DR-2015-00029.tif CITYOFRLAIR
218 S.16TH STREET
BLAIR, NEBRASKAU008
Building Perrhit pplication (402)426.4101 - Phone
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(402) 4264195 - FAX
DR- 20"15 -000
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0112012015 DEGKRAMP
Residential February 17, X015
it LOCATION01FIMPROVatrEN1, •166f Grant St, Blair, NE 68008
Nrtkk Total Construction Services, Inc.
OVWB:t Cannte M And Earl James Custard
I. 6727 N. 66th St
1553 Grant St Omaha, Nrz 68162
BLAIR, NE 68000-0000
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NATURE OF WORK STRUCTURE
Deck Primary Residence
PROJECT NAME PERMIT EXPIRES 01/1912017
15650rantSt•140930-2014 Storm. Damage
ESTIMATED COMPLETION DATE 4 120120116
DESCRIPTION OF WORK
Front Deck repair, Damaged in Hailstorm. i
DEPOSIT PAID BY: SITE PLAN SWMITTt Pending
Contractor
REScheckICOMcher.KSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Pending
ISM Q 1� 1 1 11 1; i!
1. No work will be started before a permit 18 ISSUED AND POSTED.]
: j 2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshars 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 acknowledgei this building permit application does not constitute issuance of
.1 this building permit. It Is further understood that construction covered by this permit application shall not be wMmericad until a
li copy of a permit signed by the Building Inspector is issued.,
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1 i 9. The undersigned owner or agent agrees to perform the proposed work In accordance With the specifications set forth above and
in accordance with the codesfordinances of the City of Blair and the State of Nebraska, Any omission of or mlarepresentAtIon of
N i fact with or without the Intention of the undersigned or any alteration or change froth 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 plication
afore I
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BUILDING PERMIT DEP6811TAGREEMENT
A $600.00 refundable deposit is being; collected for any now commercial, new
residential, and any additions, remodels and accessory building valued $`10,000 of
greater at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
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add' ' r a ess cy building valued under $10,000.
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$50.00 fundable deposit Is being collected for all mist, permits,
The City reserves the right to not refund this deposit if any of the following
conditions occur during the construction !period
!j 1) Theft of wafter 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 flan inspection not obtained. (If Required)
If any or all of these situations occur sduring 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 SHAL be forfeited or
discounted upon the discretion of the City of flair, Building and Inspections
Department,
retractor /ownero tr ar caner
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!i City of Blair
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BUILDING KIRMIT SUPRORTING DOCUMENTS
This building permit packet includes various Items dealing with particular code
requirements andfor building permit requirerents. 'It in no way, includes ALL particular
code Items) Also, it is your responsibility `lo know the oc [nternatinnal..Building
Dade requirements that apply to your project Please understand this packet is only
designed and distributed- aid you in your` building permit process. A copy of the
International Building Cade Is available for your use'at the Blair Public Library.
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I have read the'abova disclosure and accept this building permit documentation can my
own behalf assuming full responsibility as the: ownerlcontractor for this project.
Qwnerl+Docupant ant or
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City of Blair ate
218 South 16th 5tfeet t Wdr) Nebrgskg 68008 f 402-426-4191 • Fax 4112°426.4196 { L- -mail cfiy9Ebicair(�CI'biglr,tra.ue 6
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