RN-2014-00302.tif i
CITYOFBLAIR
% 218 S.16TH STREET
BLAIR, NEBRASKA 68008
402 426 -4191 - Phone
Building Permit Application ( >
A (402) 426 -4195 - FAX
RN 2014 - 00302 `°�;s of Q ° www.blairnebraska.org
06/11/2014 RES -NEW Residential �June�201
LOCATION OF IMPROVEMENT: 1391 Linden Dr, Blair, NE 68008
p ARCHITECT:
3 GENERAL Diamond Homes LLC
OW CONTRACTOR:
OWNER: Diamond Homes, Llc 12367 Merriam Dr
BLAIR, NE 68008 -0000
12367 Merriam Dr
r: BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 06/10/2016
1391 Linden Dr- 140611 -New Construction ESTIMATED COMPLETION DATE 1/11/2015
DESCRIPTION OF WORK
New ranch style house, 5 bedrooms, partial finished basement, 3 bath, attached 3 car garage. Has trussed roof.
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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
application. PD ate r ggnature of Applicant
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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.
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 &bn PractoT
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City of Blair ate
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218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E -mall oltydblaMol,blalme,us
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CITY OF BLAIR,
Phone 402- 426 -4191
RECEIVED QF:
ADDRESS °
CITY, STATE, ZIPGODE
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THANK YOU KEEPi HIS COPY FOR YOUR RECORDS.
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RECEIVED BY - --
Pounds Printing, Blau, NE 68008
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Clarificati
• • CHANGE TYP E ' on ;
110AA1 s and xiT]• foist jun °tions
CHANGB SUIVIMAEtY: Attic access opening seali to ,
• O'� '��11& ��.IIldIkig have been added to the list of specific locations requiring g
Sealing En
prevent air inf ltration.
Ti`her�lmal n Thermal Envelope Thebuild."
• tration, The'z''
�OOy CODE: N11Q�•4.I Building },
ingthermal envelope shall be durably seal
limit'
sealing methods between dissimilar materials shall s ha l l e Caulked, s-
or otherwise sealed with an air barrier mate -
eL tial e�cpansion and contraction. The following
keted, weatherstriped L;
olid material:
rial, suitable film. ox s
Co
2• ,
All joints, seams and penetr
ations.
5 and skylights. Yk.,
2, Site- builtwindow
doo xs ,
s between window and door assemblies and their xe-
3, Opening
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SP ac lambs and Raming.
g, Utility penetrations. i-
s or chases adjacent to the thermal enve ope.
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AP 5. Dropped ceiling
ICuee.walls, p
�e ara e 'OM conditioneds aces.
s se arating g g>
7 Walls end ceiling P
s and showers on exter
$, Beh tab
lox w s. .
- alls between dwelling units.
w
9, Common
Attic access opening
11. Rim. i oist ivn •`''£ i<: �•
Other sources of infiltration.
��� f Chimneys
.SI G� Recessed
lights
Attic Rim
• , { .•; {yam: v k P° `t <Yti �'..
j:.•.:: r„iit4 r_�µ joist
Ceiling Rim joist
corners junctions
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Windows ' require :t -'
r d j D sealing
.�. � ,� Doors
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4 Electrical ••• .. ,.,
Outlets i� �ti�ih�� %. ^- �t +��y`sa., � i�' + }��scio: "s'<y" °7 r' , •• �'`'
6 f ` �y8? Y 511 � �� g9.t ° N =s' t?:::�,• c' t ;.
Basemen
window,
:., Duct seal a: sa
G r •'f5_ m '�'l• " - ' r1Z�'� i�� 1. q�..
Sill plates �� ..'eel �A;� �.'`.aa:��'��'. � •
Typical sources of air leakage
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-- BUILDING PERMIT DEPOSIT AGREEMENT
e re A $500. re undable deposit is being collected for any new commercial, new
sidenti , nd any additions, remodels and accessory building valued $10,000 or
e 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.
Contractor /Owner Contractor /Owner
City of Blair
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