS PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- INSPECTOR- DATE OF INSPECTION MADE: ` TIMR ; -WA FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B