RN-2012--00563.tif CITY OF BLAIR
' — 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone �
(402) 426 -4195 - FAX
RN- 2012 -00563 �o�s a/ www.blairnebraska.org
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12/11/2012 �S-NEW Residential December 18, 2012
LOCATIONOFIMPROVEMENT: 9999 -4 Rambleridge Dr, Blair, NE 68008
ARCHITECT:
GENERAL Home Building Consultants, Inc.
�. OWNER: eg p CONTRACTOR: 15610 S 120th St
1038 iaffrevilrr Louisville, NE 68037
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NATURE OF WORK PROPOSED USE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 12111/2014
9999 -4 ridgeDr- 121211 -New ESTIMATED COMPLETION DATE
Residential ntial 7/11/2013
DESCRIPTION OF WORK
3 bedroom ranch, 2 bath, unfinished full basement, rough in bath in basement,3 car garage.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: Received
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
Building Official, shall titute sufficient ground for the revocation of any permit issued which was based on the�approval of this
application.
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a licant W ate
Brandi Paterson
From- Brenda Wheeler
Sent- Wednesday, January 02, 2013 10:09 AM
To- Brandy Petersen; Phil Green (Blair, NE)
Subject- FW: Address
B ran dy here is the address to update in BP. Also below are her comments on addressing for your
reference. Thanks.
Brenda Wheeler City Clerk
'its of Blair, 2-j.8 S. €6tl€ S treet, t la _r, Nl;` 68008
From. Tanna Wirtz [rnailtcr�i�anna ashir t�oncount ne.Q ]
Sent: Wednesday, January 02, 2013 10 :00 AM
To: Brenda Wheeler
Subject: Address
Good Morning Brenda,
I have issued an address for Lot #1 of Oak Park Add. The address is 11198 Ramble Ridge Dr. Sorry it took so long to
issue. It somehow ended up in my back burner file.
I will try to issue new address mush faster than in the past. I must know where the driveway is and that a building permit
has been issued. We will not be installing the permanent address sign until the home is completed.
Tanna Wirtz
Washington County Planning and Zoning Administrator
1555 Colfax St.
Blair, NE 68008
402 -426 -6872
g,ngq1g@Arast)ir ttqnLo,, rnt ne
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CITY OF FLAIR, NEBRASKA
Phone 402 - 426 -4191
RECEIVED OF:
ADDRESS
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CITY, STATE, ZIP CODE
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THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
NO
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Pounds Printing, Hieir, NE 68008
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BUILDING PERMIT DEPOSIT AGREEMENT
rA$60. 00 refundable deposit is being collected for any new commercial, new
.dential, nd any additions, remodels and accessory building valued $10,000 or
greate he 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 $60.00 refundable deposit is being collected for all mist. 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.
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act&/OvAer Contractor /Owner
City of Blair
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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
own behalf assuming full responsibility as the owner /contractor for this project.
_ i
Owner /Occupant ontract
City of Blair e
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218 South 16th Street • Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 - 426 -4195 E -mall cltyofblalr @cl:blalr.ne,us
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2009 COD E: N7102.
1 Building
4 Thermal Envelope. The buildf
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sealing methods between
dissimilar shall be caulked, gash.
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