10075 Application.tif I
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
k?t1 Building Permit Application (402) 426 -4191 -Phone
?� (402) 426 -4195 - FAX
RN- 2014 -01498 �om;se of www.blairnebraska.org
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07/21/2014 RES -NEW Residential July 31, 2014
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LOCATIONOFIMPROVEMENT: Lot 5 Crystal Lake Dr, Blair, NE 68008
N ARCHITECT: j
J/ GENERAL Prairie Homes Inc.
OWNER: Mark E Bresley CONTRACTOR
23710 Hampton Rd
r 14468 Tibbles St ELKHORN, NE 68022
✓ OMAHA, NE 68116 -6636
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NATURE OF WORK STRUCTURE
New Construction Primary Residence
PROJECT NAME
PERMIT EXPIRES 0712012016
Lot 5Crystal LakeDr-1 40721 -New Residential
ESTIMATED COMPLETION DATE 2/1/2015
DESCRIPTION OF WORK
2 bedroom ranch, 2 bathroom, unfinished basement not a walkout, rough in bath in basement, 3 car garage. Stick
framed roof.
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
°. ap ication.
Sig ure of App scan Date
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CITY OF BLAIR, NEBRASKA
Phone 402 -426 -4191
RECEIVED OF,
ADDRESS
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CITY, STATE, ZIP CODE
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THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 68008
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BUILDING PERMIT DEPOSIT AGREEMENT
re $500.00 refundable deposit is being collected for any new commercial, new
siden ' , and any additions, remodels and accessory building valued $10,000 or
Brea er 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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r /Owne Contractor /Owner
City of Blair
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BUILDING PERMIT SUPPORTING DOCUMENTS
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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 n �� Wr
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City of Blair at
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218 South 16th Street • Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 - 426 -4196 E -mail cityofblair @cl,bialr,ne,us •.,ow'•R'
�t Energy Conservatlbn
23 6 PART t . C 6 `t ;�,
CHAP1GiTYIE: Clarification
7B 3
a. s and rim joist junctions h:a
CHANGE SUM Attic access opening . • sealin to = :
se
of the Building have been added to the list of specific IN
requuln
g revent air infiltration..
j- �e�lina1 Envelope p Thebuild
Theema� gnvelope.
sealed to limit]tration.'�he
2009 CODE N1102.4.1 gc�ildin�
ingthermal envelope shall be durably
—�— sealing methods between dissimilar foll Ong hal allow
be caulked, gas. '
tial expansion fro GOed or o °thexThe sealed with. an air barrlex mate-
keted,•weathers� p
aterial:
Aal, suitable film 03: solidm ° I s
�- seams an
'. d penefratsons,
C o All joints,
d� .
S doors, and skylights. '• p' •
Site -built windows,
s between window and door assemblies andtheir re-
3, Opening and fr aming. .'
spective jambs }:,,•.
enetrations.
�, Utility p
,r pp s 03: chases adjacentto the thermal envelope.
C�'+'►�AP 5. Dro ed ceiling
6. XCnee.walls g ,`
s se arating the. garage from conditioned spaces. ti � •
q, Walls and ceiling p 4 '=
S.
Behind tab and showers on exteriox walls.
een dwelling units.
g, Common w s be �
10. A ttic access onenin s. s
��, gnuioi:stiun.ctio `a jar °:
nfiltration.
12, Other sources of i
e Chimneys —�
ld Recessed
lights
Attic hatch Rim
joist
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c` r �'y +..r.a �jC _s.';.3j :.
Ceiling Rim joist `• ;�;
corners junctions
Windows
4 rn� F :[? Doors
sealing
Electrical
4 l outlets
HI
•'fie. F'c f �pZ 5+`� t "t�'.�j�_,.� �. C.;,S ' %;:,
a ,
w
Basem
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window
• Sil to; e „
� :.. Duct s
eat a�P�•
{SPA
as ���f w ' W et•
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zas ;
Sill plate
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Typical sources of air leakage