BP13394m N
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit # f
Date: _ , �- Approximate Completion Date:
Site Plan Attached: REScheck Attached: Complete Plans Attached 1�
Application for Residential Commercial /Industrial L/
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—
If yes, responsible entity:
Agreement needed:
Public Sewer: Yes No _
If yes, responsible entity:
County Road Permit Required: Yes No _
Project Information
Job Address:
_ Private Well
Blair - OPPD Line Kennard
Date Agreement Received:
Septic . Drawing Provided:
Blair Kennard
Submitted: Yes No
if necessarv: � 019- GU�Gi� /7�G
LSD r, lad /,V ' &,- "64
Legal. Description (if applicable)
Owner: LCi1 a&- 2
tp �Q zin Gllid � alp Pho e #: -64 .
Contractor: C _ a4 Phone #:
z �� .� AMA
Address: �� Cell #:
Email Address for Contractor:
_ Thr/alq:::v ►
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 /oPdinences of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within
180 days ors not completed within two (2) years of date of issue.
ICo MAL 10
Signature of wner /Contractor Date
For Building Permits other than One & Two Family Residential Structures:
1 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.
�C
g) ignature 9f Owner /Contractor Date
CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT
Permit #
Date: 2 r D Approximate Completion Date:
I3�9�
-/b
Site Plan Attached: I,/ REScheck Attached: Complete Plans Attached
Application for: Residential
New Construction
Move -on: Home
Remodel ✓
Commercial /Industrial �
Manufactured Home Modular _
Accessory Building Other
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 _
If yes, responsible entity:
Agreement needed:
Public Sewer: Yes No _
If yes, responsible entity:
County Road Permit Required: Yes No _
Additiona o p if
Project Information:
Job Address:
2 I/-;
2aija� q) /,/ ,
Z�e,5,�9 A5�4;
Legal. Description (if applicable)
y
Owner: GPI C ° Address: i� �Q _Z�1 GG'��p
Contractor:
' ,&x c: 5 v
Address: / • d 1) 0 �6C pd ",�
Email Address for Contractor:
® Private Well
Blair OPPD Line Kennard
Date Agreement Received:
Septic Drawing Provided:
Blair Kennard
Submitted: Yes No
/337
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
180 days or 's not completed within two (2) years of date of issue.
I6 MAL la
Signature of wner /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.
//') 0,u, )�,& -- I I (',, i
Ignature Owner /Contractor Date
aWC-Ly
one #:
Phone #: J�
A
Cell #:
CITY OF 9 NEBRASKA
Phone 402 - 426 -4191
THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Nair, NE 68008
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 Fireplaces Gas Electric
Egress in Basement: Required: Yes No Provided on Plans: Yes No
Sleeping Rooms Living Area Other Egress
Square Footage
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Second Level: Third Level
(Finished)
2 bay 3 bay 4 bay 5+ bay
Pole Barn:
Remodel:
Porch: Front Rear Side
Deck that affect setbacks: Rear Front Side
Occuoancv C lassification :
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)
r' Vill -
BUILDING PERMIT DEPOSIT AGREEMENT
500.0 refundable deposit is being collected for any new commercial, new
re ' ial, 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.
Contracto wner Contractor /Owner
City of Blair
, 4 W 2-o) v
Date
High Hazard HPM Institutional, supervised environment
Institutional, incapacitated Institutional, restrained
Institutional, day care facilities Mercantile Residential, hotels
Residential, multiple family Residential, one- and two - family
Residential, care /assisted living facilities
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 $
1 . 3 . .1 It
BUILDING PERMIT DRAWING TRANSMITTAL
Date: 16 March 2010 Transmittal No: 067
To: Howard Wolfe Number of Documents: 1
Chief Permit Inspector Cargill Polyols Job Number: 0000072
Blair City Hall
218 South 16th Street
Blair, Nebraska 68008
DESCRIPTION OF ISSUE: Process Area Expansion Project Drawings for Building Permit Approval
The listed documents are hereby transmitted FOR PERMIT APPROVAL.
DRAWING NUMBER SHT
REV
TITLE OR DESCRIPTION
COVERSHEET- PERMIT
A
COVERSHEET- PROCESS AREA EXPANSION PERMIT PACKAGE
D- 04- SK -C20
Al
ELEVATED SLAB PLAN @ TOC EL 149' -0"
D- 04- SK -S20
A2
STEEL PLAN @ TOS EL 109' -10"
D- 04- SK -S21
A2
STEEL PLAN @ TOS EL 126' -2"
D- 04- SK -S22
A2
STEEL PLAN @ TOS EL 148' -4"
D- 04- SK -S23
A2
STEEL PLAN @ TOS EL 159' -5"
D -SK- DESIGN
Al
BASIS FOR DESIGN PROCESS AREA
D- SN2210004
Al
SLAB PLAN PROCESS AREA
EGRESS -099
Al
EGRESS PLAN @ T.O.C. EL.99' -0"
EGRESS - 109 -10
Al
EGRESS PLAN @ T.O.C.EL.109' -10"
EGRESS -126 -2
Al
EGRESS PLAN @ T.O.C.EL.126' -2"
EGRESS -148 -4
Al
EGRESS PLAN @ T.O.C.EL.148' -4"
EGRESS -159 -5
Al
EGRESS PLAN @ T.O.C.EL.159' -5"
EN220103
B
ERYTHRITOL MCC -2209 ONE -LINE
EN223001
7B
ELEC OVERALL 1 -LINE 4160/480
MOTOR
B
MOTOR LIST CWP5600
PPN22100
113
SITE PLAN EL.100' -0" EL. 100' -0"
PPN22125
1B
SITE PLAN EL.125' -0"
PPN22150
1B
SITE PLAN EL.150' -0"
l 6. ��
Shalis Winder
Cargill Project Manager
- 1VL.rr vv •-- --- - - - - --
ess /Industrial /Educational s ly /Factory /Storage /Utility
*Porches with roofs /screened patios are considered additions
Construction valuation computation: Sq/ft area X $63
Except for the followinO:
Accessory Buildings & Interior Remodeling Projects sq/ft area X $43
Pole barns with no hard surface floor sq/ft area X $25
Sign Erect! no/Awnin9s and Decks /Handicap Ramps sq/ft area X $25 (Minimum
valuation of $2000)
Construction valuation computation
Finished sq/ft area
— X$
A
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, 000, 000 ................... ............................... $2,970
$1,000,001 AND OVER ......................... .........................$4,970
Permit Fee calculated from chart above
•
Issuance Fee'
+ $3
+ $13
+ $10
+ $7
+ $5
+ $4
+ $3
per additional $100
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
per additional $1,000
$
� 1 � .
$ 25.00 ;V � c?
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
$
Additional Comments:
Approved by: -I./, / Date: ®i °
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
133�1t
City of Blair
Building Inspector
Application for Building Permit
Scope of work
Evonik Degussa Corporation plans to make several modifications to the
equipment on its site in Blair (located on Cargill's BioCampus)
The main purpose of these modifications is to increase the dry- product capacity
-of the Biolye 65 plant in Blair. The following documentation describes the work
to be completed.
• Replacement of the current product sieve with a large one. This change
requires several modification to the structural steel where the sieve is
supported on elevation 1029' -10 W .
• Rising of a Biolys dust collector house. The bag house is currently
supported at the 1058' and will be raised up to the support elevation level
of 1054' -10 W to gain enough clearance underneath to install a small
product sieve.
• Installation of a new product sieve underneath the dust collector.
Sincerely yours,
Marius Block
Engineering Team Leader
EVonlK
INDUSTRIES
March 15th, 2010
Evonik Degussa Corporation
650 Industrial Park Drive
City, State ZIP
www.evonik.com
Phone +l 402 533 -1530
Fax +l 402 533 -1501
Cell +1 402 533 -0694
marius. block@evonik.com
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S
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Your items have been reviewed for compliance with the Nebraska State Flre Marshal Act.
Preliminary Architectural Plan
a
REMARKS:
Preliminary plan approved as submitted.
cc. District B
Page 1 of 1
Lincoln, NE 68508 -1804 Albion NE 68620 -1241
(402) 471 -2027 (402) 395 -2164