2256 Cedar Application.tif i
CITYOFBLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402) 426 -4191 -Phone
��° (402) 426 -4195 - FAX
RN -2015 -00201 a��n;se o� oo ° www.blairnebraska . org
03/30/2015 RES -NEW Residential April 8, 2015
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LOCATIONOFIMPROV MENT: 2256 Cedar Cir, Blair, NE 68008
ARCHITECT: a
GENERAL SELF
xr OWNER: 3801 Harney, Llc CONTRACTOR:
484 Branched Oak Rd Blair, NE 68008
DAVEY, NE 68336 -0000
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NATURE OF WORK STRUCTURE
New Construction Primary Residence
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PROJECT NAME PERMIT EXPIRES 09/28/2015
2256CedarCir- 150330 -New Residential 12/31/2015
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
2 bedroom, 2 bath ranch home with attached garage and unfinished basement.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor j
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
ig; plic . n.
nwreof Applicant to
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i C ITY OF B LA I R
Phone 402 -42 -4191
RECEI VED OF..
ADDRESS
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CITY, STATE, ZIP CODE ' ; � r
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- TANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
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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.
4 4-,f A
nerlC ccupant Contractor
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City of Blair to
OPPOPTYNhY
218 South 16th Street • Blair, Nebraska 68008 • 402- 426 -4191 • Fax 402- 426 -4195 E-mail cltyofbfalr @cl.blair,ne.us Eo
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, 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.
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ontractor /Owner Contractor /Owner
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City of Blair
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s and rim loistinnotion.s
`. �(GE 5U1VlMARyt Attic access opening 1 ' sealin to ;r;+
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• - be en added to the
Sealing Of the list o� s pecific locations xequzrzng g ��.
130ding have be
iniiltation.
,dermal EnvelOpe Prevent air an a Thebuild :
X009 CODE: 111102.4.1 Building Thermal Envelope. The
t in filtration. t u
ing thermal envelope shallbe durably sealed to liini T
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ealin methods between. dissimllax molloz�g sh be caulked, gas- tier 4
tial expansion and contraciaon. The barrier mate -
ed ox otherwise sealed with u
keted,'weathersi ? i pp
' aterzal:
rrk
J rial, suitable fibre ox solid m
pe netrations , '
P� g Co e. 1 All joints, seams an P ; r
doors, and skylights, 7`
2, Site- b'ailtwindow
p eningsbetweenwindow and d OT assemblies and rfi;,r f
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spective jambs and framing••' ,
�. Utility Penetrations.
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•, P ed ceilings or chases adjacent to the thermal env, ope, ,�..
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the ara e from conditioned Space" .
s se crating g g 1
d ceiling P
q, Walls an '��:�•'
P dtabs and showexs on exteaiox w s.
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on walls between dwela•g units.
9. Gomm `•' -�i
gyp, Atti c access o_ enin�sl
g.1. pim,'oi:st'vnctionl 4=� �,
g �2, Othex sources
of infiltration'
Chimneys _4 t;•' "v:,
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X ight Attic h :� R. joistt:
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cornea junctions
Windows' require
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Doors
Doors r Y,
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outlets j �" ^' �' Fp���`''�s F^ rf ==•ss k�-?!•''..4, ^;;,: r
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Sill plates
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f d' air leakage -•'
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