MS-2013-00493.tif i
CITYOF BLAIR
« 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
wilding Permit Application
(402) 426 -4191 - Phone
(402) 426 -4195 - FAX
MS- 2013 - 00493 /Se of www.blairnebraska.org
10121/2013 ShellyJ MISC Residential October 22, 2013
��a a LOCATIONORMPROVEMENT: 1538 Grant St, Blair, NE 68008
_� at ARCHITECT:
GENERAL SELF
OWNER: Aaron M And Courtney E Tabor CONTRACTOR:
1538 Grant St Blair, NE 68008
J BLAIR, NE 68008 -0000
i
x�x �'�2.,, ✓ , s . s,g
NATURE OF WORK PROPOSED USE
Patio /Driveway Primary Residence
PROJECT NAME PERMIT EXPIRES 10/22/2015
1538GrantSt- 131021-Driveway
ESTIMATED COMPLETION DATE 10/3112013
I
DESCRIPTION OF WORK
Pouring new driveway - no driveway currently exists.
i
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: NA
i
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
a
EM
1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial ermits a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
p p P roj
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
application.
Date
S ignature of Applicant
i
CITY
Phone 402 - 426 -4191 j
RECEIVED OR
P
ADDRESS 2 i
CITY, STATE, ZIP CODE
1 �w
I
_ I
i
i
I
I
sal t`a
,tr
� I
4 i °) ,`t
r
THANK YOU KEEPTHIS COPY FOR YOUR RECORDS.
NO
RECEIVEO'BY
Pounds Printing, Blair, NE 68008
i
i
i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191 -Phone
(402) 426 -4195 - FAX
nrs of a www.blairnebraska.org
loll
10/2112013 CURB -EXC Residential October 22, 2013
LOCATIONOFIMPROVEMENT: 1538 Grant St, Blair, NE 68008
ARCHITECT: GENERAL SELF
OWNER: Aaron M And Courtney E Tabor CONTRACTOR:
a 1538 Grant St Blair, NE 68008
BLAIR, NE 68008 -0000
��n ^ : ic- 2�'r.� ,r^ � .� r< � r' `: ' �..- ?;. " �.;;; �r�...� <'&. '^ .��'?.<- .' - s ?,..` ����v ^�� �f � ✓e�C'���`%rr`^ '�.
p
NATURE OF WORK PROPOSED USE
Misc. Permit Primary Residence
PROJECT NAME PERMIT EXPIRES 10/2112015
1538GrantSt- 131021-Driveway ESTIMATED COMPLETION DATE 10/3112013
I
i
DESCRIPTION OF WORK
Pouring new driveway - grinding curb
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/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
application.
._
Si lure of Applicant Date
i
I
J
CITY Of F)LAIQ
r ° rise of a �'
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
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
r
Owner /Occupant Contractor
City of Blair Date
i
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 -426 -4195 E -mail cityofblair @ci•blair,ne.us