BP13374
lENTlE JE
FES 0 5
~.I al- C6~~ ,- S'fJ0
",0 CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT ,I
~ Permit# 1331..,
Date: ~ Approximate Completion Date: 2/ {S- ( wi 6
Site Plan Attached:
REScheck Attached:
Complete Plans Attached
Application for: Residential Commercialjlndustrial_
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 ~ 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 _
Additional Description of nroj~ct if necessary: c:, i ~ If\ 101t N1:..lA.J bu Sl 't1e.s5:" .
1'7' 2 )C ~,II:. =- 5'3. 3 '2. '~'l' _T -:r. LL\.A..tV\(" (l ~ .Jt311
Project Information:
Job Address: 2100 S. 20';-1'\ 51. S \Al it- 2 9"* /)015 '7LP ''1 '7
Legal Description (if applicable) (..0+ L{ I l-\o..\{d-e", 'Place.. ;~~I / 1/ '-/ p~ f.,
1.3 J,4c->
Owner: G.fea. -\- C\i Ps Address: JJ 35. $". l-\vV\.( ~ Phone#: t.f2.J.,-3/i4-<{
Contractor: GIY\ah.O\ (\.)<0(\ Sl<jn - &\\4-('\: Ar-dVe. Phone #: 341-<"'017
Address: It '2.0 N. l~1-h si. 0 MCAhOl to" IcY2.. Cell #: 114 - 3339
Separate permits are required for electrical, plumbing, heartlng, ventilating and air conditioning, and septic systems. By my signature
below, I acl<nowledge 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. eby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the
codes/o Ina es of the Ci of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within
180 d s or I not compl e within t 2 ears of date of issue.
/'d)J'/O
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
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/I ndustria IjEd ucationalj Assem bly/Factory/Storage/Utility
*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 Erecting/Awnings and Decks/Handicap Ramps: sqjft area X $25 (Minimum
valuation of $2000)
Construction valuation computation:
Finished sqjft area 5 -:s~ ~ 2..
X $ 2.S-
$_/33~.60
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$1,000,000..................................................$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
$ 10.00
Issuance Fee:
$ 25.00
$ tOO.GO
56. 00
) ;>0 ' 00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
1)e~I+
Additional Comments:
Approved by: b. v-J~
'';~Mfr1L- d-.~ d- - J 0
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
Date:
~/, S- / 'Gol 0
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Building Inspection Pouch given: Yes _ No
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS I REMODELS:
Business/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 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:
Finished sq/ft area 5 ~1 ~ 2..
X $ 2S-
$~333>.60
Construction valuation is ...................................Permit fee is:
$0 TO $50................. ..........................................$0
$51 TO $500........................................................ $25
$501 TO $2,000........................................................ $25 + $3 oer 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
$ 10.00
Issuance Fee:
$ 25.00
$ 100.00
S6. 00
J S-O . 00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
j)e~'+
Additional Comments:
Approved by:
b. t/UkL
Date:
t--/, S- / 'GO I 0
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
Pounds Printing, Blair, NE 68008
Howard Wolfe
From:
Sent:
To:
Subject:
Attachments:
Andye Nelson [AndyeN@omahaneon.com]
Wednesday, February 03, 2010 9:34 AM
Howard Wolfe
GREAT CLIPS DETAIL
SKMBT _ C3511 002031 0260. pdf
Howard,
Here is the detail you asked me for. Please let me know ASAP if we are okay to proceed forward.
Thank you.
flntfye :Neeson
Account ExecutiVe
Omaha Neon Sign Company
1120N 18th St
Omaha Ne 68102
Office 402-341-6077
Cell 402-714-3339
F'ax402-341-7654
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