13948 Application CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building P ermit Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
RN -2014 -00115 on 1e of a o° www.blairnebraska.org
04/0112014 RES -NEW Residential April 9, 2014
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LOCATIONOF IMPROVEMENT. 13948 Co Rd 35, Blair, NE 68008
�,�✓ ARCHITECT:
�r GENERAL K -S Construction
OWNER: Marilyn C Kempcke CONTRACTOR: 1180 Voss Cir
150 Squires PI Blair, NE 68008
✓ s BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
New Construction
Primary Residence j
03/31/2016
PERMIT EXPIRES
PROJECT NAME �
13948Co Rd 35- 140401 -New Residential ESTIMATED COMPLETION DATE 10/31/2014 j
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DESCRIPTION OF WORK
3 bedroom ranch on slab, Bonus room over garage, 3 car garage, 4 baths, covered patio off of the deck.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: 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 constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
-7 1 �p lication.
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Si ure of Applicant Date
CITY OF BLAIR, NEBRASKA
Phone 402 -420 -4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
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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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CITY Of I)LAIQ
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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.
Owner /Occupant 4r
ctor
City of Blair to
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E -mail cltyofblalr @ol.blalr,ne,us • w.•R'
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.0 refundable deposit is being collected for any new commercial, new
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residen ' 1, and any additions, remodels and accessory building valued $10,000 or
re r at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
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.
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.
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ontractor /Owner Contractor /Owner
City of Blair
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ate
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236 PART 4 is Energy C onservation
CHANGE TYK=E: Clarification' ,
NOON OiSt 'U]1Ct10nS '
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® i CHANGE SUMMARY: : �1 t of SpE)Cific locationsreq ping sealing to
® Building een adde p
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have b d t the
S eal ing ® •
@rCQ1�1 .prevent air infiltration. .:
Thermal E The build
2009 CODE: N1102.4.1 Building
tug thermal envelope shall be durablmateTials shall allow or��erene
�c sealing methods between diss�m shall be caulked, gas - t
pa .s,.
IZ tial ex nion .and contraction. The following
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keted,•weatherstripped or otherwise sealed with an air arrier mate- ,•. •
` ma
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! S ,j'L�� -� OrSOlidm
G-�Q. t � rial, suitable film.
p ene trations . ..
Pp ca d-� 1. All joints, seams and p `
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Z, Site -built windows, doors, and skylights. Y:
g, Openings between window and door assemblies and their re-
spective jambs and framing.
4, Utility penetrations. }•5'.
pvte am A0 7 ed ceilings or chases adjacent to the thermal envelope. r }J
(i, Knee walls. '' •�
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separating garage °
. 7, Walls and ceiling the. ara e from. conditioned spaces,
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8, T3ehind tubs and showers on exterior walls.
- g, Co wells between dwelling units.:
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10. A ttic access openings
11. Rim foist function° <�� *
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Other sources Of i nfiltr ation.
(Le3 e Chimneys Rijn
Recessed
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lights
Attic hatch M1;
Rim
Ny` oast
Ceiling joist {'
Rim
corners junctions
Windows
r c require ;ct ,•yv
2l r�.. = sealing
Electrical
outlets
.,�'�,�Ft���'ka,%'� & €�^�� 'R ir.:.uy��.'�'_,+ ..� ��t� � ;.• kr.' ,
Basemen 'Y' rf't'^�'r.�•'f..sWap .a py- .�.�..'x.`.'.
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window Sill ;
Duct
seal
Sill p lates xf NX H
Typical sources of air leakage
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