BP13462Application 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
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 _
_ Private Well
Blair OPPD Line Kennard
Date Agreement Received:
® Septic Drawing Provided:
Blair Kennard
Submitted: Yes No
�I9f project if necessary: k Vl"dL "f� �
on
Project Information
cc
Job Address: (4 � 9 `�
Legal Description (if applicable) M 1" ,cl , 04 va ca s� . u -
Owner: (Al S evc cs Address: l Phone #: L t 7
Contractor: O
I
Phone #:
Address: 1v' Cell #: ,�
Email Address for Contractor:
Separate permits are required for electrical, plumbing, heating, 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 is not completed within two (2) years of date of issue.
Si nature .of Owner /Contractor Date
For Building Permits other than One & Two Family Residential Structures:
I hereby acknowledge and agree that 1 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:
Zoning /Flood Plain /Utilities:
Current Zoning: Conditional Use Permit Required: Yes,
Date CUP Approved:
State Fire Marshal Required: Yes No Variance Required: Yes
Minimum Setbacks: Front Second Front Side Side
Lot Square Footage:
Length x Width: Lot Coverage %
D riveways /S i d ewa I ks:
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
Type of Residential Structure:
Ranch Two Story Split Entry
Rooms Bedrooms Bathrooms _
>Four High Rise ( >75 ft)
Raised Ranch Other
Fireplaces Gas Electric
Egress in Basement: Required: Yes No Provided on Plans: Yes
Sleeping Rooms Living Area Other Egress
Sauare Footage:
Main Level: Second Level: Third Level
Basement: (Unfinished) (Finished)
Garage: 2 bay 3 bay 4 bay 5+ bay
Detached Garage: Pole Barn:
Addition: Remodel:
Porch: Front Rear Side
Deck that affect setbacks: Rear Front Side
Occuoancv Classification:
Assembly, theaters, with stage _
Assembly, nightclubs
Assembly, churches
Assembly, general, community ha
Business Educational
Factory and industrial, low hazard
Assembly, theater, without stage
Assembly, restaurants, bars, banquet halls
Assembly, arenas
lis, libraries, museums
Factory and industrial, moderate hazard
High Hazard, explosives
m
No
Rear
m
(section continued on next page)
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 re quired 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. At 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 $
AAML° IYGVy VVIYJ I nuv I IVIY I liVV111V1YJ/ RGIYIVVGLJ.
Business /Industrial/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 g - o X $ $
Construction valuation is .......... .........................Permit
fee is:
$0
TO
$ 50 .............................. .............................$0
$51
TO
$ 500 ......................... ...............................
$25
$501
TO
$2, 000 ......................... ...............................
$25
+ $3
$2,001
TO
$25, 000 ......................... ...............................
$70
+ $13
$25,001
TO
$50, 000 ........................... ...........................$370
+$10
$50,001
TO
$ 100, 000 ........................... ...........................$620
+ $7
$100,001
TO
$ 500, 000 ........................... ...........................$970
+ $5
$500,001
TO$1, 000, 000 ......................... .........................$2,970
+ $4
$1,000,001
AND OVER ......................... .........................$4,970
+ $3
Permit Fee calculated from chart above
Issuance Fee:
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Der 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
$. 00
$ 25.00
$,
Additional Comments:
Approved by: Date: l S C U
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
M
Application Date:
9;
13�k '01.,
E 3233
Permit Fee: $
Job Address den M �'
0j Wail Address zip qzo- Ph
/�/j R�4 :Z3,5
171 aY !k. v,,e�
Cdntr ct! MaVAddress Phone
2. S �a�-'l 4mp ezldll�vd 3ex 0-31;? &� e��Oeq 12.6,114,1
3. Class of Work: C3 NEW RESIDENTIAL C1 NEV COMMERCIAL 13 REMODELING/ADDITIONS 0 UPGRADE SERVICE
Describe Work: A � 7'7�ek�� >
111- �Jla 4 Iae4 4�f
4. av ma
5.Current License on File 'A.-*Yes 11 No 73 N/A Completion Date 1 71�2
ELECTRICAL PERMIT FEES
Service Fee = (Amp Fee + $5.00 per branch circuit)
Upgrade Existing Service .............$25.00
1 -100 Amp Fee ....................... $25.00
I
..
Temporary Service ............ ...... $15.00
101-200 Amp Fee ....................... $35.00
201-300 Amp Fee .......................
Fire Alarm S ................. $15.00
301-400 Amp Fee .......................$75.00
Signs (each) .............................. $25.00
401-500 Amp Fee .......................$95.00
Miscellaneous Apparatus .............. $15.00 0Q
501-600 Amp Fee ..................... $115.00
601-700 Amp Fee .....................$135.00
Commercial/Multi Family and All Upgrades:
701-800 Amp Fee .....................
801-900 Amp Fee ..................... $175.00
# of Circuits x $5.00
901-1000 Amp . ........................$195.00
Amp Fee
IF OVER 1000 Amp
1" 1000 Amp Fee ..................$195.00
Amp Fee + Circuit Total
Each additional 100 Amps ......... $20.00
New Residential: (Finished Area)
Single/Two Family Dwellings
Notice
sq. ft. x.063
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
Modular/Manufactured Homes ....... $50.00
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or
Other: (alterations, additions and modifications)
not. The granting of a permit does not presume to give
Receptacles/Switches/Lighting Fixtures (I 10 volt only)
authority to violate or cancel the provisions of any other
# of Apparatus $1.00
state or local law regulating construction or the
.......... — X
performance of construction.
Power Apparatus (220 Volt or higher)
4 of Apparatus X $8.00
"I F
Smoke Detectors..... — x $3.00
Signature of Contractor or Authoriha Agent
Permit Issuance Fee .. $25.00
Total
Date
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR FEKMIT
Approved By:
�0
100
Rev. 2008-10
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.
Contractor /Owner
ontractor /Owner
City of Blair
_
Dat6 /�'
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
- 71
/� �f /�
�� 7/ c \46 �� < /.
, mow)
C
- - - - - - - - - - - 11
.�
aro y a�.
BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing with particular code
requirements and /or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2 006 International Building
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
rhise of a,
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner /contractor for this project.
Owner /Occupant
City of Blair
r
Contractor
Date
�x,..
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 • E -mail cityofblair @ci,blair,ne.us o >Pew.
uA rr
1 - t
0, r
pia
�� do
U kA I t /V L—
(,V'�
Job
Truss
Truss Type
Qty
Ply
Lynch - 10299
10299 -BID
A
SPECIAL
2
Job Reference o al
(:ndstensen Huildina Comoanents.
Fremont. NE 68025. Wes
Parker
7.220
s Feb 16 2010 Mdustries, Inc. Tue May 25 13:08:24 2010 Page 1
V F
Scale = 1:53.1
3 -8 -2 6-6 -0 9.9 -12 13 -1 -8 16 -5 -4 19 -9 -0 22 -6 - 14 26 -3 -0
3 -8 -2 2 -9 -14 3 -3 -12 3-3 -12 3 -3 -12 3 -3 -12 2 -9 -14 3 -8 -2
LOADING (psi) SPACING 2-0 0 CSI DEFL in (loc) I /deft L/d PLATES GRIP
TCLL 30.0 Plates Increase 1.15 TC 0.66 Vert(LL) -0.30 13 >999 240 MT20 197/144
TCDL 10.0 Lumber Increase 1.15 BC 0.78 Vert(TL) -0.61 13 >510 180 MT18H 197/144
BCLL 0.0 * Rep Stress Incr NO WB 0.47 Horz(TQ 0.66 9 n/a n/a
BCDL 10.0 Code IRC2006frP12002 (Matrix) Weight: 564 lb
LUMBER BRACING
TOP CHORD 2 X 6 SYP SS *Except* TOP CHORD 5 -11 -5 oc bracing, except
T2:2 X 8 SPF No.2 2 -0 -0 oc purlins (5 -7 -8 max): 3 -7. Except:
BOT CHORD 2 X 6 SYP SS 5.11-0 oc bracing: 1-3, 7 -9
WEBS 2 X 4 SPF No.2 BOT CHORD 10 -0 -0 oc bracing: 11 -15
_ JOINTS 1 Brace at Jt(s):15, 11, 3, 7
REACTIONS (lb /size); 1= 6886/0 4-0 9= 6886!0 4-0
Max Hcr - f'Y99(CC ?
Max Upliftl=- 2124(LC 7), 9=- 2124(LC 6)
Max Grav 1= 9225(LC 2), 9= 9225(LC 2)
FORCES (to) -Max Comp. /Max Ten. -All forces 250 (lb) or less except when shown.
TOP CHORD 1 -17 =- 2396315783, 2 -17 =- 23805/5800, 2 -0 =- 2468616065, 3 -18 =- 21062/5186, 4-18=-21062/5186, 4 -5 =- 23235/5677, 5-6 =- 23235/5677,
6- 19=- 21062/5087, 7 -19 =- 21062/5087, 7-8=-24686/5833, 8- 20=- 23805/5545, 9- 20=- 23963/5529
BOTCHORD 1 -16 =- 4669/18562, 15-16=-4730/18814, 14- 15= 4391117602, 13-14=-5209/21 062,12 -13 =- 5110/21062, 11-12=-4186/17602,
10- 11= -4308/18814, 9 -10= 4251/18562
WEBS 2 -16 =- 527/178, 2 -15 =- 36311039, 3 -15 =- 207618469, 3 -14 =- 128914949, 4 -14 =- 3163/887, 4 -13 =- 821/3095, 5 -13 =- 4498/1176,
6 -13 =- 823/3095, 6 -12 =- 3163/883, 7 -12 =- 128714949, 7 -11 =- 1890/8469, 8 -11 =- 37911039, 8 -10 =- 527/182
NOTES
1) 3 -ply truss to be connected togetherwith 10d (0.131 "x3") nails as follows:
Top chords connected as follows: 2 X 6 - 2 rows at 0 -9 -0 oc, 2 X 8 - 2 rows at 0 -9 -0 oc.
Bottom chords connected as follows: 2 X 6 - 2 rows at 0 -9 -0 oc,
Webs connected as follows: 2 X 4 -1 row at 0 -9-0 oc, Except member 15 -3 2 X 4 - 2 rows at 0 -4-0 oc, member 15 -3 2 X 4 - 2 rows at 04-0 oc, member
11 -7 2 X 4 - 2 rows at 0-4 -0 oc, member 11 -7 2 X 4 - 2 rows at 04-0 oc.
2) All loads are considered equally applied to all plies, except if noted as front (F) or back (B) face in the LOAD CASE(S) section. Ply to ply connections
have been provided to distribute only loads noted as (F) or (B), unless otherwise indicated.
3) Unbalanced roof live loads have been considered for this design.
4) Wind: ASCE 7 -05; 90mph; TCDL= 6.Opsf; BCDL= 6.Opsfi h =25ft; Cat. II; Exp C; enclosed; MWFRS (low -rise) gable end zone; cantilever left and right
exposed ; end vertical left and right exposed; Lumber DOL =1.60 plate grip DOL =1.60
5) TCLL: ASCE 7 -05; Pr -30.0 psf (roof live load: Lumber DOL =1.15 Plate DOL= 1.15); Pg =25.0 psf (ground snow); Pf=17.3 psf (flat roof snow: Lumber
DOL =1.00 Plate DOL= 1.00); Category II; Exp C; Fully Exp.; Ct =1.1, Lu= 50 -0 -0
6) Unbalanced snow loads have been considered for this design.
7) Provide adequate drainage to prevent water ponding.
8) All plates are M720 plates unless otherwise Indicated.
9) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
10) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6 -0 tall by 2 -M wide will fit between the
bottom chord and any other members.
11) Bearing atjoint(s) 1, 9 considers parallel to grain value using ANSIffPI 1 angle to grain formula. Building designer should verify capacity of bearing
surface.
12) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 2124 lb uplift atjoint 1 and 2124 lb uplift atjoint 9.
13) This truss is designed in accordance with the 2006 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard
ANSI/TPI 1.
14) Design assumes 4x2 (flat orientation) purlins at oc spacing indicated, fastened to truss TC w/ 2 -10d nails.
15) Hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 710 lb down and 178 lb up at 6-6-0, 710 lb down
and 178 lb up at 19 -9 -0, 3851 lb down and 963 lb up at 13 -1 -8, and 3851 lb down and 963 lb up at 6 -M, and 3851 lb down and 963 lb up at 19.9 -0
on top chord. The design/selection of such connection device(s) is the responsibility of others.
LOAD CASE(S) Standard
1) Snow: Lumber Increase =1.00, Plate Increase =1.00
Uniform Loads (plf)
Vert: 1- 3 = -55, 3- 7=- 217(F= -163), 7-9--55,1-15=-20,11-15= -20, 9- 11 = -20
Concentrated Loads (lb)
Vert: 3=- 3405(F =-530, B= -2875) 5 =- 2875 7=- 3405(F= -530, B= -2875)
PDF created with pdfFactory Pro trial version www.pdffactory.com
5x18 MT18HG 5x18 MT18H\\
E
0
C:
0
0
O
cu
LL
se
-P
ZTZE-TZL(ZOH
H Cq 0
9ZO89 ZN '4uOul9a3
x x
4S UTEN LPnOS bTL
-oD aaquinri u@eueqe
la4
V)
E
0
C:
0
0
O
cu
LL
-P
H Cq 0
x x
V)
4-)
0 a) I CD cq CD 00 "o 3 N O- v
tD m H N N q I H H -1 00 to N
0
44
u
0
0
j C)o Cj to Cq N Cq cD co co co CO 3,
4-)
I c i
u
1-4 H H
04
>1 i H N m LO w r- w m H H H H
E-4 a 04 P4 C4 f4 124 P: 114 P4 C4 C4 104 y P:
E
0
C:
0
0
O
cu
LL
i
0
r
2)
r1-
(D
Q
Q
-h
n
O
O
rt
SU
I
Q
v
C1
ti-
O
n
O
3