RN-2013-00403.tif CITYOF BLAIR
218 S. 16TH STREET
X BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 - Phone
RN 2013 00403 \ ' Q'� (402) 426 -4195 - FAX
° arse o+ a� www.blairnebraska.org
09/1212013 RES -NEW Residential September 23, 2013
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LOCATIONOFIMPROVEMENT: 9999 -1 Springridge Loop, Blair, NE 68008
ARCHITECT: GENERAL J Nielsen Construction LLC
� OWNER: Timothy J And Tamera S Mcmanigal CONTRACTOR: 1730 State St
269 N 23rd St BLAIR, NE 68008 -1568
BLAIR, NE 68008 -0000 j
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NATURE OF WORK PROPOSED USE j
New Construction
Primary Residence
PROJECT NAME PERMIT EXPIRES 09/12/2015
9999 -1 SpringridgeLoop- 130912 -New
Residential ESTIMATED COMPLETION DATE 3/12/2014
DESCRIPTION OF WORK
4 bedroom 3.5 bath ranch with full finished basement 3 car garage.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMlTTED: 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 constitp,te sufficient ground for the revocation of any permit issued which was based on the approval of this
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gnature of A1ppl cant to
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CITY 1, NEBRASKA
Phone 402- 426 -4191
RECEIVED OF:
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CITY, STATE, ZIP CODE
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THANKYOU KEEPTHIS COPY FORYOUR RECORDS.
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RECEIVED BY
Pounds Printing, Blair, NE 68008
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PART 4 N Energy Conservation
CHANGE TYPE: Clarification:
NII ® ® access o enings and rim joist junctions t'
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CHANGE SUMMARY: Attica p
Sealing o f Building have been added to the list of specific locations requiring sealing to
infiltration.
Th er m al prevent air w�
Thermal Envelope. The build- '
2009 CODE: N1102.4.1 Building
jug thermal envelope shall be durably sealed to limit infiltration. The
�Lf sealing methods between dissimil e materials followinshh� be ca gas-
tial expansion and contraction. The g
/� keted,'weatherstripped or otherwise sealed with an air barrier mate-
�o s �-X t t r j a i, suitable film or solid material:
co g p enetrations.
1. All joints, seams and p ,;°;` • j
Z. Site -built windows, doors, and skylights
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- 3, Openings between window and door assemblies and eir re- t ,
spective jambs and fram f; ='
4, Utility penetrations.
,,, Ar3 5. Dropped ceilings or chases adjacent to the thermal envelope. t
6 � r 6, Knee walls.
the garage from conditioned spaces,
q, Walls and ceilings separating g g
8, Behilld.tubs and showers on exterior walls. ;
9, Common walls between dwelling units.
rrir<ri
10. Attic access opening
11, Rim foist function. 1x+l
1012 Other sources of infi ltration.
r e � V-e-5> e , Chimneys -� s
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Recessed
74
lights.
Attic hatch
Rim <<
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Ceiling
Rim joist
corners junctions ' '` =ri
Windows'
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require ,. req •.s:
�" i 2/ r"� y..,.
J Doors sealing
<� Electrical
outlets
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i I A Basement"��
window i Sill
Duct
seal
Sill plates
Typical sources of air leakage
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'ITY Of BLAIQ
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BUILDING PERMIT SUPPORTING DOCUMENTS
s various items dealing with
This building permit packet Include g articular code p
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
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own behalf assuming full responsibility as the owner /contractor for this project.
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Owner /Occupant LVntractor
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City of Blair
Oip ORiUNiY i,
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 • E-mail cllyofblalr @d.blair,ne,us F
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BUILDING PERMIT DEPOSIT AGREEMENT 1
$500.00 efundable deposit is being collected for any new commercial, new
re ' ial, 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,
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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.
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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.
ontraor /owner Contractor /Owner
City of Blair
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r RESIDENTIAL DESIGN, LLG
17307 CINNAMON ST.
OMAHA, NEBRASKA 68135
✓ �o w (402) 895 -6090
HomePlansflmaha.com
IN LEVEL 2323 SQ. FT. PROD. NO.: 13032
FIN. BSMIT. 1550 SQ. FT. \ DATE; 04.19.13
TOTAL 3873 SQ. FT.
GARAGE 1031 SQ. FT. REVISION: PAGE NO.
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UNFIN. BSMT. 580 SQ. FT.
A4
Jurisdiction of City of B1ai� Nebraska
218 South 16 Street
BIA Nebraska 68008
Fax (402) 426 -4195 • . 2i .4 6
(402) 426 -4191
` Permit Fee: $
Application Date:
L� 6 �
lob Address
Owner Mail Address
Zip E
Zip Phone
Contraotor Mail Address
2,
3. Class of Work Cl COMMERCIAL El RESIDENTIAL rl New ®'Addition ®Alteration . D Repair Cl Replacemen
Describe Work:
4. PLUMBING PERMIT FEES
Modular Home ... ...................$50.
Comments:
Type of Fixture No.
Kitchen... .. ....... I .........
.....$12.00x
Bath..••. Residential/Single Stall $12.00 x
....,,....multi-Stall $2
Rough -In Bath ........................ $8.00 x
Additional Sinks ............. •.•••••$
Slop Sinkg aundry Tray/Dxain ..... $6.00 x
Water Heater .........................$10.00 x
No tice
outside Water Faucet ,..,.......•....,. , $6.0 0 x
I hereby certify that I have read and examined this Drinking Fountain ..............:..••... •.$6.00 x
application attd know tbo smino to bo truc and correct. All
_provisions of laws and ordinances governing this type of
work will be complied with whether specified herein. or Backf(ow /Grease Trap. • ........... $15,00
not The granting of a permit does not presume to give j
authority to violate or cancel the provisions of any other Water Sexvice. • $15.00
state or to cal law regulating construction or the SO= ................................. $15.00
perforrnance of construction. $15,00
Groundwork ............
Septic Tank Lo"6 Laterals.,. $15.00
Lawn Sprinkler System ............ $10,00
Sprinkler System (Commercial)..$30.00
Gas/Water Piping System
(Comm.ercial)... ........ $50.00
Signature of Contractor or Authorized Agent Peivvt Issuance Feo. • ............ • . •$25.0
Total
Current License on File cl Yes Cl No 0 N/A
Data Comment:
WDEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By:
Rev. 2008 -10
Y LIC A TIO
MECHANICAL
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of Blair, Nebraska
Jurisdicti6a of City 1
• 218• South 16 Street
Blair, Nebraska 68008
Fax (402) 426 -4195 .::,,� •� <.
(402) 426-4191
" Permit Fee: $ ;
Application Date:
Job Address phony
Zip
owner Mail Address
�. • Zip phone
Contractor Mail Address
3. Class of ljirork: a COMMERCIAL O RESIDENTIAL
d New O Addition 0 Alteration ;0 epalr 0 Replacement
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Describe Work: ,
4.. NECC'AL PERMIT FEES
Heat Pump Tons
-central .A10 Tons
urnace/Heat Pump /Air Conditioner (Per Unit)
100 OOOBTU / 3Ton .... ........................$
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BTU/11 Up to and including ,
Furnace '
A/C Furnace /Heat Pump /Air Conditioner (Per Unit) ...... • • ... • •.•$25.00
9 O Units over 100 ,000BTU /3Ton. • ••••• ^•• .....
• Furnace - '
Commercial
Completion Date: Refrigeiation Units /Coolers /Lines /Compressor —
(New or Replacement) (Per Unit) $15.00
Boiler Chart Fee .... ..........................:....
BTU .•$15.00 r
Up to 100,000
100,000 -500, 000 ..... .........................$30.00
500,0004, 000, 000 .. .........................$40.00
.00 ft) ..............:.....
1, 000, 000 -1, 750,000:...........••••••••• ^• 60 Boiler (useBTUCl2arttole
Over 1, 750, 000 ....... .............•.•......•$
Appliance Ventffl ens ........................ $10" t'1
6
Notice Duct System .............. • ............ •. •...$15.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All $6.00
Gas /Air Ouilets :................First 5 x
provisions o f laws and ordinances governing this type of —
work will becompliedWitiwhether spec+ led herein or Additional_- Jx$1.00
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any. other
on or Radiant
state or local law regulating construct' Heat Systems /Gas/Water 50.00
in system ........:.............. $
performance 'of construction. Pip ' g Y
Modular Home ............... $50.00
Signature of Contractor or Authorized Agent 25.00
Permit Issuance Fee .................... . $
Total
Yes 0 No 0 N/A
Date Current License on File . ® Y
Comment:' °' = j
YOUR PERMIT
THIS IS
AI,IDATED (IN
PROPERLYV THIS SPACE)
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