CN-2011-00290.tif I
CITY OF BLAIR
21 S. 16TH STREET
g} LAIR, NEBRASKA 6800
Building Permit ( 426-4191 - hone
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07127J2011 COM f carrirraeroial august , 2 1
LOCATK)NOFIMPROVEMENP, 275 E Grant S t, Blair, NE 98998
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+` Karen 8 An d Craig A Aman, Co-Trustoes WWRACTOR. PO Box 907
649 Southfortt Rd Forest Lake, MN 6602
NAT BLAIR NE 66008-0000
WORD PRO USE
i Coll Tower
New construction
PERMIT EXPIRES 0712612013
PROJECT NAME
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27 raritst- 41#i727r ell Tower EST IMATED COMPLETION 2011-10-31
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DESCR
1 ti° Andrew M" Guyed Tower
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DEPO Pro eeiired
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I Contractor
RESchock=Mcheck S UBMITTED: NA
DEPOSIT STATUS: B UILDING PLANS SUBMITTED.* Received
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1, No w ork wiH 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,
, Separate permits area required for electrical, plumbing, heating, ventilating and air conditioning, and septic system,
. 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 riot be commenced until a
by of a permit signed by the wilding inspector is issued,
5- The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications sot torch above and
in accordance with the codes/ordinances of the City of Blair and the state of Nebraska, Any ornission of or misrepresentation of
,tar with or without the intention of the undersigned or any alteratlon or change from this application without approval of the
Bull rig 0 shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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BUILDING IT AGREEMENT
$600.80 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels a accessory building valued $10,000 or
greater at the time of your building permit application.
00.8 refundable deposit i being collected for any residential remodel,
ad ' i accessory building valued under $10,808.
$60.00 ref dable deposit is being collected for all mi c, permits.
I
e 1 reserves the right to not refund this deposit if any of the following
conditions occur during the construction period,
t ) Theft of grater service by the plumber, owner or general contractor.
All permits have not been obtained,
All required inspections have not been obtained.
Occupancy occurs prior° to a final inspection,
The project is completed without a final inspection being done.
8) Storm slater Management Plan inspection not obtained, if required)
If any or all of these situations occur during construction, you may forfeit your
deposit,
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I hereby agree to the above conditions, , and understand that should any or j
all of the above situations occur, the building permit deposit SHALL be forfeited or I
discounted upon the discretion of the City of Blair, Building and Inspections
Department
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Owner Contractor/Owner
City of Blair ,ar.,
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BU ILDING PERMIT SUPPORTING Elul
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This building permit packet includes various items dealing with particular code
requirements and/or building permit requirements, It in no way includes L particular
code items, Alco it is your responsibility to know the 2009 International uil i k
g qd e 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 f
International Building Cede is available for your use at the Blair public Ubrarya
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I have road the above disclosure and accept this building permit documentation on my
own behalf assuming Ball responsibility as the owner/contractor for this project,
3nerlooupant &ntract
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City of Blair ate
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218SoWh 161h beet 80r, Nobraska68008 A 402 -4 26 -479; • Fox 402..426-4195
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CITY OF A SKA
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Phone 402 - 426 -4191
RECEIVED OF:
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CITY, STATE, ZIP CODE
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THANKYOU EE SCOPYFORYOURRECORDS.
No 29424 - tJ
PtECEIVED BY
Pounds Printing, Blair, NE 68008
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