RN-2014-00199.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191- Phone
(402) 426 -4195 - FAX
RN -2014 -00199 e o, ago www.blairnebraska.org
i
04!30/2014 RES -NEW Residential May 5, 2014
LOCATIONOFIMPROVEMENT: 2253 Jackson St, Blair, NE 68008
ARCHITECT: GENERAL Melvin Sudbeck Homes, Inc.
OWNER: Jackie A Gr CONTRACTOR: 16255 Woodland Dr
1231 ewood Dr Omaha, NE 68136
IR, NE 68008 -0000
T
�.„ "' ,�,� ,. �. � �` r = ��.^ -, �� L � � -�' a.;; �"�,. G,,.�`.^.;, ,,,:.}:.�,s Y„ ��..- <.;d:?..�Rr- ti��tir ✓'�„z. -�. � "`� -'?` �}
`}�'�"
i
NATURE OF WORK PROPOSED USE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 10/2812014
2253JacksonSt- 140430 -New Residential
ESTIMATED COMPLETION DATE 10130/2014
DESCRIPTION OF WORK
2 bedroom 1 bath ranch home with 2 car garage- unfinished basement with no rough in basement. Patio off of back of
house.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
I
Contractor
REScheck/COM check SUBMITTED: Received
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
I
I
I
I
I
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
6
Signature of Applicant Date
I
I
CITY OF BLAIR, NEBRASKA
Phone 402 -426 -4191 '
s'
i
RECEIVED OR
1
ADDRESS
qq 1
3 f ,,
CITY, STATE, ZIP CODE
i
{{
3
i
I
I
1
tt
THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 88008
s
I
' promise
o�
BUILDING PERMIT DEPOSIT AGREEMENT
. -'" — - i
A $500.0 efundable deposit is being collected for any new commercial, new
rest ential, 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,
addition or accessory building valued under $10,000.
I
A $50.00 refundable deposit is being collected for all mist. permits.
I
I
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.
tractor /Owner Contractor /Owner
City of Blair
i
�-
t te
I
. i I
i
CITY Of I)t
ar J
° ris e of a
i
i
BUILDING PERMIT SUPPORTING DOCUMENTS
I
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.
Owner /Occupant or
City of Blair Date
f
218 South 16fh Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E -mail cityofblalr @ci,blair,ne.us oa,xR.
I
i
' : �: I
236 PART 4 0 Energy Conservation
CHANGE TYPE: Clarification
0b a a
s and rim joist juncti
x su
CHANGE SUINMARYt Attic access open �.
� sea ling to Y,l
r: .
• - o� the Building have been added t the list of spec ific; locations re airing g •4 ��
Sea prevent air infiltrations ,
Tt herMal Envelope Thermal Envelop
Thebuild-
aaoy eoo�: N1102.4.1 Building
2. thermal envelope shallbe durablymatea�ealds to sh�allinfil
or differene
g
sealing methods between dissimi ar shall be caulked, gas -
tial expansion sfr G ed or otherwise sealed with an au barrier mate-
lceted,'Weather t pp
so lid material.
xial, suitable film ors =.�
A'•
p enetrations
1 r� Co d 2' 1. All joints, seams and p ,
S doors, and s kylights. t §
2 Site -built windows, lihts 'Al
window and door assemblies and their re- '
3, OpeningsbetweenvrinV,
spective jambs and fr amin g. 7:.i,,
4, Utility penetrations.
y ceilings or chases adjacent to the thermal. envelope
�vvl,� �, C`�'mrp�lysy 5. Dropped
0 f L � �` f / G, Knee walls.
the, ara e from conditioned spaces-
q, Walls and ceilings separating g g
;�:•
(r( S. Behind,•tubs and showers on exterior walls.
Ben dwelling units.;
walls betty y~
9. Common
10. At aCG655 017 en -- i '
11. Rim loist tun
1e 1, Other soLixces ofin5lfraoni
' j2eS chimneys
Recessed l_..
lights ;
Attic hatch .,:,a`t;!.', +._ ., ` R•
Wi _ ° joist :: •,•.:
*5 r��•;`,. 'ice
i4se,N • , i t Y ' +' S % �+
Ceiling Rim joist
corners junctions
windows'
require
r ^ 3 • ?'
Doors sealing
Electrical '� • ;f• `'}
outlets
�t�f'S ^'P�`�� ;V�^'a' �s a ^-• Ski,., = ` x >s poi: ;`;., .
'C£�Abc �'t'S^ �� ° ' t , "s�; %x ti+C - �i ''
G t ,'E x s,r. �"Fie''Grf;.sn „<.:�s...'...,;w . • . .4.:
Basem n , ,r - ;,= .�_�,l:�s•:. L+
w •:pq ,��;�;
oW sill °;mod
ind � LX Duc vao�:
seal a :,E
WIN
'� �•I L�u�aL 'hi
sill plates
Typica( sources of air leakage ,- s
. 3.
•�J
• ;s