RE-2010-00247.tif i
CITY OF BLAIR
218 S. 16TH STREET
x� BLAIR, NEBRASKA 68008
�.. Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
RE - 2010 - 00247 ise of Q° www.blairnebraska.org
11/22/2010 REMODEL Commercial December 6, 2010
LOCATIONOFIMPROVEMENT: 600S 1st St, Blair, NE 68008
ARCHITECT: GENERAL Novozymes Blair, Inc.
�. OWNER: Cargill Inc CONTRACTOR: 600 S 1st St
.° PO Box 5626 Blair, NE 68008
MINNEAPOLIS, MN 55440 -5626
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NATURE OF WORK PROPOSED USE
Remodel Laboratory
PROJECT NAME PERMIT EXPIRES 11/21/2012
600S1stSt- 101122 - Laboratory Remodel 2011 -01 -31
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Remodeling space in an existing building into a Laboratory.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COM check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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
Buildin� Official, s onstitu e fficient ground for the revocation of any permit issued which was based on the approval of this
applica ion.
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Signature 0 Date
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City of Blair Paid Invoice
218 S 16th Street Page 1 of 1
Blair, NE 68008
DATE INVOICE # I
Aro /Se of QJO�� Phone: (402) 426 -4191
Fax: (402) 426 -4195 12/912010 2010 -00422
ACCOUNT: PAID DATE 12/9/2010
Novozymes Blair, Inc.
600 S 1st St PERMIT NUMBER RE- 2010 -00247
Blair NE 68008 600 S 1st St
Phone: 402 237 3102 N1/2NW1/4, SE1 /4NW1/4, NW1 /4SE1 /4 TL
10,28,29,30,31,32,33,38 46 18 -18 -12 12B PC 7 444.53
AC
air, NE 68008
Date Status Payment Amount
12/9/2010 OriginalDue 862.00
12/9/2010 Paid Check Rec 27875 ( -) 862.00
Total Paid 862.00
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I hereby certify that I have read and examined this application and know the same to be true and correct. All
provisions of laws.
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Signature of Contractor or Authorized Agent
Save Time & Money with Online Permits and Inspections. Go To: www.buildingdepartment.com
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BUILDING PERMIT DEPOSIT AGREEMENT
A 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.
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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
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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
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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.
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Contrac Owner ' Contractor /Owner
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City of Blair
Date
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