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ms-2010-00048.tif i CITY OF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Application ( ) 426 - 4191 -Phone 402 (402) 426 -4195 - FAX MS - 2010 - 00048 i os a www.blairnebraska.org 08/16/2010 bpeterse MISC Residential August 16, 4u lu LOCATIONOFIMPROVEMENT: 1951 Grant St, Blair, NE 68008 ARCHITECT: GENERAL \�\ OWNER: Elizabeth M Woldruff CONTRACTOR: SELF SEL Self \\ 1951 Grant St Blair, NE 68008 BLAIR, NE 68008 -0000 I ` I NATURE OF WORK PROPOSED USE Fence Primary Residence PROJECT NAME PERMIT EXPIRES 08/15/2012 1951 GrantSt- 100816 -Fence ESTIMATED COMPLETION DATE 2010 -08 - I DESCRIPTION OF WORK 4' Chain link fence to enclose are of the backyard. Will go to the property line on east side and will be 20' from property line on west side and 50' from back line DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck /COMcheck SUBMITTED: NA DEPOSIT HELD: BUILDING PLANS SUBMITTED: NA Held mom MEN 1. No work will be started before a permit is ISSUED AND POSTED. 2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review. 3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system. 4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of this building permit. It is further understood that construction covered by this permit application shall not be commenced until a copy of a permit signed by the Building Inspector is issued. 5. The undersigned owner or agent agrees 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. Any omission of or misrepresentation of fact with or without the intention of the undersigned or any alteration or change from this application without approval of the Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this ap M Signature of Applicant Date i i C aro �ise of i I FENCE PERMIT SUPPORTING DOCUMENTS This supporting document includes information dealing with particular zoning requirements and /or fence permit requirements. It in no way includes ALL particular zoning items. Also, it is your responsibility to know the City of Blair Zoning Ordinance Section 1102 requirements that apply to fences, walls and hedges. Please understand this document is only designed and distributed to aid in your fence permit process. A copy of the City of Blair Zoning Ordinance is available for your use at the Blair Public Library or on our website at www.blairnebraska.org i i 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. 1 Owner /Occupant Contractor i City of Blair Date i 218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E -mail cityofblair @ci,blair,ne,us i i a° q promise 0 4 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 efundable 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. I Contractor /Owner Contractor /Owner i i City of Blair Mu Date