BP13311
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit # 1!3 31/
Date: Cf - Z If -0 q Approximate Completion Date: I d -/5 - 09
Complete Plans Attached V--
REScheck Attached:
Site Plan Attached:
Application for: Residential Commercial/Industrial V-
New Construction Manufactured Home Modular
Move-on: Home _ Accessory Building Other
Remodel Addition "
Accessory Building: Garage _ Pole Barn_ Other ~ d ~t'd.M.../
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 _
H.5"
Additional Description of project if necessary: '...L,-
( !b a.dVC)ft:..<.~ C / fJaA Ie...
uJ~ d t:o W..iA..) - (_:~ 'fJ a/U
Proiect Information:
Job Address:
ItJ~g b- Yai4v~tJ~. 8'1tJ0877'1/3
Legal Description (if applicable) <Be! 7Z 8 - &- I' 8 '-/~ / I Ii PC~ LI
t/ / ./1 L J ) 'c/ '-1b!~' ,L /$ rtL II if5',4~
Owner: N'P1mJ'TM twl1 1 711, Address: 9;J, C:iAM1 t (Jr; Phone#:
j / I I. );.. / J ? tJ ' .ae']? 1./5.;(
Contractor: /Vtr1I11&rM WA/lltJL /l1td~
Address: c;;ztl GvlMl t "f1A P. cJ. jfrl
Iii tu4 .Ale
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 unti!l have received a CDPy of a permit signed by the Building
Inspe or. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the
cod Ii r inances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within
18 d ys r' et-e leted within tw (2) years of date of issue.
~~
(.# r;9()t)fj
Phone #:
7l1~t#: tf2{P - ::!/{)cj
i..P/'Lt. 5'9"!3
9- t. L/ - 0 '1
Date
F 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
ZONING REVIEW:
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_
1V/4\
lot Sauare Footage:
length x Width:
lot Coverage %
Driveways/Sidewalks:
Sidewalk required: Yes_ No_
Sldew~ Ltr: Yes
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
No
Flood Plain: Yes No
If yes, specify special requirements:
BUILDING INSPECTOR REVIEW:
Number of Stories
One Two
Th ree
Four
>Four
High Rise (>75ft)_
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
Square FootaJ:!e:
Main level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front Rear
Deck that affect setbacks: Rear
Second level: Third level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
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 _
(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 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, AI will review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
Buildim! 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 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 I REMODELS:
Business/lndustrialjEd ucationalj Assem bly/Factory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: Sq/ft area X $63
Except for the following:
Accessory Buildim!s & Interior Remodeling Proiects: 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 $2000)
Construction valuation computation:
" lOb
Finished sq/ft area JI.@1 '-f"i
X$ &.3
$
,-')5 ;;; 00" ()()
<7<}
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 TO$1,OOO,OOO.......,.......................................... $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
$
$
$
<..-1? /). Ot)
> C/O
25.00 :::: 395-
895, 00
Issuance Fee:
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Additional Comments:
Approved by:
';.;/ /11!: >1~
Date:
I()- b-o~
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
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 68008
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TOP REBAR MAT ((11312' /lil26') #3 ON 6' CENTERS EACH WAY 4" COVER
(SECTIONS REMOVEQ FOR CLAIRITYl
U10 X 102' ANCHOR BOLT90'INBEDMENTTYP
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DETAIL B
LQWERANCHOR BOLTTEMPLATE
DOUBLE NIJTTYPICAL
#3 @ 6' DC EACH WAY__________
" TOP OF CONCRETE
(4) #3 HOOPS @ 6 DC /3" ABOVE SOIL GRADE
(\1l36.00l PIER DIAMETER------
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(SEE PAGE ~2 FOR DETAILS)
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GENERAL NOTES:
AU DIMENSIONS stlDWN ON THE PLANS SHALL BEVERIFIED BYTHECONTRAc;TOR PRIOR TO CONSTRUCTION
OR FABRIC~TlON.
THE EN~INEER ORREPRESINTATNESHALl REVIEW AND APPROVETHE PLACEMENT Of ALL
REINFORCEMENTS PRIOR TO TIlECArnNG OF r-.m CONCRETE.
THE CONTRACTORSHALL BE RESpONSIBLE FOR THE PROTECTION OF AU EXISTING STRUCTURES DURING TIlE 1..-,
EXECUTION OF HIS CONTRACT, r:::r-
TIlE ENGINEER SHALL BE NOmlED IN W1UTlNG OF r-.m EXlST1NGCONIlITIONS TIl~T DiffER FROM THOSE
SHOWN ON TllE CoNTRACT DacUMENTS. THE ENGINEElt'WIUEVAlUATETHE DlmRENctS.AND IF
NECESSMVREDESlGN fOR THE CONDmoNS FOUND THE CONTRACTOR WILL BE COMPENSM,D fOR AIf'!
CHANGES RESULTING FROM lHERElJESIGN.
FOUNDATIONS ARE DESIGNEO fOR ABEAIUNG PRESSURE OF 1BOOPsf AND SOIL FRACTION Of SCOPSF fOR
PIER FOOTING ASaECOMMENDED IN ASOILREPORTPREPAREO llV1HlELE GEOTECH INC, PROJECT NO. 06467.0
D~T<D SEPTEMBER 18, 200G.
ALlPIERSSHALL BE PLACEO ON UNDlSTURGED PREVIOUSLY COMP~mOCONTROL FIL~ OR VIRGIN SOIlS,
DEPENOING ON THE LOCATION. APpaOXIMATEM;A$lO BE CUT AND RHlllED WITH STRUCTllRALFIlL
ARE SHOWN ON TIlE ORAWINGS.
,. IFTHECONTRAc;TOR DISCOVERS POOR SOILS CONomONS UPON <XCAVATION.HE SHAll. NOTIfY THE ENGINHR
IN WIU1ING. FOOTINGS Will Ill! RE.oElIGNEO IF NECESSARY, AND THE CONTRACTOR SHALL BE COMPENSATED
fOR ANY EXTRA COSTS.
1.
2.
3.
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fOUTER TEMPLATE RADIUS
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DETAIL A
PIER AND ANCHOR BOLT DETAILS
REINFORCING STEEL DETAILS
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8. CONCRETE WORKSHALLCONFORMTO AU REa.UIREMENTS Of ACl.31s.1lS. "8UILOING CODE REQUIREMENTS
FORSTRUCTUAAl.CONCRETS", PlER TO BE POURED MONOUTliICALLY, CONSTRUCTION JQlfflS ARE NoT
PERMITTED.
9. ALL RfINFORClNG STEEL SHALL BE ASTM 8061S ORi\.30S DEFORMATION GRADE GO.
10 CONCRETE CLASSES AND USAGE"
L G.S '400<) P1130" liMESTONE AGGREGAU FOR ALLCO/lCRETEUNLES$ /lOTEO OR SPECIFIED OTllERWISE
MIX REQUIREMEN1S:
. MiNIMUM '.000 PSI STRENGTH ~T2B OATS
. MINIMUM 6.SSACKS OF CEMENT PRECUBICYAAD
. SLUMP RANGE IlElWEEN 2' ANa 4'
. ~IRENTRAPMENTPANGEtimV!eN4"AND6"
. MAXIMUM S.OGAUONS Of WAT<R PER!AO( Of CEMENT
-
11, ALL RUM INPIERSSliALL B!.CONTINUOUS OR SHALL LAP ASSOIEOULED FOR TENSION LAP SP\ICESUNLESS
NOTED OR SPECIFIED OTHERWISE.
12. CONCRETEl'ROTECTlON fOR REINFORCEMENTSHALLBE3" MINIMUM COVER, UNLESS NotED OR SPECIFIEO
OTHERWISE.
13. NO WaDiNG OF REINFORCEMENT STEEL OF ANCHOR 80LTS
OUlriN LOADS PER ptERl
SH~RfORCE =2.7KIPS
DowllFOIlCE .Sg.oKIPS
UPUFT FORCE = 26.3 KIPS
ANCHOR 1I00T DFrAllS'U plRt
BOlT01AMETER 110
QUANTITY oF 80LTS 4
BOL1LfNGTH 1021HWITH 90 IN MINIMUM EMBEDOED
BoLT MATERIAL WILLIAMS GMDE 7SAU.THREAD REBAR
N h' DRAWNBV DRAWING APPROVAL 10LERANCS MATERIAL '.
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Howard Wolfe
From:
Sent:
To:
Cc:
Subject:
Howard Wolfe
Friday, October 02, 2009 12:29 PM
'mark. ringenberg@NorthstarWindTowers.com'
Howard Wolfe
1020 E. Fairview Dr.-new tower building plan review-10-2-09
Date: 10-2-09
Re: Tower construction plans
To: Marlc To complete the plan review process on your tower, we need to know who will be doing the special
Inspections. Also we need the types of required Special Inspections and the Company's information listed on the plans.
Please have them indicate, on the plans, that they will send copies of the Special Inspection reports and a Final
Summary Report to the City of Blair, marked: llattention Howard Wolfe"
Thank-you
Howard Wolfe
Building Inspector
City of Blair
1
PIER lOCATIONS
HOLE XDIM YDIM HOLE
DIAMETER
Al -32.90 -101.26 36.00
A2 86.14 .62.S8 36.00
A3 .106.48 0.00 36.00
A4 86.14 62.Sa 36.00
AS -32.90 101.26 36.00
125%; in [10'-So/,,"}
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STRUCTURAL FilL 30' X 30' X 3'
EXCAVATION STRUCTURAL FILL DETAILS
N h - DRAWN BY
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MATERIAL
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CONCRETE DETAILS
DETAIL C
REFERENCE KNOTCIi (3) PLCS.
DETAIL
TEMPLATE REFERENCE
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SITE DETAILS
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pp.Q'Ucr"5OJmoN PROJECT~ SHEET ~ OAAWlNGN
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BUILDING INSPECTION REPORT
OF BLAIR
D WASHINGTON COUNTY
LOCATION OF
NAME OF
';":".~:(4;~~:',:.!;rr:.,';" .....,;,;};;;"j.,.6',;;..".i.(]lft.<(..,.,
DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTEl'),'y"i. <';' '(' "~ , ".' PERMIT
.r, '3? ~'/! j"'"",
t-,,~ ytI) if( t Ii <;1 l'/ ",,,y,'.' ..,'\
TYPE OF INSPECTION; REQUESTED: I .' D . FERENCE
BUILDING: FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL,
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATERTAP D REMOTE D WATER SERVICE
D PARTIAL
D STATUS CHECK
PASSED FAILED
~ D
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 AJC D FURNACE D RADIANTHEAT 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~ Se^,J S;f~r~L.. f:;.pJ<:;fEt;-f:.((}o,... !2e/dte.,;.) fo
hv? /{ti'it.Ju...~l ~ (e.DV'J,(', F';;rtL.- S"t1vw\W/,UL/
Fr ~tLL J:' A'/) f (/;+ fa,..! ,
THe Cdf 0;:2 (5iA.c~
f~/arL-+ pf((O~ -(-0
INSPECTOR'
7/v of~'
DATE OF INSPECTION MADE:
Ll <)--6 9
TIME' ? fl'M.
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY