BP13496Application for Permit Fee $40 + Issuance Fee $25 + $50 Deposit Fee $115.00
Egress Window (floor plan drawing required)
Fences (plot plan required)
Gazebos (plot plan required)
Patios /Driveways /Sidewalks (new or replacement)
Roof! ng/SidIng/Soffit and /or Eave Repair /Gutters
Swimming Pools with Fence (plot plan required)
Window /Door Replacement (size change only)
Miscellaneous Building Permits (items not covered by one of the above)
Description:
Utility Excavation and Curb Grinding
Curb Grind
Fee: $75 plus bond
Length
Utility Excavation
Length Lin. Ft.; Width Lin. Ft
Type: Water ; Sewer ; Other
PROJECT INFORMATION:
Contractor: R f)( - (A \S aW, + i ( -- 1 c
Phone #: 4n1 -- 1q2
Address: 2LL P CA (-f� IS-Y - Cell #:
c
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Lin. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
PERMIT RENEWAL FEE:
This fee is based on the amount of the original permit fee and is charged when work is not
completed within two years and the permit expires. Renewals will only be allowed with the
stipulation that all exterior site work and outside finish work is completed and interior life -
safety issues have been properly address. Permit renewals are for one (1) year, with a
maximum of two (2) renewals for a maximum permit span of four (4) years.
Original valuation of $0- $50,000 $150.00 $
Original valuation of $50,000 - $100,000 $200.00 $
Original valuation of $100,000 - $500,000 $300.00 $
Original valuation of $500,000 or more $400.00 $
Issuance Fee: $ 25.00
Deposit: $ 50.00
Total Renewal Remit Fee = Permit Fee + Deposit + Issuance Fee $
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 is not completed within two (2) years of date of issue.
7 , :, 7 - 3 /0
s" nature f Owner /Contractor Date
For Office Use Only WHEN PROPERLY VALIDATED,,(BELOW) THIS IS YOUR PERMIT
Date Permit Paid: A - d1'j Receipt # 77 v - 2 �-, Approved by:
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OR
4-1
ADDRESS
CITY STATE, ZIP CODE
THANK YOU eKEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 68008
Parcel & Address
Ownership Parcels
BookPage
517 - 559
C alcArea
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Polygon
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Mail
1000
Mail2
d 912 PHEASANT CIF
MaiIB
BLAIR, NE
OB3ECTID
24003
C�
OBJECTI 1
86648
Owner
r ADAMSON, DONALD C & NEVA G TRUSTEES
OwnID
$ 10044
Parc elID
89004555
ParcelIdenkiky
89004555
ParcelType
i Single Owner Parcel
PICA
;890045556
Problems
PropClass
1000
PropType
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Shape Area
8394.166605
Shape Length ; 411, $7363
Bitus 1871 ' GRANT BT BLA
TransLevel B
Zipcocle 68008 -0000
Friday, Jul 23, 2010 03:39 PM
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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.
,r
o r ctor /Owner Contractor /Owner
City of Blair
Dam
CITY OF 5tAIQ
ROOF PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and /or roofing permit requirements. it in no way includes ALL particular
code items. Also, it is your responsibility to Know the 2006 International Building
Code requirements that apply to your project. Please understand this document is only
designed and distributed to aid you in your roofing permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
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.
ner/ ccupant
City of Blair
Contractor
Date
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 • E-mail cityofblair @ci,blair,ne.us