Fillable SITE PLAN SPECIFICATION SHEET (City of Norfolk Nebraska)

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SITE PLAN SPECIFICATION SHEET (City of Norfolk Nebraska)

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building safety. right at home.
Rev 06-2016 1
Norfolk Fire Division
Prevention Bureau
701 Koenigstein Avenue
Norfolk, NE 68701
P402-844-2060 F402-844-2069
www.ci.norfolk.ne.us
Date Received:
__________
Building Permit #:
_________
SITE PLAN SPECIFICATION SHEET
for
One and Two Family Dwelling Units
At (Location) __________________________________________
Zoning District
_____
(No.) (Street)
Subdivision __________________
Lot
____
Block
____
Lot Size
_______
Contractor ________________________________Tel. # ____________
Owner _______________________________________________
Is Property Located in 100 Year Flood Zone ( )Yes ( )No; in Floodway ( )Yes ( ) No.
( Please Check Yes or No )
Flood Plain Development Permit Required if You Checked Yes
Please Show the Following
Information on the Site Plan
______ Dimension of lot and location of all improvements in relation to property lines
______ Location, size and type of easements located on property
______ Location of water and sewer lines from property line into dwelling
(Water and sewer locations can be provided by the Public Works (Engineering) Office.)
______ Location of any drainage swales, drainage ditches and culverts with their
particular elevations
( if applicable )
______ Establish a bench mark at the top of curb directly out from front lot corner and
identify it on the site plan with “BM”
______ Existing elevations at house corners, property line corners and adjacent curbs
______ Proposed elevations at all house corners and property lines adjacent thereto
______ Proposed elevations of first and lowest floor
______ Location of sidewalk(s) and driveway(s) with the elevation at the top of the drive
at the garage entrance.
( Note: sidewalks shall meet ADA requirements. Maximum
cross slope shall not exceed 1”.)
Note:
One Set of Drawings and Two Site Plans are Required with Building Permit Application
Attach a file
Lock Form – warning
this cannot be undone
building safety. right at home.
Rev 06-2016 2
Norfolk Fire Division
Prevention Bureau
701 Koenigstein Avenue
Norfolk, NE 68701
P402-844-2060 F402-844-2069
www.ci.norfolk.ne.us
DWELLING SPECIFICATION SHEET
FOUNDATION:
Footing Size: ________________ Reinforcing: ______________________________
Foundation Walls: ( )POURED Reinforcing: horz. __________ vert. __________
(check one) ( )MASONRY Grouted with 1/2” Rods: ________________o.c.
( ______________ ) ( )OTHER Reinforcing: horz. __________ vert. __________
Anchor Bolts: Size: ______________________ Spacing: _____________________
Foundation Drains shall be installed unless otherwise relaxed by the Code Official
under the exceptions listed in the Building code.
STRUCTURAL:
Sill Plate: Size ____________ ( Treated )______ ( Untreated )_______
Floor Joist: Type/size: ____________________________ Spacing: __________ o.c.
Center Support: Type/size: _______________________________________________
Support Columns or Wall: Description: _____________________________________
Decking Material: Type/size: _____________________________________________
Exterior Wall: Description: ( example; 2x4 , 2x6; spacing; sheathing; insulation type
and R-value; and infiltration barrier )
________________________________________________________________________
Corner or Wall Bracing: Description: ______________________________________
Roof System: Rafters (__)_____ , ____ o.c. max span ______; Trusses (__), ____ o.c.
Roof Covering: Description: ______________________________________________
Ceiling Insulation: Type/R-Value: _________________________________________
Attic Area: ____ sf. Attic Ventilation: # of Roof Vents ____, Size ____; # of Proper
Vents ______ Location of Attic Access, 22”x30” clear opening: ________________
Stair : Rise _____ (7 3/4”max.); Run _____ (10”min.); Headroom ______ (6’8”min.)
Please provide: Front, rear and side views; floor plans drawn to scale with room
identification; location of egress windows, smoke detectors, electrical panel, furnace,
water heater and sump pit; locate and describe dwelling unit separation for two
family dwelling units.
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SITE PLAN SPECIFICATION SHEET (City of Norfolk Nebraska)

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Completed 10 November 2021

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