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PB-2014-02595.tif i CITYOFBLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Application (402) 426 -4191 - Phone (402) 426 -4195 - FAX PB- 2014 -02595 pr Om se o� °` www.blairnebraska.org i 1 09/04/2014 POLEBARN Residential September 11, 2014 LOCATIONOFIMPROVEMENT: 14933 State Hwy 91, Blair, NE 68008 ARCHITECT: GENERAL Scott Erectors OWNER: Gary R And Diane L Wehrli CONTRACTOR: 2165 Park St 14933 State Hwy 91 Blair, NE 68008 i BLAIR, NE 68008 -0000 :r. ,,,. ..: „✓ �,, f / /. 1' rr 1. ,,. C / /.: >rr✓ ,r , �: f/ ,! .✓ :� ..s;,: .. ., .:..... ,.,.� ....,, ., .:✓r, .r /r lr c;,'✓J ✓ .,/ .. / ", / r..7 ;.,r .,✓ ,. .,:✓ / ✓� /. ,/ -. .y.. r< , f. . ,. ,? r, " ., . � ...3 .,.._ ,.., .,.. -.. r ,�. r,r' � r�Y.. r ✓ "..! , /r.., �/�. / ✓ /.. .:.,r , if / .,. . a � a' ,,.,, c ._.,, :, z,,, � ., c - -, Y� r,f �i`. /" / r��/" �l . -,.., /. "., / /: ✓, "a fl- .rrr -�e, r•:. �. s'. �' .. ,; �,'� � ,. sr � G U E:) .,. r:, .;�r�'r ✓`�. >/1 ::,;//a /t/ /. </ ✓ r✓;✓ _.. _.,, ,r „r.<.,� /ry, /,,,,, ,;;; , ,,, ,._=/l /,�i .i�i/� �'./ �r..yc/ �,., r.,/,`��✓ / ,. r,�..r ✓. , „r Ur. ✓r ,r/'dr'r/6%.��,���Cr;r„"�,' /r „.,� ter' , //G ��._�r„ //r 'i�.;<!r ✓', � �i/ „✓.;.'<?f NATURE OF WORK STRUCTURE New Construction Pole Barn PROJECT NAME PERMIT EXPIRES 0910312016 14933State Hwy 91- 140904 -Pole Barn ESTIMATED COMPLETION DATE 1014/2014 DESCRIPTION OF WORK Pole Barn Used for Storage. Trussed roof DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck /COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA ,- `<. r ✓ .,'- .r,,: "r / Jf/ e :t.. r ,' -�'a A r .,,r A� I.. rrl7 ,r/ r /! f/ r rr" ✓✓ r /' / ✓/✓ - ✓z /// .,. , ,.. ,.,.,�. ✓ ,,.;,,, r r, .,,,✓ .,,;.� ,. /. G rr ✓ ;+' � �� � Y� t' ✓ . f T r r f ✓ / / : r ,.,. / /,,, ., ,. .,,, ,r .�✓�.c ✓r, r,,..,., ,� ,, ,,,� � 1������ €F. u✓f` /rral'.1.`�l~r iS� -/ „ f��� G � ✓ ;:'�r, '�� ✓ „iii 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 uildin 1 fficial, shall constitute suffi i nt ound for the revocation of any permit issued which was based on the approval of this pli ati n. -k m Si atu of A I'_ nt D i i C I T-L Q Of f 't pA 0 raise of a� i 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 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. l ® er /0 cupa t Contractor ZO City of Blair Date i i OPPORiVNrtY 218 South 16fh Street • Blair, Nebraska 68008 • 402- 426 -4191 • Fax 402 - 426 -4195 E-mail cltyofblalr @ci.blalrne,us Eon CITY OF 9 NEBRASKA Phone 402 - 426 -4191 RECEIVEDOR , ADDRESS CITY, STATE, ZIP CODE I i r i THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008 i i I I k Q O� promise BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 undable deposit is being collected for any new commercial, new id'nti ,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. i i Co ct / wn r Contractor /Owner I City of Blair `� Date