MS-2013-00302.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application
(402) 426 -4191 -Phone
3 (402) 426 -4195 - FAX
MS -2013 -00302 nlse o+ Ck- www.blairnebraska.org
08/06/2013 brwheele MISC Residential August 6, 2013
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LOCATIONOFIMPROVEMENT: 2271 Cedar Cir, Blair, NE 68008
ARCHITECT: GENERAL Quality Fence
OWNER: Cheston B And Erin E Field CONTRACTOR: 17716 Storage Rd
2271 Cedar Cir Omaha, NE 68136
r BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME
PERMIT EXPIRES 08/06/2015 j
2271 CedarCir-1 30806-Fence ESTIMATED COMPLETION DATE 9/1/2013
DESCRIPTION OF WORK
4' vinyl fence to enclose backyard.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Owner - Cheston Field
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
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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 ap roval of the
( !u Pi d ing gfficial, s o itute sufficient ground for the revocation of any permit issued which was based o the a proval of this
licatio / .� 7
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Signa ure of Appli Date
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CITY OF RLAIR, NEBRASKA
Phone 402- 426 -4191
RECEIVED OF:
ADDRESS
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CITY, STATE, ZIP CODE I
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THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
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RECEIVED BY -"
Pounds Printing, Blair, NE 68008
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Locations) _
17716 Storage Road — Omaha 68136
7701 Cornhusker,Hw Lincoln" 68507 Customer; a �' '
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Toll free 800 806 9325 = Address �. ti 1_�t}�' City I ?` I =ZIp SIT
oA 402 894 0076. 1 �� /! 1 l 0 CeIL —J —J `� y
Phone*
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EsfimateIS valid or Fi een (15J days . ' ". �"
° Wood Specs Cedar '' � `Balance Due Upon Camplet►an `Z 3a� .
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Options Over Scallop} ( _
Maintenance Fr6eVirvy l Specs '
P'ostSize'.
' (?ost Top ' �' � -�•-�� � t 3 :)= � ; I
Gates r i . t j
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Ornamental Iran /Aluminum Specs
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Height .
Rails 2 -fail ( ).' 3`rail( � ._'n_ �f
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Daly Ga 11 S ( )
Height _ Please allow approx weeks for posts setting i < ; ( ,' =_ -_t
Gates: Included is one (S) trip to set and one (1) to assemble yourfence. Any additional trips wrl! be billed "accordingly.
Corn e;r�ot? Yes O 'No (�) pi
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:6 fierein�afte'r QFC agrees to.furnish fence materials ( "Fence ") to the undersigned ('Customer") forthe property described herein in accordance withthe Plat and all terms
Quality Fen (_ ) y
set fort herein. Customer hereby authorizes QFC to install'all materials on said ' ptoperty as provided. Customer hereb understandsthis contracsed u on the final measurement.
An y j
foots e % 116 - --
l 6 determined after final measurement when property ns are located and the actual total purchasep
" ace of the f ence will be ba p
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M e after the date of this contract will be in form of a Change Order and charged accordingly Customer agrees to pay $150,00 for each approved CHANGE ORDER request
ereb assumesfoll'responsibhty andcostforth'e location ofthe property line uponwhicfi'thefence isto be installed. Customer acknowledgesthat OFC will ins tall"
applicable, Customer h y =_,
" . ce,on the roe line as located 'by`,Customer,, not the actual fence itself Customer agrees to defend, hold harmless an d indemnify QFC from and against all
the footings for the fep y ,. P, _ P rtY = a e to 'arsons roe trey ass d'ali other damage or,loss ansing out of or afterthe installation or location of the fence,
unless
claims hab and, expense for injury. death or dam g p__ P P an
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' ass ne" Ii ence of QFC. Customer agrees to pay 6D% of the _fatal contract price upon signatureJacceptance (= `Deposit "), which shall become a -,{
such damage or loss is a result' of the gross g g_.
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p gmer may not withhold any payment as a result of repair
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contract aft er signature of the customer is received 'QFC. The remaimn balance rs due on date'of cam Ietion Cust
ustments. A service charge of i-.5% Per Mont IN. per annum wdl apply to delinquent accounts not paid Within 5 days of date of invoice All legal and related fees accrued in an, :�
_ : adi _
fits account for whatever reasoh will be the responsibility of the customer This contract also includes placement of QFC signs. Should the Customer remove these
effort to collect on t _ . -
a ranties on said fence.! Customer also agrees to reimburse QFC for all required permits, if Customeraerminates this Agr eement (for any prior to,
signs it vgids any and all w r
completion of the
work described fier'ein "QFC will be entitled to retain 15°%0 of the total contract price "plus the cost of materials "and labor actually incurred as liquidated damages, in
.
- anal chargesto the ,Customer in the "event of unusual ground conditions
addition to;any other rights and remedies available under applicable law. QFC reservesthe right to make addrti_ labor re wired to cam lete installation under the circumstances.;,i
such as rockformationswhich might,imPedethe mstallation.,SUCh odditionalcharges shall be based on actual additional q P a
Customer understands and agreest� the fe rmsandthatQFC15NOTRESPONSIBLEFORANYSPRINKLERDA
Bid One Bid Two Bid Three
f $, rm��: i is r 1 �
CUSTOMER Fence
Date 6 acceptance . Posts "
- Scalloped / >]
Removal -
SALES REP Gates' _
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Date Permits 4
?' SubTotal
Financing Fee
F►nancirg Options Available! Deposit $ + c t Total Contract
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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-4ccessory building valued under $10,000.
A j $50.00 re ndable 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. j
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.
ontractor /Owner` Contractor /Owner
City of Blair
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Date
CITY Of F)LAIQ
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FENCE PERMIT SUPPORTING DOCUMENTS
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This supporting document includes information dealing with particular zoning
requirements and /or fence permit requirements. It in no way includes ALL particular
zoning items. Also, it is your responsibility to know the City of Blair Zoning Ordinance
Section 1102 requirements that apply to fences, walls and hedges. Please understand
this document is only designed and distributed to aid in your fence permit process. A
copy of the City of Blair Zoning Ordinance is available for your use at the Blair Public
Library or on our website at www.blairnebraska.org
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I have read the above disclosure and accept this building permit documentation on my
own beha f assuming full responsibility as the owner /contractor for this project.
0 ner /Occupan ! Contractor
City of Blair D e
218 South 16th Street • Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 -426 -4195 E -mail cityofblalr @d,blair,ne,us oPOOa,..,..