RN-2014-00240.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
wilding Permit Application (
402) 426 -4191 - Phone
(402) 426 -4196 - FAX
RN- 2014 -00240 A��m;se o , Q ��`` www.blairnebraska.org
05/20/2014 bpeterse RES -NEW Residential June 18, 2014
LOCATIONOFIMPROVEMENT: 10540 Co Rd 26, Blair, NE 68008
ARCHITECT_ GENERAL Complete Custom Homes
CONTRACTOR:
�� OWNER: Steven G And Alayna M Mentzer Madison 2414 N 175th St
10168 Margo St OMAHA, NE 68116
LAVISTA, NE 68128 -0000
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NATURE OF WORK
New Construction
PROJECT NAME M 7 E 06/17/2016
10540Co Rd 26- 140520 -New Residential 12/20/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
3 bedroom 3 bath ranch with finished walkout basement, 4 car garage with covered deck on the back. Stick built roof
system.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck1COMcheckSUBMITTED: 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 withh9ji intention of the undersigned or any alteration or change from this application without approval of the
Building OTaiaf, shall on ute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicatiof . {
Signature of Applicant Date
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500. refundable deposit is being collected for any new commercial, new
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.
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.
on ractor /Owner Contractor /Owner
City of Blair
to
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ar ° rise of
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.
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 Contractor
to -
City of Blair 4 a _ teW _�
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 • E -mail cityofbfair @ci,blair,ne.us
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236 PART 4 il Energy Conservatibn
CHANGE TYPE: Clarification
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CHANGE SUMMARY: Attic access opening and rim. sealing to
list of specific locations requiring g
Sealing of the Buildin have been added to the `}
he�enal En prevent air infiltration.
Thermal Envelope. Thebuild:
200H CODE: N1102.4.1 Build'eng 1 �
in thermal envelope shall
be durably seals shall allow or differene y ; ;
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sealing methods between dissimilar following shall
tial expansion -and contracti be caulked, gas -
on. The following
et
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keted,'weathersfripped or oth �Sn. air barrier mate-
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pene trations.
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` doors, and skylights. ^ P`•
2, Site -built windows,' .
frame
3, Openings between win'a framing.
an'd door assemblies and their re-
spective jambs and
4. g
Utility penetxa
Drop
sox chases adjacent to the thermal envelope.
Apsy 5. Dro ed ceiling ',:..
Knee walls. s:
the ara e from conditioned spaces.,
7, Walls and ceilings separating g g Y
8, BehindtU -bs and showers on exterior w s
dwelling units.
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10. Atfiic access o�eniuQs • �.G,l,
unction .��,
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12, Other sources of infi _'•
Chimneys -}
Recessed
lig hts
Attic hatch . , r ; s ;.
A PV,,, ^ Rim ;ctik,.
joist
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Ceiling Rim joist a;
corners junctions
Windows' require
�n F sealing
J .[ Doors ;.,
Electrical
outlets
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Basement
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Typical sources of air leakage i
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