RN-2013-00505.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
wilding Permit Application (402) 426 -4191 - Phone
RN- 2013 -00505 �— ',� (402) 426 -4195 -FAX
r hIs e Qf a www.blairnebraska.org
10/25/2013 RES -NEW Residential October 31, 2013
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LOCATIONOFIMPROVEMENT: 13522 Spring Ridge Loop, Blair, NE
ARCHITECT: GENERAL J Nielsen Construction LLC
OWNER: Ben & Marcie Ellenberger CONTRACTOR: 1730 State St
13522 Springridge Lp BLAIR, NE 68008 -1568
Blair, NE 68008
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NATURE OF WORK PROPOSED USE
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New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 10/25/2015
9999 1Spring Ridge Loop - 131025 - New
Residential ESTIMATED COMPLETION DATE 5/25/2014
DESCRIPTION OF WORK
3 bedrroom Ranch 2.5 bath with unfinished basement rough in bath in basement, 3 car garage.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: Received '
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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
applications.- 1
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gnature of Applicant
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36 PART 4 M Energy Conservation A
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CHANGE TYKE: Clarification
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CHANGE SUMMARY: Attic access openings and rim joist junctions
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@D'E Building have been added to the list of specific locations requiring sealing to r
Therm En velope prevent air infiltration.
The build -
2009 CODE: N1102.4.1 Building Thermal Envelo e.
ing thermal envelope shall be durably sealed to limit infiltration. The is
—�- C� �� sealing methods between dissimilar materials shall allow for differ
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� tial expansion and contraction. The following shall be caulked, gas- ,'��•:•
S e ���� keted,'weatherstripped or otherwise sealed with an air barrier mate-
rial, suitable film or solid material: L.
I� (fie CO 4 1< All joints, seams and penetrations.
/ N 1 Z, Site -built windows, doors, and skylights.
4 O a 4 3. openings between window and door assemblies and their re- =u,
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spective jambs and framing.
4< Utility penetrations.
qpt 5. Dropped ceilings or chases adjacent to the thermal envelope. lM1:
/ 6< Knee walls. p .I
7. Walls and ceilings separating the garage from conditioned s aces.
S. Behind. tubs and showers on exterior walls.
9< Common walls between dwelling units. ;7a°
18. Attic access openings.
11. Rim joist junction.
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1812. Other sources of infiltration.
Chimneys
Recessed
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Attic hatch " • _ , '
Rim ,xt.
',4�'..i� :a J` �'.k. ' f oist `' -Isl. r•
Ceiling Rim joist !s
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corners ';31:
Windows junctions
require L f
j Doors sealing
Electrical
/ outlets�,�° "
�®. Basement ,`
window
_ Silt ; g .
` Duct
seal y
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u ob
sill plates ;°
Typical sources of air leakage
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CITY OF I, NEBRASKA
Phone 402 - 426 -4191
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RECEIVEDOF:
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ADDRESS
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CITY, STATE, ZIP CODE
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THANKYOU KEEP THIS COPY FOR YOUR RECORDS, {
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RECEIVED BY
Pounds Printing, Boor, NE 68008
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.000 r�dable deposit is being collected for any new commercial, new
r a'nd any additions, remodels and accessory building valued $10,000 or
reater at the time of our building permit application.
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A $200.00 refundable deposit is being collected for any residential remodel,
addition or accessory building valued under $10,000.
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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.
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.
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Contract / 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
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 for this project.
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Owner /Occupant --Ac ntractdr
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City of Blair - ' ®ate
218 South 16th Street a Blalr, Nebraska 68008 • 402 -426 -4191 Fax 402 - 426 -4195 E -mall c1tYofb1a1r@c1,b1a1rne.us
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