DR-2013-00200.tif i
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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Permit A pplication
(402) 426 -4191 -Phone
(402) 426 -4195 -FAX
DR- 2013 -00200 °"I o , ate° ��� www.blairnebraska.org
06114/2013 DECKRAMP Residential June 14, 2013
LOCATIONOFIMPROVEMENT: 8670 Thompson Dr, Blair, NE 68008
ARCHITECT:
M1 GENERAL Great Commission Baptist Church
OWNER: Communities Fund Viii Brenton CONTRACTOR: PO Box 445
18338 Minnetonka Blvd Ste B Blair, NE 68008
WAYZATA, MN 55391 -3261
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mm7 - '' a � % "z'.��,' ✓ .%,y,= y' �c , � f i' - . "..P,- Ya%r r � ` NATURE OF WORK ROPOSED USE
New Construction Primary Structure
PROJECT NAME P ERMIT EXPIRES 0611412015
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8670ThompsonDr- 130614 -1 -Deck 7/31/2013
ESTIMATED COMPLETION DATE
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DESCRIPTION OF WORK t
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Handicap ramp 16 x 12 attached to existing deck
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: 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 3Dr agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accord pce w the odes/ dinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact wit or w' out t e in# ti of the u rsigned or any alteration or change from this application without approval of the
B itdi i Off ' I, sh t con cute sufficient ound for the revocation of any permit issued which was based on the approval of this
ppli tion.f/
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f Date
/Signa ure of Applicant
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CITY Of I)LAIQ
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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.
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I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner /contractor f thi project.
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Owner /Occupant o tractor
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City of Blair Date
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 -426 -4195 E -mail cityofblair @ci,blair,ne,us e�