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AD-2012-00573.tif i VotiI CITY OF GLAIR i 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Application (402)426- 4191 -Phone (402) 426 -4195 - FAX AD- 2012 -00573 °m /se °t a° www.blairnebraska.org I 12/19/2012 ADDITION Industrial December 19, 2012 LOCATIONOFIMPROVEMENT: 650 Industrial Park Dr, Blair, NE 68008 j ®; ARCHITECT: GENERAL SELF Co OWNER: Cargill, Inc n / CONTRACTOR: �O Wi Blair, NE 68008 MINNEAPOLIS, MN 55440 -5626 `�` "�.. ' � ,ji ti: , ©,:. � � " °a � � � � i �",. ��"`- x . `✓��,'3`..3'� a,':r,,, -"`' �cw' ; z NATURE OF WORK PROPOSED USE Granulation Building Addition PERMIT EXPIRES 12/1912014 PROJECT NAME 6501ndustrial ParkDr- 121219- 2012 - Aquavilys ESTIMATED COMPLETION DATE 411/2013 Project, Granulation Building and Pipe Rack Additions DESCRIPTION OF WORK Evonik Aquavilys Project, Granulation Building and Pipe Rack Additions DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received Contractor REScheck/COMcheckSUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received r a 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 lication.,,�" Date nature of Applicant ® Q o o 0 0 CL Lr) 3 CD CD CD i W d) { r) €( I ' O i t IL (U LLI (U Cl ILLJ c o' o o � > E a o o o I E C- r I I fu Im t3 i o O u t=1 O 0 �7 vt II �Q s Q € Lr) �a� 0 CD � LO 4 F r fu � u 0 (U t> > 4 u ru (' i L < � LL U w U) �I �' �_ v CL 0 a} ' U- fu k na L� o CL C�C ¢, E g, q< u 3 rI Cd L CL N N N { N ' LO y O L {V (u i LJ Q ip Q Q CD 0 9} C x O c g 9} KU LL C, 1 P-1 O 3 44 "Q 4 d1 C 9} i II N CO I- L6 N C 3 u N CV ( N N Cr tJ? LL : r I {V N I tp ti �€ I II � O O O, Q fu 1m Q U7 i - , +� 4} Cl) -k O �? q�_t U 7 3 _ 'x O r. d z� T f6 a N N c a i CITY OF BLAIR, NEBRASKA Phone 402- 426 -4191 ; I RECEIVED OF. i i i ADDRESS �t{ 1 CITY, STATE, ZIP CODE i 1 I THANKYOU KEEP THIS COPY FOR YOUR RECORDS. N O RECEIVED BY Pounds Printing, Blair, NE 66008 I i i i t I W C O f 'LAIQ 4e of COMMERCIAL PLANS SUBMITTAL FORM Date: i Permit Number: Address of job site: ,`'® - k1 d u�[L , A , ! r �. .JDd" � ve Description of submittal: l l �r �r Xleitj - ad��� Number of plan sets submitted: Name of person delivering the plans: qk 4& �r�d�iy1 Company name of delivery person: - von - Phone number of delivery person: 6 3 Person we should contact if we have questions about these plans: Contact person: Company name: � I Position with company: = r Office Phone number: a 6 Cell Phone number: 427 2& E -Mail: end S:\Building Dept. FormsWormsTlans Submittal Form- 2- 9- 2012hoe 218 South 16th Street . Blair, Nebraska 68008 , 402 - 426.4191 * Fax 402- 426 -4195 • E mall CHVofbiair @d,blalr,he;us i I � _ I t _ i t� promise 0 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. f,, r V Contractor /Owner Contractor /Owner City of Blair d I I Of BLAI ise 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 2009 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. I have read the above disclosure and accept this building permit documentation on my i own behalf assuming full responsibility as the owner /contractor for this project. i Owner /Occupant ontractor i i I City of Blair D j i FWFlXW1N• oanoaruxrtr 218 South 16th Street • Blalr, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E -mail cltyofblalr @d,blalr.ne.us i