AC-2013-00492.tif CITY OF BLAIR
218 SA 6TH STREET
BLAIR, NEBRASKA 68008
1 jC1t1 ®n (402) 426 -4191 -Phone
B uilding Permit App (402) 426 -4195 -FAX
www.blairnebraska.o
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AC- 2013 -00492 October 29, 2013
Residential
ACCESS
1012112013
LOCATIONOFIMPROVEMENT: 1423 State St, Blair,
NE 68008
GENERAL Terry Anderson Construction
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ARCHITECT: CONTRACTOR: 539 S 10th Ave
OWNER: Duane E And Luella R Brunton Blair, NE 68008
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1423 State St
BLAIR, NE 68008 -000
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PROPOSED USE
NATURE OF WORK Accessory Building
New Construction 101211201
PERMIT EXPIRES
PROJECT NAME 312112014
1423StateSt- 131021 - Garage ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Rebuilding garage that was destroyed by fire. Building in same footprint.
SITE PLAN SUBMITTED:
Received
DEPOSIT PAID BY:
Contractor RESchecklCOMcheck SUBMITTED: NA
DEPOSIT STATUS' BUILDING PLANS SUBMITTED:
Pending
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ND POSTED.
permit is ISSUE 1. No work will be started before a p and air conditioning, and septic system.
set of plans for t be submitted to the
this project mus Nebraska State Fire Marshal's Office for rev1eal permits, a plumbing, heating, ventilating
es this building permit application does not constitute issuance of
2. For commerci its are required for electrical, p ced until a
3. Separate perm
4. The undersigned owne is furthertunderstood that an
construc acknow this
by this permit application shall not be commen
this building perm Inspector is issued. s pecifications set forth above and
copy of a permit signed by the Building erform the proposed work in accordance with the sp
omission of or misrepresentation o
of the City of Blair and the State of Nebraska.
5. The undersigned owner or agent agrees top n lication without approval of the
in accordance with the codes /ordinances
undersigned or any alteration or change from this app approval of thi!
fact with or without the intention of the round for the revocation of any permit issued which was b ec n the
uil ing Official, shall constitute sufficient g
pp cation....
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ture of Applic t
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RECEIVED OF'
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CITY, STATE, ZIP COD
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BUILDING PERMIT DEPOSIT AGREEMENT i
new commercial, new
$500.00 r fundable deposit is being collected for any valued $10,000 or
r idential r d any additions, r emodels and accessory ry building
our building p p
grea e a the time of y residential remodel,
A $200.00 refundable deposit is being collected for any
addition or accessory building valued under $10,000.
A $50.00 refundable deposit is being collected for all misc. permits.
reserves the right to not refund this deposit if any of the following
The City the construction period: eneral contractor.
conditions occur during lumber, owner or g
1) Theft of water service by the p
2) All permits have not been obtained.
3) All required inspections tfinal t been obonned.
4) Occupancy occurs prior a
one.
5) The project is completed without P in final o inspection
e (If Required)
6) Storm Water Management construction, you may forfeit yo ur
If any or all of these situations occur during
deposit. that should any or
hereby agree to the above conditions, rmit
I Y os t S d Inspections
L be forfeited or
all of the above situations occur, the building per p
u on the discretion of the City of Blair, Building an
discounted p
Department.
Contracto wner
Contractor /Owner
City of Blair
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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 j
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 budding p ermit process. A
copy of the
International Building Code is available for your use at the Blair Public Library.
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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 ntractor
City of Blair
to
' E p0 ORIVNII�
218 South 16th Street • Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 - 426 -4195 E-mail cltyofblalr @cl,blalr.ne.us