2296 Fieldcrest Application.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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lLl�lalfl @1"11111 prJ�IC1t1011 (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
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07/14/2015 RES -NEW Residential July 16, 2015
LOCATION OF IMPROVEMENT: 2296 Fieldcrest Dr, Blair, NE 68008
ARCHITECT:
GENERAL Paradise Homes Inc.
OWNER: 3801 Harney, Llc CONTRACTOR:
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17504 Storage Rd
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484 Branched Oak Rd _ OMAHA, NE 68136
DAVEY, NE 68336 -0000
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NATURE OF WORK STRUCTURE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 01/10/2016
2296FieldcrestDr- 150714 -New Residential ESTIMATED COMPLETION DATE 2/14/2016
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DESCRIPTION OF WORK
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3 bedroom ranch, 3 bathrooms, unfinished basement with rough in bath, 3 car garage and deck off of the back.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheckSUBMITTED: 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, all constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
a placation.
-, Ste- -
ture of Applicant gate
CITY OF , NEBRASKA
Phone 402 - 426 -4191 '
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RECEIVEDOF: ?
ADDRESS
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CITY, STATE, ZIP CODE
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THANKYOU KEEP THIS COPY FOR YOUR RECORDS.
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RECEIVED BY
Pounds Printing, Blair, NE 68008
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 fundable deposit is being collected for any new commercial, new
residential, nd any additions, remodels and accessory building valued $10,000 or
gr he 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) j
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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n Contractor /Owner
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City of Blair
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Conserva
36 pAftf 4 9 Ener9Y !
ClailfidatiOn
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CH Ope
and rim joist junctions Y
sealing fo °
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CHANCS SUl4�IN(ARt Attic access
° been added to the list oi' specific locations requiring
gal in of the �u��dtng have ation.
revert asr infilttr:.
e[�i11�1� En ,Velope P TCte�mal gnvelope• Thebuild ,
2p09 CODE: M11o7.4'1 gtzil .1eL ly sealed to 111 0 t filtration. The £
ing thermal envolope shallbe durab r allQW
dsbetweendissimilarmaterialsshh �e ca ° v]k degas °�
sealing m•eth The following _
Be expansion
and contraction. an air barrier mate - a ;
ed or otherwise sealed wi
keted,'weatherst
, �� olia meterial. {
t �) . lial, suitable film or s
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d penetiations.
CO �. 2- 1, All joints, seams an o s, and skylights. J . '
Site builtwindows, d °T
dow and door assemblies and their re °, }
�o 6 T 3, ppeningsbetwaen
4 jamb and framing. •}r`•::'.
s p ectiva }am
�, penetrations.
P'
enve
ed ceilings or
chases adjacenfto the thermal ope,
Vv1 Ca ; �y3y5. Dropp r`t
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�Talls and Ceilings separating g w
7. exterior wars
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uwers on
8, Be �- tbs and sho between dwelling units. y t
9. Gomon walls`
m- •���:�
gyp, Attic access o_ eninCFs• 'X 4
'unction. S °
other 50t7rCES o i n g l ations
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chimneys
Recessed z17
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'lights
Attic hatch
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- Ceiling Rim joist
corners junctions
Windows
require
" sealing
Doors
j Electrical L'
outletsyr�j��
Basement
window ,: • Duct seal
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1 '{,•tie � � € ' � � ',• .
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Bill plates ; a
'' �ypicat sources of a7V leakage "c.E
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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 thct.
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Owner /Occupant
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City of Blair tte
218 So uth 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4196 E -mall CltVofblair @ci,blalr,ne,us '
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