MS-2013-00035.tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building P ermit Report
(402) -Phone
(402) 426 -4195 - FAX
MS- 2013 -00035 1 s'q 1
01 www.blairnebraska.org
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Issued: 02/11/2013 Completed: 02/12/2013 Miscellaneous Building Permit Valuation: 3272.00 j
'', PROPERTYADDRESS: 951 N 16th St, Blair, NE 68008
� Legal BC TLS 84 & 98 2 -18 -11 115 UNIT 1 PC 84
� Description GENERAL Kovacs Roofing, LLC
CONTRACTOR:
Property # 890037856 2315 N. 189th Cir
OWNER: Clarice G Geesaman Elkhorn, NE 68022
951 N 16th St 402 289 3187
� Blair, NE 68008
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Nature of Work: Roofing /SoffiVEaves /Gutters Permit Fees: 115.00
Project Name: 951N16thSt- 130208 - Roofing Deposit Status: Held
Description:
Replace shingles, metal lid, flasing, pan, and reframe Deposit Refund To: Kovacs Roofing
chimney
Deposit Receipt M 32791
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
9 FINAL Y Pass 2/11/2013 2/12/2013 hwolfe
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CITYOF BLAIR
i
�'. 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
w` EEaghr p l�r� (402) 426 -4191 - Phone
Building Permit Report
r (402) 426 -4195 - FAX
MS- 2013 -00035 h "�, as° www.blairnebraska.org
Issued: 02/11/2013 Completed: 02/12/2013 Miscellaneous Building Permit 7 Valuatiorv. 3272.00
i
-I t PROPERTYADDRESS: 951 N 16th St, Blair, NE 68008
Legal BC TLS 84 & 98 2 -18 -11 115 UNIT 1 PC 84
� Description GENERAL Kovacs Roofing, LLC
CONTRACTOR:
Property # 890037856
2315 N. 189th Cir
FF 4"
01NNER: Clarice G Geesaman Elkhorn, NE 68022
v 951 N 16th St 402 289 3187
Blair, NE 68008
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r
Nature of Work: Roofing /Soffit/Eaves /Gutters Permit Fees: 115.00
Project Name: 951N16thSt- 130208 - Roofing
Deposit Status: Held
Description:
Replace shingles, metal lid, (lasing, pan, and reframe Deposit Refund To: Kovacs Roofing
chimney
Deposit Receipt #: 32791
I
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
9 FINAL Y Pass
1 2/11/2013 2/12/2013 hwolfe
o
CITY OF BLAIR — MISCELLANEOUS BUILDING PERMIT
om,=aa Permit #
Date: 1 C Approximate Completion Date: " L(�t Site Plan Attached:
Estimated Valuation of Project: ? �%
Application for Permit Fee $40 + Issuance Fee $25 + $50 Deposit Fee $115.00
Egress Window (floor plan drawing required)
Fences (plot plan required)
Gazebos (plot plan required)
Patios /Driveways /Sidewalks (new or replacement)
Roofing/Siding/Soff it and /or Eave Repair /Gutters
Swimming Pools with Fence (plot plan required)
Window /Door Replacement (size change only)
Miscellaneous Building Permits (items not covered by one of the above)
Description:
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Utility Excavation and Curb Grinding Fee: $75 plus bond
Curb Grind
Length
Utility Excavation
Length Lin. Ft.; Width Lin. Ft
Type: Water ; Sewer ; Other
Amount of Bond Posted: Bond Check #
(Curb grind - $9.00 per Lin. Ft.; Utility Excavation - $6.00 per Sq. Ft.)
Additional Description of project if necessary:
PROJECT INFORMATION:
Job Address:
Legal Description (if applicable)
Owner: w, i � v, l w Address: _ Phone #:
Contractor: �� 0 i ,� Phone #:
Address: Cell #:
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ROOF PERMIT SUPPORTING DOCUMENTS
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This supporting document includes information dealing with particular code
requirements and /or roofing 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 document is only
designed and distributed to aid you in your roofing 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.
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Owner /Occupant Contractor
7 - 1 3
City of Blair Date
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ovvOPiYN1iY
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E -mail cityofblair @d,blair.ne.us Ear
KOVACS ROOFING CO LLC
2315 NO 189TH CIRCLE
ELKHORN, NE 68022
402 - 289 -3187
402- 290 -0550 - CELL
Bill Hunt j
951 No 16th St
Blair, NE
We hereby propose to furnish the materials and perform the labor necessary
for the completion of:
Tear out 4 squares of shingles and replace with Tamko Heritage shingles
Tear out and replace 12 sheets of plywood
Felt in area
install moisture guard
Ref rame chimney and saddle, reside with plywood and install metal around the
chimney
Replace the metal lid, sidewall flashing and pan on chimney
Haul away trash
MATERIAL & LABOR $3,272.08
ACCEPTANCE OF PROPOSAL
DATE
SIGNATURE
* *MATERIAL PRICES SUBJECT TO CHANGE **
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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.
Contractor /Owner Contractor /Owner
City of Blair
Date